scholarly journals Prevalence and correlates of depression and anxiety among Chinese international students in US colleges during the COVID-19 pandemic: a cross-sectional study

2022 ◽  
Author(s):  
Chenyang Lin ◽  
Yuxin Tong ◽  
Yaying Bai ◽  
Zixi Zhao ◽  
Wenxiang Quan ◽  
...  
Keyword(s):  
Social Support ◽  
International Students ◽  
Sleep Quality ◽  
Associated Factors ◽  
Rating Scale ◽  
Psychological Support ◽  
Chinese International Students ◽  
Depression And Anxiety ◽  
Prevalence Of Depression ◽  
Remote Learning

Previous studies showed that the COVID-19 outbreak increased the levels of depression and anxiety in heterogeneous populations. This study examines the prevalence of depression and anxiety among Chinese international students enrolled in US universities during the COVID-19 pandemic and identifies the associated factors, including habits, social and psychological support, sleep quality, and remote learning. Participants were recruited with snowball sampling through 21 Chinese international student associations in US universities. The survey consisted of demographic questions, the Social Support Rating Scale (SSRS), the Insomnia Severity Index (ISI), the Patient Health Questionnaire-9 (PHQ-9), the General Anxiety Disorder-7 (GAD-7), and self-constructed questions on academic performance, financial concerns, use of social media, physical exercise, and psychological support. Cut-off scores of 10 were used for both PHQ-9 and GAD-7 to determine the binary outcomes of depression and anxiety, respectively. Bivariant analyses and multivariable logistic regression analyses were performed to identify the associated factors. Among 1881 participants, we found a prevalence of depression at 24.5% and that of anxiety at 20.7%. Multiple correlates—including recent exposure to traumatic event(s), pandemic-related financial concerns, workload, social support, remote learning, willingness to seek professional help, and sleep quality—were identified. It is critical for future studies to further investigate this student population and for universities to provide more flexible learning options and more access to psychological services.

Psychopathology and Perceived Discrimination Among Chinese International Students One Year into COVID-19: A Preregistered Comparative Study

2021 ◽  
Author(s):  
Kaiwen Bi ◽  
Desmond Yeoh ◽  
Qiwenjing Jiang ◽  
Margaux Nicole Agnes Wienk ◽  
Shuquan Chen
Keyword(s):  
Social Support ◽  
Online Learning ◽  
International Students ◽  
Minority Stress ◽  
Perceived Discrimination ◽  
Chinese International Students ◽  
Self Report ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
The Impact

Background and Objectives: During the COVID-19 pandemic, Chinese international students(CISs) experienced increased depression and anxiety associated with a combination of unique and universal COVID-19-related stressors. Among these factors, discrimination against Chinese is especially alarming. Therefore, studying correlates of distress including the association between discrimination and distress and factors intensifying or attenuating this link has important implications.Design: We adopted a cross-sectional self-report design.Methods: Our study compared depression and anxiety between CISs (N = 381) and Chinese students in Chinese colleges (CSCCs; N = 306) and examined correlates of distress and, in particular, the association between perceived discrimination and distress as well as moderators on this link within CISs.Results: Compared to CSCCs, CISs reported greater depression and anxiety. Depression was associated with being female, older, non-heterosexual, discrimination, coping inflexibility, low social support, and low satisfaction with online learning. Anxiety was associated with being female, older, heterosexual, discrimination, coping inflexibility, low social support, and low satisfaction with online learning. High perceived social support and being heterosexual weakened the association between discrimination and distress (anxiety and depression). Conclusions: Our study underscored the impact of the pandemic and related discrimination on CISs and highlighted individual differences that may warrant attention.Keywords: COVID-19, Chinese international students, psychopathology, perceived discrimination, intersectionality, minority stress

Prevalence of mental health issues and associated risk factors among Chinese international students in US colleges during the COVID-19 pandemic: a cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Chenyang Lin ◽  
Yuxin Tong ◽  
Yaying Bai ◽  
Zixi Zhao ◽  
Wenxiang Quan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
International Students ◽  
Multivariate Logistic Regression Analysis ◽  
Chinese International Students ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Us ◽  
Prevalence Of Depression ◽  
Associated Risk Factors

