Financial, resource, and psychological impacts of COVID-19 on U.S. College students: Who is impacted and what are the implications for adjustment and well-being?

ObjectiveThis study aimed to use latent profile analysis (LPA) to identify heterogeneous configurational patterns of short video addiction and emotion dysregulation among college students, and to systematically examine the predictive effects of cognitive reappraisal, emotional loneliness, and sociodemographic factors on latent profile membership.MethodsA cross-sectional survey design was employed. From April to July 2025, full-time undergraduate students were recruited from multiple universities in Shandong Province using a combination of convenience sampling and snowball sampling. Participants completed online questionnaires including the Short Video Addiction Scale, the Emotion Dysregulation Inventory (EDI), the Cognitive Reappraisal Scale, and the Emotional Loneliness Scale.ResultsA total of 1,168 valid questionnaires were obtained. LPA identified four optimal profiles: Profile 1 (“low short video addiction–low emotion dysregulation”), Profile 2 (“medium to lower short video addiction–medium to lower emotion dysregulation”), Profile 3 (“medium to upper short video addiction–medium to upper emotion dysregulation”), and Profile 4 (“high short video addiction–high emotion dysregulation”). Multivariable logistic regression analyses indicated that, with Profile 4 as the reference category, cognitive reappraisal significantly increased the likelihood of membership in lower-risk profiles, whereas emotional loneliness significantly decreased the likelihood of membership in lower-risk profiles. Among sociodemographic factors, being female and having an urban background significantly increased the likelihood of membership in Profile 1 (vs. Profile 4); being a non-only child and having no part-time work experience significantly predicted membership in Profile 3.ConclusionMarked heterogeneity exists among college students in the measured dimensions of short-form video addiction and emotion dysregulation, and the two constructs exhibit highly concordant co-variation. The findings provide empirical support for developing risk-stratified and precision-oriented mental health intervention strategies.

Title of study: A study to assess the impact of COVID-19 pandemic on physical, psychological, economical and social status among general population in selected areas of kachery, Thrissur. Introduction: COVID-19 has caused serious impact on every society globally. The COVID-19 caused physical, psychological, economical and social impact on general population. Objectives: To assess impact of COVID-19 pandemic on physical, psychological, economical and social status among general population in selected areas of Kachery, Thrissur. To associate the impact of COVID-19 pandemic on physical, psychological, economical and social status with selected socio demographic variables. Methodology: The study was conducted among 100 samples from selected areas of Kachery, Thrissur. The research design of the study is descriptive design and sample was collected by convenient sampling method. Tool: The tool consists of 2 sections. Section A: Socio-demographic and clinical data profile. Section B: Self developed checklist to assess the impact of covid-19 on physical, psychological, economical and social status. Results: The findings shows that, in socio-demographic and clinical data profile, 54(54%) are below 50 years of age while 46(46%) are above 50 years of age. Most of the samples 60(60%) are females and 40(40%) are males. Among 100 samples, about 31(31%) have hypertension, 49(49%) have diabetes mellitus and 20(20%) are suffering from other type of diseases. About 68(68%) of the samples belong to APL and 32(32%) belong BPL. Overall 22(22%) sample is having moderate impact on COVID-19 pandemic, 78(78%) sample is having low impact on COVID-19 pandemic and no sample is having high impact on COVID-19 pandemic. 1(1%) of sample have high psychological impact. 3(3%) of sample have moderate physical impact, 25(25%) have moderate psychological impact and 29(29%) sample have moderate economic impact and 30(30%) sample have moderate social impact. 97(97%) of sample is having low physical impact, 74(74%) of sample is having low psychological impact, 71(71%) of sample have low economic impact and 70(70%) sample have low social impact. There is significant association of co-morbid conditions of sample with impact of COVID-19. Discussion: At the end of the study investigator found that there is significant association of comorbid conditions of sample with impact of COVID-19 pandemic at p<0.05. Comorbid condition increases the impact of COVID-19 pandemic. There is no significant association of age, gender, occupation, residential place during the pandemic with impact of COVID-19 pandemic.

