Stress, anxiety, and sleep among college and university students during the COVID-19 pandemic

Ulrich, Angela; Full, Kelsie M; Cheng, Bethany; Gravagna, Katie; Nederhoff, Dawn; Basta, Nicole E.

doi:10.1080/07448481.2021.1928143

Cited by 39 publications

(29 citation statements)

References 13 publications

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“…Mild depression and moderate to severe depression were reported by 34% and 15% of respondents, respectively. These figures are similar to previous study of university students during the COVID-19 pandemic, which found that 42% of U.S. university students experienced sleep problems [9]. These results differ from what was observed in previous studies measuring levels of anxiety and depression using the GAD-7 and PHQ-9.…”

Section: Discussionsupporting

confidence: 76%

“…Studies have shown that the most common mental health problems among students of higher education are sleep problems, anxiety, and depression [8]. After the onset of the COVID-19 pandemic, nearly half of U.S. university students reported sleep problems and anxiety [9], while 56.8% of Chinese university students reported depression [10]. A study conducted in the United States early in the pandemic found that financial problems, large amounts of misinformation, and the social stigma of people diagnosed with COVID-19 were associated with feelings of fear and anxiety among university students [11].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Mental Health among International Students during the COVID-19 Pandemic in South Korea

Kim

2021

IJERPH

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The purpose of this study was to investigate mental health problems among international students in South Korean universities during the COVID-19 pandemic, as well as to identify the factors that affect their mental health. A total of 488 international students living in South Korea participated in a web-based survey. The questionnaire was created using the Google Forms platform, and a link to the questionnaire was shared through social media. Multiple logistic regression analysis was conducted to analyze the data. The prevalence rates of sleep problems, anxiety, and depression among international students were 47.1%, 39.6%, and 49%, respectively. The prevalence of mental health problems was higher among participants who were male, living with someone, residents of a rural area, and earning a higher income. The following variables were found to contribute to the prevalence of mental health problems: undergraduate student status, good understanding of the Korean language, longer hours of media usage, and experiences related to COVID-19 infection. A collaborative effort between the government and universities to manage the mental health of international students could promote the mental health of these students.

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Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Factors Associated with Mental Health among International Students during the COVID-19 Pandemic in South Korea

Kim

2021

IJERPH

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“…Brown et al ( 2002 ) found that there is a significant positive correlation between anxiety level and sleep quality. Ulrich et al ( 2021 ) found that college and university students with moderate-to-severe anxiety were more likely to report poor sleep quality than those with less anxiety during the COVID-19 pandemic. That is, the higher the anxiety level, the more likely to have problems with sleep quality.…”

Section: Introductionmentioning

confidence: 99%

Online risky behavior and sleep quality among Chinese college students: The chain mediating role of rumination and anxiety

Qiu

Xie

et al. 2022

Curr Psychol

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This study explored the chain mediating effects of rumination and anxiety in the relationship between online risky behavior and sleep quality among Chinese college students. A sample of 1039 Chinese college students (Mage = 19.49, SD = 1.14, 53.32% males) were investigated with Online Risky Behavior Scale (ORBS), Pittsburgh Sleep Quality Index scale (PSQI), Ruminative Responses Scale (RRS) and Self-rating Anxiety Scale (SAS). The results showed that: (1) There is a significant positive correlation among online risky behavior, sleep quality, rumination and anxiety, and (2) Online risky behavior could not directly affect sleep quality, but it can affect sleep quality through the mediation of rumination and anxiety. The chain mediating effects includes three paths: The mediating role of rumination, the mediating role of anxiety, and the chain mediating role of rumination and anxiety after controlling for gender, grade, major, and network usage time. These findings contribute to a deeper understanding of how online risky behavior affects sleep quality and provide important practical guidance for improving sleep quality.

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“…Specifically, we were interested in determining if factors such as pandemic‐related stress, particular coping strategies, and resilience were associated with sleep quality while addressing relevant demographic and coronavirus‐contextual controls. Interestingly, pandemic‐related stress was not significantly associated with sleep quality, and current research examining this relationship, particularly in US adult civilians, remains unclear (Benham, 2020 ; Kim‐Godwin et al., 2021 ; Tsang et al., 2021 ; Ulrich et al., 2021 ). Our results instead suggest that resilience and coping during the coronavirus pandemic may influence sleep quality more than pandemic‐related stress, which presents interesting applied implications.…”

Section: Discussionmentioning

confidence: 95%

Stress, coping, resilience, and sleep during the COVID‐19 pandemic: A representative survey study of US adults

2021

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Introduction:The COVID-19 pandemic is a global health emergency resulting in widespread death and substantial disruption to daily life. Previous research has shown that novel disease outbreaks are associated with high stress levels and sleep impairments that lead to neuropsychiatric consequences. Therefore, it is vital to study both stress and protective factors such as coping and resilience that may hinder or help sleep quality during the COVID-19 pandemic. Further, as gender disparities exist in sleep quality, it is important to understand the relationship between pandemic-related stress, coping strategies, resilience, and sleep in bothgenders during the COVID-19 pandemic.Methods: Our study examined how gender, stress, coping, and resilience were associated with sleep cross-sectionally during the COVID-19 pandemic in a representative sample of US adults (N = 393).Results: Consistent with many recent studies, we found that worsened sleep quality in women compared to men persisted during the COVID-19 pandemic. Interestingly, pandemic-related stress was not significantly associated with sleep quality, but pandemicrelated coping was associated with sleep independent of robust controls and trait resilience.Conclusions: Greater primary control engagement coping was associated with better sleep quality, while involuntary engagement coping was associated with poor sleep quality. Future research should extend the findings with actigraphy and explore ways to enhance beneficial coping and sleep health during pandemics.

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Stress, anxiety, and sleep among college and university students during the COVID-19 pandemic

Cited by 39 publications

References 13 publications

Factors Associated with Mental Health among International Students during the COVID-19 Pandemic in South Korea

Factors Associated with Mental Health among International Students during the COVID-19 Pandemic in South Korea

Online risky behavior and sleep quality among Chinese college students: The chain mediating role of rumination and anxiety

Stress, coping, resilience, and sleep during the COVID‐19 pandemic: A representative survey study of US adults

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