Factors influencing depression and mental distress related to COVID-19 among university students in China: Online cross-sectional mediation study
Publication in refereed journal

替代計量分析
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其它資訊
摘要Background:
The COVID-19 epidemic may elevate mental distress and depressive symptoms in various populations in China.

Objective: This study investigates the levels of depression and mental distress due to COVID-19, and the associations between cognitive, behavioral, and psychosocial factors, and depression and mental distress due to COVID-19 among university students in China.

Methods:
A large-scale online cross-sectional study (16 cities in 13 provinces) was conducted among university students from
February 1 to 10, 2020, in China; 23,863 valid questionnaires were returned. The Patient Health Questionnaire-9 was used to assess depression. Structural equation modeling was performed to test mediation and suppression effects.

Results:
Of the 23,863 participants, 47.1% (n=11,235) reported high or very high levels of one or more types of mental distress due to COVID-19; 39.1% (n=9326) showed mild to severe depression. Mental distress due to COVID-19 was positively associated with depression. All but one factor (perceived infection risks, perceived chance of controlling the epidemic, staying at home, contacted people from Wuhan, and perceived discrimination) were significantly associated with mental distress due to COVID-19 and depression. Mental distress due to COVID-19 partially mediated and suppressed the associations between some of the studied factors and depression (effect size of 6.0%-79.5%).

Conclusions:
Both mental distress due to COVID-19 and depression were prevalent among university students in China; the
former may have increased the prevalence of the latter. The studied cognitive, behavioral, and psychosocial factors related to COVID-19 may directly or indirectly (via mental distress due to COVID-19) affect depression. Interventions to modify such factors may reduce mental distress and depressive symptoms during the COVID-19 epidemic.
著者Yu YQ, She R, Luo ST, Xin MQ, Li L, Wang S, Ma L, Tao F, Zhang J, Zhao J, Li L, Hu D, Zhang G, Gu J, Lin D, Wang H, Cai Y, Wang Z, You H, Hu G, Lau JTF
期刊名稱JMIR Mental Health
出版年份2021
月份2
卷號8
期次2
文章號碼e22705
頁次1 - 16
國際標準期刊號2368-7959
語言英式英語
關鍵詞COVID-19; depression; mental distress; psychological responses; mediation; China; online survey

上次更新時間 2021-21-10 於 00:02