French University Students Research Articles

Factors associated with low resilience among French university students during COVID-19 lockdown

Abstract Background COVID-19 and subsequent lockdowns had an impact on the mental health of students, who had already been identified as a vulnerable population prior to this pandemic. At the end of the first COVID-19 lockdown, 15% of students reported suffering from moderate to severe anxiety. Psychological resilience is defined as the ability to bounce back from a stressful event and has been shown to have a positive impact on mental health parameters. This study aimed to identify factors associated with low resilience in the student population of the Grand Est region of France, at the end of the first national containment related to COVID-19. Methods The PIMS-CoV19 study: A cross-sectional online survey was conducted among students at the University of Lorraine to collect sociodemographic data, living and learning conditions, as well as levels of resilience and perceived health. Bivariable and multivariable logistic regression analyses were performed. Model robustness was assessed using bootstrap resampling. Results Among 3708 students, 50.6% had normal resilience, while 37.3% reported low resilience. Female gender (OR = 2.1, 95% CI: 1.8-2.6) and low social support (OR = 1.7, 95% CI: 1.1-2.6) were the main risk factors for low resilience. Negative thoughts (OR = 1.4, 95% CI: 1.4-1.5), lower quality of relationships with people in general (OR = 1.5, 95% CI: 1.3-1.8), and studying arts, humanities, or languages (OR = 1.4, 95% CI: 1.0-1.8) were identified as risk factors. Increased age (OR = 0.9, 95% CI: 0.9-1.0) and flat sharing (OR = 0.6, 95% CI: 0.4-0.9) were protective factors against low resilience. Conclusions Resilience seems to be impacted primarily by internal and micro-environmental factors. Consolidating levels of individual resilience of at-risk populations by acting on these factors could be the key to improving their mental health. Key messages • Resilience seems to be impacted primarily by internal and micro-environmental factors. • Consolidating levels of individual resilience of at-risk populations by acting on these factors could be the key to improving their mental health.

Depressive symptoms and suicidal ideation among university students before and after the COVID-19 pandemic

BackgroundThe COVID-19 pandemic and lockdown have had negative effects on students' mental health. However, little information is available regarding the frequencies of depressive symptoms and suicidal ideation during the post-pandemic period. We aimed to determine the effect of the COVID-19 pandemic on depressive symptoms and suicidal ideation among French university students. MethodsIn this comparative study, 4463 students were recruited during the pre-COVID-19 pandemic period (2013-2020) and 1768 students, during the post-COVID-19 pandemic period (2022-2023). Standardized frequencies of depressive symptoms and suicidal ideation were compared between the two time periods. Changes in the level of depressive symptoms and suicidal ideation between the pre- and post-pandemic periods, were then analyzed using interrupted time series analysis. ResultsCompared to participants from the pre-pandemic sample, participants from the post-pandemic sample had higher standardized rates of depressive symptoms (40.6 % vs 25.6 %) and suicidal ideation (29.3 % vs 21.1 %). Segmented logistic regression showed an about 50 % increased risk of depressive symptoms (aOR, 1.47; 95 % CI, 1.01–2.13) and a 100 % increased risk of suicidal ideation (aOR, 2.00; 95 % CI, 1.33–3.00) in the post-pandemic period. Before the pandemic, there was no significant time-trend for depressive symptoms (aOR, 1.002; 95 % CI, 0.999–1.006) and suicidal thoughts (0.999–1.006; aOR, 0.999; 95 % CI, 0.995–1.002). LimitationsPotential biases related to self-selection of participants in the study and information bias. History of depression and suicide attempt were self-reported. ConclusionsThese findings reveal an alarming deterioration of students' mental health in the post-pandemic period compared to the pre-pandemic era.