BACKGROUND Previous studies have shown that COVID-19 increased the prevalence of depression and anxiety among various populations. However, few have explored the mental health issues of Chinese international students in the US and the risk factors involved. OBJECTIVE his study examines the prevalence of anxiety and depression among Chinese international students enrolled in US universities during the COVID-19 pandemic and identifies the risk factors pertaining to changes in lifestyle, social support, sleep quality, and the virtual instruction mode to this student population. METHODS This study was conducted via an online cross-sectional questionnaire distributed through snowball sampling. The questions of the survey included demographic information, self-constructed questions on academic performance, financial concerns, use of social media, exercise, and psychological support, the Social Support Rating Scale (SSRS), the Insomnia Severity Index (ISI), the Patient Health Questionnaire-9 for depression (PHQ-9), and the General Anxiety Disorder-7 (GAD-7) for anxiety. Univariate analyses and multivariate logistic regression analysis were performed to identify the associated risk factors. RESULTS From the 1881 participants, this study found a general prevalence of depression (PHQ-9 score⩾ 5) at 48.6% and that of anxiety (GAD-7⩾ 5) at 43.0% among Chinese international students in the US during the late COVID pandemic period. Multivariate logistic regression analysis showed that recent traumatic event(s), having friend(s) as tuition source(s), agreeing with and strongly agreeing with the pandemic’s impacts on financial status, a little workload, medium workload, a lot of workload, and higher ISI scores to be a associated with an increased risk of depression, while being a PhD student, more sources of emotional support, and higher SSRI scores were associated a lower risk of depression. Additionally, having friend(s) as tuition source(s), a little workload, often staying up for online courses, strongly agreeing with remote learning’s negative impacts on personal relationships, and higher ISI scores were associated with an increased risk of anxiety, while higher SSRI scores and older ages were associated with a lower risk of anxiety. CONCLUSIONS This study showed a high prevalence of depression and anxiety among Chinese international students in the US. Multiple risk factors pertaining to financial concerns, workload, social support, and sleep quality were identified. It is important for future studies to further investigate this student population and for schools to make adjustments to better accommodate their psychological needs.

scholarly journals Sleep quality and associated factors during the COVID-19 epidemic among community non-medical anti-epidemic Workers of Wuhan, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guanglin Si ◽  
Yi Xu ◽  
Mengying Li ◽  
Yuting Zhang ◽  
Shuzhen Peng ◽  
...  
Keyword(s):  
Social Support ◽  
Sleep Quality ◽  
Perceived Stress ◽  
Associated Factors ◽  
Perceived Social Support ◽  
Educational Background ◽  
Physical Symptoms ◽  
Poor Sleep ◽  
Poor Sleep Quality

Abstract Background Since the outbreak of Coronavirus Disease 2019 (COVID-19) in December 2019, community non-medical anti-epidemic workers have played an important role in the prevention of COVID-19 in China. The present study aimed to assess sleep quality and its associated factors among community non-medical anti-epidemic workers. Method A survey was conducted using anonymous online questionnaire to collect information from 16 March 2020 to 24 March 2020. A total of 474 participants were included, with a 94.23% completion rate. The questionnaire contained demographic data, physical symptoms, and contact history with COVID-19. The researchers assessed perceived social support by the Multidimensional Scale of Perceived Social Support (MSPSS), assessed perceived stress by the Perceived Stress Scale (PSS), and measured sleep quality by the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Results Among the participants, 46.20% reported poor sleep quality. A binary logistic regression revealed that having educational background of junior college or above, being a member of the police force, having contacted individuals with confirmed or suspected COVID-19 infection, having chronic disease(s), having illness within 2 weeks, and having high or moderate perceived stress were significant factors associated with an increased risk of poor sleep quality. Conclusion Demographic factors, physical symptoms, history of contact with COVID-19, and perceived stress are significantly associated with poor sleep quality of community non-medical anti-epidemic workers. Thus, targeting these factors might be helpful in enhancing sleep quality of community workers.

Depression and Anxiety in Patients with Chronic Renal Failure Undergoing Hemodialysis

2021 ◽  
Author(s):  
Elham Shahraki ◽  
Mansoor Shakiba ◽  
Seyedeh Yasaman Ghasemi-Aliabadi
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Depression And Anxiety ◽  
Mild Depression ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
High Level

Background: Chronic renal failure is a disabling condition with multiple complication such as depression and anxiety; they are common in hemodialysis patients and have negatively effect on quality of life. In this study we investigate the prevalence of depression and anxiety in Zahedan hemodialysis patients. Methods: A total 200 patients undergoing regular hemodialysis for more than six months included in this descriptive cross-sectional study. After consent The Hamilton Rating Scale for Depression and anxiety (HAM-D7) in a version translated into and adapted to Persian, were used. Results: The patients median age was (43.06 ± 16.11) years and 38.5% was male. Mild depression was observed in (15) 7.5%, moderate in (81) 40.5% and sever depression in (104) 52% of patients. In this study 19.5% (39) of patients has moderate anxiety and 80.5% (161) patients with sever anxiety. A significant correlation was found between duration of dialysis, older age and depression. But there wasn’t any relationship between age and duration of dialysis with anxiety. Anxiety and depression found without any significant differences in both males and females. Conclusion: We found high level of depression an anxiety in Zahedan hemodialysis patients.