Introduction: In the COVID-19 pandemic, the implementation of the lockdown led to the closure of dental practices. Restricting treatment to emergency patients, having to use Personal Protective Equipment and the fear of contracting the virus led to modifications in the techniques and methods used to provide efficient dental care to the patients. However, it caused a significant psychological and financial impact on the dental community. The purpose of this research was to evaluate dentists’ perceptions regarding the psychological, financial, and general impact of the COVID-19 pandemic on the reopening of their dental practices. Methods: This cross-sectional analytical study was conducted using a validated questionnaire, which was distributed among 257 dental practitioners working in Karachi through the social media app (WhatsApp®) from May 2021 to May 2022. The questionnaire included four sections and 26 items, recording data for demographics, psychological effects on resumption of dental practices, workplace disinfection, and precautionary measures along financial impacts. Data were analyzed using SPSS, version 21.0. p-value ≤ 0.05 was taken as statistically significant Results: A total of 200 filled questionnaires were received, making the response rate 77%. The majority of respondents were females (67%). More than half of the respondents (55.5%) were working in dental OPDs. Most participants affirmed that they did not have a COVID-19 screening area nor patient triage was being done in dental OPDs. Closure of dental practices caused financial problems for all dental practitioners, more specifically for those that were associated with both public and private types of practices (84.9%). The majority of the dentists in private practice (94.4%) declared that their workplaces were being disinfected, while 47.7% of dental practitioners working in the dental OPD affirmed that they had enough financial stability to keep using Personal Protective Equipment. Approximately 64.9% of professionals practicing in dental OPDs and 33.3% in private practice believed that the reopening of dental practices was responsible for the re-spread of the coronavirus Conclusion: Significant anxiety and stress related to COVID-19 were seen among dental practitioners. Some CDC-recommended guidelines such as the use of Personal Protective Equipment were being implemented whereas COVID-19 screening and patient triage were found deficient.

Mentally ill person needs caretakers during hospitalization for severe conditions, continuing care, and rehabilitation. Caretakers experience mental illness when providing care for their mentally ill patients in Nepal. About 24.5% of caretakers had anxiety and 19.6% had depression. The financial, social, and psychological health of caregivers may all impact. The objective was to examine the psychological, financial and social impact on caregivers. A descriptive study was conducted on 207 caregivers’ of mentally ill patients at mental hospital, Nepal. Purposive sampling technique was used. Semi-structured questionnaires were developed to assess psychological and financial impacts and Likert scale questions were included to assess social impact. Information was gathered using a structured face-to-face interview. Impacts on caregivers’ psychological, economic and social were associated to their sociodemographic characteristics. Education, religion, and the patient's length of mental illness were all associated with psychological impact (χ2=54.37; df=5; p= <0.001). Education and the duration of their mental illness are also related to the financial impact (χ2=31.95; df=7; p= <0.001). The social impact experienced by caregivers is similarly associated with education, occupation, and the length of mental illness (χ2=61.03; df=5; p= <0.001). The association between caregivers' sociodemographic factors and the psychological, financial, and social impacts on them was observed. This justifies encouraging caregivers to be a part of the support group in order to increase the information and emotional support they get from other caregivers who have similar experiences. Keywords: Impact, psychological, financial, social, mentally ill patient, caregiver

