BACKGROUND
To reduce the spread of Covid-19 the Italian government imposed a rigid lockdown and, for a whole year, it kept declaring stringent rules to curb the community spread. The pandemic had a great negative impact on general population mental health, including the one of university students.
OBJECTIVE
The study provides an overview about symptomatology and help-seeking behavior of university students before and during the Covid-19 pandemic and it aims to evaluate the impact of the different phases of the pandemic on students' mental health.
METHODS
We collected data in four time points: (1) March 2019-February 2020, (2) March-May 2020, (3) October-December 2020, (4) January 2020-March 2021. A total of 454 students have been included in the study. Students answered a socio-demographic questionnaire and a standardized questionnaire to evaluate a broad range of symptoms of psychopathology. Descriptive analyses have been conducted to explore student’s symptomatology and help-seeking behavior. Considering the significant gender-difference distribution between groups, groups comparison analysis has been conducted considering male and female separately.
RESULTS
Considering the total sample size, results suggest that students have experienced moderate to severe levels of depressive, obsessive-compulsive and anxiety symptomatology. About 14% of the sample met criteria for at least one mental health disorders, but most of them were not receiving mental health care. Moreover, during the lockdown, compared with other phases, female students reported worse symptoms in the following dimension: obsessive-compulsive, interpersonal sensitivity, depression, paranoid ideation and psychoticism. The increasing symptomatology quickly disappeared after the lifting of the quarantine. Results showed any difference in the male groups.
CONCLUSIONS
Our findings support the view of a negative mental health condition of university students and indicate an increase of symptomatology during the lockdown among female students. Preventive and support strategies should be improved in the university context.