Sun Taipeng, Liu Pan, Shan Sulin, Ren Yan, Zhen Zhi, Chen Gang, Jiang Lihua
Huai'an No.3 People's Hospital, Huaian Second Clinical College of Xuzhou Medical University, Huaian, 223001, Jiangsu, China.
Huaiyin Normal College, Huaian, 223001, Jiangsu, China.
BMC Public Health. 2025 Aug 7;25(1):2691. doi: 10.1186/s12889-025-23972-x.
The coronavirus disease 2019 (COVID-19) pandemic has caused increased psychological problems in Group-living people, such as university students. The current epidemic of COVID-19 has become the new normal. The more tailored approach focused on Triggers and key points of emotion regulation may be helpful for the mental health of group-living people.
This study aims to investigate the prevalence of symptoms of Depression, Anxiety, Anhedonia, and Perceived Stress. Further analyses were used to find their risk factors and their inter-relationships.
An online, cross-sectional survey was undertaken with university students from five universities in China by The Depression Anxiety Stress Scales (DASS), Perceived Stress Scale (PSS), and Snaith-Hamilton Pleasure Scale (SHAPS). The Mann-Whitney U test was used to analyze differences between male and female students. Multiple linear regression analysis was applied to examine the related factors of anhedonia. Additionally, multigroup mediation models were used to analyze the relationship between perceived stress, anhedonia, stress, and depression.
A total of 3,568 valid questionnaires were returned, and 814 (22.81%) with mild to moderate depressive symptoms, 114 (3.20%) with severe depressive symptoms; 840 (23.54%) with mild to moderate anxiety, and 235 (6.59%) with severe anxiety; 366 (10.26%) with mild to moderate stress, and 80 (2.24%) with severe stress. Interestingly, the levels of stress, anxiety, and anhedonia were higher in female students than in male students. The Multiple linear regression showed that anhedonia scores were correlated with PSS scores, DASS-depression scores, and females. Perceived Stress plays a negative mediating role between DASS-stress and anhedonia. Furthermore, Perceived Stress also plays a negative mediating role between stress and depression, but this effect was present only in individuals with mild to moderate depression.
The finding of this cross-sectional study suggested that there were high prevalence rates of depression and anxiety symptoms in university students from China during the COVID-19 new normal. Early perceived stress was associated with the progress of depression and anhedonia.
2019年冠状病毒病（COVID-19）大流行导致集体生活人群，如大学生，出现心理问题增多。当前的COVID-19疫情已成为新常态。更具针对性的、聚焦于情绪调节触发因素和关键点的方法可能有助于集体生活人群的心理健康。
本研究旨在调查抑郁、焦虑、快感缺失和感知压力症状的患病率。进一步分析以找出其风险因素及其相互关系。
采用抑郁焦虑压力量表（DASS）、感知压力量表（PSS）和斯奈斯-汉密尔顿快感量表（SHAPS），对中国五所大学的大学生进行在线横断面调查。采用曼-惠特尼U检验分析男女学生之间的差异。应用多元线性回归分析来检验快感缺失的相关因素。此外，使用多组中介模型分析感知压力、快感缺失、压力和抑郁之间的关系。
共回收3568份有效问卷，其中814人（22.81%）有轻度至中度抑郁症状，114人（3.20%）有重度抑郁症状；840人（23.54%）有轻度至中度焦虑，235人（6.59%）有重度焦虑；366人（10.26%）有轻度至中度压力，80人（2.24%）有重度压力。有趣的是，女学生的压力、焦虑和快感缺失水平高于男学生。多元线性回归显示，快感缺失得分与PSS得分、DASS-抑郁得分以及女性相关。感知压力在DASS-压力和快感缺失之间起负向中介作用。此外，感知压力在压力和抑郁之间也起负向中介作用，但这种效应仅在轻度至中度抑郁个体中存在。
这项横断面研究的结果表明，在COVID-19新常态期间，中国大学生中抑郁和焦虑症状的患病率较高。早期感知压力与抑郁和快感缺失的进展有关。
