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Zahed K, Markert C, Sasangohar F. Understanding the role of beliefs on intentions and actual usage of a tool for self-management of mental health among college students. APPLIED ERGONOMICS 2025; 126:104485. [PMID: 40020344 DOI: 10.1016/j.apergo.2025.104485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Revised: 02/19/2025] [Accepted: 02/21/2025] [Indexed: 03/03/2025]
Abstract
Mental health issues are prevalent among college students, with digital interventions lacking in attempts to reduce participant attrition and address low engagement with technology. This study assessed changes in college students' beliefs regarding mental health after exposure to a digital mental health self-management coaching and education app, the Mental Health Evaluation and Lookout Program (mHELP). Participants' beliefs, measured using constructs from the Health Belief Model and Technology Acceptance Model, were compared to user engagement and changes in scores on validated scales for stress, depression, and anxiety. Participant beliefs including self-efficacy, perceived ease of use, and cues to action became more positive post-intervention. Higher participant self-efficacy indicated lower stress, anxiety, and depression ratings. Participants who believed stress to be a serious health threat and perceived the app as useful and easy to use were more likely to engage with the app. Providing digital mental health coaching showed significant relationships between students' beliefs regarding mental health self-management, their engagement with the app, and the reduction in stress and anxiety.
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Affiliation(s)
- Karim Zahed
- Wm Michael Barnes '64 Department of Industrial & Systems Engineering, Texas A&M University, College Station, TX, USA
| | - Carl Markert
- Wm Michael Barnes '64 Department of Industrial & Systems Engineering, Texas A&M University, College Station, TX, USA
| | - Farzan Sasangohar
- Wm Michael Barnes '64 Department of Industrial & Systems Engineering, Texas A&M University, College Station, TX, USA.
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Dey P, De Souza LR. Public Health Challenges for Post-secondary Students During COVID-19: A Scoping Review. COMMUNITY HEALTH EQUITY RESEARCH & POLICY 2025; 45:429-446. [PMID: 38821889 PMCID: PMC12059239 DOI: 10.1177/2752535x241257561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/02/2024]
Abstract
Research about public health impacts of COVID-19 on post-secondary students is slowly beginning to emerge. This scoping review identified common public health challenges among post-secondary students in higher-income countries during the COVID-19 pandemic. Five databases were searched to find relevant peer-reviewed literature up to March 2022. Results were categorized according to reported public health challenges and relevant socio-economic variables. After screening, 53 articles were reviewed. Most articles were from the USA (39/53). The seven main public health challenges identified were mental health (35/53), financial instability (25/53), physical health (13/53), food insecurity (12/53), social well-being (8/53), digital access (7/53), and housing or relocation (6/53). Students with low socioeconomic status experienced heightened public health challenges. This review offers insight and opportunities for the development of longitudinal tools to support social determinants of health in post-secondary populations in high-income countries and may offer insight into similar experiences for students in other settings.
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Affiliation(s)
- Pooja Dey
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Leanne R. De Souza
- University College, University of Toronto, Toronto, ON, Canada
- Factor-Inwentash Faculty of Social Work, Institute for Life Course and Aging, University of Toronto,Toronto, ON, Canada
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Lancaster ML, Schmiedt CW, Hodges KM, Grimes JA, Wallace ML, Denley TJ, Choi I. Evaluation of Factors Contributing to Veterinary Student Anxiety Prior to Instructional Surgery Laboratories. JOURNAL OF VETERINARY MEDICAL EDUCATION 2025:e20240150. [PMID: 40327328 DOI: 10.3138/jvme-2024-0150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2025]
Abstract
Understanding factors contributing to veterinary student anxiety prior to instructional laboratories is important for mitigating those stressors and improving student education. This study aimed to investigate the relationships between student anxiety prior to surgery and demographic and societal variables before and during the COVID-19 pandemic. We hypothesized that increased county COVID-19 cases would increase anxiety, and experience level would have no impact. Students were enrolled in this study in 2019 (n = 87), 2021 (n = 84), and 2022 (n = 96). Participants completed a demographic questionnaire, the State Trait Anxiety Inventory (STAI), which involved a writing prompt to describe their feelings, and provided a salivary sample immediately prior to their first ovariohysterectomy laboratory. Univariable and multivariable linear models were used to assess for predictors of STAI scores, salivary cortisol levels, and scored prompt responses with significance threshold p < 0.05. Year and COVID-19 cases were correlated and considered together. A significant predictor for both STAI-S and STAI-T scores was year/COVID-19 (2019 = 0 COVID-19; STAI-S = 54.7 ± 6.6; 2021 = 679 COVID-19, STAI-S = 67.5 ± 6.6; 2022 = 186 COVID-19, STAI-S = 56.7 ± 10.1; p < 0.001). Alcohol use was predictive of reduced STAI-T scores. Predictors for increasing cortisol levels included year and use of over-the-counter medications. Predictors for short answer results included year, laboratory role, and experience. Limitations include a limited time studied at one institution and the multifactorial, individualized nature of anxiety. Some measures of anxiety were greater in times of high COVID-19 levels, and there was evidence that anxiety was reduced for more experienced students. More work is needed to understand which factors influence student anxiety so targeted interventions can be evaluated.
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Affiliation(s)
- Meghan L Lancaster
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, 2200 College Station Rd., Athens, GA 30602 USA
| | - Chad W Schmiedt
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, 2200 College Station Rd., Athens, GA 30602 USA
| | - Katie M Hodges
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, 2200 College Station Rd., Athens, GA 30602, USA
| | - Janet A Grimes
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, 2200 College Station Rd., Athens, GA 30602 USA
| | - Mandy L Wallace
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, 2200 College Station Rd., Athens, GA 30602 USA
| | - Tara J Denley
- Warnell School of Forestry and Natural Resources, 180 E. Green St., Bldg. 1-301a, Athens, GA 30602 USA
| | - Ikseon Choi
- Education Systems Science Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd., NE, Atlanta, GA, 30322 USA
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Rolin SA, Appelbaum PS. Expansion of Colleges' Legal Responsibilities Regarding Student Mental Health. Curr Psychiatry Rep 2025:10.1007/s11920-025-01611-x. [PMID: 40307505 DOI: 10.1007/s11920-025-01611-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/21/2025] [Indexed: 05/02/2025]
Abstract
PURPOSE OF THE REVIEW We review recently published literature about the mental health of college students, as well as current court cases litigating colleges' liability for student mental health and safety. RECENT FINDINGS College students experienced a dramatic increase in mental health symptoms during the early phase of the COVID-19 pandemic, with clinically significant increases in anxiety and depression. Meanwhile, in contrast to the past when colleges were mostly immune to liability for harm to students, a major shift occurred with the courts beginning to recognize colleges as having a legally defined "special relationship" to protect students from foreseeable harm. Recently, court cases in many states have expanded the circumstances under which colleges have a responsibility to protect students from themselves and from each other, and to foster students' mental health. The past few years have constituted a changing landscape for colleges with regard to their legal responsibilities related to student mental health. As college students experienced worsening mental health distress, recent court cases increased colleges' liability to ensure safety and create a supportive environment for students' mental health.
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Affiliation(s)
- Stephanie A Rolin
- Department of Psychiatry, Columbia University Irving Medical Center, Clinical Psychiatry in the Center for Law, Ethics & Psychiatry, New York, USA
| | - Paul S Appelbaum
- Center for Law, Ethics & Psychiatry, Department of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, 1051 Riverside Drive, New York, NY, 10032, USA.
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Wang H, Ding Y, Dai Y, Fan Z, Wen S, Wang X, Yuan J, Wu Y, Yu L. Associations of physical activity and sleep with mental health during and post-COVID-19 pandemic in chinese college students: a longitudinal cohort study. Compr Psychiatry 2025; 139:152591. [PMID: 40112624 DOI: 10.1016/j.comppsych.2025.152591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2025] [Revised: 03/04/2025] [Accepted: 03/11/2025] [Indexed: 03/22/2025] Open
Abstract
BACKGROUND The COVID-19 pandemic seriously impacted people's lifestyles, leading to changes in physical activity, sleep and mental health. This study aimed to assess the recovery of these indicators in Chinese university students post-COVID-19 pandemic, and explore the association between lifestyle changes and psychological problems. METHODS A two-wave longitudinal study was conducted with 2,748 college students in Hebei, China. Self-report questionnaires measured physical activity, sleep and psychological variables (depression symptoms, anxiety symptoms, and perceived stress) in 2022 and 2024. McNemar chi-square test compared differences between the two waves. Additionally, univariate and multivariate logistic regression analyses were performed to examine the independent and joint associations between changes in lifestyle behaviors and psychological problems across this period. RESULTS Proportion of physical inactivity decreased from 22.5% to 16.2%, and poor sleep quality reduced from 18.3% to 16.2% after the pandemic (P < 0.05). Depression symptoms and anxiety symptoms also improved (P < 0.05), while perceived stress remained high (64.5%). Compared to consistently inactive students, those becoming physically active (depression OR = 0.40, anxiety OR = 0.34, stress 0.56) and those persistently active (depression OR = 0.43, anxiety OR = 0.38, stress 0.47) had reduced psychological symptoms. However, after adjusting for confounders, the association between improved physical activity and mental health problems was insignificant (P > 0.05). Improved sleep (depression OR = 0.42, anxiety OR = 0.24, stress 0.42) and consistently good sleep (depression OR = 0.20, anxiety OR = 0.20, stress 0.37) also demonstrated a protective effect after fully adjusting for demographics and socioeconomic status. CONCLUSIONS This study found that high perceived stress persisted. Although physical activity improved across this period, its change was not significantly associated with mental health after adjustments. However, improved sleep quality was significantly associated with reductions in depression levels, anxiety levels, and perceived stress. These findings highlight the importance of sleep and physical activity in mental health recovery post-pandemic and the need for targeted interventions.
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Affiliation(s)
- Haonan Wang
- Department of Exercise Physiology, School of Sport Science, Beijing Sport University, Beijing 100084, China
| | - Yixiao Ding
- College of Education for the Future, Beijing Normal University, Zhuhai 519085, China
| | - Yinghong Dai
- Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China; Xiangya School of Medicine, Central South University, Changsha 410008, China
| | - Zilin Fan
- Department of Exercise Physiology, School of Sport Science, Beijing Sport University, Beijing 100084, China
| | - Shubo Wen
- School of Nursing, Henan University of Science and Technology, Luoyang 471000, China
| | - Xinying Wang
- Engineering Research Center of Strength and Conditioning Training Key Core Technology Integrated System and Equipment of Ministry of Education, Beijing Sport University, Beijing 100084, China
| | - Jie Yuan
- Jitang College of North China University of Technology, Tangshan 063000, China
| | - Yibo Wu
- School of Public Health, Peking University, Beijing 100191, China.
| | - Liang Yu
- Department of Exercise Physiology, School of Sport Science, Beijing Sport University, Beijing 100084, China; Engineering Research Center of Strength and Conditioning Training Key Core Technology Integrated System and Equipment of Ministry of Education, Beijing Sport University, Beijing 100084, China.
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Dost G. Student well-being: the impact of belonging, COVID-19 pandemic related student stress, loneliness, and academic anxiety. Front Psychol 2025; 16:1481328. [PMID: 40357492 PMCID: PMC12066278 DOI: 10.3389/fpsyg.2025.1481328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2024] [Accepted: 04/02/2025] [Indexed: 05/15/2025] Open
Abstract
Introduction This research investigates the relationship between collegiate community and degree department belonging, loneliness, COVID-19 pandemic related student stress, coping self-efficacy, and academic anxiety among UK collegiate context. The study focuses on how these factors have shaped students' academic and social experiences in the post-pandemic era, with particular emphasis on variations based on gender as well as home versus international status among both undergraduate and postgraduate cohorts. Methods This study utilized structural equation modelling (SEM). A sample of 430 students was administered, with 284 (66%) completed by female students and 120 (28%) by male students. The number of undergraduate students was (N = 244, 56.7%), and (N = 184, 42.8%) participants were postgraduate students. Results The research findings indicate that stress related to COVID-19 has adversely affected both types of belongingness- collegiate community and degree department belonging -while concurrently elevating academic anxiety across diverse demographic groups. Loneliness emerged as a significant mediating variable, with pronounced effects observed among international and male students. The presence of academic anxiety exacerbated feelings of loneliness and diminished coping self-efficacy, particularly in female and undergraduate cohorts. International students experienced notable disruptions in their sense of collegiate belonging and heightened levels of loneliness. Undergraduate students demonstrated greater susceptibility to stress-induced declines in belongingness, whereas postgraduate students reported more severe ramifications of loneliness on their academic and social relationships. Discussion These results underscore the necessity for targeted interventions designed to foster social connectedness, alleviate academic anxiety, and bolster support systems within the post-pandemic educational framework.
