Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh.
Youth Research Association, Savar, Dhaka, Bangladesh.
PLoS One. 2020 Dec 31;15(12):e0245083. doi: 10.1371/journal.pone.0245083. eCollection 2020.
Mental health problems in students are considered a public health challenge. We assessed the prevalence of depression, anxiety, and stress (DAS) with the DASS-21, as well as associated factors, among university students in Bangladesh early in the COVID-19 outbreak. We hypothesized high levels of DAS and their associations with previously reported factors (e.g., poor sleep, lack of exercise, heavy internet use) and those linked to disadvantage (e.g., low monthly family income). We also enquired about participants' satisfaction with their pursuit of their academic studies while living under COVID-19 restrictions. An internet-based survey was conducted during the month of April 2020, involving 3,122 Bangladeshi university students aged 18 to 29 years (59.5% males; mean age 21.4±2 years). Prevalence estimates of depression, anxiety and stress were, respectively, 76.1%, 71.5% and 70.1% for at least mild symptoms, 62.9%, 63.6% and 58.6% for at least moderate symptoms, 35.2%, 40.3%, and 37.7% for at least severe symptoms and 19.7%, 27.5% and 16.5% for at least very severe symptoms. The present estimates of DAS were more prevalent than in previous pre-COVID-19 studies among Bangladeshi university students. Regression analyses with DASS-21-score as a dependent variable revealed associations with factors mostly as hypothesized. The largest effect size on DAS symptoms was related to students' satisfaction with their academic studies during the pandemic. As this survey used cross-sectional and self-reported methods, causality cannot be inferred. Mental health monitoring of students attempting to cope with the impacts of the COVID-19 outbreak may be useful and feasible.
学生的心理健康问题被认为是公共卫生挑战。我们评估了在 COVID-19 爆发早期,孟加拉国大学生的抑郁、焦虑和压力(DAS)的患病率,以及与 DASS-21 相关的因素。我们假设 DAS 水平较高,且与先前报道的因素(如睡眠质量差、缺乏锻炼、过度使用互联网)以及与劣势相关的因素(如家庭月收入低)相关。我们还询问了参与者在 COVID-19 限制下追求学业的满意度。2020 年 4 月期间,我们通过互联网进行了一项调查,涉及 3122 名年龄在 18 至 29 岁的孟加拉国大学生(59.5%为男性;平均年龄 21.4±2 岁)。至少有轻度症状的抑郁、焦虑和压力的患病率估计分别为 76.1%、71.5%和 70.1%,至少有中度症状的为 62.9%、63.6%和 58.6%,至少有重度症状的为 35.2%、40.3%和 37.7%,至少有非常严重症状的为 19.7%、27.5%和 16.5%。目前 DAS 的估计患病率高于 COVID-19 之前在孟加拉国大学生中进行的研究。以 DASS-21 得分为因变量的回归分析显示,与假设的因素存在关联。对 DAS 症状影响最大的因素与学生对大流行期间学术研究的满意度有关。由于这项调查使用了横断面和自我报告的方法,因此不能推断因果关系。对试图应对 COVID-19 爆发影响的学生进行心理健康监测可能是有用和可行的。