Medicine-Engineering Interdisciplinary Research

Psychological Impact of the 2022 Round COVID-19 Pandemic on China’s College Students

Expand
  • (1. School of Pediatrics, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China; 2. Institute of Pediatric Infection, Immunity, and Critical Care Medicine, Shanghai Children’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200062, China; 3. Clinical Research Unit, Shanghai Children’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200062, China)

Accepted date: 2022-07-25

  Online published: 2024-01-24

Abstract

In response to the new round of COVID-19 outbreaks since March 2022, universities with high outbreak rates around the country have taken quarantine measures to contain the epidemic. Evidence from previous coronavirus outbreaks has shown that people under quarantine are at risk for mental health disorders. To better understand the impacts of this round of COVID-19 quarantine on domestic college students and their responses, we conducted a systematic survey to assess the stress and anxiety, and to evaluate effective measurements in this population. We searched relevant documents and literature, and designed a questionnaire from six aspects, including psychological status, epidemic situation, study, daily life, sports, and interpersonal communication, with 51 items in total. We sent the questionnaire on the Wenjuanxing Web platform, from April 2 to 8, 2022. We evaluated the mental status according to parts of the Generalized Anxiety Disorder-7 (GAD-7) and Depression Anxiety Stress Scales-21 (DASS-21), and investigated the influencing risk factors and countermeasures. Statistical analysis was performed by using the Chi-square test and multi-variable logistic regression. In total, 508 college respondents were recruited in our survey, and the pooled prevalence of mild anxiety (GAD score  5, or DASS-21 anxiety score 8) or stress (DASS-21 pressure score 14) caused by the new round of COVID-19 pandemic quarantine was 19.69% (100/508). The prevalence of the anxiety or stress in college students with COVID-19 quarantine between different genders, regions, and majors was not significantly different. Independent risk factors for the mild anxiety or stress of undergraduates by COVID-19 quarantine included learning efficiency or duration [OR = 1.36, 95%CI (1.14—1.62), P = 0.001], based on the combined analysis of Chi-square test analysis with multi-variable logistic regression analysis. Interestingly, the mental well-beings before COVID-19 epidemic quarantine [OR = 0.22, 95%CI (0.13—0.36), P < 0.000 1], more low-intensity exercise [OR = 0.36, 95%CI (0.15—0.87), P = 0.02, high-intensity exercise as reference], and good sleep quality [OR = 0.14, 95%CI (0.07—0.30), P < 0.000 1: OR = 0.42, 95%CI (0.30—0.59), P < 0.000 1] are protective factors for alleviating the quarantinecaused anxiety or stress in Chinese college students for this round of COVID-19 epidemic quarantine. During the round of COVID-19 epidemic quarantine in 2022, a small number of college students have mild anxiety, affected by decreased learning efficiency or duration, which could be mitigated with low-intensity exercise and good sleep quality.

Cite this article

HONG Dongyang1,3 (洪冬羊), WANG Jinxia2,3 (王金霞), ZHANG Hongyang2,3 (张虹洋), CAO Ziyang2,3 (曹紫阳), YAN Zijun 2,3 (晏紫君), ZOU Lin2,3∗ (邹琳) . Psychological Impact of the 2022 Round COVID-19 Pandemic on China’s College Students[J]. Journal of Shanghai Jiaotong University(Science), 2024 , 29(1) : 141 -149 . DOI: 10.1007/s12204-022-2557-8

