International Comparison of Depression During the COVID-19 Pandemic Among University Students in 13 Countries: A Web-Based Cross-Sectional Survey

Lee, Hocheol; Park, Sung Jong; Kim, Ji Eon; Kong, Fanlei; ‍Zhao, Bo; Nam, Haekweun; Koh, Sang Baek; Nam, Sanggon; Yuasa, Motoyuki; Aung, Myo Nyein; Medina, John Robert C.; Palutturi, Sukri; Berhe, Hafutu; Terefe, Emnet; Nam, Seung-Woo; Kang, Yunkoo; Rönnebeck, Nadia; Lee, Ji Ho; Lee, Ga Ram; Jung, Yong-Gyu; Cosme, Chavez Rosemary; Shin, Dong Eun; Sanchez, Maybin Herrera; Ndombi, Grace Ossak; Mansiangi, Paul; Moon, Seok Jun; Yoon, Hyejin; Chung, Min Ah; Lim, Su Been; Lee, Yu Lim; Kim, Do-Hyeong; Nam, Eun Woo

doi:10.1177/10105395211034062

Cited by 4 publications

(4 citation statements)

References 14 publications

(13 reference statements)

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Section: Introductionmentioning

confidence: 99%

“…It soon became clear that the quarantine strategies harmed students' mental health alongside a consensus on the literature about increased anxiety and depression symptomatology (2)(3)(4). Previous studies have described increments in fear (2,3), worry (4), and stress (5). However, most of the research is still cross-sectional or without pre-pandemic information in the same sample (5)(6)(7)(8), and the maintenance of the symptoms after the quarantine is also not straightforward in the literature (9).…”

Section: Introductionmentioning

confidence: 99%

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The Association Between Changes in the University Educational Setting and Peer Relationships: Effects in Students' Depressive Symptoms During the COVID-19 Pandemic

2021

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Objective: Abrupt life changes imposed by the lockdown measures, with a direct impact on teaching methodology and social interactions, as well as sleeping patterns, harmed university students' mental health. This study aimed to analyze the relationship between satisfaction with online teaching, social interaction with depression, anxiety symptomatology, and to analyze the effects of the pandemic and the lockdown in mental care access.Methods: The online survey collected demographic data, satisfaction with online teaching, and social interaction. We evaluated the depression and anxiety symptomatology using the 9-item Patient Health Questionnaire and the 7-item Generalized Anxiety Disorder, respectively. For the PHQ-9, we used the cut-off 15 for moderately severe depressive symptoms, whereas for GAD-7, we recurred to the cut-off 10 for moderately severe anxiety symptoms. This study used three data points: October 2019, June 2020, and March 2021.Findings: The study included n = 366 participants from all university study fields, with a mean age of 21.71 (SD = 1.42) in the last survey, and 71.3% were women. Depressive symptoms increased significantly from October 2019 to June 2020, and the mean scores grew until March 2021. Anxiety symptoms also significantly increased from October 2019 to June 2020; however, from June 2020 to March 2021, there was a non-significant decrease in the proportion. Mean scores for satisfaction with online teaching were 38.23% in June 2020 and 34.25% in March 2021, a non-significant difference. Satisfaction with social interaction significantly decreased from 37.35% in 2020 to 24.41% in 2021. Participants with scores above the cut-off of moderately severe and severe depressive and anxiety symptoms showed significantly lower satisfaction with online teaching than students with lower depression and anxiety scores. Despite the significant increase in clinical symptomatology, help-seeking behaviors did not change accordingly, and more than 50% of the students with mild or severe depressive and anxiety symptomatology did not get treatment during the pandemic.Conclusion: The findings of this study suggest that most students are dissatisfied with online teaching and the type of social interaction they were forced to adopt because of the pandemic. The severity of depressive and anxiety symptomatology significantly increased between October 2019 and March 2021, but help-seeking behaviors did not increase accordingly.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Association Between Changes in the University Educational Setting and Peer Relationships: Effects in Students' Depressive Symptoms During the COVID-19 Pandemic

