Institute of Health and Nursing Science, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Human and Health Sciences, Institute of Public Health and Nursing Science (IPP), University of Bremen, Bremen, Germany.
Front Public Health. 2024 Sep 18;12:1459501. doi: 10.3389/fpubh.2024.1459501. eCollection 2024.
Data on the mental health of university students in Germany during the later stages of the pandemic is still limited. This study aimed to determine (1) the prevalence of anxiety and depressive symptoms among university students 1.5 years after the first COVID-19 restrictions and (2) which factors were associated with these outcomes.
The cross-sectional COVID-19 German Student Well-being Study (C19 GSWS) collected data of 6,996 students at five German universities. Associations between anxiety and depressive symptoms with sociodemographic and other factors were analyzed using multivariable logistic regression models.
The mean age of the participants was 23.9 years (SD = 4.8), 67% were female and 31% male. The prevalence for depressive symptoms was 29 and 32% for anxiety. The lack of a trusted person and financial difficulties were associated with anxiety and depressive symptoms. Being worried that someone in one's personal network had become severely ill with COVID-19 and concern about (re)infection with COVID-19 were associated with anxiety symptoms. Those with pre-existing health conditions had an up to 1.98-times higher chance for reporting depressive symptoms (OR, 95% CI: 1.01-3.88) and an up to 2.27-times higher chance for anxiety symptoms, respectively (OR, 95% CI: 1.15-4.46).
Concepts for prevention and counseling to tackle mental health problems in students are needed and programs should take specific stressors in times of crises into account.
关于大流行后期德国大学生心理健康的数据仍然有限。本研究旨在确定：（1）在首次实施 COVID-19 限制措施 1.5 年后，大学生焦虑和抑郁症状的流行率；（2）哪些因素与这些结果相关。
横断面 COVID-19 德国学生健康研究（C19 GSWS）在德国五所大学收集了 6996 名学生的数据。使用多变量逻辑回归模型分析了焦虑和抑郁症状与社会人口学及其他因素之间的关联。
参与者的平均年龄为 23.9 岁（SD=4.8），67%为女性，31%为男性。抑郁症状的患病率为 29%，焦虑症状的患病率为 32%。缺乏可信赖的人以及经济困难与焦虑和抑郁症状相关。担心自己社交网络中的人因 COVID-19 而病重以及担心（再次）感染 COVID-19 与焦虑症状相关。有既往健康状况的人报告抑郁症状的几率高 1.98 倍（OR，95%CI：1.01-3.88），报告焦虑症状的几率高 2.27 倍（OR，95%CI：1.15-4.46）。
需要针对学生心理健康问题的预防和咨询概念，并且方案应考虑危机时期的特定压力源。
