Disentangling depression in Belgian higher education students amidst the first COVID-19 lockdown (April-May 2020).

Disentangling depression in Belgian higher education students amidst the first COVID-19 lockdown (April-May 2020).
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DOI:
10.1186/s13690-020-00522-y
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发表时间:
2021-01-07
期刊:
Archives of public health = Archives belges de sante publique
影响因子:
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通讯作者:
Belgian COVID-19 International Student Well-being Study (C19 ISWS) team
Belgian COVID-19 International Student Well-being Study (C19 ISWS) team
中科院分区:
其他
文献类型:
--
作者:
De Man J;Buffel V;van de Velde S;Bracke P;Van Hal GF;Wouters E;Belgian COVID-19 International Student Well-being Study (C19 ISWS) team

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COVID-19感染的激增促使许多国家采取前所未有的政策措施。在比利时,当局在全国范围内实施了数月的居家令。这些措施对精神健康产生影响的证据很少。布鲁克斯等人最近的一项综述汇编了一份定义的压力源清单,这些压力源在以前的流行病环境中影响了隔离期间人们的心理健康。本研究的目的是测试这些压力源和心理健康的学生参加高等教育期间留在家里的顺序在比利时之间的关联。在这项横断面研究中,来自13所高等教育机构(HEI)的18,301名学生于2020年4月26日至5月11日期间参加了一项在线调查。我们评估了潜在压力源和抑郁症状严重程度评分之间的关联,并使用结构方程模型来评估压力源如何介导暴露持续时间和抑郁症状严重程度之间的关联。布鲁克斯等人提出的压力源被发现与抑郁症状的严重程度有关。压力源“感知的学术压力”,“制度的不满”和“被感染的恐惧”与抑郁症状的严重程度评分显着较高。暴露时间和抑郁症状严重程度之间的关联是由“学术压力”介导的。稳定的关系和与他人住在一起都与较低的抑郁症状严重程度相关。调查结果强调了以学生为中心的方法和心理健康预防的必要性。当局和高等院校应考虑是否以及如何执行居家令。在线版本包含补充材料,可通过10.1186/s13690-020-00522-y获得。
The surge of COVID-19 infections has prompted many countries to take unprecedented policy measures. In Belgium, the authorities implemented a nation-wide stay-at-home order for several months. Evidence of the mental health effect of such measures is scarce. A recent review by Brooks et al. has compiled a defined list of stressors affecting people’s mental health under quarantine during previous epidemic settings. This study aims to test the association between these stressors and the mental health of students attending higher education during the stay-at-home order in Belgium. In this cross-sectional study, 18,301 students from 13 higher education institutions (HEI) participated in an online survey between 26 April and 11 May 2020. We assessed the association between potential stressors and depressive symptoms severity scores and structural equation modeling was used to assess how stressors may mediate the association between duration of exposure and depressive symptoms severity. The stressors proposed by Brooks et al. were found to be associated with depressive symptoms severity. The stressors ‘perceived academic stress’, ‘institutional dissatisfaction’ and ‘fear of being infected’ were associated with substantially higher depressive symptoms severity scores. The association between duration of exposure and depressive symptoms severity was mediated by ‘academic stress’. Being in a steady relationship and living together with others were both associated with a lower depressive symptoms severity. Findings underline the need for a student-centered approach and mental health prevention. Authorities and HEIs should consider whether and if so, how a stay-at-home order should be implemented. The online version contains supplementary material available at 10.1186/s13690-020-00522-y.
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