Depression, anxiety and stress symptoms in Brazilian university students during the COVID-19 pandemic: Predictors and association with life satisfaction, psychological well-being and coping strategies.
Depression, anxiety and stress symptoms in Brazilian university students during the COVID-19 pandemic: Predictors and association with life satisfaction, psychological well-being and coping strategies.
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DOI：
10.1371/journal.pone.0258493
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Nihei OK
中科院分区：
文献类型：
--
作者：
Lopes AR;Nihei OK
2019冠状病毒病大流行引发了人们对世界人口心理健康的担忧。预防疾病的保护措施影响了教育，大学生面临额外的压力源。分析大学生抑郁、焦虑和压力症状及其预测因素，以及与生活满意度、心理健康和应对策略的关系。2020年9月14日至10月19日进行了一项在线横断面研究，涉及巴西巴拉那州5所公立大学校园中33门课程的本科生，使用的问卷包含社会人口统计学、学术、健康和大流行影响变量；抑郁、焦虑和压力量表-21 (DASS-21)；生活满意度量表（SWLS）；心理健康；BriefCOPE。方便样本由1224名18岁或以上的参与者组成，他们完成了所有的研究工具。对收集的数据应用Spearman相关和logistic分析（单因素和多因素）。大学生以抑郁（60.5%）、焦虑（52.5%）、压力（57.5%）为主。抑郁、焦虑和压力均与生活满意度、心理健康各维度和3种适应性应对（积极应对、计划、积极重构）呈负相关；积极应对5种适应不良（行为脱离，否认，自责，自我分心，物质滥用）。此外，有7种常见的抑郁、焦虑和压力症状预测因素：女性；18-24岁；有慢性疾病的；心理健康2个维度（积极人际关系、自我接纳）得分较低；2项适应不良应对（自责、物质使用）得分较高。数据表明，抑郁、焦虑和压力症状非常普遍，并表明，在大流行危机期间，大学生对生活、心理健康维度和适应性应对的满意度得分较高，可能会产生保护作用。
The COVID-19 pandemic raises concerns about the mental health of the world population. Protection measures to prevention the disease impacted education and undergraduate students were exposed to additional stressors. Analyze depression, anxiety and stress symptoms in undergraduates, their respective predictors and the association with satisfaction with life, psychological well-being and coping strategies. An online cross-sectional study was conducted from September 14 to October 19, 2020, involving undergraduate students enrolled in 33 courses from 5 public university campuses in the state of Parana, Brazil, using: questionnaire with sociodemographic, academic, health and pandemic effects variables; Depression, Anxiety and Stress Scale-21 (DASS-21); Satisfaction with Life Scale (SWLS); Psychological Well-Being (PWB); BriefCOPE. The convenience sample was composed of 1,224 participants, with 18 years old or older, that completed all research instruments. Spearman correlation and logistic analysis (univariate and multivariate) were applied to the collected data. Most of the undergraduates presented symptoms of depression (60.5%), anxiety (52.5%) and stress (57.5%). Depression, anxiety and stress presented significant correlations in common: negative with satisfaction with life, all dimensions of psychological well-being, and 3 adaptive copings (active coping, planning, positive reframing); positive with 5 maladaptive copings (behavioral disengagement, denial, self-blame, self-distraction, substance use). In addition, there were 7 common predictors for symptoms of depression, anxiety and stress: female; age 18–24 years old; having a chronic disease; lower scores in 2 dimensions of psychological well-being (positive relations with others, self-acceptance); higher scores in 2 maladaptive copings (self-blame, substance use). The data indicate a high prevalence of symptoms of depression, anxiety and stress, and suggest that higher scores of satisfaction with life, psychological well-being dimensions and adaptive copings may present protective effects in undergraduates during a pandemic crisis.
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