Behavioural determinants of healthy and environmentally friendly diets in French university students

Although encouraging the shift toward sustainable diets in young adults is a major challenge to preserve population and planet health, the precursors of sustainable diets in this population remain unknown. This study aimed to identify the behavioural determinants of healthier and more environmentally friendly diets among university students. A sample of 582 French university students reported their food consumption using an online 125-item food frequency questionnaire. The nutritional quality (adherence to French recommendations, sPNNS-GS2) and the greenhouse gas emissions (GHGE) of students' diets were calculated for an isocaloric diet. Behavioural determinants were measured based on a literature review and classified into the Capability, Opportunity, Motivation Behaviour (COM-B) framework. Linear models, adjusted for socioeconomic characteristics, were run to identify the most prominent behavioural predictors of nutritional quality and GHGE of students’ diets. Higher cooking skills (β = 0.38, p = 0.01) and health motives (β = 0.91, p < 0.001) were associated with higher nutritional quality. Greater environmental knowledge was linked to lower GHGE (β = −0.07, p = 0.002), while health and weight control motives were associated with higher GHGE (β = 0.26, p = 0.02 and β = 0.39, p < 0.001). Enhancing cooking skills and environmental knowledge could enable healthy and environmentally friendly diets, but health-based motives can act as a lever and as a barrier.

Visuo-Attentional and Phonological Deficits Explored in French Students with Dyslexia: Eye Movements Recorded during a Phonological Lexical Decision Task.

Whether dyslexia is caused by phonological or attentional dysfunction remains a widely debated issue. To enrich this debate, we compared the eye movements of 32 French university students with (14 students) and without (18 students) dyslexia while performing a delayed phonological lexical decision task on 300 visually presented stimuli. The processing stimuli involved either a lexical (i.e., words) or a non-lexical route relying on a grapheme-phoneme correspondence (pseudohomophones and pseudowords), while other stimuli involved only a visual search (consonant and symbol sequences). We recorded the number of fixations, the duration of the first fixation and the amplitude of saccades made on the stimuli. Compared to the controls, the participants with dyslexia made more fixations while reading regardless of the type of stimulus (lexical and non-lexical). Crucially, the participants with dyslexia exhibited longer first fixations in particular while reading phonologically challenging stimuli such as pseudohomophones and pseudowords compared to stimuli involving a simple visual search (consonants, symbols). Taken together, these results suggest that both visual and phonological impairments may be implicated in dyslexia, supporting the hypothesis that dyslexia is a multifactorial deficit.

Regional pragmatic Variation in French: A contrastive study of complaint realizations in Cameroon and France

This study examined and compared complaints by speakers of French in Cameroon and in France. Although complaints have been extensively analyzed, to date, little attention has been devoted to complaints across regional varieties of French. The aim of this study was to fill this knowledge and research gap by analyzing strategies used by speakers of Cameroon French and Hexagonal French to complain in three situations. The study is at the intersection of variational and postcolonial pragmatics and it is based on data provided by 20 Cameroonian and 19 French university students, who were asked to fill a DCT questionnaire. The results reveal some similarities in both French varieties regarding the use of complex complaint utterances. However, many differences were found with respect to preferences for specific complaint strategies, external modifiers, internal modification devices and address terms.

Identification of three dietary groups in French university students and their associations with nutritional quality and environmental impact.

The student period is associated with changes in eating habits, usually leading to diets of lower nutritional quality. However, some variability may exist in students' dietary patterns. We aimed to describe French students' diets and identify dietary groups that may vary in nutritional quality and environmental impact. A representative sample of French students (N = 582) for age, sex and scholarship status completed an online 125-item food frequency questionnaire. The nutritional quality of diets was assessed by a score of adherence to the French nutritional guidelines (sPNNS-GS2 score, ranging from-17 to 11.5) and its environmental impact by greenhouse gas emissions for an isocaloric diet (GHGE). An ascending hierarchical classification analysis on food and beverage intakes led to three dietary groups. Between-group differences in food consumption, dietary indicators and sociodemographic characteristics were investigated using ANOVA models. The average sPNNS-GS2 score of students' diets was -0.8 ± 2.8, representing a 57% coverage of French nutritional recommendations, and GHGE were 5.4 ± 1.7 kg eCO2/2000 kcal. The three dietary groups were: a healthy diet group (20% of the sample) with the highest nutritional quality and high GHGE, which included older students with a higher level of physical activity; a Western diet group (40%) with the worst nutritional quality and high GHGE, which included more students who lived with their parents; and a frugal diet group (40%) with the lowest energy intake, intermediate nutritional quality, and low GHGE, which included more students who lived alone. None of the dietary groups optimized both nutritional quality and environmental impact simultaneously, which suggests an apparent incompatibility in the student population between these two sustainability dimensions. These findings emphasize the need for tailored public health policies that acknowledge the diversity of student eating patterns and address specific individual barriers to healthy and sustainable diets.

