Abstract

Objective

To examine the relationship between COVID-19-related distress and mental health among first-year college students.

Participants

Data for this longitudinal study (n = 727) were collected before the school year (August 2019), end of fall semester (December 2019), and soon after the university suspended in-person instruction (April 2020).

Methods

We used multivariable log-linear and logistic regressions to examine continuous and dichotomous outcomes on the 9-item Patient Health Questionnaire and the 7-item Generalized Anxiety Disorder scale.

Results

The most consistent predictor of during-pandemic mental health was feeling extremely isolated (versus not at all), which was associated with increased symptom severity of depression (proportional change[95% CI] = 2.43[1.87, 3.15]) and anxiety (2.02[1.50, 2.73]) and greater odds of new moderate depression (OR[95% CI] = 14.83[3.00, 73.41]) and anxiety (24.74[2.91, 210.00]). Greater COVID-19-related concern was also related to increased mental health symptoms.

Conclusions

Results highlight the need for mental health services during crises that lead to social isolation.

中文翻译：

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大学生一年级学生中与 COVID-19 相关的孤独或担忧与焦虑和抑郁症状之间的关联

摘要

客观的

研究一年级大学生与 COVID-19 相关的痛苦与心理健康之间的关系。

参加者

这项纵向研究的数据（n = 727）是在学年之前（2019年8月）、秋季学期结束（2019年12月）以及大学暂停现场教学后不久（2020年4月）收集的。

方法

我们使用多变量对数线性和逻辑回归来检查 9 项患者健康问卷和 7 项广泛性焦虑症量表的连续和二分结果。

结果

大流行期间心理健康最一致的预测因素是感到极度孤立（而不是完全没有），这与抑郁症状严重程度的增加（比例变化[95% CI] = 2.43[1.87, 3.15]）和焦虑（2.02 [1.50, 2.73]），新发中度抑郁症（OR[95% CI] = 14.83[3.00, 73.41]）和焦虑症（24.74[2.91, 210.00]）的可能性更大。对 COVID-19 的更大关注也与心理健康症状的增加有关。

结论

结果凸显了在导致社会孤立的危机期间对心理健康服务的需求。