Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students

Abstract Background The outbreak of Covid-19 had negative impacts on the mental stress and induced psychological distress among university students worldwide. This study proposed a moderated mediation model, and hypothesized that the Covid-19 pandemic-related stress was positively related to depress...

Full description

Bibliographic Details
Main Authors: Lu Lu, Xiaobin Wang, Xuehang Wang, Xiaoxi Guo, Bochen Pan
Format: Article
Language:English
Published: BMC 2022-01-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-021-03671-8
_version_ 1818979410281234432
author Lu Lu
Xiaobin Wang
Xuehang Wang
Xiaoxi Guo
Bochen Pan
author_facet Lu Lu
Xiaobin Wang
Xuehang Wang
Xiaoxi Guo
Bochen Pan
author_sort Lu Lu
collection DOAJ
description Abstract Background The outbreak of Covid-19 had negative impacts on the mental stress and induced psychological distress among university students worldwide. This study proposed a moderated mediation model, and hypothesized that the Covid-19 pandemic-related stress was positively related to depressive symptoms among international medical students. Methods An online survey on stress and depressive symptoms of international students was conducted in a medical university. Questions on Covid-19 pandemic-related stress, Patient Health Quesionnaire-9, Simplified Coping Style Questionnaire and the Perceived Social Support Scale were used as measurements, and model analyses were conducted using Hayes’ PROCESS macro for SPSS. Results It was found that 9.83%, 3.08% and 2.12% students had mild, moderate and severe depressive symptoms, respectively, and the positive association between Covid-19 pandemic-related stress and depressive symptoms was significant (β = 0.27, t = 6.87, P < 0.01). Negative coping was also significantly correlated to depressive symptoms (β = 0.26, t = 6.60, P < 0.01), and partially mediated the association between Covid-19 pandemic-related stress and depressive symptoms. Perceived social support had a negative association with depressive symptoms (β=-0.26, t=-6.25, P < 0.01), played a negative moderating role in the relationship between negative coping and depressive symptoms, and moderated the indirect effect of Covid-19 pandemic-related stress on depressive symptoms via negative coping. Conclusions Results of the study suggested that under the background of continuing pandemic, intervention or prevention of mental health problem is urgently needed for the international students, and depression may be alleviated through reducing negative coping and increasing perceived social support.
first_indexed 2024-12-20T16:59:05Z
format Article
id doaj.art-ae668bf1dc444796a79162d9ba58e9e2
institution Directory Open Access Journal
issn 1471-244X
language English
last_indexed 2024-12-20T16:59:05Z
publishDate 2022-01-01
publisher BMC
record_format Article
series BMC Psychiatry
spelling doaj.art-ae668bf1dc444796a79162d9ba58e9e22022-12-21T19:32:37ZengBMCBMC Psychiatry1471-244X2022-01-0122111110.1186/s12888-021-03671-8Association of Covid-19 pandemic-related stress and depressive symptoms among international medical studentsLu Lu0Xiaobin Wang1Xuehang Wang2Xiaoxi Guo3Bochen Pan4Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical UniversityCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical UniversityInternational Education School, China Medical UniversityInternational Education School, China Medical UniversityCenter for Reproductive Medicine, Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical UniversityAbstract Background The outbreak of Covid-19 had negative impacts on the mental stress and induced psychological distress among university students worldwide. This study proposed a moderated mediation model, and hypothesized that the Covid-19 pandemic-related stress was positively related to depressive symptoms among international medical students. Methods An online survey on stress and depressive symptoms of international students was conducted in a medical university. Questions on Covid-19 pandemic-related stress, Patient Health Quesionnaire-9, Simplified Coping Style Questionnaire and the Perceived Social Support Scale were used as measurements, and model analyses were conducted using Hayes’ PROCESS macro for SPSS. Results It was found that 9.83%, 3.08% and 2.12% students had mild, moderate and severe depressive symptoms, respectively, and the positive association between Covid-19 pandemic-related stress and depressive symptoms was significant (β = 0.27, t = 6.87, P < 0.01). Negative coping was also significantly correlated to depressive symptoms (β = 0.26, t = 6.60, P < 0.01), and partially mediated the association between Covid-19 pandemic-related stress and depressive symptoms. Perceived social support had a negative association with depressive symptoms (β=-0.26, t=-6.25, P < 0.01), played a negative moderating role in the relationship between negative coping and depressive symptoms, and moderated the indirect effect of Covid-19 pandemic-related stress on depressive symptoms via negative coping. Conclusions Results of the study suggested that under the background of continuing pandemic, intervention or prevention of mental health problem is urgently needed for the international students, and depression may be alleviated through reducing negative coping and increasing perceived social support.https://doi.org/10.1186/s12888-021-03671-8Covid-19StressDepressive symptomsCoping stylePerceived social support
spellingShingle Lu Lu
Xiaobin Wang
Xuehang Wang
Xiaoxi Guo
Bochen Pan
Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students
BMC Psychiatry
Covid-19
Stress
Depressive symptoms
Coping style
Perceived social support
title Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students
title_full Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students
title_fullStr Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students
title_full_unstemmed Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students
title_short Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students
title_sort association of covid 19 pandemic related stress and depressive symptoms among international medical students
topic Covid-19
Stress
Depressive symptoms
Coping style
Perceived social support
url https://doi.org/10.1186/s12888-021-03671-8
work_keys_str_mv AT lulu associationofcovid19pandemicrelatedstressanddepressivesymptomsamonginternationalmedicalstudents
AT xiaobinwang associationofcovid19pandemicrelatedstressanddepressivesymptomsamonginternationalmedicalstudents
AT xuehangwang associationofcovid19pandemicrelatedstressanddepressivesymptomsamonginternationalmedicalstudents
AT xiaoxiguo associationofcovid19pandemicrelatedstressanddepressivesymptomsamonginternationalmedicalstudents
AT bochenpan associationofcovid19pandemicrelatedstressanddepressivesymptomsamonginternationalmedicalstudents