Knowledge, attitudes and practices of French university students towards COVID-19 prevention-are health students better?

During the COVID-19 outbreak in 2020, public health measures (PHM) were implemented to prevent the spread of SARS-CoV-2. At university, we wondered whether health students would be more likely to comply with these safety measures against infectious disease transmission compared to other students. Thus, we collected 1 426 university students' responses to an online anonymous survey to describe their knowledge, attitudes and practices (KAP) of COVID-19 prevention measures and to compare the opinions and practices of health students and science students at the same university of Rouen Normandy (France). A higher proportion of science students (84.6%) compared to health students (73.9%) reported knowledge of the university's COVID-19 protocol, p<0.001. However, the health students compared to science students reported a higher compliance with PHM at home (91.4% vs 88.0%) and at university (94.1% vs 91.1%). In a multiple regression analysis, after adjustment for age, sex and university department, factors associated with higher compliance with PHM were knowledge of the university's COVID-19 protocol and a high perceived efficacy of PHM. A SARS-CoV-2 PCR result was not predictive of compliance with PHM. The results of this online survey in French students show a high level of knowledge and practices of COVID-19 prevention Although their performances could still be improved by training, the good results of health students regarding knowledge, attitudes and practices are encouraging as these students could be an added backup force to fight against viral pandemics.

A mixed-methods project on the impact of the mental health first aid training on French university students' knowledge, attitudes and practices.

University students are increasingly affected by mental health problems and need prompt support. The aim of this project was to assess the impact of the mental health first aid (MHFA) training on students' knowledge, attitudes and practices (KAP) concerning mental health in the short, mid and long-term. Three studies were conducted in Bordeaux, France, from May 2021 to March 2022. The first study collected data from 55 students 1 to 6 months after they had followed the training to examine its efficacy in the mid-long term. The second study collected data immediately before and after the training to evaluate the KAP of 52 students in the short-term (1 to 10 days). The third study consisted of 14 semi-structured interviews with students trained since 2020 to identify the training's long-term impact (3 to 18 months). Descriptive statistics were used for studies one and two, and framework analyses for study three. Most participants reported that their KAP about mental health had improved after the training. In the first study, 94.2% of students reported being ready to intervene during a psychotic crisis in their peers. In the second study, 75.0% of students reported improved mental health-related knowledge and decreased stigma. All students in the third study reported that they had assisted at least one person after the training. These were the first data on the impact of the French MHFA on KAP. While not exhaustive, findings suggest that deploying the training would be beneficial to French students.

Attention deficit hyperactivity disorder symptoms and lifetime use of psychoactive substances among French university students: A cross-sectional study

In a cross sectional study of 13,837 university students, we aimed to explore the association between attention deficit hyperactivity disorder (ADHD) symptoms and lifetime psychoactive substance use (LPSU) on a wide range of illicit substances. Logistic and Hurdel multivariable regressions were used. ADHD symptoms were significantly associated with the lifetime use of ketamine, magic mushrooms, poppers, and nine other psychoactive substances. There was an association between ADHD symptoms and both LPSU and truncated count of lifetime psychoactive substance use. High levels of ADHD symptoms are associated with the use of a large variety and multiple LPSU.

Health-related behavioral changes during the COVID-19 pandemic. A comparison between cohorts of French and Italian university students.

