Brooks Rehabilitation College of Healthcare Sciences, Jacksonville University, Jacksonville, FL, United States.
The Department of Psychiatry and Behavioral Sciences, The University of New Mexico School of Medicine, The University of New Mexico, Albuquerque, NM, United States.
Front Public Health. 2022 Jul 6;10:941730. doi: 10.3389/fpubh.2022.941730. eCollection 2022.
COVID-19 has affected mental health globally, increasing depression and anxiety. This study examined relationships between practicing COVID-19-related public health measures and depression and anxiety in young adult students.
A sample of 755 undergraduate students 18-25 years of age at a large public university completed a cross-sectional survey in fall 2020 during the pandemic (response rate = 18.9%). The survey included demographic questions, anxiety and depression screeners (GAD-7 and PHQ-9), and questions on practicing public health measures (stay-at-home orders, quarantining, social distancing, etc.) since March 2020. Multivariate logistic regression was utilized to calculated adjusted odds between practicing public health measures and anxiety and depression.
The majority of respondents reported practicing public health measures; however, 53% experienced anxiety (GAD-7 score >10) and 57% experienced depression (PHQ-9 score >10) in the 2 weeks prior to completing the survey. Participants who quarantined had significantly higher odds of anxiety (AOR = 1.44; 95% CL 1.07, 1.96) and depression (AOR = 1.77; 95% CL 1.30, 2.41) than those who did not. Participants who self-isolated also had significantly higher odds of anxiety (AOR = 1.53; 95% CL 1.13, 2.08) and depression (AOR = 1.87; 95% CL 1.37, 2.56) compared to those who did not. Moving/changing living situations in response to the pandemic also increased odds of depression (AOR = 1.86; 95% CL 1.33, 2.60).
Young adult undergraduate students experienced a high prevalence of anxiety and depression. Quarantining, self-isolating, and moving/changing living situations increased odds of anxiety and/or depression. The public health measures necessary for COVID-19 control and prevention may adversely affect mental health.
COVID-19 对全球的心理健康造成了影响，导致抑郁和焦虑的发病率上升。本研究旨在探讨在大流行期间，年轻成年学生实施与 COVID-19 相关的公共卫生措施与抑郁和焦虑之间的关系。
在 2020 年秋季，我们对一所大型公立大学的 755 名 18-25 岁的本科学生进行了一项横断面调查（应答率=18.9%）。调查包括人口统计学问题、焦虑和抑郁筛查（GAD-7 和 PHQ-9）以及自 2020 年 3 月以来实施的公共卫生措施（居家令、隔离、保持社交距离等）的问题。我们利用多变量逻辑回归计算了实施公共卫生措施与焦虑和抑郁之间的调整比值比。
大多数受访者报告实施了公共卫生措施；然而，在完成调查前的两周内，有 53%的受访者经历了焦虑（GAD-7 评分>10），57%的受访者经历了抑郁（PHQ-9 评分>10）。与未隔离的受访者相比，进行隔离的参与者出现焦虑的可能性显著更高（OR=1.44；95%可信区间 1.07，1.96）和抑郁（OR=1.77；95%可信区间 1.30，2.41）。与未自我隔离的参与者相比，进行自我隔离的参与者出现焦虑（OR=1.53；95%可信区间 1.13，2.08）和抑郁（OR=1.87；95%可信区间 1.37，2.56）的可能性也显著更高。针对疫情而改变生活环境也增加了抑郁的可能性（OR=1.86；95%可信区间 1.33，2.60）。
年轻成年本科学生的焦虑和抑郁发病率较高。隔离、自我隔离和改变生活环境增加了焦虑和/或抑郁的可能性。COVID-19 控制和预防所需的公共卫生措施可能对心理健康产生不利影响。