IntroductionThe COVID-19 pandemic has caused major impacts to social and financial status for many people, including those living in the vulnerable US-Mexico border region. This study examined relationships between changes in sleep and perceived impacts to social and financial stability due to the pandemic.MethodsParticipants were 155 individuals who completed the Nogales Cardiometabolic Health and Sleep (NOCHES) and were contacted about completing a COVID sub-study (95% Hispanic/Latino). Participants were asked if the COVID-19 pandemic was causing them to feel more socially isolated, negatively impacting their finances, causing increased worry about finances, affecting their primary job, causing a job loss, and impacting their belief life will one day return to normal. In addition, they were asked to report the degree to which they experienced pandemic-related changes to sleep, including a regularity, overall improvement/worsening, initial and middle-of-the-night insomnia, daytime sleepiness, and napping. Logistic regression analyses were adjusted for age, sex, socioeconomics, and mental health (PHQ4).ResultsThose who kept a more regular schedule had lower odds of endorsing isolation (OR=0.32,p<0.0005) and higher odds of believing things will return to normal (OR=1.67,p=0.041). Those whose sleep improved also had lower odds of feeling isolated (OR=0.40,p=0.005). Those with worsened sleep had increased odds of feeling isolated (OR=2.14,p=0.023), experiencing a financial impact (OR=1.85,p=0.016) and increased financial worry (OR=1.71,p=0.033), and lower odds of believing things will return to normal (OR=0.53,p=0.012). More initial insomnia was associated with isolation (OR=3.62,p=0.001), financial impact, (OR=1.89,p=0.015), financial worry (OR=1.87,p=0.016) and job impact (OR=1.95,p=0.010). More middle-of-the-night insomnia was associated with financial worry (OR=1.82,p=0.016) and job impact (OR=1.93,p=0.009). More sleepiness was associated with job loss (OR=1.84,p=0.043). More napping was associated with financial impact (OR=1.89,p=0.017) and worry (OR=1.88,p=0.017), impact to job (OR=1.89,p=0.016) or lost job (OR=1.81,p=0.041), and decreased likelihood of believing things will return to normal (OR=0.45,p=0.003).ConclusionPandemic-related stress was linked with sleep disturbances. Worse sleep was indicative of increased social isolation, greater financial fears, more job-related impacts and less of a general sense that things would return to normal.Support (if any)Supported by T32HL007249, R01MD011600, R01DA051321

BackgroundUnderstanding wellbeing in adolescents and within education settings is crucial to supporting young people. However, research defining and exploring wellbeing has typically taken a focus on subjective, psychological, social and emotional domains and has failed to incorporate aspects of physical health and wellbeing. This study aimed to explore how both physical and subjective and psychological wellbeing can be combined to generate different profiles of wellbeing in adolescents, and to understand the characteristics associated with this profile membership.Methods366 adolescents aged 11-16yrs (mean age 12.75) from three mainstream secondary schools across England completed an online survey capturing demographic characteristics, physical, subjective and psychological wellbeing, physical activity, emotional literacy, school belonging, and perceptions of learning ability. Latent profile analysis used a data driven approach to explore profiles of wellbeing using physical wellbeing and positive emotional state and positive outlook as predictors of profile membership. To understand profile characteristics demographics, physical activity and educational variables were added as co-variates.ResultsThree profiles were identified, (1) low wellbeing (n = 68, 19%) displaying low scores across physical wellbeing, positive emotional state and positive outlook, (2) moderate wellbeing (n = 168, 46%) characterised by average levels across physical wellbeing, positive emotional state and positive outlook, and (3) high wellbeing (n = 128, 35%) showing high score across physical wellbeing, positive emotional state and positive outlook. Compared to the high wellbeing profile, the moderate and low profiles membership was characterised by being older, being a girl, lower perceived socio-economic status, fewer hours of physical activity a week, and lower emotional literacy, school belonging and perceptions of learning.ConclusionsThe results evidence that physical, subjective and psychological wellbeing are closely inter-related, this finding coupled with increased physical activity in the higher wellbeing group signify physical health and activity are important components of overall wellbeing and should form part of a holistic approach to school wellbeing curriculums.

Prior research has shown that the COVID-19 pandemic has negatively impacted American college students; however, few studies have focused on first-year students and their experiences with attending college during unprecedented circumstances. To address this gap, first-year college students (N = 268) completed online questionnaires assessing their perceptions of the extent to which the COVID-19 pandemic had impacted them in terms of access to resources and psychological well-being. Students also completed a measure of college-specific adjustment in the relational, psychological, and educational domains. Greater perceived COVID-19-specific resources impact was associated with lower educational adjustment. Greater perceived COVID-19-specific psychological impact was associated with lower levels of relational college adjustment and lower levels of psychological college adjustment. A multi-group analysis indicated that although the association between perceived psychological impact and college-specific psychological adjustment was significant for both White students and Black students, it was stronger among White students.