This cross-sectional observational study compares the health behaviors of university students in France and Italy, examining how their choices and lifestyles were affected by the COVID-19 pandemic with the aim of contributing to the development of adequate public health and higher education institutions interventions. The French cohort was investigated between January and February 2022, while the Italian cohort was examined between March and April 2022. In both contexts, data were collected through web surveys using institutional directories of university degree programs. Data were collected using standardized tools, validated and recovered in full or partial form. The tool used consisted of three specific sections (general experience, eating habits, physical activity), to which a fourth, dedicated to describing the sociographic picture of the respondents, was added. It was found that the pandemic mainly affected the mental health and sense of well-being of young people in both countries. The pandemic altered dietary habits (41.8% of the French subjects and 38.3% of the Italians declared an increasing of their food intake), alcohol consumption (9.0% of the Italian respondents and 4.0% of the French respondents reported an increased alcohol consumption), propensity to smoke (among the French 85.3% subjects remained non-smokers versus 65.3% of the Italian subjects), sleep quality (25.7% of Italian students 16.6% of French students experienced a decline in the quality of their sleep), and physical activity levels (the percentage of physically active French subjects rose to 72.4%, whereas among Italian students, it dropped to 68,4%). The results emphasize the need for the implementation of relational and psychological interventions, even digital, to face the consequences of social isolation and negative changes in everyday behaviors due to the restrictions during the COVID-19 pandemic.

A new statistical model for binge drinking pattern classification in college-student populations.

Binge drinking (BD) among students is a frequent alcohol consumption pattern that produces adverse consequences. A widely discussed difficulty in the scientific community is defining and characterizing BD patterns. This study aimed to find homogenous drinking groups and then provide a new tool, based on a model that includes several key factors of BD, to assess the severity of BD regardless of the individual's gender. Using the learning sample (N1 = 1,271), a K-means clustering algorithm and a partial proportional odds model (PPOM) were used to isolate drinking and behavioral key factors, create homogenous groups of drinkers, and estimate the probability of belonging to these groups. Robustness of our findings were evaluated with Two validations samples (N2 = 2,310, N3 = 120) of French university students (aged 18-25 years) were anonymously investigated via demographic and alcohol consumption questionnaires (AUDIT, AUQ, Alcohol Purchase Task for behavioral economic indices). The K-means revealed four homogeneous groups, based on drinking profiles: low-risk, hazardous, binge, and high-intensity BD. The PPOM generated the probability of each participant, self-identified as either male or female, to belong to one of these groups. Our results were confirmed in two validation samples, and we observed differences between the 4 drinking groups in terms of consumption consequences and behavioral economic demand indices. Our model reveals a progressive severity in the drinking pattern and its consequences and may better characterize binge drinking among university student samples. This model provides a new tool for assessing the severity of binge drinking and illustrates that frequency of drinking behavior and particularly drunkenness are central features of a binge drinking model.

Association between ADHD symptoms and illicit stimulants use following 1 year among French university students of the i-Share cohort.

Although attention deficit hyperactivity disorder (ADHD) has been associated with illicit stimulants use, less is known about their prospective association in university students. We aimed to examine the association between ADHD symptoms at inclusion and illicit stimulants use following 1 year among university students. The i-Share cohort recruited French students from February 2013 to July 2020. The study included 4270 participants. The Adult ADHD Self-Report Scale (ASRS) was used to evaluate ADHD symptoms at inclusion. Illicit stimulants use was assessed at inclusion and 1 year after inclusion. Multivariable logistic regressions were conducted to assess the association between ADHD symptoms at inclusion and illicit stimulants use following 1 year. High levels of ADHD symptoms at inclusion were associated with a greater probability of illicit stimulants use following 1 year (adjusted OR: 2.42 (1.51-3.8)). The adjusted odds ratio was 2.7 (1.08-7.84) among participants who had used illicit stimulant at least once (continuation) and 2.25 (1.04-4.37) among participants who had never used illicit stimulants at inclusion (initiation). High levels of ADHD symptoms are a feature that may promote both initiation and continuation of illicit stimulants use among university students. Our findings suggest that university students with high levels of ADHD symptoms may benefit from screening to help identify those at risk of illicit stimulants use.

