Mental health problems are taking a heavy toll on students during the COVID-19 pandemic. The purpose of this study was to compare the level of anxiety symptoms, depressive symptoms, post-traumatic stress symptoms (PTSS), and fear of COVID-19 between students with suspected COVID-19 symptoms and students without any suspected symptoms during the pandemic in Bangladesh. This cross-sectional comparative study was conducted online among Bangladeshi students from May to July 2020. Anxiety symptoms, depressive symptoms, PTSS, and fear of COVID-19 were assessed by using the Generalized Anxiety Disorder scale, Patient Health Questionnaire, the Impact of Event Scale, and Fear of COVID-19 Scale, respectively. College and University students were the participants of the study. Among 3777 students, 1259 had suspected COVID-19 symptoms and 2518 had no suspected COVID-19 symptoms. Students who experienced suspected COVID-19 symptoms had higher prevalence (moderate to severe) of depressive symptoms (61.15% vs. 47.62%), anxiety symptoms (44.96% vs. 36.97%), and PTSS (48.3% vs. 39.75%) compared to those who had no such symptoms. The study identified having suspected COVID-19 symptoms as a significant associated factor for anxiety symptoms (β1′ = 1.39; 95% CI: 1.03–1.74), depressive symptoms (β1′ = 1.88; 95% CI: 1.43–2.32), PTSS (β1′ = 3.66; 95% CI: 2.66–4.65), and fear of COVID-19 (β1′ = 0.48; 95% CI: 0.02 to 0.94). Students with suspected COVID-19 symptoms thought more that they would be better off dead, or of hurting themselves (P < 0.01) and felt more afraid as if something awful might happen (P < 0.01) than their counterparts. Mental health difficulties are more prevalent among students with suspected COVID-19 symptoms than the students without having such symptoms. This finding suggests that public health practitioners should deploy a rapid diagnostic system and consider psychological intervention in addition to clinical management for those who have COVID-19 like symptoms during the pandemic.

中文翻译：

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有疑似 COVID-19 症状的学生和无疑似 COVID-19 症状的学生的心理健康困难：COVID-19 大流行期间的横断面比较研究


在 COVID-19 大流行期间，心理健康问题给学生造成了沉重打击。本研究的目的是比较在大流行期间，有疑似 COVID-19 症状的学生和没有任何疑似症状的学生之间的焦虑症状、抑郁症状、创伤后应激症状 (PTSS) 和对 COVID-19 的恐惧程度。孟加拉国。这项横断面比较研究于 2020 年 5 月至 7 月在孟加拉国学生中在线进行。通过使用广泛性焦虑症量表、患者健康问卷、事件的影响来评估焦虑症状、抑郁症状、PTSS 和对 COVID-19 的恐惧分别是量表和对 COVID-19 的恐惧量表。学院和大学的学生是这项研究的参与者。在 3777 名学生中，1259 名学生有疑似 COVID-19 症状，2518 名学生没有疑似 COVID-19 症状。相比之下，出现疑似 COVID-19 症状的学生抑郁症状（61.15% vs. 47.62%）、焦虑症状（44.96% vs. 36.97%）和 PTSS（48.3% vs. 39.75%）的患病率较高（中度至重度）。对于那些没有此类症状的人。该研究发现，疑似 COVID-19 症状是焦虑症状 (β1′ = 1.39; 95% CI: 1.03–1.74)、抑郁症状 (β1′ = 1.88; 95% CI: 1.43–2.32)、PTSS 的显着相关因素（β1′ = 3.66；95% CI：2.66–4.65），以及对 COVID-19 的恐惧（β1′ = 0.48；95% CI：0.02 至 0.94）。与其他同学相比，患有疑似 COVID-19 症状的学生更多地认为自己最好死掉或伤害自己 (P < 0.01)，并且更害怕发生可怕的事情 (P < 0.01)。与没有此类症状的学生相比，有疑似 COVID-19 症状的学生更容易出现心理健康问题。 这一发现表明，公共卫生从业者应部署快速诊断系统，并考虑对大流行期间出现类似 COVID-19 症状的人进行临床管理和心理干预。