College Mental Health Before and During the COVID-19 Pandemic: Results From a Nationwide Survey.

College Mental Health Before and During the COVID-19 Pandemic: Results From a Nationwide Survey.
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DOI:
10.1007/s10608-021-10241-5
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发表时间:
2022
影响因子:
2.8
通讯作者:
Newman MG
Newman MG
中科院分区:
心理学3区
文献类型:
--
作者:
Kim H;Rackoff GN;Fitzsimmons-Craft EE;Shin KE;Zainal NH;Schwob JT;Eisenberg D;Wilfley DE;Taylor CB;Newman MG

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新冠肺炎疫情可能会影响大学生的心理健康。我们检查了大流行之前和期间的心理障碍筛查率。在大流行之前(n = 3643)或期间(n = 4970)对大学生进行了调查。对参与者人口统计学进行Logistic回归调整。抑郁症[OR 1.32, 95% CI(1.17, 1.48)]、酒精使用障碍[OR 1.70, 95% CI(1.50, 1.93)]、神经性贪食/暴饮暴食障碍[OR 1.54, 95% CI(1.28, 1.85)]和合并症[OR 1.19, 95% CI(1.04, 1.35)]的发生率在大流行期间(与大流行前相比)更高。大流行期间创伤后应激障碍的发生率较低[OR 0.86, 95% CI(0.75, 0.98)]。女性酒精使用障碍的上升趋势强于男性[OR 1.47, 95% CI(1.18, 1.83)]。黑人学生抑郁的上升趋势强于白人学生[OR 1.72, 95% CI(1.19, 2.49)]。焦虑障碍、失眠、神经性厌食症和自杀没有明显的趋势。抑郁症、酒精使用障碍、神经性贪食症/暴食症和合并症较高,而创伤后应激障碍在大流行期间较低。在大流行期间,女性和黑人学生分别面临酒精使用障碍和抑郁症的风险尤其高。
The COVID-19 pandemic could affect college students’ mental health. We examined screening rates for psychological disorders before and during the pandemic. Undergraduates were surveyed before (n = 3643) or during the pandemic (n = 4970). Logistic regression adjusting for participant demographics was conducted. Frequencies of depression [OR 1.32, 95% CI (1.17, 1.48)], alcohol use disorder [OR 1.70, 95% CI (1.50, 1.93)], bulimia nervosa/binge-eating disorder [OR 1.54, 95% CI (1.28, 1.85)], and comorbidity [OR 1.19, 95% CI (1.04, 1.35)] were greater during (vs. before) the pandemic. Frequencies of posttraumatic stress disorder were lower during the pandemic [OR 0.86, 95% CI (0.75, 0.98)]. The upward trend in alcohol use disorder was stronger among women than men [OR 1.47, 95% CI (1.18, 1.83)]. The upward trend in depression was stronger among Black students than White students [OR 1.72, 95% CI (1.19, 2.49)]. Anxiety disorders, insomnia, anorexia nervosa, and suicidality showed no significant trends. Depression, alcohol use disorder, bulimia nervosa/binge-eating disorder, and comorbidity were higher, whereas posttraumatic stress disorder was lower during the pandemic. Women and Black students could face especially heightened risk for alcohol use disorder and depression, respectively, during the pandemic.
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