Parental Control, Self–Construal and Well-Being: Evidence from Individualistic and Collective Culture

The aim of this study is to examine the associations of perceived parenting, self-construal and psychological flourishing within a cross-cultural perspective. Instruments tapping into four types of perceived parenting style (psychological control, behavioural control, autonomous support, and responsiveness), positive and negative affect, relational self and flourishing were administered to a sample of 579 university students from France (n = 325) and Turkey (n = 324). Latent profile analysis (LPA) and ANOVA tests were performed. The results showed that French university students presented lower levels of positive affect, negative affect and psychological flourishing compared to Turkish university students. Differences were found between these two groups in terms of psychological and behavioural control, and their respective consequences on self-construal and psychological flourishing. Turkish parents present higher levels of psychological and behavioural control in their relationships with their children compared to French counterparts.

Cross-cultural study of kinship premium and social discounting of generosity.

Social discounting predicts that one's concern for others decreases with increasing social distance. Cultural dimensions may influence this social behavior. Here, we used a dictator game, in which the participants and real members of their social entourage profited from the partition of the endowments determined by the participant, to compare how Chinese and French university students shared endowments with people at different social distances. We tested two hypotheses based on the concepts of kinship premium and cultural collectivism. Stronger ties between close family members were expected among Chinese. This may predict a larger "kinship premium," i.e., increased generosity to family members at close social distances, in Chinese relative to French participants. Similarly, because collectivism is thought to be stronger in Asian than western societies, greater generosity at larger social distances might also be expected among Chinese participants. The results showed that Chinese were more generous than French at close social distances but discounted more as social distance increased. This difference between French and Chinese was confined to family members and no significant difference in generosity was observed between French and Chinese for non-family members at any social distance. Our findings evidence a stronger kinship premium among Chinese than French students, and no significant effect of cultural collectivism.

Cluster-based characterization of consistencies in individuals' thought profiles at rest in a cohort of 1779 French university students

Is ongoing conscious thought spontaneous and situation-related, or is it recurrent and dependent on psychological dispositions? The answer is critical for resting-state functional connectivity (RSFC) paradigms that seek to correlate neuroanatomical states with conscious mental states. The goal of the present study was to characterize individual resting state thought profiles (RSTPs) and identify the recurrent ones, i.e., that could both be predicted by personality traits and predict subsequent negative affective states. The 1779 participants had a mean age of 22.1 years, 71.8% were females, and 71.8% were undergraduates. We collected the form and content of their thoughts during a 15-min RSFC session with a computerized retrospective self-questionnaire (ReSQ 2.0). Subsamples of participants also completed online autoquestionnaires assessing their psychological maturity and trait negative affectivity (with a four-day gap on average, N = 1270) and subsequent depressive and anxious states (1.4 years later on average, N = 922). Based on the multiple correspondence and clustering analyses of the ReSQ 2.0 responses, we identified six RSTPs distinctive by their content scope, temporal orientation, empathetic concern, and emotional valence. Multivariate analyses revealed that the probability of experiencing five of the six RSTPs was predicted by trait negative affectivity interacting with psychological maturity. Among them, a negatively valenced RSTP also increased the likelihood of subsequent negative affective states, suggesting its stable and recurrent nature. Identifying recurrent RSTPs is helpful for the future understanding of RSTPs’ contribution to RSFC. Additionally, it will be relevant to test whether acting on psychological maturity can alter the relationship between ongoing conscious thought and negative affectivity.

Validation of a translation of the student career construction inventory in French university students

Students’ career construction and career choice are characterized by a series of transitions requiring adaptations to new vocational contexts. The Student Career Construction Inventory has been developed against this background (Savickas, Porfeli, Hilton, & Savickas, 2018). This research aimed to validate a French version of the Student Career Construction Inventory (SCCI) and study its relationships to career adaptability and vocational identity. A total of 881 French university students responded to the SCCI-Fr, the Career Adapt-Abilities Scale (CAAS), and the Vocational Identity Status Assessment (VISA). Our results led us to retain a 13-item version of the SCCI-Fr for first-year students and a 14-item version for final-year students. Overall, the SCCI-Fr provides a validated tool for students, scholars, and practitioners.