scholarly journals Prevalence and Associated Factors of Depression among Orphan Adolescents in Addis Ababa, Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Mekdes Beze Demoze ◽  
Dessie Abebaw Angaw ◽  
Haregwoin Mulat
Keyword(s):  
Social Support ◽  
Length Of Stay ◽  
Associated Factors ◽  
Adolescent Depression ◽  
Perceived Social Support ◽  
Addis Ababa ◽  
Depression Scale ◽  
P Value ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background. Orphan adolescents are a special group of people who are generally deprived and prone to develop psychiatric disorder even if reared in a well-run institution. Objective. To assess the prevalence and associated factors of depression among orphan adolescents living in Addis Ababa orphan centers, Addis Ababa, Ethiopia. Method. A cross-sectional study was conducted in 2016 among 453 orphan adolescents in Ethiopia. All orphan adolescents who were living in the selected orphan centers were included in the study. The data was collected by interviewing the orphan adolescents at the orphan center by using a structured questionnaire. Kocher adolescent depression scale and MSPSS scale were used to measure orphan level of depression and their perceived social support. After appropriate coding, the collected data had been entered into EPI info version 7 and it was exported to SPSS version 20 for further analysis. The OR with 95% CI was used to measure association and p value < 0.05 was used as statistically significant value in multivariable binary logistic regressions. Result. The overall prevalence of depression among the orphan adolescents was found to be 36.4%. The majority of the respondents, 302 (66.7%), were within the age range of 15-19 years. Perceived social support (OR 5.86; 95% CI 3.47, 9.91), community discrimination (OR 2.68; 95% CI 1.58, 4.56), length of stay (OR 1.90; 95% CI 1.08, 3.35), age of entrance (OR 2.21; 95% CI 1.32, 3.69), and presence of visitors (OR 3.62; 95% CI 2.06, 6.37) were the main variables associated with depression. Conclusion. The prevalence of depression among orphan adolescents was found to be high. Low level of social support, higher length of stay, community discrimination, the presence of visitors, and younger age of entrance were statistically significant variables to develop depression.

scholarly journals Factors Associated with Sleep Disorders among Methadone-Maintained Drug Users in Vietnam

2019 ◽  
Vol 16 (22) ◽  
pp. 4315 ◽  
Author(s):  
Tuan Anh Le ◽  
Anh Duc Dang ◽  
An Ha Thi Tran ◽  
Long Hoang Nguyen ◽  
Trang Huyen Thi Nguyen ◽  
...  
Keyword(s):  
Social Support ◽  
Sleep Quality ◽  
Associated Factors ◽  
Drug Users ◽  
Methadone Maintenance ◽  
Poor Sleep ◽  
Linear Regression Models ◽  
Poor Sleep Quality ◽  
Cross Sectional

Sleep quality among heroin-dependent patients receiving methadone maintenance treatment (MMT) is not fully investigated in Vietnam. This study explored the prevalence of poor sleep quality in methadone-maintained patients and associated factors. This cross-sectional included 395 MMT patients at three clinics in Nam Dinh province, Vietnam. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure patients’ sleep quality. Sociodemographic, clinical, behavioral, psychological, and social support characteristics were collected. Multivariate Logistic and Generalized Linear Regression models were applied to identify associated factors. Among 395 patients, 26.6% had poor sleep quality according to the PSQI scale. People having jobs were less likely to have poor sleep quality and lower PSQI scores compared to unemployed patients. Those having spouses had lower PSQI scores than single patients. High depression, anxiety, and stress scores were associated with poor sleep quality and high PSQI scores. A longer duration of MMT increased the likelihood of experiencing poor sleep quality. Patients smoking tobacco daily or concurrently using drugs had lower PSQI scores than those that did not. This study highlights a moderate prevalence of poor sleep quality among Vietnamese MMT patients. Regular evaluation, appropriate psychological management, and social support, as well as the provision of employment opportunities, potentially improve the sleep quality of methadone-maintained patients.

Social Support and Acculturation in Chinese International Students

2014 ◽  
Vol 42 (2) ◽  
pp. 107-124 ◽  
Author(s):  
David M. Bertram ◽  
Mixalis Poulakis ◽  
Betsy Shaw Elsasser ◽  
Ekta Kumar
Keyword(s):  
Social Support ◽  
International Students ◽  
Chinese International Students

scholarly journals Factors Associated with Suicidal Ideation, and Attempt Among Cancer Patients in Ayder Comprehensive Specialized Hospital: Cross-Sectional, Mekelle, Ethiopia