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Affiliation(s)
- Gulsah Dost
- School of Education, Durham University, Durham, United Kingdom
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7
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Forsythe D, Hsu JL. Characterizing full-time, non-tenure-track teaching faculty in biology. JOURNAL OF MICROBIOLOGY & BIOLOGY EDUCATION 2025; 26:e0014424. [PMID: 39655959 PMCID: PMC12020813 DOI: 10.1128/jmbe.00144-24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2024] [Accepted: 11/11/2024] [Indexed: 12/17/2024]
Abstract
Institutions of higher education play a major role in teaching undergraduate students. Historically, most courses have been taught by tenure-track (TT) faculty who may also be responsible for research or scholarly activities. However, a recent shift from "teaching-intensive" TT faculty to "teaching-only" contingent faculty off the tenure track has highlighted the importance of understanding the experiences of contingent faculty. While there have been an increasing number of studies examining the experiences of part-time contingent faculty, few studies have directly surveyed the increasing number of full-time, non-tenure-track (NTT) teaching faculty in science, technology, engineering, and mathematics (STEM) to capture their experiences, nor are we aware of any study that has examined the roles of NTT teaching faculty within one discipline to examine any potential disciplinary differences that may arise across STEM fields. Here, we focus on the experiences of full-time, non-tenure-track faculty in biology whose primary responsibility is teaching. We conducted a random stratified sampling of institutions using the Carnegie classifications to identify potential full-time NTT teaching faculty at over 10% of all institutions in the United States. Our results from surveying these faculty found both positive and negative themes, including (i) NTT teaching faculty being less diverse than the STEM professoriate at large; (ii) NTT teaching faculty reporting mixed feelings on institutional support, identifying a range of opportunities to better support NTT teaching faculty; (iii) NTT teaching faculty often having limited participation in voting for department and institutional matters and reporting mixed feelings of belonging and value; and (iv) NTT teaching faculty having high amounts of autonomy over their teaching but still struggling in key areas. We end with specific implications and recommendations for our field to better support NTT teaching faculty in biology.
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Affiliation(s)
- Desiree Forsythe
- Schmid College of Science and Technology, Chapman University, Orange, California, USA
| | - Jeremy L. Hsu
- Schmid College of Science and Technology, Chapman University, Orange, California, USA
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8
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Taubin D, Oddo LE, Bounoua N, Bui HN, Murphy JG, Chronis-Tuscano A. ADHD and Cannabis Use in College Students: Examining Indirect Effects of Coping Motives. Subst Use Misuse 2025; 60:1181-1191. [PMID: 40257222 PMCID: PMC12074674 DOI: 10.1080/10826084.2025.2491770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/22/2025]
Abstract
Background: ADHD is a developmental risk factor for cannabis misuse and cannabis use disorder. Individuals with ADHD also struggle to cope with negative affect and are more likely to engage in potentially maladaptive, avoidant coping behaviors. Such responses may be particularly salient in college, a developmental period characterized by increased stress and autonomy and easy access to highly reinforcing substances. However, despite this increased risk, little is known about mechanisms underlying the association between ADHD and cannabis use among college students. Objectives: This two-week daily diary study examined associations between ADHD, baseline coping motives (i.e., using cannabis to avoid or reduce negative affect), and frequency of cannabis use in a sample of heavy-drinking college students (49% female) with (n=42) and without (n=30) ADHD. Results: Results showed that ADHD was significantly associated with elevated coping motives at baseline and more cannabis use days on daily diaries. Additionally, there was a significant indirect effect of ADHD on number of cannabis use days through baseline coping motives; students with ADHD endorsed a stronger drive to use cannabis to cope with negative emotions, which in turn was associated with more cannabis use days. Conclusions: Findings align with theory linking ADHD to increased vulnerability for avoidant coping behaviors. Further work may explore the potential of targeted, proactive interventions to help college students with ADHD build and utilize adaptive substance-free coping skills, particularly during this challenging developmental period.
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Affiliation(s)
- Daria Taubin
- Department of Psychology, University of Maryland College Park, College Park, MD, USA
| | - Lauren E. Oddo
- Department of Psychology, University of Maryland College Park, College Park, MD, USA
| | - Nadia Bounoua
- Department of Psychology, University of Maryland College Park, College Park, MD, USA
| | - Hong N.T. Bui
- Department of Psychology, University of Maryland College Park, College Park, MD, USA
| | - James G. Murphy
- Department of Psychology, University of Memphis, Memphis, TN, USA
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Stang P, Weiss M, Jaensch P, Scholz S. Exploring stress and recovery among students: examining the role of study modes. DISCOVER MENTAL HEALTH 2025; 5:55. [PMID: 40237857 PMCID: PMC12003230 DOI: 10.1007/s44192-025-00186-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Accepted: 04/08/2025] [Indexed: 04/18/2025]
Abstract
Understanding stress and recovery dynamics among students is essential for promoting their well-being and academic success. This study delves into the complex interplay of stressors and coping mechanisms among university students. Drawing upon health psychology and resilience research, we investigate the experiences of stress and recovery among both full-time and part-time students, considering gender and age. Our findings reveal significant differences between full-time and part-time students in various aspects of stress, including emotional stress, conflicts, and lack of energy. Full-time students reported higher levels of stress in these dimensions, which could indicate possible effects on their academic performance and general well-being. Moreover, gender-specific differences in stress experiences were observed, with female students exhibiting higher levels of stress compared to their male counterparts, particularly in terms of emotional stress and lack of energy. Interestingly, while age did not significantly impact stress and recovery experiences, other variables such as workload and coping strategies appeared to play crucial roles. Our study underscores the importance of the diverse needs of students. Overall, this research sheds light on the intricate relationship between stress, recovery, and study program variables among students, offering valuable insights for educators, policymakers, and mental health practitioners seeking to enhance student well-being and academic success in higher education settings.
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Affiliation(s)
- Philipp Stang
- Department of Psychology, SRH University of Applied Sciences Heidelberg, Campus Fürth, Merkurstr. 19, 90763, Fürth, Germany
- UMIT Tirol, Institute of Psychology, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria
| | - Maren Weiss
- Department of Psychology, SRH University of Applied Sciences Heidelberg, Campus Fürth, Merkurstr. 19, 90763, Fürth, Germany
| | - Peter Jaensch
- IDC Research Institute, SRH University of Applied Sciences Heidelberg, Campus Fürth, Merkurstr. 19, 90763, Fürth, Germany
| | - Stefanie Scholz
- Data Science in Social Economy, SRH University of Applied Sciences Heidelberg, Campus Fürth, Merkurstr. 19, 90763, Fürth, Germany.
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Labrosse D, Vié C, Harb M, Montagni I. Escape Game to Promote Students' Mental Health Outcomes in the Aftermaths of COVID-19 Pandemic: Protocol for a Mixed Methods Study Evaluating a Cocreated Intervention. JMIR Res Protoc 2025; 14:e64068. [PMID: 40173436 PMCID: PMC12004027 DOI: 10.2196/64068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2024] [Revised: 12/04/2024] [Accepted: 12/30/2024] [Indexed: 04/04/2025] Open
Abstract
BACKGROUND The COVID-19 pandemic and the protracted lockdowns have heavily impacted university students' mental health. Digital Escape Games represent a good means to reach students and propose them solutions for their psychological well-being. OBJECTIVE This study aimed to evaluate a cocreated digital Escape Game on students' mental health in the aftermath of the COVID-19 pandemic, called EscapeCovid Game. The evaluation of the effectiveness of this stand-alone intervention concerns mental health outcomes (mental health literacy, appraisal and change of beliefs about mental health, management of emotions, and development of coping strategies) and the appreciation and relevance of the game. METHODS A randomized controlled trial with pre- and posttest data collection (online questionnaires with validated scales) is conducted among 500 students in Bordeaux, France, to evaluate the EscapeCovid Game cocreated with students, researchers, health professionals, and web developers. A subsample of students is randomly selected for responding to a semistructured interview following a mixed methods design. Recruitment is done through mail invitations from student associations and presentations in university classes. Half of the sample of the trial plays the Escape Game, while the other half receives an email with mental health-related information. Within the game, students discuss their personal experiences. The text is further used for the qualitative analyses. The whole study is carried out online. RESULTS The EscapeCovid Game has been developed, tested, and finalized by the end of March 2023. As of November 4, 2024, a total of 191 students have answered the baseline questionnaire (90 intervention vs 101 control). A total of 23 students have played the game and 53 are in the control arm. Among participants, by the end of September 20, 2023, twenty were interviewed (10 intervention and 10 control) reaching sample saturation. According to preliminary results, the EscapeCovid Game has had a positive impact on all defined outcomes, while the email has been effective in increasing knowledge on resources available and on coping strategies and meditation techniques. We expect the trial to be completed by the end of June 2025. CONCLUSIONS The mixed methods findings of this study are due to demonstrate the effectiveness of the EscapeCovid Game in improving students' mental health outcomes. Preliminary results from the qualitative substudy are promising: in the aftermath of the COVID-19 crisis, this intervention is intended to promote players' mental health through gamification, knowledge transfer, and a learning-by-doing approach. TRIAL REGISTRATION ClinicalTrials.gov NCT06720792; https://clinicaltrials.gov/study/NCT06720792. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/64068.
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Affiliation(s)
| | - Clara Vié
- Bordeaux Population Health U1219, Inserm, University of Bordeaux, Bordeaux, France
| | - Mireille Harb
- Bordeaux Population Health U1219, Inserm, University of Bordeaux, Bordeaux, France
| | - Ilaria Montagni
- Bordeaux Population Health U1219, Inserm, University of Bordeaux, Bordeaux, France
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Popa-Velea O, Stoian-Bǎlǎşoiu IR, Mihai A, Mihǎilescu AI, Diaconescu LV. Prevention strategies against academic burnout: the perspective of Romanian health sciences students in the aftermath of the COVID-19 pandemic. Front Psychol 2025; 16:1465807. [PMID: 40242747 PMCID: PMC11999933 DOI: 10.3389/fpsyg.2025.1465807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Accepted: 03/17/2025] [Indexed: 04/18/2025] Open
Abstract
Background Burnout in academia can have important long-term consequences. This study aimed to investigate academic burnout and the perception of its prevention strategies among Romanian health sciences students. Methods Three hundred and five health sciences students (from General Medicine, Dental Medicine, Pharmacy, and Midwifery and Nursing) (36 men, 269 women, mean age 21.9, standard deviation 1.911) self-rated their burnout using the Burnout Assessment Tool (BAT) and a visual analog scale, and answered a survey with open and closed questions about the most effective coping strategies to prevent burnout. Results Above average scores (mean = 3.05; SD = 0.67) on burnout were met (with the highest scores on exhaustion and psychological distress and the lowest on mental distance and psychosomatic symptoms). Women were more affected than men by burnout and associated emotional impairment and secondary symptoms. Participants rated supportive relationships as the most effective in preventing burnout (mean = 3.75; SD = 0.55), followed by relaxation-meditation (mean = 3.32; SD = 0.85), while they also positively valued cognitive-behavioral therapy (those with high burnout scores), and physical activity (those with low burnout scores). Organizational strategies have included re-evaluating the university curriculum (mean = 3.83; SD = 0.48) and increasing access to psychological support programs (mean = 3.72; SD = 0.58) and to programs that increase self-efficacy and resilience (mean = 3.65; SD = 0.61). The qualitative analysis showed that freely chosen individual strategies included, in descending order, detachment, active actions, healthy lifestyle, and specialist help, while the most preferred organizational were better academic organization and program optimization. Conclusion These results may be useful in designing more sustainable and effective burnout prevention strategies in health sciences academic settings.
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Affiliation(s)
- Ovidiu Popa-Velea
- Department of Medical Psychology, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
| | - Ioana Ruxandra Stoian-Bǎlǎşoiu
- Department of Medical Psychology, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Psychiatry, “Prof. Dr. Alexandru Obregia” Clinical Hospital of Psychiatry, Bucharest, Romania
| | - Alexandra Mihai
- Department of Diabetes, Nutrition and Metabolic Diseases, “Elias” Emergency University Hospital, Bucharest, Romania
| | - Alexandra Ioana Mihǎilescu
- Department of Medical Psychology, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
- Department of Psychiatry, “Prof. Dr. Alexandru Obregia” Clinical Hospital of Psychiatry, Bucharest, Romania
| | - Liliana Veronica Diaconescu
- Department of Medical Psychology, Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
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Herres J, Ortelli O, Rodriguez I, Onyewuenyi AC. Factors associated with perceived stress and depressive symptoms among college students during the COVID-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1383-1394. [PMID: 38015144 DOI: 10.1080/07448481.2023.2266039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 08/09/2023] [Accepted: 09/24/2023] [Indexed: 11/29/2023]
Abstract
The COVID-19 pandemic had detrimental effects on college students' psychosocial well-being due to campus closures starting in Spring 2020. This study examined changes in perceived stress and depressive symptoms before and during the pandemic using longitudinal data collected from students over the 2019-2020 academic year. We also compared data from this sample in Fall 2019 (N = 282) to data collected from another sample in Fall 2020 (N = 240). Latent change modeling showed increases in stress during Spring 2020. Additionally, the Fall 2020 sample had higher levels of stress than the Fall 2019 sample. Differences in stress and depressive symptoms did not depend on underrepresented minority (URM) status, income, gender, or membership in Greek life or other organizations. However, third- and fourth-year students and student-athletes experienced more stress during the pandemic. Findings suggest an adverse and differential impact of the pandemic on students' psychosocial well-being.
