Institute for Translational Research in Children's Mental Health, University of Minnesota, Minneapolis, Minnesota, USA.
Division of Biostatistics, University of Minnesota, Minneapolis, Minnesota, USA.
J Am Coll Health. 2023 Jul;71(5):1332-1337. doi: 10.1080/07448481.2021.1942009. Epub 2021 Jul 9.
To examine the relationship between COVID-19-related distress and mental health among first-year college students.
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).
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.
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.
Results highlight the need for mental health services during crises that lead to social isolation.
研究 COVID-19 相关困扰与大一学生心理健康之间的关系。
本纵向研究（n=727）的数据于学年开始前（2019 年 8 月）、秋季学期末（2019 年 12 月）和大学暂停面授后不久（2020 年 4 月）收集。
我们使用多变量对数线性和逻辑回归来检验 9 项患者健康问卷和 7 项广泛性焦虑症量表上的连续和二分结果。
在疫情期间，感到极度孤立（而非一点也不孤立）是心理健康最一致的预测因素，与抑郁（比例变化[95%置信区间] = 2.43[1.87, 3.15]）和焦虑（2.02[1.50, 2.73]）症状严重程度增加以及新出现中度抑郁（OR[95%置信区间] = 14.83[3.00, 73.41]）和焦虑（24.74[2.91, 210.00]）的可能性增加有关。对 COVID-19 的更多关注也与心理健康症状的增加有关。
研究结果强调了在导致社会孤立的危机期间提供心理健康服务的必要性。
