Well-Being and Mental Health of Students during the COVID-19 Pandemic

Well-Being and Mental Health of Students during the COVID-19 Pandemic
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DOI:
10.1159/000519366
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发表时间:
2021-09-24
期刊:
影响因子:
3.6
通讯作者:
Herpertz, Sabine C.
Herpertz, Sabine C.
中科院分区:
医学3区
文献类型:
--
作者:
Holm-Hadulla, Rainer M.;Klimov, Margaritha;Herpertz, Sabine C.

文献摘要

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背景资料:在COVID-19大流行期间,医疗和心理治疗实践、咨询中心和诊所的幸福感下降,心理健康问题增加。根据以前的研究,年轻人和妇女似乎特别受影响。本研究的目的是描述学生的心理健康问题,并得出进一步处理流行病和其他危机的后果。方法:海德堡大学是一所典型的德国“完整大学”,该校的学生使用国际可比的筛选工具,如幸福指数(WHO-5)和患者健康问卷(PHQ)进行了在线调查。此外,学生们有机会以叙述的形式描述他们的幸福,并提出如何改善他们的处境的建议。结果:在通过电子邮件联系的27,162名学生中,有2,137名学生完成了问卷调查。根据WHO-5幸福指数,72.2%的受访者感到他们的幸福感严重受损。这与PHQ-D中75.8%的受访者显示出至少一种综合征诊断的迹象相对应。在PHQ-D中,41.8%的受访者患有抑郁症。中度至重度和重度抑郁综合征的指征出现在31.8%。25.4%的患者有躯体形式综合征症状,20.0%的患者有焦虑症状。1,089名学生叙述了他们的感受,并提出了改进建议。约75%的人报告幸福感严重下降。他们的主要抱怨是孤独和抑郁,以及对他们在大流行期间的特殊学习和生活状况缺乏认识。到目前为止,最大比例的学生认为他们的心理健康问题是由与流行病有关的社会接触限制引起和/或加剧的。他们中的绝大多数人提出了有控制地放宽接触限制的合理建议。结论:大学生受到严重的流行病相关的社会限制。对于未来大流行病爆发或其他导致社会隔离的危机,应考虑到社会封锁的严重后果。在大流行的情况下,我们尤其应该支持缺乏社交网络的人。
Background: During the COVID-19 pandemic, a decrease in well-being and an increase in mental health problems were registered in medical and psychotherapeutic practices, counseling centers, and clinics. According to previous studies, younger people and women seemed to be particularly affected. The aim of this study was to describe mental health problems of students and to draw consequences for the further handling of pandemics and other crises. Method: Students at the University of Heidelberg, a typical German "full university," were surveyed online using internationally comparable screening instruments like the Well-Being Index (WHO-5) and the Patient Health Questionnaire (PHQ). In addition, the students had the opportunity to describe in a narrative form their well-being and to make suggestions how to improve their situation. Results: Out of a population of 27,162 students who were contacted by email, 2,137 students completed the questionnaire. The salient finding is that according to the WHO-5 Well-Being Index, 72.2% of the respondents feel seriously impaired in their well-being. This corresponds to the finding that 75.8% of the respondents in the PHQ-D show indications of at least one syndrome diagnosis. Depression was found in 41.8% of the respondents in the PHQ-D. Indications of moderate to severe and severe depressive syndromes were present in 31.8%. Signs of somatoform syndromes are found in 25.4% and of anxiety syndromes in 20.0%. 1,089 students gave narrative reports on how they were feeling and made suggestions for improvement. About 75% reported severely reduced well-being. Their main complaints were loneliness and depression and lack of recognition for their specific academic and life situation during the pandemic. By far, the largest proportion of students supposed that their mental health issues were caused and/or intensified by the pandemic-related social contact restrictions. The vast majority of them made reasonable suggestions for controlled relaxation of contact restrictions. Conclusions: Students suffer severely from the pandemic-related social restriction. In respect to future pandemic outbreaks or other crises leading to social isolation, the dramatic consequences of social lockdowns should be taken into account. Under pandemic conditions, we especially should support persons lacking social networks.