Barbosa Bruna Carolina Rafael, Paula Waléria de, Sales Aline Dayrell Ferreira, Freitas Eulilian Dias de, Chagas Carolina Martins Dos Santos, Oliveira Helian Nunes de, Ferreira Lívia Garcia, Silva Luciana Saraiva da, Vidigal Fernanda de Carvalho, Nobre Luciana Neri, Machado Elaine Leandro, Cardoso Clareci Silva, Meireles Adriana Lúcia
Doctoral Student, Programa de Pós-Graduação em Saúde e Nutrição, Escola de Nutrição, Universidade Federal de Ouro Preto (UFOP), Ouro Preto (MG), Brazil.
Pharmacist; Programa de Pós-graduação em Ciências Farmacêuticas, Escola de Farmácia, Universidade Federal de Ouro Preto (UFOP), Ouro Preto (MG), Brazil.
Sao Paulo Med J. 2025 Aug 29;143(5):e2024299. doi: 10.1590/1516-3180.2024.0299.R1.07032025. eCollection 2025.
Studies assessing the prevalence of mental disorders in the context of remote teaching in Brazil during the coronavirus disease (COVID-19) pandemic are scarce.
To estimate the prevalence of symptoms of anxiety and depression and their relationship with sociodemographic characteristics among university students during the COVID-19 pandemic.
This multicenter cross-sectional study was conducted at eight Brazilian public universities.
This study was conducted on students regularly enrolled in undergraduate courses. Data were collected between October 2021 and February 2022 using an online self-administered questionnaire that addressed sociodemographic and academic characteristics, lifestyle habits, and health conditions. Anxiety and depression symptoms were assessed using the Depression, Anxiety, and Stress Scale-21. The variables were analyzed descriptively using frequency distribution, proportion, 95% confidence interval (95% CI), and Pearson's chi-squared test.
A total of 8,650 students participated, and most of them were women, white, heterosexual, cisgender, and unmarried, with a mean age of 23.9 (standard deviation: ± 6.34) years and living with family members. Symptoms of anxiety and depression were observed in 59.7% (95% CI: 58.7-60.7) and 63.0% (95% CI: 62.0-64.0) of the students, respectively. These symptoms were associated with sex, age, skin color, sexual orientation, gender identity, marital status, education of the head of the family, family income, decrease in income during the pandemic, and area of knowledge.
Most university students showed symptoms of anxiety and depression during the suspension of face-to-face activities in universities, indicating the need for institutional actions and public policies aimed at promoting their health and mental well-being.
在冠状病毒病（COVID-19）大流行期间，评估巴西远程教学背景下精神障碍患病率的研究很少。
估计COVID-19大流行期间大学生焦虑和抑郁症状的患病率及其与社会人口学特征的关系。
这项多中心横断面研究在巴西八所公立大学进行。
本研究针对定期注册本科课程的学生开展。2021年10月至2022年2月期间，使用在线自填问卷收集数据，问卷涉及社会人口学和学术特征、生活方式习惯及健康状况。使用抑郁、焦虑和压力量表-21评估焦虑和抑郁症状。采用频率分布、比例、95%置信区间（95%CI）和Pearson卡方检验对变量进行描述性分析。
共有8650名学生参与，其中大多数为女性、白人、异性恋、顺性别者且未婚，平均年龄23.9岁（标准差：±6.34），与家庭成员同住。分别有59.7%（95%CI：58.7-60.7）和63.0%（95%CI：62.0-64.0）的学生出现焦虑和抑郁症状。这些症状与性别、年龄、肤色、性取向、性别认同、婚姻状况、家庭户主受教育程度、家庭收入、大流行期间收入减少以及知识领域有关。
在大学面对面活动暂停期间，大多数大学生表现出焦虑和抑郁症状，这表明需要采取机构行动和公共政策来促进他们的健康和心理健康。