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Affiliation(s)
- Joanna Herres
- Department of Psychology, The College of New Jersey, Ewing, NJ, USA
| | - Olivia Ortelli
- Department of Psychology, The College of New Jersey, Ewing, NJ, USA
| | - Isabel Rodriguez
- Department of Psychology, The College of New Jersey, Ewing, NJ, USA
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Malik N, Harding KL, Garcia A. The influence of COVID-19 on health seeking behaviors among students attending a minority-serving institution in the U.S. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1587-1593. [PMID: 38592757 DOI: 10.1080/07448481.2024.2334076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 01/13/2024] [Accepted: 03/11/2024] [Indexed: 04/10/2024]
Abstract
Objective: The goal of this research was to examine the effects of COVID-19 on health seeking behaviors among students attending a minority-serving institution (MSI). Participants: Students [N = 580, Mage (SD) = 27.7 ± 9.1 years] from a midsized university in the U.S. Methods: Cross-sectional survey, distributed between February-March 2021, assessing visits with a healthcare professional before and during the pandemic. Comparison by time and between groups using McNemar's test and ordinal logistic regression. Results: In-person medical care decreased during the pandemic (p = 0.096). Higher frequency of doctor visits pre-pandemic resulted in less contact with students' healthcare providers during the pandemic (p < 0.001). Those that indicated their health status as Excellent were mostly likely to visit their healthcare provider in-person during the pandemic (p = 0.026). Virtual contacts with their healthcare provider increased during the pandemic (p < 0.001). Conclusions: The COVID-19 pandemic has changed health seeking behaviors among students attending an MSI.
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Affiliation(s)
- Neal Malik
- Department of Health Science and Human Ecology, California State University, San Bernardino, San Bernardino, California, USA
| | - Kassandra L Harding
- Department of Health Science and Human Ecology, California State University, San Bernardino, San Bernardino, California, USA
| | - Andres Garcia
- Department of Health Science and Human Ecology, California State University, San Bernardino, San Bernardino, California, USA
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14
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Lue C, Petrie TA, Moore EWG. NCAA international student-athletes' psychological wellbeing during COVID-19: Gender and academic year. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1856-1864. [PMID: 39889208 DOI: 10.1080/07448481.2025.2459739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Revised: 11/07/2024] [Accepted: 01/21/2025] [Indexed: 02/02/2025]
Abstract
Objective: To examine international student-athletes' (ISAs) rates of depression, perceived stress, problematic drinking, and sleep disturbance. Participants: 509 ISAs (Mage = 20.39 years, women = 63.1%) from over 80 NCAA institutions. Methods: Survey data were collected in April/May 2020. Results: Overall, 27.9% and 9.2% endorsed clinical and high levels of depression and stress, respectively; 2.4% (n = 12) reported severe sleep disturbances and 12.4% (n = 63) problematic drinking. Except problematic drinking, being a woman ISA was associated with significantly higher levels of disturbance. Year in school interacted with gender for perceived stress; men ISAs in their 2nd year or higher reported the lowest levels. Conclusions: Large numbers of ISAs endorsed clinical/severe levels of psychological concerns at onset of COVID-19, likely due to the unique stressors experienced by this international college population. Athletic departments, like universities in general, must provide culturally-sensitive mental health services for their ISAs.
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Affiliation(s)
- Cachet Lue
- Department of Psychology, University of North Texas, Denton, Texas, USA
| | - Trent A Petrie
- Department of Psychology, University of North Texas, Denton, Texas, USA
| | - E Whitney G Moore
- Department of Kinesiology, East Carolina University, Greenville, North Carolina, USA
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15
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Wang J, Zhang X, Deng H, Tan Y. The Effect of the COVID-19 Pandemic Lockdown on Self-Harm: A Meta-Analysis. ALPHA PSYCHIATRY 2025; 26:39868. [PMID: 40352079 PMCID: PMC12059762 DOI: 10.31083/ap39868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/09/2024] [Revised: 09/11/2024] [Accepted: 09/24/2024] [Indexed: 05/14/2025]
Abstract
Objective The Coronavirus disease 2019 (COVID-19) pandemic caused a range of mental health problems, particularly self-harm. Lockdowns are the usual methods of responding to these public health emergencies. However, the effect of the COVID-19 lockdown on self-harm remains poorly characterized. This study aimed to investigate the influence of the COVID-19 pandemic on the incidence of self-harm. The findings may inform future policy development and strategies for managing pandemic-related mental health challenges. Methods A meta-analysis was conducted using several database searches: APA PsycINFO, Embase, PubMed, Web of Science, CNKI, and Wan Fang. Published studies with data on the incidence of self-harm during visits to medical institutions, before and during the COVID-19 pandemic, were included. The pooled risk ratio (RR) value of self-harm incidence variation before and during the COVID-19 lockdown period, expressed as the comparison of clinical institution visits before and during the pandemic, was calculated. Results Fifteen retrospective cohort studies with observational designs involving 253,600 participants were included. The pooled RR value of self-harm incidence variation was 1.386 (95% confidence interval (CI), 1.205-1.595, I2 = 58.9%, p = 0.002). The subgroup analysis showed that "emergency department type" (p = 0.004) and "mean age of the sample" were the sources of the RR values' heterogeneity (p = 0.026). Conclusions Our findings suggest that the lockdown during the COVID-19 pandemic was a risk factor for self-harm. Therefore, special attention should be paid to individuals visiting the emergency department and the middle-aged and elderly populations. The PROSPERO Registration This study was registered in PROSPERO (CRD42023373026), https://www.crd.york.ac.uk/PROSPERO/view/CRD42023373026.
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Affiliation(s)
- Jue Wang
- Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, 100096 Beijing, China
| | - Xueqian Zhang
- Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, 100096 Beijing, China
| | - Hu Deng
- Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, 100096 Beijing, China
| | - Yunlong Tan
- Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, 100096 Beijing, China
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16
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Patton R, Chou JL, Brown DK, Zaarur A. One size does not fit all: the multifaceted impact of COVID-19 on graduate-level behavioral health professions students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1807-1814. [PMID: 39804760 DOI: 10.1080/07448481.2024.2447844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 10/30/2024] [Accepted: 12/22/2024] [Indexed: 01/16/2025]
Abstract
Objective: Better understanding how behavioral health professions students were impacted by COVID-19 can help educators inform their education practices. Participants: The present study examined the impact of COVID-19 among n = 83 students enrolled in two universities across five graduate-level behavioral health training programs - clinical mental health counseling, marriage and family therapy, psychiatric nursing, and social work. Method: Participants completed the Epidemic-Pandemic Impacts Inventory (EPII), and descriptive statistics were examined. Results: On average, fourteen life issues were impacted negatively by COVID-19. The most reported negative impacts of COVID-19 were more time on screens/devices, canceling/restricting family celebrations, and canceling planned travel. Participants also endorsed positive impacts of COVID-19, including increased appreciation for, and more attention paid to, personal health. Conclusions: Students have been impacted by COVID-19 both negatively and positively. Educators need to be mindful of the multifaceted impacts and continue to adjust their training considerations to adapt as needed.
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Affiliation(s)
- Rikki Patton
- Department of Counseling and Family Therapy, Drexel University, Philadelphia, USA
| | - Jessica L Chou
- Department of Counseling and Family Therapy, Drexel University, Philadelphia, USA
| | - Diane K Brown
- School of Nursing, College of Health and Human Sciences, University of Akron, Akron, OH, USA
| | - Asif Zaarur
- Department of Psychology, University of South Florida, Tampa, USA
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17
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Chen C, Jew A, Chui C, Horn J, Kim E, Melkonian D, Eisenberg D. Impact of the COVID-19 pandemic on college students' mental health and lifestyle factors. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1374-1382. [PMID: 37856397 DOI: 10.1080/07448481.2023.2266000] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Revised: 08/06/2023] [Accepted: 09/24/2023] [Indexed: 10/21/2023]
Abstract
Objective: This study examines how mental health and health behaviors evolved among college students nationwide before and during the onset of the COVID-19 pandemic. Participants: Data collected from college students across various campuses in Fall 2019 (N = 33,372) and Fall 2020 (N = 34,168) as part of the Healthy Minds Study. Methods: The online survey was delivered via Qualtrics. Data was analyzed through an unpaired two-samples T-test and a two-proportion Z-test. Results: The results show a significant difference of depression and anxiety symptoms in college students during Fall 2020 compared to Fall 2019. Sleep patterns significantly shifted during the pandemic. Substance use, perceived need for counseling, and the amount of time students spent exercising all significantly differed during the COVID-19 pandemic. Conclusion: In the context of declines in mental health among college students, college campuses should implement mental health support models addressing students' individual health risk and lifestyle behaviors.
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Affiliation(s)
- Caitlin Chen
- Department of Society and Genetics, University of California, Los Angeles, California, USA
| | - Ashlyn Jew
- Department of Society and Genetics, University of California, Los Angeles, California, USA
| | - Charlotte Chui
- Department of Society and Genetics, University of California, Los Angeles, California, USA
| | - Jill Horn
- Department of Society and Genetics, University of California, Los Angeles, California, USA
| | - Erin Kim
- Department of Society and Genetics, University of California, Los Angeles, California, USA
| | - Dina Melkonian
- Department of Society and Genetics, University of California, Los Angeles, California, USA
| | - Daniel Eisenberg
- Department of Health Policy and Management, University of California, Los Angeles Jonathan and Karin Fielding School of Public Health, Los Angeles, California, USA
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18
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Nguyen H, Kwok H, Melara RD. COVID-19 vaccine related anxiety partially mediates the association between COVID-19 related anxiety and student adjustment to college during the pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1687-1696. [PMID: 38935576 DOI: 10.1080/07448481.2024.2362322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 03/28/2024] [Accepted: 05/19/2024] [Indexed: 06/29/2024]
Abstract
The COVID-19 pandemic caused severe disruptions in living and learning to millions of college students. Here we investigated using mediation analysis two dimensions of anxiety that were specific to the pandemic - COVID-19 related anxiety and COVID-19 vaccine anxiety - to evaluate their relationship to college adjustment during the pandemic. Using cross-sectional survey data across three semester waves (Spring 2021, Fall 2021, and Spring 2022) we probed whether anxiety functioned as a challenge or hindrance stressor on adjustment. We found that although anxiety decreased in both COVID-19 dimensions across semesters, student adjustment to college remained consistently low. Our mediation analysis revealed that both COVID-19 related anxiety and COVID-19 vaccine-related anxiety functioned as challenge stressors, elevating academic, social, personal-emotional, and institutional adjustment during the pandemic. We discuss the role of positive COVID impacts on college adjustment, including enhanced social support.
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Affiliation(s)
- Hanh Nguyen
- Department of Psychology, City College of New York, New York, New York, USA
| | - Hawai Kwok
- Department of Psychology, City College of New York, New York, New York, USA
| | - Robert D Melara
- Department of Psychology, City College of New York, New York, New York, USA
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19
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Schiff M, Pat-Horenczyk R, Benbenishty R. Using conservation of resources theory to explain university students' anxiety, depression, and learning experience during COVID-19. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1815-1824. [PMID: 39928024 DOI: 10.1080/07448481.2024.2447854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Revised: 11/30/2024] [Accepted: 12/22/2024] [Indexed: 02/11/2025]
Abstract
Objectives: During the second COVID-19 pandemic wave in Israel, we examined COVID-19-specific stressors and academic and financial challenges as potential risk factors for anxiety and depression among university students in Israel. Based on conservation of resources (COR) theory, we hypothesized that the threat of resource loss within the personal domain, academic challenges, and financial concerns would increase the likelihood of experiencing anxiety and depression. Participants: We sampled 18,686 students who responded to an online questionnaire. Methods: Data collection occurred from September 6 to November 8, 2020. Anxiety and depression were assessed by the GAD-7 and PHQ-9, respectively. We conducted multiple hierarchical logistic regression analyses predicting depression and anxiety symptoms at the clinical level. Results: Greater positive learning experiences were associated with a 38% reduction in the odds of experiencing depression (OR 0.62, 95% CI 0.59-0.65). Conclusions: Developing integrated services for students addressing their mental health during disasters is necessary.
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Affiliation(s)
- Miriam Schiff
- The Hebrew University of Jerusalem, Jerusalem, Israel
| | | | - R Benbenishty
- The Hebrew University of Jerusalem, Jerusalem, Israel
- Universidad Andres Bello, Santiago, Chile
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20
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Zapata J, Zavala-Idar A, Recto P, Lesser J. The mental health consequences of COVID-19 on a sample of health professions students: a mixed methods study. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1612-1621. [PMID: 38603780 DOI: 10.1080/07448481.2024.2338425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 02/04/2024] [Accepted: 03/22/2024] [Indexed: 04/13/2024]
Abstract
Objective: To assess and examine how the COVID-19 pandemic may have impacted the mental health of a sample of health professions students (HPS) using an explanatory sequential mixed-methods design. Participants: Participants included 41 HPS enrolled in a co-curricular interprofessional education (IPE) program. Measurements: Measures included the CES-D scale, PSS scale, and the GAD scale. Qualitative description was used to explore the experiences of these HPS. Results: The HPS explained that fear of acquiring COVID-19, transmitting the virus to loved ones, and dying as a result of the disease negatively influenced their mental health. The HPS revealed that there were some beneficial outcomes resulting from the pandemic, including the strengthening of family bonds and the cultivation of resiliency. Conclusions: The pandemic has had a negative impact on the mental health of these HPS. It is essential that these students receive support for their mental health in order to provide optimal care to the population they serve.