Introduction Infertility is a public health issue with socioeconomic and demographic impact. Understanding the psychological, sexual, and financial repercussions on couples is crucial for comprehensive treatment. Objective Infertility can evoke complex emotions and disrupt the couple's sexual relationship. The aim of this study is to examine the psychological, sexual, and financial aspects of this condition on infertile couples. Methods A retrospective study was conducted on 50 couples undergoing infertility treatment at a military hospital. Data, including medical records, questionnaires, and follow-up information, were collected. Results 1. Psychological Impact: Infertility represents a failure of the parental project, leading to negative emotions. Women are more likely to report the psychological impact and seek help. Family pressure and potential divorce due to societal expectations were observed. 2. Sexual Impact: Infertility can significantly affect sexual life, causing decreased satisfaction, stress, and anxiety. Communication and emotional intimacy may suffer. Contrary to literature, men reported more sexual disorders due to socio-cultural factors and female partners' discomfort discussing sexuality. 3. Financial Impact: Infertility treatments incur substantial costs, adding to emotional and physical burdens. Financial implications vary by country, and lack of national funding policies lead to debt or abandonment of conception plans. In the study, half of the couples spent over $1000. Conclusions Infertility has a significant psychological, sexual, and financial impact on couples. A comprehensive approach involving healthcare practitioners and policymakers is necessary for significant improvement in the well-being of infertile couples. Disclosure No.

Introduction Infertility is a public health issue with socioeconomic and demographic impact. Understanding the psychological, sexual, and financial repercussions on couples is crucial for comprehensive treatment. Objective Infertility can evoke complex emotions and disrupt the couple's sexual relationship. The aim of this study is to examine the psychological, sexual, and financial aspects of this condition on infertile couples. Methods A retrospective study was conducted on 50 couples undergoing infertility treatment at a military hospital. Data, including medical records, questionnaires, and follow-up information, were collected. Results 1. Psychological Impact: Infertility represents a failure of the parental project, leading to negative emotions. Women are more likely to report the psychological impact and seek help. Family pressure and potential divorce due to societal expectations were observed. 2. Sexual Impact: Infertility can significantly affect sexual life, causing decreased satisfaction, stress, and anxiety. Communication and emotional intimacy may suffer. Contrary to literature, men reported more sexual disorders due to socio-cultural factors and female partners' discomfort discussing sexuality. 3. Financial Impact: Infertility treatments incur substantial costs, adding to emotional and physical burdens. Financial implications vary by country, and lack of national funding policies lead to debt or abandonment of conception plans. In the study, half of the couples spent over $1000. Conclusions Infertility has a significant psychological, sexual, and financial impact on couples. A comprehensive approach involving healthcare practitioners and policymakers is necessary for significant improvement in the well-being of infertile couples. Disclosure No.

The unprecedented situation of the coronavirus pandemic has impacted the entire world, with dental practice being significantly affected. In this study, we aim to evaluate the operational implications and risk assessment of the coronavirus in dental practice. This observational study comprised the electronic distribution of two surveys, one to patients and the second to dental professionals. The first questionnaire consisted of demographics along with 15 closed-ended questions. The second questionnaire consisted of demographics along with 43 questions from eight domains: financial impact, psychological impact, patient satisfaction, hygiene, patient management, COVID-19 lockdown, perspective, and practicing dentistry after the COVID-19 pandemic. The statistical analysis was performed using SPSS-25. A linear regression test was applied to assess the effect of the dependent variable (patient’s satisfaction with the dental practice) on independent variables (age, gender, education). The ANOVA test was applied to assess the effect of the independent variables (financial impact, psychological impact, patient satisfaction, hygiene, patient management, lockdown, perspective, and post-COVID-19) on the dependent variables (age, gender, education, experience of dentists, qualification of dentists). A total of 711 patients and dental professionals participated in this study, with a response rate of 88.87%. Approximately 67.9% of the patients felt comfortable in the dental clinic, with 74.5% being satisfied with the dental clinic’s services. The majority (77.4%) of the dentists were psychologically affected. Many of the participants chose to use masks, gowns, respiratory equipment, and face shields for protection. Teledentistry was preferred by the majority of dentists in non-emergency cases. Many of the dentists chose alternative procedures to minimize the generation of aerosols. The majority of the dentists suggested changes in the dynamics of dentistry in the post-COVID era, such as the suggestion that the management of the finances of a dental practice along with infection control protocols should be practiced more optimally. Patients and dental professionals were well aware of the necessary precautionary measures required to combat the coronavirus, as well as the implications of different operational measures along with performing risk assessment, keeping in mind the changing dynamics of dentistry.

