Psychological Outcomes and Associated Factors Among the International Students Living in China During the COVID-19 Pandemic.

Psychological Outcomes and Associated Factors Among the International Students Living in China During the COVID-19 Pandemic.
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COVID-19大流行期间居住在中国的国际学生的心理结果及相关因素

DOI:
10.3389/fpsyt.2021.707342
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发表时间:
2021
影响因子:
4.7
通讯作者:
Xu Y
Xu Y
中科院分区:
医学3区
文献类型:
--
作者:
Alam MD;Lu J;Ni L;Hu S;Xu Y

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背景资料:2019冠状病毒病(COVID-19)的出现给生活在中国的国际学生带来了严重的心理健康问题。尽管有关国际学生心理影响的信息很少,但我们旨在评估COVID-19大流行期间目前居住在中国的国际学生的心理结果和相关因素。研究方法:本研究于2020年5月28日至2020年6月12日对中国26个省份的402名全日制国际学生进行了在线横断面调查。分别使用英文版抑郁焦虑压力量表(DASS-21)、抑郁严重程度指数(ISI)、凯斯勒心理困扰量表(K6)、加州大学洛杉矶分校孤独量表(UCLA-LS)和对COVID-19的恐惧量表(FCV-19 S)评估抑郁、焦虑、压力、失眠、心理困扰、孤独和恐惧症状的频率。结果如下:显示了在COVID-19大流行期间国际学生中抑郁(73.4%)、焦虑(76.6%)、压力(58.5%)、失眠(77.6%)、心理困扰(71.4%)、孤独(62.4%)和恐惧(73.1%)症状的患病率。所有心理结果的中度至极重度症状的患病率与26-30岁的学生、与室友住在一起的学生和在中国居住时间少于2年的学生显著相关。中部地区的参与者报告了除恐惧症状外的所有心理结果的中度至极重度症状水平。单因素分析表明,在26-30岁的学生和在中国居住时间短于2年的学生中,所有心理结果都有显着关联。多因素分析显示,工程、商业、社会科学和法律以及语言学生与抑郁、焦虑、失眠和恐惧症状显著相关。在中国居住时间少于2年的参与者,除了心理困扰和孤独症状外,所有心理后果的风险都较高。结论:我们发现,在COVID-19大流行期间,国际学生的心理结果和风险因素发生率较高。我们立即呼吁大学当局、心理健康专业人员和政府官员为他们的国际学生提供心理健康干预和策略,特别是年轻的中部地区学生,与室友住在一起,不同的学习背景,以及在大流行期间停留时间短。
Background: The emergence of coronavirus disease 2019 (COVID-19) has created a severe mental health problem for international students living in China. Despite the little information on the psychological impact on international students, we aimed to assess the psychological outcomes and associated factors among international students currently living in China during the COVID-19 pandemic. Methods: An online cross-sectional survey was conducted from May 28, 2020 to June 12, 2020 on 402 full-time international students across 26 provinces in China. The frequency of symptoms of depression, anxiety, stress, insomnia, psychological distress, loneliness, and fear was assessed with the English versions of the Depression Anxiety Stress Scale (DASS-21), Insomnia Severity Index (ISI), Kessler Psychological Distress Scale (K6), University of California, Los Angeles, Loneliness Scale (UCLA-LS), and Fear of COVID-19 scale (FCV-19S) scales, respectively. Results: The prevalence of symptoms of depression (73.4%), anxiety (76.6%), stress (58.5%), insomnia (77.6%), psychological distress (71.4%), loneliness (62.4%), and fear (73.1%) among international students during the COVID-19 pandemic was shown. The prevalence of moderate to extremely severe symptoms of all psychological outcomes was significantly associated with 26–30-year-old students, students who lived with roommates, and students who stayed in China shorter than 2 years. Participants in the central region reported significantly moderate to extremely severe symptom levels of all the psychological outcomes except fear symptoms. Univariate analysis indicated that a significant association of all psychological outcomes was found among 26–30-year-old students and students who stayed in China shorter than 2 years. Multivariate analysis showed that Engineering, Business, Social Sciences and Law, and Language students were significantly associated with the symptoms of depression, anxiety, insomnia, and fear. Participants staying in China for shorter than 2 years were associated with a higher risk of all psychological outcomes except psychological distress and loneliness symptoms. Conclusions: We found a higher prevalence of psychological outcomes and risk factors among international students during the COVID-19 pandemic. We immediately appealed to university authorities, mental health professionals, and government officials to provide mental health interventions and strategies for their international students, particularly young, central region students, living with roommates, different study backgrounds, and short time staying during the pandemic.
DOI: 10.1056/nejmoa2001316
发表时间: 2020-03-26
影响因子: 158.5
作者:
Li, Qun;Guan, Xuhua;Feng, Zijian
通讯作者: Feng, Zijian
DOI: 10.1016/j.psychres.2020.112934
发表时间: 2020-05-01
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