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Affiliation(s)
- Jose Zapata
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
| | - Annette Zavala-Idar
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
| | - Pamela Recto
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
| | - Janna Lesser
- South Texas AHEC, The University of Texas Health at San Antonio, San Antonio, Texas, USA
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21
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Schiros A, Rother Y, Wilcutt EG, Flory KH, Canu WH, Stevens A, Antshel KM. College during COVID-19: The pandemic's effect on college adjustment in first year students with ADHD. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1622-1630. [PMID: 38743863 DOI: 10.1080/07448481.2024.2338427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 08/08/2023] [Accepted: 03/22/2024] [Indexed: 05/16/2024]
Abstract
Objective: The current study aims to compare college adjustment and the effects of the COVID-19 pandemic on first-year students with and without ADHD. Participants: Two cohorts (pre-pandemic, during the pandemic) of first-year, undergraduate college students (N = 3,006; Mage=18.32) were recruited from a multisite research consortium across several universities. Methods: First-year participants self-reported on ADHD diagnosis and symptoms, functional impairments, and experiences transitioning to college. Results: First-year college students with and without ADHD reported significantly greater academic, daily living, and overall functional impairments during the pandemic compared to pre-pandemic. Compared to college students without ADHD, college students with ADHD reported greater functional impairment, more difficulty adjusting to the academic demands of college, and were less likely to feel valued at their institution. Conclusions: First-year college students with and without ADHD experienced greater difficulties navigating the transition to college during the pandemic. Psychosocial and academic supports to help students transition to college are needed.
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Affiliation(s)
- Ashley Schiros
- Department of Psychology, Syracuse University, Syracuse, NY, USA
| | - Yvette Rother
- Department of Psychology, University of South Carolina, Columbia, SC, USA
| | - Erik G Wilcutt
- Department of Psychology, University of Colorado, Boulder, CO, USA
| | - Kate H Flory
- Department of Psychology, University of South Carolina, Columbia, SC, USA
| | - Will H Canu
- Department of Psychology, Appalachian State University, Boone, SC, USA
| | - Anne Stevens
- Department of Psychology, University of Wyoming, Laramie, WY, USA
| | - Kevin M Antshel
- Department of Psychology, Syracuse University, Syracuse, NY, USA
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22
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Liu Y, She R, Xing J. Analysis of University Students' Mental Health from the Perspective of Occupational Harmony. PLoS One 2025; 20:e0309490. [PMID: 40168330 PMCID: PMC11960997 DOI: 10.1371/journal.pone.0309490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2024] [Accepted: 01/22/2025] [Indexed: 04/03/2025] Open
Abstract
BACKGROUND Mental health problems are common among university students. Based on the Model of Occupational Harmony, we investigated the relationship between occupational engagement and mental health among Chinese university students. METHODS A mixed methods approach was adopted. A total of 734 Chinese university students responded to online questionnaires: a socio-demographic questionnaire, the Depression Anxiety Stress Scale, the WHOQOL-BREF, and a self-designed Occupational Harmony Questionnaire. Individual interviews with 11 university students and a focus group of four students provided qualitative data. RESULTS Anxiety, depression, and stress were reported by 11.9%, 9.4%, and 2.9% of the participants, respectively. The level of occupational harmony was negatively correlated with depression, anxiety, and stress (p < .001). The DASS-21 score was significantly different among students who spent different amounts of time on the following activities: exercise, sleep, rest, reflective and consulting activities, study, work, and leisure and entertainment (P < .05). In the context of the COVID-19 pandemic, the key occupational factors contributing to university students' mental health problems included excessive mental engagement and insufficient physical engagement, excessive active engagement and insufficient quiet engagement, insufficient social engagement, excessive or insufficient Gong (productive) engagement, and insufficient De (virtuous) engagement, Zhi (rational) engagement, and Kang (health maintenance) engagement, lack of coherence within the family, school, social systems, as well as inadequate schedule planning and time management. CONCLUSIONS Occupational disharmony is related to university students' mental health problems. Occupational therapy can promote university students' mental well-being by enhancing occupational harmony.
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Affiliation(s)
- Yijun Liu
- Department of Rehabilitation Medicine, Peking University First Hospital, Beijing, China
| | - Ruiqi She
- Institute for Health Systems Engineering, College of Engineering, Peking University, Beijing, China
| | - Jin Xing
- Department of Rehabilitation Medicine, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
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23
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Nazione S, Heller LR, Vredeveld A, Dexter CA, McElveen M. Longitudinal associations with positivity, quarantining and pass/fail policy use on student GPAs during the first three semesters of the pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1454-1462. [PMID: 37988632 DOI: 10.1080/07448481.2023.2280841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 10/02/2023] [Accepted: 10/27/2023] [Indexed: 11/23/2023]
Abstract
OBJECTIVE This research sought to understand the effects of testing positive, quarantining, and pass/fail policy use on college student GPAs across three semesters from Spring 2020 to Spring 2021. PARTICIPANTS 644 students were followed across three semesters. METHODS Anonymized secondary data sets regarding student health behaviors, perceived stress, and satisfaction were combined with registrar data concerning demographic factors, COVID-19 infection, the need to quarantine, and converting grades to pass/fail (P/F). RESULTS The use of P/F was associated with inflated GPAs when offered during Spring and Fall 2020. Students opting to use P/F were more likely to be low-income and achieve a lower GPA in Spring 2021 when the P/F option was no longer offered. Testing positive and quarantining did not have a significant association with student GPA. CONCLUSIONS The research challenges the value of providing students the ability to convert grades to P/F during the pandemic.
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Affiliation(s)
- Samantha Nazione
- Department of Management & Marketing, Berry College, Mt Berry, Georgia, USA
| | - Lauren R Heller
- Department of Economics, Berry College, Mt Berry, Georgia, USA
| | - Anna Vredeveld
- Department of Management & Marketing, Berry College, Mt Berry, Georgia, USA
| | - Casey A Dexter
- Department of Psychology, Berry College, Mt Berry, Georgia, USA
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24
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Yazdani N, Hoyt LT, Pathak A, Breitstone L, Cohen AK. Inequalities in emerging adult college students' sleep quality during the COVID-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1538-1548. [PMID: 38376566 PMCID: PMC11333732 DOI: 10.1080/07448481.2024.2317178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 12/14/2023] [Accepted: 01/30/2024] [Indexed: 02/21/2024]
Abstract
OBJECTIVE To examine inequalities in sleep quality during the COVID-19 pandemic by gender, sexual orientation, race/ethnicity, and socioeconomic position (SEP), and test associations between discrimination and sleep quality in a national longitudinal cohort of emerging adult college students. PARTICIPANTS Participants were enrolled in college full-time and were aged 18-22 at baseline. METHODS Participants completed online surveys in spring 2020 (N = 707) and summer 2021 (n = 313). Measures included the Pittsburgh Sleep Quality Index (PSQI) and the Everyday Discrimination Scale. RESULTS Most students reported poor sleep quality (78% in 2020; 82% in 2021) and those from marginalized groups generally experienced worse sleep quality. Discrimination was associated with poorer concurrent sleep quality at both time points. CONCLUSIONS Sleep inequalities among college students continued to manifest during the pandemic, even when students were not necessarily on campus. Colleges should take a multi-pronged approach to promote sleep quality through individual, community, and institutional interventions.
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Affiliation(s)
- Neshat Yazdani
- Department of Psychology, Fordham University, Bronx, New York, USA
| | | | - Ayurda Pathak
- Department of Psychology, Fordham University, Bronx, New York, USA
| | - Lauren Breitstone
- Silver School of Social Work, New York University, New York, New York, USA
| | - Alison K Cohen
- Department of Epidemiology & Biostatistics, University of California San Francisco, School of Medicine, San Francisco, California, USA
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25
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Colaianne BA, Hirshberg MJ, Inkelas KK, Dunne JD, Germano D, Greenberg MT, Davidson RJ, Roeser RW. Can the virtual implementation of a college course on human flourishing improve student flourishing during COVID-19? A multi-university study. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1837-1846. [PMID: 39908330 PMCID: PMC11985306 DOI: 10.1080/07448481.2025.2452968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 11/20/2024] [Accepted: 01/07/2025] [Indexed: 02/07/2025]
Abstract
OBJECTIVE Evaluate student effects of participating in an undergraduate academic course, Art and Science of Human Flourishing, that was offered in a synchronous, virtual format during the Fall 2020 semester at three universities. PARTICIPANTS Three combined cohorts of undergraduate students from three universities (n = 168). METHODS A pre/post/5-month follow-up, propensity-score matched evaluation was conducted. Measures assessed attention skills, social-emotional skills, flourishing, depressive symptoms, and sleep quality. RESULTS Relative to comparisons, students in the course reported significant improvements in proximal outcomes related to mindfulness, compassion, and common humanity, as well as decreases in depressive symptoms. Improvements in distal outcomes of flourishing and depressive symptoms were significant at post-course but did not maintain significance at five-month follow-up. CONCLUSIONS The academic study of human flourishing and contemplative education offers a promising and unique approach to supporting undergraduate mental health and well-being, even in virtual settings.
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Affiliation(s)
- Blake A Colaianne
- Bennett Pierce Prevention Research Center, College of Health and Human Development, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Matthew J Hirshberg
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | | | - John D Dunne
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - David Germano
- Contemplative Sciences Center, University of Virginia, Charlottesville, Virginia, USA
| | - Mark T Greenberg
- Bennett Pierce Prevention Research Center, College of Health and Human Development, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Richard J Davidson
- Center for Healthy Minds, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Robert W Roeser
- Bennett Pierce Prevention Research Center, College of Health and Human Development, The Pennsylvania State University, University Park, Pennsylvania, USA
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26
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Martín-Sánchez R, Sanz-García A, Diaz-Gonzalez S, Castro Villamor MÁ, Sáez-Belloso S, Rabanales Sotos J, Pinilla-Arribas LT, González-Izquierdo P, de Santos Sánchez S, Martín-Rodríguez F. A Comparison of Pre- and Post-Clinical Simulation Anxiety Levels of Undergraduate Medical Students Before and During the COVID-19 Pandemic: A Prospective Cohort Study. Behav Sci (Basel) 2025; 15:447. [PMID: 40282069 PMCID: PMC12023953 DOI: 10.3390/bs15040447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2025] [Revised: 03/10/2025] [Accepted: 03/25/2025] [Indexed: 04/29/2025] Open
Abstract
The aim of the present study was to compare the anxiety of undergraduate medical students who were conducting clinical simulation (CS) prepandemic, during the pandemic, and postvaccination. The participants carried out an emergency simulation in a high-fidelity clinical skills laboratory. A prospective, simulation-based clinical cohort study of sixth-year undergraduate medical students was performed over three time periods: from 1 January to 15 April 2019; from 28 September to 18 December 2020; and from 11 May to 18 May 2022. The primary outcome was anxiety level (pre- and postsimulation) measured with the STAI test. Data on student demographics and baseline vital signs (before CS) were collected. A total of 373 students were ultimately included. A total of 40.2% of the cases were prepandemic (150 cases), 20.4% were pandemic (76 cases), and 39.4% were postvaccination (147 cases). The study period had a statistically significant effect on anxiety. There was a statistically significant increase in the incidence of anxiety during the pandemic time period compared with that during the prepandemic and postvaccination periods; no difference was found between the prepandemic and postvaccination periods. Performing CS in biohazardous environments significantly increases anxiety levels, so establishing mitigating measures to minimize the undesired effects of anxiety and promote the simulation-based learning process is necessary. The study was carried out at a single university; in future studies, it is necessary to carry out multicenter investigations to confirm the results.
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Affiliation(s)
- Rafael Martín-Sánchez
- Advanced Life Support, Emergency Medical Services (SACYL), 47003 Valladolid, Spain; (R.M.-S.); (S.S.-B.); (F.M.-R.)
- Faculty of Nursing, Universidad de Valladolid, 47003 Valladolid, Spain
| | - Ancor Sanz-García
- Faculty of Health Sciences, University of Castilla la Mancha, Talavera de la Reina, 45600 Toledo, Spain; (A.S.-G.); (S.D.-G.)
- Technological Innovation Applied to Health Research Group (ITAS Group), Faculty of Health Sciences, University of de Castilla-La Mancha, Talavera de la Reina, 45600 Toledo, Spain
- Evaluación de Cuidados de Salud (ECUSAL), Instituto de Investigación Sanitaria de Castilla-La Mancha (IDISCAM), 45071 Toledo, Spain
| | - Samantha Diaz-Gonzalez
- Faculty of Health Sciences, University of Castilla la Mancha, Talavera de la Reina, 45600 Toledo, Spain; (A.S.-G.); (S.D.-G.)
| | - Miguel Ángel Castro Villamor
- Faculty of Medicine, University of Valladolid, Edificio de Ciencias de la Salud, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain;
| | - Silvia Sáez-Belloso
- Advanced Life Support, Emergency Medical Services (SACYL), 47003 Valladolid, Spain; (R.M.-S.); (S.S.-B.); (F.M.-R.)