For young adults, appropriately managing the stress associated with college life is essential for the maintenance of psychological well-being during this critical developmental and transitional period. Symptoms of poor psychological well-being among college students include anxiety, depression, and suicidal ideation. An increase in these negative symptoms may indicate that students are not managing stress effectively. First year college students are particularly vulnerable to experiencing the symptoms of poor psychological well-being partially due to the initial transition to college. Additionally, while the full effects of the COVID-19 pandemic have not yet been realized, preliminary research shows a negative effect on students' mental health. Despite the prevalence of poor psychological well-being, mental health services are poorly utilized. A more preventative approach that focuses on actively building skills to promote multidimensional psychological well-being versus a classic diagnostic and treatment approach may encourage student participation. One such approach may be through the incorporation of resiliency theory which has been shown to decrease symptoms of poor psychological well-being and promote improved overall well-being among adults, young children, and adolescents, yet historically, its' application in college students has mainly focused on academic success. Through the lens of Kumpfer's resiliency framework, the overall goal of this dissertation was to evaluate the relationship between stress, social supports (environmental context), emotional intelligence (internal resiliency factor), and psychological well-being (adaptation) as conceptualized by Ryff, among first year undergraduate students. This dissertation: (1) explored the current state of knowledge on stressors, social supports, emotional intelligence, and psychological well-being among undergraduate college students (Chapter 2); (2) explored the relationship between stressors, social supports, emotional intelligence and psychological well-being of first year undergraduate students (Chapter 3); and (3) explored the meaning of psychological well-being for first year undergraduate students (Chapter 4). Overall, findings confirm that this group is more stressed than average for their age, has moderate social supports, lower than average emotional intelligence and low scores of psychological well-being. Additionally, while further research is needed, findings in the literature review and the quantitative and qualitative arms of the study highlight the importance of friends in this population and speak to the important role of faculty and university organizations in considering practical interventions to assist first-year college students with maintaining psychological well-being. --Author's abstract

The impacts of COVID-19 may be magnified in a shared environment like the household, especially with people spending extended time at home during the pandemic. Family resilience is the ability of a family to adapt to crisis and can be a protective factor against stress and negative affect. While there have been calls to address family resilience during the pandemic, there is a lack of empirical study on its benefit. In this dyadic observational study, we sought to investigate the concordance of family members’ psychological responses to COVID-19, whether dyad members’ risk factors (COVID-19 exposure and financial impact) mutually affected each other’s psychological responses, and importantly, whether family resilience was a significant factor in these responses. A total of 200 family dyads from the same household completed the Family Resilience Assessment Scale and questionnaires on COVID-19 threat perception, impacts, and exposure. We found concordant dyad responses for COVID-19 threat perception, but not for psychological impact. Using the Actor-Partner-Interdependence Model framework, we found that one’s psychological impact was affected by the financial impact from both dyad members. After controlling for risk factors and demographic covariates, we found that family resilience significantly associated with lower COVID-19 psychological impact, though not with threat perception. The findings suggest that both family and individual factors need to be addressed and there may be benefit in addressing multilevel risk and protective factors using an ecological systems approach, which may help prepare the population for future crises.