2020 ◽  
Vol 13 (1) ◽  
pp. 365-372
Author(s):  
Tesfalem Araya ◽  
Weyni Gidey
Keyword(s):  
Social Support ◽  
Suicidal Ideation ◽  
Cancer Patients ◽  
Associated Factors ◽  
Performance Status ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Factors Associated ◽  
Specialized Hospital ◽  
The World

Background: Cancer patients are at high risk for suicide, particularly, when they are informed about the cancer diagnosis. However, there is a limited study in Ethiopia therefore, assessing suicidal ideation, attempt, and its associated factors are needed for intervention. Methods: An institutional-based cross-sectional study was conducted from March to June 2019 at Ayder comprehensive specialized hospital with a total of 297 participants. Suicide module of the World Mental Health (WMH) survey initiative version adopted from the World Health Organization (WHO) and used to assess suicidal ideation and attempt. Binary logistic regression analysis employed to identify factors associated with suicidal ideation and attempt. Odds ratio with 95% CI and P-value <0.05 was applied to identify significantly associated factors. Results: The lifetime prevalence of suicidal ideation and the attempt was found to be 27.9% [95%CI (22.3, 31.6)] and 8.4% [95%CI (5.2, 10.3)] respectively. Being female [AOR= 2.23, 95%CI (1.27, 3.92)], stage IV cancer [AOR=2.08, 95%CI(1.47, 3.81)], having depression and anxiety [AOR=2.31, 95%CI(1.24,4.32)], poor social support [AOR=3.70, 95%CI(2.01,6.78)], and level 4 performance status [AOR=3.73, 95%CI(1.71, 8.13)] were the factors associated with lifetime suicidal ideation. While being in level 4, performance status was also significantly associated with suicidal attempt. Conclusion: Both suicidal ideation and attempt among cancer patients are high. The suicidal ideation had a statistical association with sex, stage of cancer, having depression and anxiety, social support, and level of performance. Therefore, health education for early screening and treatment for depression and anxiety, and giving social support are crucial for the reduction of suicide.

scholarly journals Depression, anxiety, and associated factors in patients with diabetes: evidence from the Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study

2020 ◽  
Author(s):  
Mohammad Farris Iman Leong Bin Abdullah ◽  
Sy-Cherng Luke Woon ◽  
Hatta Sidi ◽  
Arun Ravindran ◽  
Paula Junggar Gosse ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Personality Traits ◽  
Associated Factors ◽  
Diabetic Patients ◽  
Depression And Anxiety ◽  
Prevalence Of Depression ◽  
Patients With Diabetes ◽  
Health Related Qol ◽  
Health Related ◽  
Anxiety Depression

Abstract Background Depression and anxiety are common psychiatric complications affecting patients with diabetes mellitus. However, data on the prevalence of depression, anxiety, and associated factors among Malaysian diabetic patients is scarce. The Anxiety, Depression, and Personality Traits in Diabetes Mellitus (ADAPT-DM) study aimed to determine the prevalence of depression and anxiety, and their associated factors in the Malaysian diabetic population. Methods This cross-sectional study recruited 300 diabetic patients via convenience sampling from the Endocrine outpatient clinic of Universiti Kebangsaan Malaysia Medical Centre, a tertiary referral healthcare facility in Kuala Lumpur. Socio-demographic characteristics and clinical history were obtained from each participant. The Generalised Anxiety Disorder-7 (GAD-7) was administered to assess anxiety symptoms, the Beck Depression Inventory (BDI) to assess depressive symptoms, the Big Five Inventory (BFI) to evaluate personality traits, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) to measure quality of life (QOL). Multivariate logistic regression analyses were performed to determine the association between various factors, and depression and anxiety. Results The prevalence of depression was 20% (n = 60) while anxiety was 9% (n = 27). Co-morbid depression (adjusted OR = 24.91, 95% CI = 5.67–109.42, p < 0.001), neuroticism (adjusted OR = 9.24, 95% CI = 2.03–42.03, p = 0.004), and greater physical health-related QOL (adjusted OR = 1.67, 95% CI = 1.07–2.59, p = 0.024) increased the odds of developing anxiety, while psychological QOL (adjusted OR = 0.41, 95% CI = 0.21–0.79, p = 0.008) was protective. Co-morbid anxiety (adjusted OR = 20.06, 95% CI = 4.70–85.57, p < 0.001) increased the odds of depression, while older age (adjusted OR = 0.96, 95% CI = 0.92–0.99, p = 0.012), regular religious practice (adjusted OR= 0.08, 95% CI= 0.01-0.56, p= 0.011) and physical health-related QOL (adjusted OR = 0.72, 95% CI = 0.59–0.89, p = 0.002) were protective. Conclusions The study findings signify the need to screen for co-morbid depression and anxiety, as well as personality traits and QOL, and to include psychosocial interventions when planning a multidisciplinary approach to managing diabetes.

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