- Faculty of Nursing, Universidad de Valladolid, 47003 Valladolid, Spain
| | - Joseba Rabanales Sotos
- Faculty of Nursing, University of Castilla la Mancha, 02071 Albacete, Spain;
- Group of Preventive Activities in the University Health Sciences Setting, University of Castilla-La Mancha, 02071 Albacete, Spain
| | - Leyre T. Pinilla-Arribas
- Emergency Department, Hospital Clínico Universitario, 47003 Valladolid, Spain; (L.T.P.-A.); (P.G.-I.)
| | - Pablo González-Izquierdo
- Emergency Department, Hospital Clínico Universitario, 47003 Valladolid, Spain; (L.T.P.-A.); (P.G.-I.)
| | - Sara de Santos Sánchez
- Faculty of Medicine, University of Valladolid, Edificio de Ciencias de la Salud, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain;
| | - Francisco Martín-Rodríguez
- Advanced Life Support, Emergency Medical Services (SACYL), 47003 Valladolid, Spain; (R.M.-S.); (S.S.-B.); (F.M.-R.)
- Faculty of Medicine, University of Valladolid, Edificio de Ciencias de la Salud, Avda. Ramón y Cajal, 7, 47005 Valladolid, Spain;
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Deng L, Lee C, Lee S, Ding Y, Song Y, Newman G. Mental health among U.S. College students: implications of COVID-19 and roles of institutional and individual characteristics. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1640-1651. [PMID: 38848250 DOI: 10.1080/07448481.2024.2346349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 02/15/2024] [Accepted: 04/14/2024] [Indexed: 06/09/2024]
Abstract
Previous research on college campus environments, student mental health, and COVID-19 has primarily focused on individual-level factors, with limited attention to the broader institutional characteristics. Objective and Methods: Using the national survey data from the American College Health Association, this study examines the influence of both individual-level and institutional-level characteristics on college students' stress, psychological distress, and psychological well-being, before and during COVID-19. Results: (1) COVID-19 significantly impacted students' mental health; (2) institutional-level factors, such as school size, locale, region, and religiously affiliation, were significant predictors of mental health outcomes; and (3) individual-level variables, including gender, age, race/ethnicity, relationship status, moderated the relationship between COVID-19 and mental health. Conclusion: This study suggests the need to consider various institutional contexts in future efforts to understand predictors of mental health conditions and resilience.
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Affiliation(s)
- Li Deng
- Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA
| | - Chanam Lee
- Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA
| | - Sungmin Lee
- Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA
| | - Yizhen Ding
- Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA
| | - Yang Song
- Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA
| | - Galen Newman
- Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University, College Station, TX, USA
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Goodman SH, Boden-Albala B, Drum E, Ryan N, Gibbs B, Gutierrez D, Runnerstrom MG, Wing JJ. A rapid assessment of depressive and anxious symptoms among university students during the COVID-19 public health emergency: A repeated cross-sectional analysis. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1711-1720. [PMID: 39303079 DOI: 10.1080/07448481.2024.2400114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2024] [Revised: 07/04/2024] [Accepted: 08/25/2024] [Indexed: 09/22/2024]
Abstract
OBJECTIVES To identify potential associations between student characteristics and mental health symptoms during the early parts of the pandemic. PARTICIPANTS 3,883 students at a large public university on the West Coast of the United States. METHODS We conducted a repeated cross-sectional survey to assess health-protective behaviors, mental health, social support, and stigma resistance. The survey was administered in April 2020 and again in November/December 2020. Odds of mental health symptoms were estimated using multinomial logistic regression. RESULTS 39% of respondents reported anxious symptoms, 9% reported depressive symptoms, and 27% reported both anxious and depressive symptoms. AAPI had lower odds of reporting both anxious/depressive symptoms compared to whites (OR = 0.59; 95% CI:0.43-0.81). CONCLUSION Students reported elevated levels of psychological stress during the pandemic, yet our results may underestimate the actual odds due to stress brought on by COVID-19.
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Affiliation(s)
- Sara H Goodman
- Department of Pediatrics - Infectious Diseases, Stanford University School of Medicine, Stanford, California, USA
| | - Bernadette Boden-Albala
- Program in Public Health, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
- Department of Health, Society, and Behavior, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
- Department of Neurology, School of Medicine, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
- Department of Epidemiology, Program in Public Health, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
| | - Emily Drum
- Department of Health, Society, and Behavior, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
| | - Nessa Ryan
- Department of Health, Society, and Behavior, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
| | - Brooke Gibbs
- Department of Health, Society, and Behavior, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
| | - Desiree Gutierrez
- Department of Health, Society, and Behavior, Susan and Henry Samueli College of Health Sciences, University of California, Irvine, California, USA
| | - Miryha Gould Runnerstrom
- School of Nursing and Health Studies, University of Washington Bothell, Bothell, Washington, USA
| | - Jeffrey J Wing
- College of Public Health, Division of Epidemiology, The Ohio State University, Columbus, Ohio, USA
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Shi M, Miao R, Bing M, Liu S. The association between sleep quality and anxiety symptoms: a cross-sectional study based on Tibetan university students at high altitude in China. Front Psychol 2025; 16:1505948. [PMID: 40226497 PMCID: PMC11985792 DOI: 10.3389/fpsyg.2025.1505948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2024] [Accepted: 03/17/2025] [Indexed: 04/15/2025] Open
Abstract
Background There have been more previous studies on sleep quality and anxiety symptoms among university students in plains areas. However, fewer studies have been conducted on Tibetan university students at high altitude. Analyzing the relationship between sleep quality and anxiety symptoms due to increased altitude may provide a reference for mental health promotion and intervention for Tibetan university students in high altitude areas. Methods Stratified whole cluster sampling was used. The pittsburgh sleep quality index (PSQI) scale was used to investigate the sleep quality of 4,777 university students at high altitude in China. The self-rating anxiety scale (SAS) was used to investigate anxiety symptoms. The chi-square test was used to compare the detection rates of anxiety symptoms among different groups, and logistic regression analysis was used to analyze the association between sleep quality and anxiety symptoms. Results The prevalence of anxiety symptoms among Tibetan university students at high altitude in China was 25.7%. The detection rate of anxiety symptoms among girls (28.4%) was higher than that of boys (22.1%), and the difference was statistically significant (χ 2 = 24.634, p < 0.001). The detection rates of anxiety symptoms among university students with sleep quality of "Good," "Medium" and "Poor" were 1.8, 4.8 and 39.2%, respectively, and the differences were statistically significant (χ 2 = 779.759, p < 0.001). Logistic regression analysis after adjusting for relevant covariates showed that the risk of anxiety symptoms was higher in the "Medium" (OR:3.479, 95%CI:1.946 ~ 6.221) and "Poor" (OR:44.817, 95%CI:29.175 ~ 68.847) groups, compared with the "Good" group. The same trend was observed in both men and women at the university level. Conclusion There is a close relationship between sleep quality and the occurrence of anxiety symptoms among Tibetan university students at high altitude in China. Improving sleep quality may have a positive effect on reducing the occurrence of anxiety symptoms among Tibetan university students at high altitude.
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Affiliation(s)
- Mengying Shi
- School of Marxism, Xinjiang Normal University, Urumqi, China
| | - Ruijing Miao
- Information Management Center, Xinjiang Normal University, Urumqi, China
| | | | - Shiru Liu
- Department of Physical Education and Research, Xinjiang University, Urumqi, China
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Ma J, Saita K, Kaneko F, Okamura H. Stressors during the COVID-19 pandemic in international students: a qualitative study. BMC Public Health 2025; 25:1166. [PMID: 40148815 PMCID: PMC11951657 DOI: 10.1186/s12889-025-22380-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Accepted: 03/18/2025] [Indexed: 03/29/2025] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has exacerbated mental health problems worldwide; however, research on the stressors experienced by international students during the COVID-19 pandemic remains limited. METHODS Semi-structured interviews were conducted with 20 international students (male, 8; female, 12; average age, 31.5 years) at Hiroshima University, Japan. Inductive thematic analysis was performed using NVivo software to identify how international students (1) perceived and experienced stress and (2) describe the specific stressors they faced during the COVID-19 pandemic. RESULTS The findings revealed that international students experienced multiple stressors during the COVID-19 pandemic, including extrapersonal (e.g., financial pressure), interpersonal (e.g., social commentary and perceived xenophobia against foreigners), and intrapersonal (e.g., fear of infection) stressors. CONCLUSIONS Results revealed that during the COVID-19 pandemic, foreign students experienced stress from various sources. Although this global pandemic has ended, similar public health crises may occur in the future. Examination of the sources of stress faced by international students during the pandemic can help us obtain valuable lessons for responding to future global crises. These findings can provide better policy support, resource allocation, and mental health assistance for the international student community during future crises.
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Affiliation(s)
- Jingru Ma
- Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Kazuya Saita
- Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Fumiko Kaneko
- Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Hitoshi Okamura
- Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
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Bowles NP, Rice SPM, Hebl J, Stewart AV, Shea SA. Sleep, psychological symptoms, and cannabis use before, during, and after COVID-19 "stay-at-home" orders: a structural equation modeling approach. J Cannabis Res 2025; 7:18. [PMID: 40128821 PMCID: PMC11931863 DOI: 10.1186/s42238-025-00269-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Accepted: 02/11/2025] [Indexed: 03/26/2025] Open
Abstract
BACKGROUND Given the frequent use of cannabis for sleep and mental health symptoms, we aimed to prospectively examine the reciprocal relationship between sleep, mental health, and cannabis use from before, during, and 1 year after the implementation of COVID-19 stay-at-home orders. METHODS Five hundred thirty-four young adults (21-34 years old) from Oregon and Washington States who previously completed a survey on their sleep and cannabis use prior to stay-at-home orders (T0), were followed up after initial stay-at-home orders were in place for approximately two months (T1), and one year later (T2), to reassess sleep and cannabis use. Sleep measures included the presence of sleep trouble [yes/no], and weekday and weekend sleep duration. The Cannabis Use Disorders Identification Test Revised (CUDIT-R) was used to assess past-six-month cannabis use. The follow up surveys additionally measured mental health symptoms and other health behaviors. We applied cross-lagged panel models to assess the association between cannabis use and sleep at all three time points. Multivariate parallel latent change score models were used to assess associations between changes in cannabis use, sleep, mental health symptoms, and other behavioral factors from T1 to T2. RESULTS For the cross-lagged models, reporting sleep trouble at T0 was associated (β = 0.18, p < 0.05) with higher CUDIT-R scores at T1, however this relationship did not hold from T1 to T2. CUDIT-R scores were not associated with sleep trouble from T0 to T1, however CUDIT-R at T1 had a positive association (β = 0.35, p < 0.05) with sleep trouble at T2. The two-wave latent change score model, indicated that change in sleep trouble between T1 and T2 was positively associated with changes in depression (r = 0.37, p < 0.05) and anxiety (r = 0.40, p < 0.05) across this period. No significant correlation was found between changes in cannabis use and changes in sleep trouble. CONCLUSIONS Our findings suggest an inconsistent bidirectional link between sleep trouble and cannabis use. Only sleep trouble, and not cannabis use, predicted mental health measures. These associations lend support for a holistic approach to designing and implementing public health measures during a global pandemic.
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Affiliation(s)
- Nicole P Bowles
- Oregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 SW Sam Jackson Park Rd., L606, Portland, Oregon, 97239-3098, USA.
| | - Sean P M Rice
- Oregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 SW Sam Jackson Park Rd., L606, Portland, Oregon, 97239-3098, USA
| | - Joey Hebl
- Oregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 SW Sam Jackson Park Rd., L606, Portland, Oregon, 97239-3098, USA
| | - Alicia V Stewart
- Oregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 SW Sam Jackson Park Rd., L606, Portland, Oregon, 97239-3098, USA
| | - Steven A Shea
- Oregon Institute of Occupational Health Sciences, Oregon Health and Sciences University, 3181 SW Sam Jackson Park Rd., L606, Portland, Oregon, 97239-3098, USA
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Atanda-Ogunleye O, Hua S, Borsarini B, Duck SA, Jansen E, Carnell S. The Impact of COVID-19-Related Stress on Diet and Eating Behaviors in US College Students: A Cross-Sectional Study. RESEARCH SQUARE 2025:rs.3.rs-6196663. [PMID: 40162220 PMCID: PMC11952659 DOI: 10.21203/rs.3.rs-6196663/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/02/2025]
Abstract
Background The COVID-19 pandemic exposed the US population, including college students, to stress posing challenges to psychological and behavioral health. Previous studies have demonstrated that stress can promote unhealthy eating behaviors among college students. This study aimed to examine the relationships of pandemic-related stress with changes in diet and eating behaviors experienced by college students during the Fall 2020 semester. Methods 758 college students in the Mid-Atlantic region of the US completed an online survey in November 2020. The survey assessed multiple dimensions of pandemic-related stress, diet, and eating behaviors, as well as measures of psychological health and social support. Results Pandemic-related stress, particularly academic stress, was correlated with less healthy dietary profiles and potentially maladaptive eating behaviors, including emotional eating and late-night eating. Associations between stress and dietary intake were stronger in females than males, whereas males showed stronger associations between stress and food responsiveness. Pandemic-related stress was associated with perceived changes in diet quality, frequency of eating, and amount of food consumed compared to since before the semester started. Conclusion Academic stress during the pandemic had a negative impact on diet and eating behaviors among college students. Our results argue for interventions targeting academic stress in everyday contexts as well as potential future public health crises, to prevent negative impacts on students' eating profiles that may in turn negatively impact health.
