Akeman Elisabeth, Cannon Mallory J, Kirlic Namik, Cosgrove Kelly T, DeVille Danielle C, McDermott Timothy J, White Evan J, Cohen Zsofia P, Forthman K L, Paulus Martin P, Aupperle Robin L
Laureate Institute for Brain Research, Tulsa, OK, United States.
School of Community Medicine, The University of Tulsa, Tulsa, OK, United States.
Front Psychol. 2022 Aug 1;13:926697. doi: 10.3389/fpsyg.2022.926697. eCollection 2022.
To further delineate risk and resilience factors contributing to trajectories of mental health symptoms experienced by college students through the pandemic.
= 183 college students (67.2% female).
Linear mixed models examined time effects on depression and anxiety. Propensity-matched subgroups exhibiting "increased" versus "low and stable" depression symptoms from before to after the pandemic-onset were compared on pre-pandemic demographic and psychological factors and COVID-related experiences and coping strategies.
Students experienced worsening of mental health symptoms throughout the pandemic, particularly during Fall 2020 compared with Fall 2019 (Depression scale = -0.43 [95% CI: -0.65 to -0.21]). The propensity-matched subgroup exhibiting relative resilience ("low and stable" symptoms) reported less alcohol use prior to the pandemic, greater use of active coping strategies, and less of an impact on their college progress.
Results point to several potential targets of screening and intervention to decrease residual impacts of the pandemic.
进一步明确在疫情期间影响大学生心理健康症状轨迹的风险因素和恢复力因素。
183名大学生（67.2%为女性）。
采用线性混合模型研究时间对抑郁和焦虑的影响。对在疫情开始前后表现出“症状增加”与“症状低且稳定”的倾向匹配亚组，就疫情前的人口统计学和心理因素、与新冠相关的经历及应对策略进行比较。
在整个疫情期间，学生的心理健康症状恶化，尤其是与2019年秋季相比，2020年秋季更为严重（抑郁量表=-0.43[95%置信区间：-0.65至-0.21]）。表现出相对恢复力（“症状低且稳定”）的倾向匹配亚组报告称，在疫情前饮酒较少，更多地使用积极应对策略，且对其大学学业的影响较小。
研究结果指出了几个筛查和干预的潜在目标，以减少疫情的残余影响。