Objective: There is a high prevalence of prescription stimulant misuse (PSM) among college students in the United States (US). Preventing and identifying PSM requires an understanding of risk factors and correlates, but large-scale surveys regarding this issue have been lacking. We present the largest multi-institution study to date on the correlates of PSM among US college students. Methods: We performed a secondary analysis of the 2017 American College Health Association–National College Health Assessment (ACHA-NCHA), an annual national survey on the demographics, health, and academic experiences of US college students. Logistic regression models examined associations between past-year PSM in 40,645 undergraduate college students and hypothesized risk factors. Results: PSM was reported in 8% of college students. PSM was associated with past-year diagnosis or treatment of depression (adjusted odds ratio = 1.16; 99% CI, 1.01–1.33), anorexia (AOR = 1.44; 99% CI, 1.02–2.03), attention-deficit/hyperactivity disorder (AOR = 1.66; 99% CI, 1.41–1.95), and substance use disorder/other addiction (AOR = 1.79; 99% CI, 1.30–2.46). The odds of PSM were 5.5 times higher for students who endorsed past-month use of “Legal drugs” and 8 times higher for students who endorsed past-month use of “Illegal drugs” than for those who did not. Other factors associated with PSM included academic difficulty, daytime sleepiness, fraternity or sorority involvement, White race, and cis-male gender. Conclusions: This study identifies many potential risk factors for PSM among US undergraduate college students. Targeted outreach, prevention, and clinical management are discussed. As the COVID-19 pandemic has exacerbated psychiatric distress, sleep difficulties, substance use, and attentional challenges among college students, this study may serve as a baseline for future studies examining the impact of COVID-19 on PSM among college students.

Purpose: Our study aimed to evaluate the psychological impact of COVID-19 pandemic on Chinese patients with common mental disorders in primary care in Hong Kong. Method: A cross-sectional study was conducted on 102 Chinese patients with common mental disorders and being followed up in two public integrated mental health clinics in Hong Kong from 1st November 2020 to 31st January 2021. Patients would be evaluated about the impact of COVID-19 pandemic on their mood and daily life by using a questionnaire which assessed social distancing effects, financial impact, relationship with family, anxiety and depressive symptoms. The Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 Questionnaire (GAD-7) would also be used to assess patients’ mood symptoms. Factors which were related to COVID-19 pandemic and associated with anxiety or depressive symptoms would be analysed. Results: The mean age of the subjects was 58.0 years and more patients were female (77.5%). There were 84.3% and 72.5% of patients reported their anxiety and depressive symptoms being affected by COVID-19 pandemic respectively. It was found that 17.6% of patients had their income decreased or were unemployed. About one-third (30.4%) of patients indicated that their relationship with their family was worsened while 8.8% was improved. Social distancing was significantly associated with anxiety (p = 0.006) and depressive symptoms (p 0.001) in patients with common mental disorders. Conclusion: There was considerably more psychological impact including an increase in anxiety and depressive symptoms due to COVID-19 pandemic in Chinese patients with existing common mental disorders in primary care. Primary care physicians should raise their awareness of the psychological impact of COVID-19 pandemic on their patients. Our findings shed light on mental health care planning and preventive measures during the COVID-19 pandemic and potential subsequent pandemics.

The COVID-19 pandemic in Indonesia has forced college students to undergo online learning. Various problems that arise due to this pandemic, especially those related to academic achievement, can disrupt the students' psychological well-being. This study investigated coping strategies' role in predicting college students' psychological well-being during the pandemic's first wave. Two hundred eleven students participated online in this quantitative study and completed the shortened version of the Psychological Well-Being Scale and the Brief Cope Inventory. The regression analysis results show that problem-focused coping strategies, such as planning and the use of instrumental support, significantly predict the increase in female students' psychological well-being. In contrast, only active coping positively predicts psychological well-being in male students. Dysfunctional coping strategies, such as behavioral disengagement and denial, significantly predict the decline in female students' psychological well-being. On the other hand, venting showed a significant role in predicting the increased psychological well-being of female students. Emotion-focused coping strategies do not significantly predict psychological well-being in female and male students. Therefore, regarding the psychological well-being of college students during the first wave of the COVID-19 pandemic, coping strategies, especially problem-focused and dysfunctional strategies, contribute differently to female and male students.