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Lin HL, Liu WH. The Impact of Night Shifts, Tobacco Dependence, Health Awareness, and Depression Risk on Chronic Disease Risk Among Generation Z Overtime Workers During the COVID-19 Pandemic. Healthcare (Basel) 2025; 13:569. [PMID: 40077131 PMCID: PMC11899001 DOI: 10.3390/healthcare13050569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2025] [Revised: 02/26/2025] [Accepted: 03/04/2025] [Indexed: 03/14/2025] Open
Abstract
Background/Objectives: the COVID-19 pandemic accelerated the adoption of remote work, blurring the boundaries between professional and personal life. This shift resulted in longer working hours, negative emotional outcomes, and health issues, particularly among Generation Z employees. This study investigates the links between working overtime, tobacco dependence, night shifts, and chronic disease risk in Generation Z employees during the pandemic while also examining the roles of depression risk and health awareness. A quantitative research approach was used to administer a questionnaire and employ the chi-square test, t-test, and logistic regression analysis to compare overtime-related factors and chronic disease risks. Results: the overtime workers are 1.39 times more likely to develop chronic diseases than those who do not work overtime. The odds ratio (OR) for overtime workers is 1.41, indicating that working overtime is a major risk factor for chronic disease. Among overtime workers, tobacco dependence and depression risk are significantly correlated with the risk of chronic disease, while night shift work is not. Overtime workers' health awareness is significantly correlated with chronic disease risk and has a partial mediating effect on the relationship between tobacco dependence and chronic disease risk. This is due to the strong correlation (p < 0.001) between tobacco dependence and chronic disease, which limits the extent to which health consciousness can mitigate the negative effects of tobacco dependence. Conclusions: these findings highlight the importance of smoking cessation and mental health interventions in reducing the risk of chronic disease for Generation Z workers, particularly in the post-pandemic era.
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Affiliation(s)
- Hui-Li Lin
- Department of Tourism Management, Nanhua University, Chiayi 622301, Taiwan;
| | - Wen-Hsin Liu
- Division of Family Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi 600566, Taiwan
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Elsey GE, Smith-Ricketts J, Kohan D, Lepp A, Barkley JE. Perceived Changes in Physical Activity, Sedentary Behavior, and Stress During the Pandemic Predict Current Levels of These Same Variables. INTERNATIONAL JOURNAL OF EXERCISE SCIENCE 2025; 18:306-315. [PMID: 40191644 PMCID: PMC11970408 DOI: 10.70252/dnvj9996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 04/09/2025]
Abstract
The COVID-19 pandemic and its associated restrictions placed on daily life may have negatively impacted overall physical and psychological health as well as health behaviors such as decreased physical activity and increased sedentary behavior. It is important to understand if these potential changes during the pandemic may be predictive of current health behaviors where pandemic-related restrictions are no longer being implemented. This study aimed to assess the relationships between perceived changes in physical activity, sitting, and stress during the COVID-19 pandemic to current measures of these same variables. In April 2022, participants (N = 208) completed a survey in which they indicated perceived changes in physical activity, sitting, and stress during the pandemic. Participants then self-reported their current total physical activity, daily sitting, and anxiety. Multiple Pearson correlation analyses were performed to assess the relationships between perceived measures of physical activity, sitting, and stress during the pandemic to current measures of these same variables. Greater perceived inactivity (i.e., reduced physical activity) during the pandemic was associated with lower current total physical activity (r = -0.28, p < 0.001) and greater daily sitting (r = 0.19, p = 0.007). Greater perceived sitting during the pandemic was associated with lower current total physical activity (r = -0.26, p < 0.001). Lastly, greater perceived stress during the pandemic was associated with greater current anxiety (r = 0.35, p < 0.001). This suggests that individuals who perceived negative health-related changes during the pandemic may still be impacted by persisting effects.
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Affiliation(s)
- Gretchen E Elsey
- College of Education, Health, and Human Services, Kent State University, OH, USA
| | | | - David Kohan
- College of Education, Health, and Human Services, Kent State University, OH, USA
| | - Andrew Lepp
- College of Education, Health, and Human Services, Kent State University, OH, USA
| | - Jacob E Barkley
- College of Education, Health, and Human Services, Kent State University, OH, USA
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Zimovjanová A, Wekesah FM, Dehghani Firouzabadi F, Brož J, Urbanová J, Mechanick JI, Sulbarán N, Medina A, Maranhao Neto GA, Nieto-Martinez R, Babagoli MA, Torres M, Kunzová M, Pešl M, Medina J, Ugel E, Jahandideh H, Roomiani M, Deravi N, Poopak A, Esteghamati A, González-Rivas JP. Association of depressive symptoms and social determinants of health in medical students of four countries - Czechia, Iran, Kenya, and Venezuela. Cent Eur J Public Health 2025; 33:17-23. [PMID: 40293825 DOI: 10.21101/cejph.a8222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2024] [Accepted: 12/12/2024] [Indexed: 04/30/2025]
Abstract
OBJECTIVES Medical students experience worse psychological well-being than the general population. Social determinants of health (SDOH) relate to conditions in which people live, work, and age and significantly influence mental health. This study examines the association between depressive symptoms and SDOH in medical students from four countries: Czechia, Iran, Kenya, and Venezuela. METHODS An online cross-sectional survey was conducted in the spring of 2022. The questionnaire focused on depressive symptoms (using a validated psychiatric scale DASS-21 to assess mental health) and various SDOHs. RESULTS A total of 2,033 medical students participated in the survey, with a median age of 23.0 years; 64.8% were females; 60.8% of respondents had some degree of depressive symptoms (mild-to-moderate 32.5%, severe-to-extremely severe 28.3%). Several SDOHs, such as low engagement in social life, low personal funds, and low social class, were strongly associated with severe-to-extremely severe depressive symptoms (p < 0.001), and the associations differed among countries. The prevalence of severe-to-extremely severe depressive symptoms varied significantly across the four countries, with Iran having the highest prevalence (OR = 2.1 compared to Czechia), followed by Czechia (OR = 1, reference value), Kenya (OR = 0.9), and Venezuela (OR = 0.6). CONCLUSION The study demonstrates the high prevalence of depressive symptoms among medical students from four global regions and the significant association with specific SDOH. Notably, the variation in prevalence across countries and differential relationships with SDOH underscore the importance of considering transcultural factors in research and management to improve mental health among medical students.
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Affiliation(s)
| | - Frederick Murunga Wekesah
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
- African Population and Health Research Centre, Nairobi, Kenya
- Julius Global Health, Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Fatemeh Dehghani Firouzabadi
- Endocrinology and Metabolism Research Centre, Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
- ENT and Head & Neck Research Centre, Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran
- Boston Children's Hospital, Harvard Medical School, Harvard University, Boston, MA, USA
| | - Jan Brož
- Department of Internal Medicine, Second Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Jana Urbanová
- Department of Internal Medicine, Faculty Hospital Kralovske Vinohrady and Third Faculty of Medicine, Charles University, Prague, Czech Republic
| | - Jeffrey I Mechanick
- Kravis Center for Clinical Cardiovascular Health at Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Natalia Sulbarán
- Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela
| | - Andrea Medina
- Foundation for Clinic, Public Health, and Epidemiology Research of Venezuela (FISPEVEN INC), Caracas, Venezuela
| | - Geraldo A Maranhao Neto
- International Clinical Research Centre, St Anne's University Hospital Brno, Brno, Czech Republic
| | - Ramfis Nieto-Martinez
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
- LifeDoc Health, Memphis, TN, USA
- School of Medicine, Faculty of Medicine, University of the Andes, Venezuela
| | - Masih A Babagoli
- Kravis Center for Clinical Cardiovascular Health at Mount Sinai Heart, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | | | - Monika Kunzová
- International Clinical Research Centre, St Anne's University Hospital Brno, Brno, Czech Republic
- Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Martin Pešl
- International Clinical Research Centre, St Anne's University Hospital Brno, Brno, Czech Republic
- First Department of Internal Medicine - Cardioangiology, St. Anne's University Hospital Brno, Brno, Czech Republic
- Department of Biology, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - José Medina
- School of Medicine, Faculty of Medicine, University of Zulia, Maracaibo, Venezuela
| | - Eunice Ugel
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
- LifeDoc Health, Memphis, TN, USA
- Department of Social and Preventive Medicine, School of Medicine, Lisandro Alvarado Central Western University, Barquisimeto, Venezuela
| | - Hesam Jahandideh
- ENT and Head & Neck Research Centre, Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran
| | - Maryam Roomiani
- ENT and Head & Neck Research Centre, Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran
| | - Niloofar Deravi
- Endocrinology and Metabolism Research Centre, Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
- Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amirhossein Poopak
- Endocrinology and Metabolism Research Centre, Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Alireza Esteghamati
- Endocrinology and Metabolism Research Centre, Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Juan P González-Rivas
- Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
- International Clinical Research Centre, St Anne's University Hospital Brno, Brno, Czech Republic
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Olatunde OE, Richards D, Dobbs PD, Nahar VK, Sharma M, Davis RE. Psychological Help-Seeking Among College Students: Applying the Multi-Theory Model of Health Behavior Change in Assessing Telehealth Use for Psychological Help-Seeking. Am J Lifestyle Med 2025; 19:450-462. [PMID: 40041308 PMCID: PMC11874004 DOI: 10.1177/15598276221116561] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2025] Open
Abstract
Background Due to the deleterious effects on psychological health and wellbeing spurred by the pandemic, utilization of telehealth-based care increased over the past few years. The rapid transition from in-person to telehealth-based health service delivery has yet to be fully understood. The aim of the current study was to examine telehealth use for psychological help-seeking among college students using the Multi-theory Model of health behavior change (MTM) as a theoretical framework. Methods A cross-sectional and survey-based study was conducted among students at a large US university (N = 356). Valid and reliable scales were used to measure domains of psychological distress and MTM constructs. Participants were grouped based on past 12-month utilization of telehealth for any mental, emotional, or substance use problems. Results Roughly 67% of the sample reported that they needed help dealing with psychological distress, and 56.1%,43.3%, and 38.7% screened positive for anxiety, depression, and suicidal ideation, respectively. Depression, anxiety, and suicidal ideation were positively associated with past 12-month telehealth-based help-seeking. Past 12-month telehealth users reported greater advantages, confidence, and emotion direction toward telehealth-based psychological help-seeking than their counterparts. Participants also perceived higher exhibition of behavioral skills and greater social support to aid help-seeking than their counterparts. Advantages and disadvantages as well as behavioral confidence predicted intentions for telehealth-based help-seeking after controlling for anxiety, depression, suicidal ideation, perceived stigma, and perceived need for help among both groups. Conclusion The MTM theoretical framework is a valuable framework for predicting telehealth-based psychological help-seeking among college students. Such framework can be used to design and implement mental health programing.
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Affiliation(s)
- Oluwatoyin E. Olatunde
- Substance Use and Mental Health Laboratory, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (OO, DR, RED); Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (PDD); Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA (VKN); Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA (VKN); and Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA (MS)
| | - Dallion Richards
- Substance Use and Mental Health Laboratory, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (OO, DR, RED); Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (PDD); Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA (VKN); Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA (VKN); and Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA (MS)
| | - Page D. Dobbs
- Substance Use and Mental Health Laboratory, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (OO, DR, RED); Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (PDD); Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA (VKN); Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA (VKN); and Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA (MS)
| | - Vinayak K. Nahar
- Substance Use and Mental Health Laboratory, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (OO, DR, RED); Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (PDD); Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA (VKN); Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA (VKN); and Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA (MS)
| | - Manoj Sharma
- Substance Use and Mental Health Laboratory, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (OO, DR, RED); Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (PDD); Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA (VKN); Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA (VKN); and Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA (MS)
| | - Robert E. Davis
- Substance Use and Mental Health Laboratory, Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (OO, DR, RED); Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, USA (PDD); Department of Preventive Medicine, School of Medicine/John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson, MS, USA (VKN); Department of Dermatology, University of Mississippi Medical Center, Jackson, MS, USA (VKN); and Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA (MS)
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Zhu LY, Huang H, Kuang Y, Huang DL, Tang CY. Levels and influencing variables of adaptation of students in medical university. Work 2025; 80:1144-1156. [PMID: 39973687 DOI: 10.1177/10519815241289680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2025] Open
Abstract
BackgroundCurrently, there are limited studies on the adaptation of medical university students and the factors influencing their adaptation.ObjectiveThis study aims to evaluate the adaptation status of medical university students, identify the variables influencing their adaptation, and propose scientific methods and strategies for managing their adaptation process.MethodsA convenient cluster sampling method was used to select 1121 students from a medical university in China. The participants completed an anonymous questionnaire, which included a self-designed general questionnaire and the University Adaptation Scale developed by Fang et al. Data were analyzed using descriptive statistics, t-tests, ANOVA, and multiple linear regression.ResultsA total of 1102 valid questionnaires were collected, revealing an overall adaptation score of 3.42 ± 0.54. Scores for the seven dimensions were as follows : learning adaptation (3.53 ± 0.63), interpersonal relationship adaptation (3.35 ± 0.65), campus adaptation (3.45 ± 0.65), career adaptation (3.50 ± 0.59), emotional adaptation (3.45 ± 0.65), self-adaptation (3.33 ± 0.66), and satisfaction (3.24 ± 0.77). Adaptation levels declined with age and grade increase, while only-child students and urban students scored higher than their counterparts. Students who had class cadre positions during secondary school also scored higher. Clinical medicine majors achieved the highest scores, while nursing majors had the lowest. Notably, 68.6% of students experienced discomfort symptoms at the beginning of the academic year, and 82.0% reported that the COVID-19 pandemic strengthened their desire to major in medicine.ConclusionsOverall, medical students demonstrated good adaptability, with learning adaptation scoring the highest. Adaptation was influenced by major, intention to study medicine, and demographic factors such as age, grade, and household registration.
