Stressors experienced during the COVID-19 pandemic and substance use among US college students

Oh, Hans; Leventhal, Adam M.; Tam, Christina; Rajkumar, Ravi Philip; Zhou, Sasha; Clapp, John D.

doi:10.1016/j.dadr.2021.100005

Cited by 7 publications

(8 citation statements)

References 40 publications

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“…Medical postgraduates who experienced the COVID-19 outbreak and returned to school life for the first time were in a relatively negative mood, feeling anxious and depressed. Similar to studies reporting the psychological situation of medical students worldwide (35,36), our study also showed that selfrated anxiety and depression were high. Female students were significantly more influenced than male students, and they had lower social support.…”

Section: Discussionsupporting

confidence: 89%

Anxiety, depression, psychological stress and coping style in medical postgraduates in southeastern China when restricted to commuting between the campus and hospital during the COVID-19 pandemic

Tan

Liu²,

Zhao³

et al. 2023

Front. Psychiatry

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BackgroundAs the COVID-19 epidemic was gradually brought under control, a new autumn semester began in 2020. How was the mental health of postgraduates as they experienced quarantine at home, only commuting between the school and hospital?MethodsThe research was conducted in a cross-sectional online survey in October 2020. The data were collected from 1,645 medical postgraduates (master’s and doctoral students) by using the demographic information questionnaire, the Self-rating Depression Scale (SDS), the Self-rating Anxiety Scale (SAS), the Questionnaire on Psychological Stressors of Postgraduates (QPSP), the Simplified Coping Style Questionnaire (SCSQ) and the Social Support Rate Scale (SSRS). One-way ANOVA and Pearson correlation were used to explore the relationships among anxiety, depression, psychological stressors, social support and coping style. Structural equation modeling (SEM) was conducted to assess the mediation model.ResultsAmong the total of 1,645 medical postgraduates, 21.6% (n = 356) had self-rated depression symptoms, and 9.4% (n = 155) had self-rated anxiety symptoms. The main disturbances they experienced were employment, academic and interpersonal pressure. The master of third grade students had the highest employment pressure, and the master of second grade students had the highest academic and interpersonal pressure. Negative coping played a negative mediating role and social support played a positive mediating role in the relationships between perceived stress and anxiety (β = 0.027, P < 0.01; β = 0.124, P < 0.01) and depression (β = 0.016, P < 0.01; β = 0.193, P < 0.01).ConclusionMedical postgraduates in China restricted to studies on campus and in the hospital experienced psychological distress. Our results suggest that providing employment and learning guidance, while strengthening social support and guiding positive coping may be effective at improving the mental health of the medical graduate students, mediating their perceived stress and negative emotions.

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Section: Discussionsupporting

confidence: 89%

Anxiety, depression, psychological stress and coping style in medical postgraduates in southeastern China when restricted to commuting between the campus and hospital during the COVID-19 pandemic

Tan

Liu²,

Zhao³

et al. 2023

Front. Psychiatry

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“…In both countries, participants who have been tested for COVID-19 were more likely to report a decrease in their alcohol use. While this result contrasts with findings showing that alcohol use was a risk factor for COVID-19 diagnosis among US students [ 15 , 25 , 57 , 58 ], this association may also reflect self-preventive behaviors of young adults who, as a result of their exposure to the virus and their experience with COVID-19 testing services, may be more likely to isolate themselves and limit their social interactions. In line with this hypothesis, young adults who were highly compliant with socially restrictive measures had higher odds of reporting a decrease in alcohol use.…”

Section: Discussioncontrasting

confidence: 93%

“…A second set of factors feature the COVID-19 pandemic and associated public health measures. Previous studies identified how COVID infection, episodes of quarantine, in-person social interactions, and lower levels of adherence to COVID-19 measures were all associated with increased alcohol use [ 15 , 17 , 18 , 24 , 25 , 26 ]. Other studies also suggest that young adults who have been affected by the negative economic consequences of the pandemic (e.g., employment loss) had a greater likelihood of increased alcohol use [ 21 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Self-Reported Changes in Alcohol Use among Young Adults during the COVID-19 Pandemic: A Comparative Analysis between Canada and France

Coulaud

Airagnes

McGrath

et al. 2022

IJERPH

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While the COVID-19 pandemic impacted young adults’ alcohol use patterns, little is known about how changes in alcohol use may differ across different settings. Our objective was to identify and compare factors associated with changes in alcohol use among young adults in Canada and France during the first year of the COVID-19 pandemic. We conducted an online cross-sectional survey in October–December 2020 with young adults aged 18–29 (n = 5185) in Canada and France. In each country, weighted multinomial logistic regressions were performed to identify factors associated with self-reported decrease and increase in alcohol use separately (reference: no change). Respectively, 33.4% and 21.4% reported an increase in alcohol use in Canada and France, while 22.9% and 33.5% reported a decrease. Being 25–29 was a predictor of decrease in Canada, while living away from family was associated with an increase in France. In both countries, participants were more likely to report an increase if they reported depressive symptoms, smoking tobacco, or cannabis use. Conversely, those who had been tested for COVID-19 and those who were highly compliant with COVID-19 preventive measures were more likely to report a decrease. Efforts are needed to develop alcohol use interventions for young adults, including in ways that prioritize those with mental health challenges.

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“…Over 60 % of university students nationwide reported experiencing mental health issues in the first years of the pandemic (2020–2021) — a nearly 50 % increase from 2013 ( Lipson et al, 2022 ). Additionally, college students have reported increased levels of depression, anxiety, substance misuse, and self-harm behaviors linked to financial strain, infection, and loss of a loved one due to COVID ( ElTohamy et al, 2022 ; Oh et al, 2022 ; Oh et al, 2021b ; Oh et al, 2021c ). Experiences of racial discrimination during the pandemic have also been associated with severe depression and psychotic experiences among college students ( Oh et al, 2021a ; Oh et al, 2021c ).…”

Section: Introductionmentioning

confidence: 99%

COVID-19-related direct and vicarious racial discrimination: Associations with psychological distress among U.S. college students

Macaranas

ElTohamy

Hyun

et al. 2023

Journal of Affective Disorders

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Stressors experienced during the COVID-19 pandemic and substance use among US college students

Cited by 7 publications

References 40 publications

Anxiety, depression, psychological stress and coping style in medical postgraduates in southeastern China when restricted to commuting between the campus and hospital during the COVID-19 pandemic

Anxiety, depression, psychological stress and coping style in medical postgraduates in southeastern China when restricted to commuting between the campus and hospital during the COVID-19 pandemic

Factors Associated with Self-Reported Changes in Alcohol Use among Young Adults during the COVID-19 Pandemic: A Comparative Analysis between Canada and France

COVID-19-related direct and vicarious racial discrimination: Associations with psychological distress among U.S. college students

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