References

[1] WIERSINGA W J, RHODES A, CHENG A C, et al. Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): A review [J]. JAMA, 2020, 324(8): 782-793.
[2] WHO. WHO Coronavirus (COVID-19) Dashboard: Overview [EB/OL]. [2022-05-17]. https:// covid19.who.int.
[3] WHO. Tracking SARS-CoV-2 variants [EB/OL]. [2022-05-17]. https://www.who.int/activities/tracking-SARS-CoV-2-variants.
[4] KARIM S, KARIM Q A. Omicron SARS-CoV-2 variant: A new chapter in the COVID-19 pandemic [J]. Lancet, 2021, 398(10317): 2126-2128.
[5] CHOI E P H, HUI B P H, WAN E Y F. Depression and anxiety in Hong Kong during COVID-19 [J]. International Journal of Environmental Research and Public Health, 2020, 17(10): 3740.
[6] KHAN A H, SULTANA M S, HOSSAIN S, et al. The impact of COVID-19 pandemic on mental health & wellbeing among home-quarantined Bangladeshi students: A cross-sectional pilot study [J]. Journal of Affective Disorders, 2020, 277: 121-128.
[7] KLIMKIEWICZ A, SCHMALENBERG A, KLIMKIEWICZ J, et al. COVID-19 pandemic influence on healthcare professionals [J]. Journal of Clinical Medicine, 2021, 10(6): 1280.
[8] AUERBACH R P, MORTIER P, BRUFFAERTS R, et al. WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders [J]. Journal of Abnormal Psychology, 2018, 127(7): 623-638.
[9] CAO L. Association between negative life events on mental health and college student adjustment: A mediated moderating effect [J]. Journal of Healthcare Engineering, 2021, 2021: 4457222.
[10] CAO W J, FANG Z W, HOU G Q, et al. The psychological impact of the COVID-19 epidemic on college students in China [J]. Psychiatry Research, 2020, 287: 112934.
[11] SPITZER R L, KROENKE K, WILLIAMS J B W, et al. A brief measure for assessing generalized anxiety disorder: The GAD-7 [J]. Archives of Internal Medicine, 2006, 166(10): 1092-1097.
[12] OSMAN A, WONG J L, BAGGE C L, et al. The depression anxiety stress scales—21 (DASS-21): Further examination of dimensions, scale reliability, and correlates [J]. Journal of Clinical Psychology, 2012, 68(12): 1322-1338.
[13] REN S Y, WANG W B, GAO R D, et al. Omicron variant (B.1.1.529) of SARS-CoV-2: Mutation, infectivity, transmission, and vaccine resistance [J]. World Journal of Clinical Cases, 2022, 10(1): 1-11.
[14] SCHINDLER A K, POLUJANSKI S, ROTTHOFF T. A longitudinal investigation of mental health, perceived learning environment and burdens in a cohort of first-year German medical students’ before and during the COVID-19 ‘new normal’ [J]. BMC Medical Education, 2021, 21(1): 413.
[15] LAI A Y K, LEE L, WANG M P, et al. Mental health impacts of the COVID-19 pandemic on international university students, related stressors, and coping strategies [J]. Frontiers in Psychiatry, 2020, 11: 584240.
[16] FAWAZ M, SAMAHA A. E-learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID-19 quarantine [J]. Nursing Forum, 2021, 56(1): 52-57.
[17] BENDAU A, KUNAS S L, WYKA S, et al. Longitudinal changes of anxiety and depressive symptoms during the COVID-19 pandemic in Germany: The role of pre-existing anxiety, depressive, and other mental disorders [J]. Journal of Anxiety Disorders, 2021, 79: 102377.
[18] O’CONNOR R C, WETHERALL K, CLEARE S, et al. Mental health and well-being during the COVID-19 pandemic: Longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study [J]. The British Journal of Psychiatry: the Journal of Mental Science, 2021, 218(6): 326-333.
[19] MILOJEVICH H M, LUKOWSKI A F. Sleep and mental health in undergraduate students with generally healthy sleep habits [J]. PLoS ONE, 2016, 11(6): e0156372.
[20] CLEMENT-CARBONELL V, PORTILLATAMARIT I, RUBIO-APARICIO M, et al. Sleep quality, mental and physical health: A differential relationship [J]. International Journal of Environmental Research and Public Health, 2021, 18(2): 460.
[21] GRASDALSMOEN M, ERIKSEN H R, L?NNING K J, et al. Physical exercise, mental health problems, and suicide attempts in university students [J]. BMC Psychiatry, 2020, 20(1): 175.
[22] MIKKELSEN K, STOJANOVSKA L, POLENAKOVIC M, et al. Exercise and mental health [J]. Maturitas, 2017, 106: 48-56.
[23] ZHU E G, SUN J, DU T H. The relationship between low-intensity exercise and psychological distress among college students [J]. Revista Da Associacao Medica Brasileira (1992), 2020, 66(6): 737-739.
[24] MORAWO A, SUN C C, LOWDEN M. Enhancing engagement during live virtual learning using interactive quizzes [J]. Medical Education, 2020, 54(12): 1188.
[25] ZIS P, ARTEMIADIS A, BARGIOTAS P, et al. Medical studies during the COVID-19 pandemic: The impact of digital learning on medical students’ burnout and mental health [J]. International Journal of Environmental Research and Public Health, 2021, 18(1): 349.
Outlines

/