Abstract

The psychological condition of medical students may be influenced by the 2019 novel coronavirus (COVID-19) outbreak. This study investigated the prevalence and influencing factors of depressive symptoms, poor sleep quality and poor diet in students at Kunming Medical University during the early part of the COVID-19 outbreak. A cross-sectional study was used from a questionnaire survey in February 2020. Of a total of 1,026 study participants, the prevalence of depressive symptoms, poor sleep quality, and poor diet was, respectively, 22.4, 33.2, and 17.4%. Male students and students with a low degree of focus on COVID-19 had a high risk of depressive symptoms. A high percentage of females and students in the fifth grade, as well as students with high levels of concern about the negative impact of COVID-19 on their education or employment, comprised those with poor sleep quality. Students in the fifth grade and students with high levels of concern about the negative impact of COVID-19 on their education or employment were more likely to report poor diet. This study suggests the importance of monitoring medical students' depressive state during the COVID-19 outbreak, and universities are encouraged to institute policies and programs to provide educational counseling and psychological support to help students to cope with these problems.

Highlights

  • According to epidemiological data published in Nature, the prevalence of depression in China was reported to be 3.02% [1]

  • 244 (23.8%) students were in the first grade, 519 (50.6%) students were 19–21 years of age, and 1,007 (98.1%) students were located in provinces other than the five provinces of interest (Hubei, Guangdong, Henan, Zhejiang, and Hunan provinces)

  • A total of 608 (59.3%) students were highly concerned about the negative impact of COVID-19 on their education or employment

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Summary

Introduction

According to epidemiological data published in Nature, the prevalence of depression in China was reported to be 3.02% [1]. The lifetime prevalence of depressive disorders was 6.9%, while the 12-months prevalence of depressive disorders was 3.6% [2]. The prevalence of depressive disorder was 8.8% of the study population among college students in China [3]. The prevalence of depression among medical students in China has been reported with a mean of 32.74%, based on a published meta-analysis [4]. In America, the prevalence rates of depression in college students ranged from 7 to 9% [5], while the prevalence of 6.0–66.5% for depression in medical students was recorded [6]. The number of students at universities who suffered

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