2021

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“…A cross-sectional multi-country comparison study demonstrated that substantial variations exist in anxiety and depression symptoms across countries during the COVID-19 lockdown, with personal COVID-19 exposure being a significant risk factor ( 27 ). College students who received a large amount of negative information about COVID-19 may be at a greater risk of psychological maladjustment ( 28 – 30 ). Medical students in China face severe depression and anxiety because of their difficult circumstances, such as the long length of schooling, academic pressure, and the stress of clinical practice ( 31 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on the mental health and academic performance of medical postgraduates

Tang

Shi

et al. 2022

Front. Public Health

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Background: The Coronavirus disease (COVID-) has presented a major challenge to the health, economic, and social sectors of the entire world. This study aimed to investigate the mental health and academic performance of medical postgraduates during the COVID-pandemic in China.Methods: A cross-sectional online survey was conducted from March to April , at the Zhejiang University School of Medicine in China. The questionnaire consisted of three parts: general information, mental health and academic performance. Mental health outcomes were assessed according to the Generalized Anxiety Scale (GAD-) and the Patient Health Questionnaire-Scale (PHQ-).Results: A total of valid questionnaires were obtained. Of the medical postgraduates in this study, ( ) . % had no anxiety symptoms. In addition, . % had mild anxiety symptoms during the COVID-pandemic. None of the participants had a severe anxiety or depression disorder; ( ) Females experienced significantly more symptoms in mental health measure scores than the males (P < . ); ( ) . % believed that the COVID-pandemic had varying degrees of impact on their academics. Doctoral postgraduates showed greater academic stress, and they were more worried about not meeting graduation standards than the master's postgraduates (P < . ). There were no significant di erences between the surgical postgraduates and internal postgraduates in either mental health or academic performance.Conclusions: Our study found that the COVID-pandemic has had a mild impact on the mental health and academic performance of medical postgraduates in China. Females experienced significantly more symptoms on mental health measure scores than the males. Doctoral postgraduates showed greater academic stress than the master's postgraduates. There is uncertainty regarding how long this COVID-situation will persist and increasing recognition that there may be periods of recurrence in the future.

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“…This nationwide school-level suspension of face-to-face classes, along with other quarantine guidelines and movement restriction protocols may also have adverse consequences on students' PA levels and health aspects. While these variables have been documented in other countries (Coakley et al, 2021;Kohls et al, 2021;Lee et al, 2021;López-Valenciano et al, 2021) it is not clear how the enhanced community quarantine guidelines have affected PA and health of collegiate students in the Philippines due to lack of empirical data.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity, Sedentary Behavior, and Health States of University Students During the First Wave of COVID-19 Community Quarantine in the Philippines

2022

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This study examined the impact of the first wave of COVID-19 pandemic community quarantine on university students’ physical activity (PA) levels, sedentary behaviors, and health states in the Philippines. A total of 1,042 university students completed the International Physical Activity Questionnaire (IPAQ) short version and rated their health states using an online survey. The Wilcoxon signed-rank test and Spearman’s rank correlation coefficient were used for statistical analyses to compare changes in PA and sedentary behaviors (prior to and during COVID-19) and determine the relationship between changes in the total volume of PA and various health states of male and female students respectively. Overall, the total PA of students significantly declined during COVID-19 compared to before the pandemic. Total PA of male students did not significantly change during COVID-19 but did for females. Female students’ sitting time significantly reduced during weekdays. Changes in PA was associated with different aspects of health, particularly for female students, during the COVID-19 community quarantine. The finding extends the literature about the impact of COVID-19 on students’ PA and health and underscores the importance of PA as a way in alleviating negative perceptions related to health in university students despite the implemented community quarantine regulations.

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International Comparison of Depression During the COVID-19 Pandemic Among University Students in 13 Countries: A Web-Based Cross-Sectional Survey

Cited by 4 publications

References 14 publications

The Association Between Changes in the University Educational Setting and Peer Relationships: Effects in Students' Depressive Symptoms During the COVID-19 Pandemic

The Association Between Changes in the University Educational Setting and Peer Relationships: Effects in Students' Depressive Symptoms During the COVID-19 Pandemic

The impact of the COVID-19 pandemic on the mental health and academic performance of medical postgraduates

Physical Activity, Sedentary Behavior, and Health States of University Students During the First Wave of COVID-19 Community Quarantine in the Philippines

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