Abstract

Coronavirus disease-2019 (COVID-19) pandemic has seriously threatened the global public health security and caused a series of mental health problem. Current research focuses mainly on mental health status and related factors in the COVID-19 pandemic among Chinese university students. Data from 11133 participants was obtained through an online survey. The Patient Health Question-9 (PHQ-9) was used to assess depressive symptoms, the Social Support Rate Scale (SSRS) was used to assess social support. We also used 7-item Generalized Anxiety Disorder Scale (GAD-7) to assess anxiety symptoms. Totally, 37.0% of the subjects were experiencing depressive symptoms, 24.9% anxiety symptoms, 20.9% comorbid depressive and anxiety symptoms, and 7.3% suicidal ideation. Multivariable logistic regression analysis revealed an increased presence of mental health problems in female students, graduate students, and those with personal COVID-19 exposure. Awareness of COVID-19, living with family were protective factors that reduced anxiety and depression symptoms. In addition, male, personal COVID-19 exposure, depressive and anxiety symptoms were risk factors for suicidal ideation. Social support, COVID-19 preventive and control measures, prediction of COVID-19 trends, living with family and graduate students are protective factors for reducing suicidal ideation.

Highlights

  • Coronavirus disease-2019 (COVID-19) is an acute respiratory infection disease caused by severe respiratory syndrome coronavirus 2 (SARS-CoV-2)

  • A total of 37.0% participants experienced mild to severe depressive symptoms, 24.9% experienced mild to severe anxiety symptoms, and the comorbidity prevalence of depressive and anxiety symptoms was 20.9%

  • Depressive and anxiety symptoms were more likely to occur in graduate students than in undergraduates (41.2 vs. 36.5%; 29.6 vs. 24.3%), but there was no difference between undergraduate and graduate students for suicidal ideation

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Summary

Introduction

Coronavirus disease-2019 (COVID-19) is an acute respiratory infection disease caused by severe respiratory syndrome coronavirus 2 (SARS-CoV-2). It is characterized by developing rapidly, widespread, and strong infectivity, and lack of specific treatment (Chan et al, 2020). The global COVID-19 epidemic is nearly 1 year, with the coming of autumn and winter, COVID-19 is worsening again in many countries. The COVID-19 epidemic has caused many mental health problems (Bao et al, 2020). Since the COVID-19 outbreak, studies have shown that a high percentage of children, adolescents, and adults have psychological problems, such as suicidal tendencies, sleep disruption, anxiety, depression, and behavioral problems (Altena et al, 2020; Li et al, 2020; Liu et al, 2020; Purtle, 2020; Yang et al, 2020; Zhou et al, 2020).

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