COVID-19-Related Variables and Its Association with Anxiety and Suicidal Ideation: Differences Between International and Local University Students in Taiwan

Ahorsu, Daniel Kwasi; Pramukti, Iqbal; Strong, Carol; Wang, Hsiao‐Wen; Griffiths, Mark D.; Lin, Chung‐Ying; Ko, Nai Ying

doi:10.2147/prbm.s333226

Cited by 33 publications

(39 citation statements)

References 39 publications

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“…Face-to-face teaching has shifted to online courses to avoid a physical meeting of teachers with students, whereas difficulty in adapting to online courses makes the students feel more fear and anxiety ( 28 ). Furthermore, Ahorsu et al reported that COVID-19-related variables (e.g., fear) were associated with suicidal ideation and anxiety among college students ( 29 ). Similar findings have been reported by Pramukti et al ( 30 ).…”

Section: Introductionmentioning

confidence: 99%

Fear of COVID-19 Among College Students: A Systematic Review and Meta-Analysis

Fang

Zhang

Ding

et al. 2022

Front. Public Health

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BackgroundMental health issue among college students is routinely a major public health concern, and coronavirus disease 2019 (COVID-19) pandemic may have exacerbated the students' mental health issues which include psychological distress, panic disorder, insomnia, and posttraumatic stress symptoms. However, few studies reached a consensus on the impact of COVID-19 fear on mental health among college students. Therefore, we aimed to conduct a systematic review and meta-analysis that quantitatively synthesized the fear among college students during the COVID-19 pandemic.MethodsPubMed, EMBASE, CINAHL, and PsycINFO electronic databases were systematically searched to identify cross-sectional study reporting the state of COVID-19 fear examined by the Fear of COVID-19 Scale (FCV-19S) published up until November 20, 2021. Methodological quality was complied with the evaluation criteria of the Agency for Healthcare Research and Quality. The random effects model was employed to estimate the pooled mean of FCV-19S score. Subgroup analysis and meta-regression analysis were also conducted. Publication bias was assessed by Begg's test and funnel plot.ResultsA total of 16 studies with a sample size of 11,872 were included. A pooled mean of FCV-19S score was 17.60 [95% confidence interval (CI): 16.41–18.78]. The mean of COVID-19 fear in women (17.11, 95% CI: 16.59–17.64) was higher than that in men (15.21, 95% CI: 14.33–16.08). The highest and lowest pooled means of FCV-19S score were observed in the studies conducted in multiple countries that include Israel, Russian, and Belarus (21.55, 95% CI: 20.77–22.33) and in Europe (16.52, 95% CI: 15.26–17.77), respectively. No significant publication bias was detected by Begg's test.ConclusionsCollege students experienced a moderate level of fear caused by COVID-19 pandemic. It is necessary to design and implement prevention programs that target the mental health of college students.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021287017, identifier: CRD42021287017.

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Section: Introductionmentioning

confidence: 99%

Fear of COVID-19 Among College Students: A Systematic Review and Meta-Analysis

Fang

Zhang

Ding

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

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Section: Introductionmentioning

confidence: 99%

“…Several studies have examined the psychological distress (especially in anxiety and depression) during the COVID-19 pandemic (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29). Specifically, Ahorsu et al (18) and Pramukti et al (26) found that university students have issues of anxiety and suicidal ideation during the COVID-19 pandemic. Hasannia et al (20), Patel et al (24), and Patil et al (25) found that healthcare workers have issues of psychological distress related to being stigmatized, burnout, and anxiety.…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress and Protective Behaviors During the COVID-19 Pandemic Among Different Populations: Hong Kong General Population, Taiwan Healthcare Workers, and Taiwan Outpatients