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Affiliation(s)
- Lin-Ying Zhu
- The First Clinical Medical College, Guangdong Medical University, Zhanjiang, China
| | - Huai Huang
- The First Clinical Medical College, Guangdong Medical University, Zhanjiang, China
| | - Yan Kuang
- The First Clinical Medical College, Guangdong Medical University, Zhanjiang, China
| | - Dan-Li Huang
- The First Clinical Medical College, Guangdong Medical University, Zhanjiang, China
| | - Chun-Yuan Tang
- Department of Nephrology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
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Grineski SE, Morales DX, Collins TW, Chavez Y, Avondet CL, Pasillas N. Student mental health during Summer 2022 research experiences for undergraduates (REUs): Mentorship, remote engagement, and COVID-19. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1115-1127. [PMID: 38743434 DOI: 10.1080/07448481.2024.2351428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 04/12/2024] [Accepted: 04/19/2024] [Indexed: 05/16/2024]
Abstract
Objective: We examined how mentorship, remote participation, and COVID-19 challenges were associated with the mental health of college students participating in summer research programs. Participants: Participants were students participating in 78 National Science Foundation (NSF) Research Experiences for Undergraduate (REU) Sites during Summer 2022 (n = 516 students). Methods: We used multivariable generalized estimating equations that account for clustering by REU Site. Results: Students with more competent mentors had reduced depression severity. Students who spent ≥25% of their time doing remote research or ≥25% of their time in remote meetings and workshops had greater depression severity. Remote research was also associated with anxiety severity. Having a COVID-19 challenge that impacted students' research experience was associated with increases in depression and anxiety severity. Conclusions: Results suggest potential interventions: implement strategies to boost mentor competency and scaffold a support system into summer research programs to enhance student wellbeing. Additional research on remote engagement is needed.
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Affiliation(s)
- Sara E Grineski
- Department of Sociology, University of Utah, Salt Lake City, Utah, USA
| | - Danielle X Morales
- Department of Urban Studies, Worcester State University, Sullivan Academic Center, Worcester, Massachusetts, USA
| | - Timothy W Collins
- Department of Geography, University of Utah, Salt Lake City, Utah, USA
| | - Yolanda Chavez
- Department of Sociology, University of Utah, Salt Lake City, Utah, USA
| | - Callie L Avondet
- Department of Sociology, University of Utah, Salt Lake City, Utah, USA
| | - Nancy Pasillas
- Department of Sociology, University of Utah, Salt Lake City, Utah, USA
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Hebaish Y, Chatterjee S, Deegear J, Rucker M, Aprahamian H, Ntaimo L. A data-driven simulation approach to quantify the effect of group counseling on system performance of college counseling centers. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1240-1254. [PMID: 37856364 DOI: 10.1080/07448481.2023.2252916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 07/08/2023] [Accepted: 08/20/2023] [Indexed: 10/21/2023]
Abstract
Objective: To investigate the effectiveness, from a system's perspective, of offering group counseling options in college counseling centers. Methods: We achieve this through a data-driven simulation-based approach with the aim of providing administrators with a quantitative tool that informs their decision-making process. Results: Our simulation experiments reveal that offering group counseling options without resource reallocation does not have the desired positive impact on the system's performance. However, with resource reallocation, our results demonstrate that the introduction of group counseling options can significantly improve the performance of the system by as much as 40%. Conclusions: Group counseling options, coupled with proper resource reallocation strategies, are effective in reducing access time of first-time patients by as much as 40%. The effect of group counseling is highly dependent on both the number of offered groups as well as their scheduling policy. Scheduling policies have to be scrutinized in light of their resulting group waiting time and resource-utilization efficiency.
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Affiliation(s)
- Youssef Hebaish
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, Texas, USA
| | - Sohom Chatterjee
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, Texas, USA
| | - James Deegear
- Counseling and Psychological Services, Texas A&M University, College Station, Texas, USA
| | - Miles Rucker
- Counseling and Psychological Services, Texas A&M University, College Station, Texas, USA
| | - Hrayer Aprahamian
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, Texas, USA
| | - Lewis Ntaimo
- Department of Industrial and Systems Engineering, Texas A&M University, College Station, Texas, USA
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Merlo A, Hendriksen P, Severeijns N, Garssen J, Bruce G, Verster J. Alcohol Consumption During the COVID-19 Pandemic: A Critical Review. Hum Psychopharmacol 2025; 40:e70004. [PMID: 40130347 PMCID: PMC11934011 DOI: 10.1002/hup.70004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2025] [Revised: 02/26/2025] [Accepted: 03/17/2025] [Indexed: 03/26/2025]
Abstract
OBJECTIVE The purpose of this systematic review was to summarize the impact of the 2019 coronavirus disease (COVID-19) pandemic on individuals' alcohol consumption. METHODS PubMed was searched to identify relevant studies. Articles were included if they provided information on overall (changes in) alcohol consumption, and factors that may influence alcohol consumption including demographics, socioeconomic status, educational background, living situation, and health status. Following screening, 100 articles were identified and included in this review. RESULTS Overall findings show no change (51%) or a reduction (23%) in alcohol consumption during the COVID-19 pandemic. However, across countries, on average 1 in 4 individuals reported an increase in alcohol consumption (26%), in particular during the COVID-19 lockdown periods. Most common correlates of increased alcohol consumption were being female, having a child at home, higher educational level, and poorer mental health (including higher scores for stress, anxiety and depression). CONCLUSION Although overall alcohol consumption was reduced during the COVID-19 pandemic, a considerable subpopulation of drinkers increased their alcohol consumption.
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Affiliation(s)
- A. Merlo
- Division of PharmacologyUtrecht Institute for Pharmaceutical SciencesUtrecht UniversityUtrechtthe Netherlands
| | - P.A. Hendriksen
- Division of PharmacologyUtrecht Institute for Pharmaceutical SciencesUtrecht UniversityUtrechtthe Netherlands
| | - N.R. Severeijns
- Division of PharmacologyUtrecht Institute for Pharmaceutical SciencesUtrecht UniversityUtrechtthe Netherlands
| | - J. Garssen
- Division of PharmacologyUtrecht Institute for Pharmaceutical SciencesUtrecht UniversityUtrechtthe Netherlands
- Danone Global Research & Innovation CenterUtrechtthe Netherlands
| | - G. Bruce
- Division of Psychology and Social WorkSchool of Education and Social SciencesUniversity of the West of ScotlandPaisleyUK
| | - J.C. Verster
- Division of PharmacologyUtrecht Institute for Pharmaceutical SciencesUtrecht UniversityUtrechtthe Netherlands
- Centre for Mental Health and Brain SciencesSwinburne UniversityMelbourneAustralia
- Cognitive NeurophysiologyDepartment of Child and Adolescent PsychiatryFaculty of MedicineTU DresdenDresdenGermany
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Ahuvia IL, Dobias ML, Cohen KA, Nelson BD, Richmond LL, London B, Schleider JL. Loss of mental health support among college students during the COVID-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:1198-1204. [PMID: 37607035 DOI: 10.1080/07448481.2023.2245917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 06/15/2023] [Accepted: 07/28/2023] [Indexed: 08/24/2023]
Abstract
Objective: The COVID-19 pandemic has simultaneously exacerbated mental health concerns among college students and made it more challenging for many students to access mental health support. However, little is known about the extent of mental health support loss among college students, or which students have lost support. Participants: 415 undergraduate students who reported receiving mental health support prior to the pandemic participated. Methods: Students completed an online questionnaire between March and May of 2020. Researchers examined the extent of support loss and how support loss differed by demographic and mental health variables. Methods pre-registered at https://osf.io/m83hz. Results: 62% of respondents reported loss of mental health support. Loss of support was associated with more severe depressive symptoms (p < .001), more severe anxiety symptoms (p < .001), suicidal ideation (p < .001), and sexual minority identity (p = .017). Conclusions: Loss of support was common, especially among more vulnerable students.
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Affiliation(s)
- Isaac L Ahuvia
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
| | - Mallory L Dobias
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
| | - Katherine A Cohen
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
| | - Brady D Nelson
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
| | - Lauren L Richmond
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
| | - Bonita London
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
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Ward J, Coats J. Depression, anxiety, and sleep attributes: A cross-sectional study of chiropractic college students. THE JOURNAL OF CHIROPRACTIC EDUCATION 2025; 39:eJCE-23-18. [PMID: 39256922 DOI: 10.7899/jce-23-18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 01/13/2024] [Accepted: 03/14/2024] [Indexed: 09/12/2024]
Abstract
OBJECTIVE To measure degree of depression, anxiety, and hours of sleep of chiropractic college students through an anonymous paper survey. METHODS A convenience sample of 164 chiropractic college students completed a Major Depression Inventory (MDI) survey, a 2-item Generalized Anxiety Disorder (GAD-2) survey, and were asked the number of hours of sleep they had per night and demographic questions. The survey was distributed to trimester 1-6 students 4 weeks into their 15-week semester. RESULTS Chiropractic students had an average MDI score of 18.1 ± 10.6 (mean ± SD), indicating the average chiropractic college student did not display depression. However, subset analysis revealed 18.9% of students had MDI scores over 30, which is associated with possible severe depression. Of students who demonstrated possible severe depression, 80.6% were female. Body mass index demonstrated no correlation with the number of respondents at risk for severe depression. Average GAD-2 score was 3.0 ± 1.9; male students scored 2.4 ± 1.8 and female 3.6 ± 1.8, indicating female students expressed anxiety more. Last, survey respondents reported they averaged 6.3 ± 1.1 hours of sleep per night with females reporting approximately 30 minutes less sleep per night than males. CONCLUSION Chiropractic students, on average, did not display depression. However, a subset of female students near the age of 26 were at an increased risk of severe depression. Chiropractic students displayed a rate of anxiety greater than that of undergraduate college students based on existing data sets and reported approximately 6 hours of sleep per night.
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Chen L, Chen Q, Huang Z, Yao L, Zhuang J, Lu H, Zeng Y, Fan J, Song A, Zhang Y. Predicting sleep quality among college students during COVID-19 lockdown using a LASSO-based neural network model. BMC Public Health 2025; 25:721. [PMID: 39984887 PMCID: PMC11846199 DOI: 10.1186/s12889-025-21746-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2024] [Accepted: 02/03/2025] [Indexed: 02/23/2025] Open
Abstract
BACKGROUND In March 2022, a new outbreak of COVID-19 emerged in Quanzhou, leading to the implementation of strict lockdown management measures in colleges. While existing research has indicated that the pandemic has had a significant impact on sleep quality, the specific effects of containment measures on college students' sleep patterns remain understudied. OBJECTIVE This study aimed to understand the sleep quality of college students in Fujian Province during the epidemic and determine sensitive variables, in order to develop an efficient prediction model for the early screening of sleep problems in college students. METHODS A cross-sectional survey was conducted April 5-16, 2022 to survey college students in Quanzhou. A total of 4959 college students in Quanzhou were enrolled in this study. Descriptive analysis, univariate analysis, correlation analysis, and multiple regression analysis were used to explore the influencing factors regarding sleep quality. In addition, we constructed eight sleep quality risk prediction models to predict sleep quality. RESULTS A mean PSQI total score of 6.03 ± 3.21 and a sleep disorder rate of 29.4% (PSQI > 7) were obtained. Sleep quality, sleep latency, sleep efficiency, diurnal dysfunction, and PSQI score were all higher than the national norm (P < 0.05). A total of eight significant predictors finally identified by the LASSO algorithm was incorporated into prediction models. Through a series of assessments, we identified the artificial neural network model as the best model, achieving an area under curve of 73.8% an accuracy of 67.3%, a precision of 84.0%, a recall of 66.3%, and an F1 score of 69.3%. These performance indices suggest that the ANN model outperforms other models. It is noteworthy that the threshold probabilities for net benefit were found to be between 0.81 and 0.92 and the clinical impact curve confirmed that the models' predictions were particularly effective in identifying individuals with poor sleep quality when the threshold probability was set above 70%. These findings underscore the potential clinical utility of our models for the early detection of sleep disorders. CONCLUSIONS In Quanzhou, under COVID-19 quarantine management, the sleep quality of college students was affected to a certain extent, and their PSQI scores were higher than the national average in China. The artificial neural network model had the best performance, and it is expected to be used to provide early interventions to prevent sleep disorders.
