The coronavirus 2019 (COVID-19) has brought significant changes to college students, but there is a lack of empirical studies regarding how the pandemic has affected student mental health among college students in the U.S. To fill the gap in the literature, this study describes stress, anxiety, and depression symptoms for students in a public research university in Kentucky during an early phase of COVID-19 and their usage of mental health services. Results show that about 88% of students experienced moderate to severe stress, with 44% of students showing moderate to severe anxiety and 36% of students having moderate to severe depression. In particular, female, rural, low-income, and academically underperforming students were more vulnerable to these mental health issues. However, a majority of students with moderate or severe mental health symptoms never used mental health services. Our results call for proactively reaching out to students, identifying students at risk of mental health issues, and providing accessible care.

2019 年冠状病毒 (COVID-19) 给大学生带来了重大变化，但缺乏关于大流行如何影响美国大学生心理健康的实证研究。为了填补文献空白，本研究描述了肯塔基州公立研究型大学学生在 COVID-19 早期阶段的压力、焦虑和抑郁症状以及他们对心理健康服务的使用情况。结果显示，约 88% 的学生经历过中度至重度压力，44% 的学生表现出中度至重度焦虑，36% 的学生表现出中度至重度抑郁。特别是，女性、农村、低收入和学业成绩不佳的学生更容易受到这些心理健康问题的影响。然而，大多数有中度或重度心理健康症状的学生从未使用过心理健康服务。我们的结果要求主动接触学生，识别有心理健康问题风险的学生，并提供无障碍护理。