et al. 2022

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PurposeThe novel coronavirus disease 2019 (COVID-19) caused psychological distress and changed human living styles. However, rare studies have examined the psychological distress and protective behaviors across different populations. Therefore, the present study aimed to assess psychological distress, protective behaviors, and potential predictors of psychological distress and protective behaviors across the Hong Kong general population, Taiwan healthcare workers, and Taiwan outpatients.MethodsA cross-sectional design was used to recruit participants from Hong Kong and Taiwan. Telephone interviews were carried out for Hong Kong participants (n = 1,067; 30.2% male participants); online surveys were used for Taiwan healthcare workers (n = 500; 8.0% male participants) and Taiwan outpatients (n = 192; 32.8% male participants). All the participants completed questions on psychological distress and protective behaviors. Multiple linear regressions and multivariable logistic regressions were employed to explore the potential predictors of psychological distress and protective behaviors, respectively.ResultsHong Kong participants had significantly lower levels of psychological distress than Taiwan participants [mean (SD) = 0.16 (0.39) vs. 0.47 (0.59) in healthcare workers and 0.46 (0.65) in outpatients; p < 0.001]. Hong Kong participants (51.7%) and Taiwan outpatients had more people showing fear of COVID-19 (52.0%) than Taiwan healthcare providers (40.8%; p < 0.001). Moreover, Hong Kong participants engaged the most in protective behaviors, followed by Taiwan healthcare providers and Taiwan outpatients (p < 0.001). Moreover, being a female, fear of COVID-19 and worry about personal savings were associated with protective behaviors in general.ConclusionsDespite the greater COVID-19 severity and fear of COVID-19 in Hong Kong, the general population in Hong Kong experienced less psychosocial distress with higher compliance to protective behaviors than the other groups in Taiwan.

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“…International studies on the impact of the COVID-19 pandemic on university students’ mental health highlight its negative effects, such as increased depression and anxiety [ 4 – 7 ]. Studies on the impact of the pandemic in Asian countries indicated that international students had lower susceptibility to COVID-19 and higher anxiety than local students [ 8 ]. For example, Indian medical students experienced increased stress and anxiety due to being overburdened with responsibilities and a lack of adequate resources [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Lingering effects of COVID-19 on the mental health of first-year university students in Japan

2022

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Background The coronavirus disease 2019 (COVID-19) pandemic is continuing unabated in Japan, as of October 2021. We aimed to compare first-year university students’ psychological distress before the pandemic in 2019, during the pandemic in 2020, and one year after the onset of the pandemic, in 2021. Methods The study conducted online surveys over three years from April to May each year. Participants were 400 first-year students in 2019, 766 in 2020, and 738 in 2021. We examined differences in scores on the Counseling Center Assessment of Psychological Symptoms—Japanese version (CCAPS-Japanese) between the three years using a one-way analysis of variance, and differences in the CCAPS-Japanese critical items using chi-squared test and residual analysis. Results The average scores on the Depression and Generalized Anxiety subscale in 2021 were significantly higher than those in 2020, but remained the same as in 2019. The Academic Distress subscale score in 2020 was the worst compared to 2019 and 2021. Meanwhile, the number of students who experienced severe suicidal ideation increased year by year from 2019 to 2021. Conclusion The mean mental health of first-year university students worsened after the onset of the COVID-19 pandemic, and recovered to the pre-pandemic level over the next two years. However, the number of high-risk students with suicidal ideation continued to increase. A system is required for early detection and support for students at high risk of mental health issues.

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COVID-19-Related Variables and Its Association with Anxiety and Suicidal Ideation: Differences Between International and Local University Students in Taiwan

Cited by 33 publications

References 39 publications

Fear of COVID-19 Among College Students: A Systematic Review and Meta-Analysis

Fear of COVID-19 Among College Students: A Systematic Review and Meta-Analysis

Psychological Distress and Protective Behaviors During the COVID-19 Pandemic Among Different Populations: Hong Kong General Population, Taiwan Healthcare Workers, and Taiwan Outpatients

Lingering effects of COVID-19 on the mental health of first-year university students in Japan

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