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Affiliation(s)
- Lufeng Chen
- The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, 362000, China.
| | - Qingquan Chen
- The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, 362000, China
- The School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350108, China
| | - Zhimin Huang
- The School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350108, China
| | - Ling Yao
- The School of Clinical Medicine, Fujian Medical University, Fuzhou, Fujian Province, 350108, China
| | - Jiajing Zhuang
- The School of Clinical Medicine, Fujian Medical University, Fuzhou, Fujian Province, 350108, China
| | - Haibin Lu
- The School of Public Health, Fujian Medical University, Fuzhou, Fujian Province, 350108, China
| | - Yifu Zeng
- Cyberspace Institute of Advanced Technology, Guangzhou University, Guangzhou, Guangdong Province, 510030, China
| | - Jimin Fan
- The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, 362000, China
| | - Ailing Song
- Department of Respiratory Medicine, Wuxi Branch of Ruijin Hospital, Shanghai Jiao Tong University, Wuxi, Jiangsu, 214140, China
| | - Yixiang Zhang
- The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, 362000, China.
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Sankova MV, Nikolenko VN, Litvinova TM, Volel BA, Oganesyan MV, Rizaeva NA, Vovkogon AD, Sankov SV, Bulygin KV, Zharikova TS, Sankov AV, Panas A, Pontes-Silva A, Zharikov YO. Effects of the COVID-19 pandemic on the health of medical students transitioning from traditional education to distance learning: a prospective cohort. BMC MEDICAL EDUCATION 2025; 25:284. [PMID: 39979861 PMCID: PMC11844135 DOI: 10.1186/s12909-024-06407-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 11/26/2024] [Indexed: 02/22/2025]
Abstract
OBJECTIVE To identify factors affecting the mental and physical health of first-year medical students during the period of rapid SARS-COV-2 spread in the COVID-19 pandemic to develop effective strategies for managing student well-being and education quality during global pandemics. METHODS 656 first-year students of Sechenov University aged 17 to 23 years (17.91 ± 1.01 years) were included in an online anonymous survey. The study consisted of two assessment phases: in traditional training in September-December 2021 and in distance learning in January-March 2022. The State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory, the Cantril Self-Anchoring Scale, and an original questionnaire were used for evaluation. RESULTS AND DISCUSSION During the rapid COVID-19 spread in COVID-19 pandemic, most first-year medical students had a high level of reactive anxiety, accompanied by depressive disorders and vegetative-somatic manifestations that significantly reduced their adaptive potential, life quality and academic performance. All first-year students regardless of age were shown to be sensitive to stressful situation. The females demonstrated more pronounced psycho-vegetative changes compared to the males. Students of medical, pediatrics and medico-preventive faculties reacted more strongly to the current situation than students of dental and pharmaceutical faculties. The identified changes in the psycho-vegetative student status were associated, first of all, with the difficult sanitary-epidemiological SARS-COV-2 situation and related financial problems. Students considered the transition to distance learning to be the most important support measures. Temporary transition to distance learning led to the significant decrease in the anxiety level, correction of depressive and vegetative manifestations, and significant increase in the life quality that was of great importance for the education quality. Significant student support measures during COVID-19 pandemic were also financial, psychological and informational assistance. The obtained results made it possible to develop the effective strategies for managing student health and education quality during global pandemics.
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Affiliation(s)
- Maria V Sankova
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
| | - Vladimir N Nikolenko
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
- Lomonosov Moscow State University, Leninskie Gory, 1, 119991, Moscow, Russia
| | - Tatiana M Litvinova
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
| | - Beatrice A Volel
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
| | - Marine V Oganesyan
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
- Lomonosov Moscow State University, Leninskie Gory, 1, 119991, Moscow, Russia
| | - Negoria A Rizaeva
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
- Lomonosov Moscow State University, Leninskie Gory, 1, 119991, Moscow, Russia
| | - Andjela D Vovkogon
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
| | - Sergey V Sankov
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
| | - Kirill V Bulygin
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
- Lomonosov Moscow State University, Leninskie Gory, 1, 119991, Moscow, Russia
| | - Tatyana S Zharikova
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
- Lomonosov Moscow State University, Leninskie Gory, 1, 119991, Moscow, Russia
| | - Aleksey V Sankov
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
| | - Alin Panas
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
| | - André Pontes-Silva
- Postgraduate Program in Physical Therapy, Department of Physical Therapy, Universidade Federal de São Carlos, Rodovia Washington Luís - Km 235, São Carlos, São Paulo, Brasil.
| | - Yury O Zharikov
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Mohovaya St. 11c10, 125009, Russia, Moscow
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Hollederer A, Dieckmännken I. Health and health literacy among social work students in Germany: A cross-sectional health survey. SOCIAL WORK IN PUBLIC HEALTH 2025; 40:57-73. [PMID: 39601671 DOI: 10.1080/19371918.2024.2434737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2024]
Abstract
A university is a living environment that can influence people's health. This study aims to analyze health and health literacy of Bachelor of Social Work (BSW) students in comparison with students in other study programs. A survey was conducted among all students at the University of Kassel regarding their health and health literacy. The survey evaluated general health status, disability, and health literacy. In this study, BSW students had an adverse health status compared to other students. Only 66.9% of the BSW students rated their general health as very good or good (vs. 79.7% in other study programs). BSW students are also more likely to be moderately or severely limited in daily activities due to chronic health conditions than students in other study programs. In contrast, health literacy levels differ little between BSW students and other students. This study highlights the need for health (literacy) promotion in social work studies.
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Affiliation(s)
- Alfons Hollederer
- Department of Social Work and Social Welfare, University of Kassel, Kassel, Germany
| | - Ines Dieckmännken
- Department of Social Work and Social Welfare, University of Kassel, Kassel, Germany
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Wu JR, Chan F, Iwanaga K, Myers OM, Ermis-Demirtas H, Bloom ZD. The transactional theory of stress and coping as a stress management model for students in Hispanic-serving universities. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025:1-8. [PMID: 39907477 DOI: 10.1080/07448481.2025.2461598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 12/03/2024] [Accepted: 01/27/2025] [Indexed: 02/06/2025]
Abstract
INTRODUCTION Stress is especially profound among minority college students who experience magnified levels of prejudice and discrimination. High levels of stress significantly impact their academic performance, and health. OBJECTIVE The present study aimed to examine the constructs of Lazarus and Folkman's transactional theory of stress and coping for stress management in college students from a Hispanic-Serving Institution. METHODS One hundred fifty undergraduate students completed the survey. Hierarchical regression analysis was used to measure the incremental variance accounted for by each predictor set. RESULTS The final regression model accounted for 56% of the variance in perceived stress scores, a large effect size. In the final model, significant contributors to perceived stress variance were emotion-oriented coping, core self-evaluations, and social support. IMPLICATION These findings can inform the development of effective psychosocial interventions to support minority college students develop personal strengths and social support, buffering against the negative effects during a college mental health crisis.
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Affiliation(s)
- Jia Rung Wu
- Counselor Education, Northeastern Illinois University, Chicago, Illinois, USA
| | - Fong Chan
- Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Kanako Iwanaga
- Department of Rehabilitation Counseling, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Olivia M Myers
- Counselor Education, Northeastern Illinois University, Chicago, Illinois, USA
| | | | - Zachary D Bloom
- Counselor Education, Northeastern Illinois University, Chicago, Illinois, USA
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Legros DN, Boyraz G. Mental health and help-seeking among college students during the COVID-19 pandemic: Roles of campus mental health climate and institutional support. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:554-562. [PMID: 37437198 DOI: 10.1080/07448481.2023.2227716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 06/08/2023] [Accepted: 06/11/2023] [Indexed: 07/14/2023]
Abstract
Objective: This study aimed to examine college students' perceived mental health and help-seeking behaviors during the COVID-19 pandemic, as well as to determine the roles of campus mental health climate and institutional support on students' help-seeking behaviors and well-being. Participants: The sample included 123 students from a Northeastern United States University. Methods: Using a web-based survey and convenience sampling, data were collected in late 2021. Results: Most participants retrospectively reported a perceived decline in their mental health during the pandemic. Sixty-five percent of the participants reported that they did not receive professional help at a time when they needed it. Both campus mental health climate and institutional support were negatively related to anxiety symptoms. Greater institutional support predicted less social isolation. Conclusions: Our findings highlight the importance of campus climate and support on students' well-being during the pandemic and the need for increasing students' access to mental health care.
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Affiliation(s)
| | - Güler Boyraz
- Psychology Department, Pace University, New York, New York, USA
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Benhayoun A, Yamada AM. Family matters: A qualitative study of stressors experienced by Korean American college students during the COVID-19 pandemic. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:440-445. [PMID: 37531178 DOI: 10.1080/07448481.2023.2237584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 05/10/2023] [Accepted: 07/10/2023] [Indexed: 08/03/2023]
Abstract
Objective: This study explores mental health stressors related to family dynamics of Korean American college students during the time of the COVID-19 pandemic. Participants: In January 2021, using purposive sampling, we recruited 15 Korean American student leaders at a west coast university. Methods: Self-identified leaders were interviewed via Zoom, and data were transcribed verbatim and analyzed using a thematic analytic approach based on grounded theory. Results: Students leaders' perceived sources of family stress for Korean American college students centered on three themes: (1) loss of independence, (2) family pressure, and (3) strained family relationships. Conclusion: Study findings offer insight for college mental health programming regarding family stressors, especially as related to moving back home with family.
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Affiliation(s)
- Ashley Benhayoun
- Dornsife College of Letters, Arts, and Sciences, University of Southern California, Los Angeles, USA
| | - Ann-Marie Yamada
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, USA
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49
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Honsky J, Edguer MN, Click ER, Rusnak S, Burgess Van Aken B, Salerno MA, Berg KA. Mindfulness matters in the classroom: A pilot study of a university-wide classroom-based brief mindfulness program. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2025; 73:753-762. [PMID: 37490524 DOI: 10.1080/07448481.2023.2237596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 05/22/2023] [Accepted: 07/09/2023] [Indexed: 07/27/2023]
Abstract
Objective: The aims of this pilot study were: first, to assess the impact of a brief classroom-based mindfulness program on students' reported levels of mindfulness, well-being, and stress; and, second, to understand students' experiences of participating in the program.Participants: Students at a private midwestern research-intensive university, 133 (16%) students completed either the study's pretest or post-test survey.Methods: The study had an observational design using pre- and post-test survey responses from students taking courses from faculty who were trained to facilitate brief classroom-based mindfulness activities.Results: Students who participated in the semester-long program reported reduced levels of stress and increased mindfulness. Qualitative data indicate that students found the program to be beneficial.Conclusions: Brief classroom-based mindfulness activities led by faculty may have benefits for students in higher education settings. More research is recommended to better understand the impact of mindfulness in the classroom on students and faculty.
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Affiliation(s)
- Jesse Honsky
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
| | - Marjorie N Edguer
- Jack, Joseph, and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio, USA
| | - Elizabeth R Click
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA
| | | | | | - Matthew A Salerno
- School of Law, Case Western Reserve University, Cleveland, Ohio, USA
| | - Kristen A Berg
- Center for Health Care Research and Policy, Population Health Research Institute, MetroHealth Medical Center, Cleveland, Ohio, USA
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50
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Wayne B, Davis KM, Bellini SG, Patten EV. Mental Health and Well-Being of Didactic Program in Dietetics Students. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2025; 57:132-140. [PMID: 39641742 DOI: 10.1016/j.jneb.2024.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 08/27/2024] [Accepted: 10/17/2024] [Indexed: 12/07/2024]
Abstract
OBJECTIVE To assess the levels of depression, anxiety, stress, and loneliness of Didactic Program in Dietetics (DPD) students in the spring of 2022. METHODS An electronic survey was distributed to DPD students throughout the US, including the Depression Anxiety Stress Scales, stressor measure, University of California, Los Angeles 3-item loneliness measure, and an open-ended item exploring if and which mental health resources students used. RESULTS Of respondents (n = 341), many were classified as having levels of depression (47%), anxiety (56%), and stress (52%) above the general population mean. Half (50.2%) met the criteria for experiencing loneliness. The most significant sources of stress/concern were postgraduation plans, including dietetic internships, managing time, self-imposed expectations, dietetics courses, and finances. Of responses to an open-ended item (n = 264), 141 reported using some form of mental health resources in the past year. CONCLUSIONS AND IMPLICATIONS About half of DPD students were experiencing depression, anxiety, stress, and loneliness during the coronavirus disease 2019 pandemic. Dietetics educators may share resources DPD students have used to manage their mental health and connect students to supportive resources on campus and in their communities.
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Affiliation(s)
- Brett Wayne
- Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT
| | - Kelsey Mueller Davis
- Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT
| | - Sarah G Bellini
- Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT
| | - Emily V Patten
- Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT.
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