Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Alzheimer's Disease and Related Disorders Center, Shanghai Jiao Tong University, Shanghai, China.
Front Public Health. 2022 Jul 22;10:936988. doi: 10.3389/fpubh.2022.936988. eCollection 2022.
More and more attention has been paid to the mental health of students in higher education. The Omicron outbreak has brought renewed attention to this vulnerable group.
To understand the prevalence and influencing factors of anxiety symptoms and depression symptoms of college students in a closed state.
This large cross-sectional study using data from a survey on the mental health of college students in Shanghai (China), conducted by using a stratified cluster random sampling method between March 15th and April 15th, 2022. To estimate results related to regional location, only data from students with Internet protocol addresses and current addresses in Shanghai were included. The main outcome was self-reported psychological distress (including depressive symptoms, anxiety symptoms, and self-assessment of health), measured using the epidemiologic studies depression scale (CES-D), the Spielberger state-trait anxiety inventory (STAI) and self-rated mental health (SRMH), respectively. Moreover, the Simplified Coping Style Scale (SCSS) was also used to assess how participants coped with negative emotions.
Among 13,000 college students who completed the survey, 12,124 students were included in the final analysis, and the total effective rate was 93.3%. The prevalence of depressive symptoms and anxiety symptoms were 14.1 and 9.8%, respectively. By using Multivariate logistics regression analysis, we found that being male and negative coping were risk factors for depressive symptoms and anxiety symptoms, while positive coping, such as study or learning, were protective factors. Moreover, linear regression analysis showed that learning or study improved the overall mental health index by improving anxiety or depressive symptoms, and played a partial mediating role.
These findings suggest that a significant number of college students, especially boys, will experience emotional problems during the course of closed schools. Therefore, we need to give them proper attention and advise them to adopt positive coping strategies, such as learning or study, to resist bad emotions.
越来越多的人关注高等教育学生的心理健康。奥密克戎的爆发使这一弱势群体再次受到关注。
了解封闭状态下大学生焦虑症状和抑郁症状的发生率及影响因素。
本研究采用 2022 年 3 月 15 日至 4 月 15 日采用分层整群随机抽样方法，对上海市大学生心理健康状况进行调查的大样本横断面研究，仅纳入 IP 地址和当前地址均在上海的学生数据，以估计与区域位置相关的结果。主要结局为自我报告的心理困扰（包括抑郁症状、焦虑症状和自我评估的健康），分别使用流行病学研究抑郁量表（CES-D）、状态-特质焦虑量表（STAI）和自我报告的心理健康（SRMH）进行测量。此外，还使用简化应对方式量表（SCSS）评估参与者如何应对负面情绪。
在完成调查的 13000 名大学生中，共有 12124 名学生纳入最终分析，总有效率为 93.3%。抑郁症状和焦虑症状的发生率分别为 14.1%和 9.8%。采用多因素逻辑回归分析，发现男性和消极应对是抑郁症状和焦虑症状的危险因素，而积极应对，如学习，是保护因素。此外，线性回归分析表明，学习或研究通过改善焦虑或抑郁症状提高了整体心理健康指数，发挥了部分中介作用。
这些发现表明，在封闭学校期间，相当一部分大学生，尤其是男生，会经历情绪问题。因此，我们需要给予他们适当的关注，并建议他们采取积极的应对策略，如学习或研究，以抵抗不良情绪。