Risk factors associated with depression among French university students during covid-19 lockdown

Abstract Background During the COVID-19 pandemic students’ lives changed drastically, especially regarding their mental health. Social isolation, induced by lockdown, could be the cause of the development of mental disorders in this population. Therefore, the aim of this study was to identify factors associated with depression during French first Covid-19 lockdown among university students. Methods This cross-sectional study, which is a part of the COVID-19 International Student Well-Being Study (ISWS consortium), used the validated CES-D 8 score (Center for Epidemiologic Studies - Depression Scale) to measure depression levels. Data on socio-demographics, curriculum, living condition, academic environment and social interactions were collected few days after the first lockdown in France, from 13 to 31 May 2020. The potential impact of risk factors on depression was studied by multinomial logistic regression. Results A total of 3593 students were included. The CES-D 8 mean score was 8.65 (SD = 5.08). Literature students had the highest average CES-D 8 score (9.47, SD = 5.16). Independent factors associated with the higher scores of depressions included having limited financial resources (AOR=2.49, 95% CI = 1.84-3.38) having academic concerns, including students worried about not completing the academic year (AOR=2.93, AOR=2.37-3.64) and stressed with changes in teaching methods (AOR=3.55, 95% CI = 2.82-4.46). Otherwise, living with parents during lockdown and being in a relationship were significant protective factors against depression. Conclusions This study highlights the impact of changing social network, living conditions, and academic environment on depression among university students. Preserving students from social isolation must be a critical priority for universities. Future universities’ policy strategy could combine on-site teaching with online courses and consider the role of students’ social contacts, with a particular emphasis on mental health. Key messages

Contribution of perceived loneliness to suicidal thoughts among French university students during the COVID-19 pandemic

Restrictive measures during the COVID-19 epidemic have led to increased levels of loneliness, especially among university students, although the influence on suicidal thoughts remains unclear. In this cross-sectional study of 1913 French university students, those with the highest level of loneliness had a fourfold increased risk of suicidal thoughts. Perceived loneliness should be incorporated into suicide risk assessment, and assistance in coping with loneliness should be considered as a means of reducing suicidal risk in vulnerable groups, like university students.

Promoting University Students' Mental Health through an Online Multicomponent Intervention during the COVID-19 Pandemic.

The mental health of university students is a serious public health issue. The alarming trend of high levels of untreated psychological distress observed during the COVID-19 pandemic highlights the need for prevention programs. Digital tools are a promising means of delivering such programs. Web-based programs are acceptable and effective at improving mental health problems and general mental well-being. However, the usefulness of such digital prevention approaches to address the multiple issues raised by the COVID-19 pandemic needs to be tested. The current study assessed the effectiveness of an 8-week online intervention, integrating a variety of evidence-based strategies for improving French university students’ mental health. Students were assigned to: (1) the online self-help program ETUCARE (n = 53), or (2) the control condition (n = 50). All the participants completed pre- and post-intervention questionnaires that assessed mental health problems and psychological well-being. The findings revealed that, compared to the control group, participation in the online program was associated with higher levels of psychological well-being post-test and fewer clinical symptoms of psychological distress, anxiety, and alcohol consumption. These preliminary findings suggest that the ETUCARE program is a promising multicomponent intervention to buffer the mental health consequences of the COVID-19 pandemic in French university students.

Validation of the Mental Health Literacy Scale in French University Students

Background: Mental health literacy is a determinant of mental health, which can facilitate early detection of psychological problems and endorse timely access to care. Instruments to measure mental health literacy exist, but not in French. Assessment of mental health literacy in young adults is essential to tailor appropriate educational interventions promoting psychological wellbeing and preventing mental health problems in this vulnerable population. The aim of this study was to validate the French version of the Mental Health Literacy Scale (MHLS-FR) in university students. Methods: A total of 482 students from the University of Bordeaux, France, completed the translated version of the scale. Collected data were used to validate the MHLS-FR through psychometric analyses: descriptive statistics, item distribution, test-retest reliability, exploratory structural equation model, confirmatory factor analysis, Cronbach’s alpha and McDonald’s omega coefficients, and hypothesis testing. Results: The final scale included 26 items covering 6 dimensions. Cronbach’s alpha and McDonald’s omega coefficients were 0.744 and 0.961, respectively. With test-retest, about 50% of items had intraclass correlation coefficients superior to 0.5. Conclusions: The MHLS-FR can be considered as a valid and reliable instrument for measuring mental health literacy in French students.