Mental Health, Social and Emotional Well-Being, and Perceived Burdens of University Students During COVID-19 Pandemic Lockdown in Germany

Background: The COVID-19 pandemic has been affecting everyone's daily life in unknown measures since its outbreak. Nearly all Universities around the globe were affected. Further, young people and University students in particular, are known to be vulnerable for developing mental disorders. This study aims to examine the mental health social and emotional well-being and perceived burdens of University students during COVID-19 pandemic lockdown in Germany.Materials and Methods: This cross-sectional and anonymous online survey among University students assessed mental health status with standardized measures (depressive symptoms, alcohol and drug consumption, and eating disorder symptoms), attitudes toward the COVID-19 pandemic and perceived burdens, and social and emotional aspects of the pandemic (social support, perceived stress, loneliness, and self-efficacy).Results: In total, N = 3,382 German University students participated. Nearly half of the students (49%) reported that they are worried or very much worried about the COVID-19 pandemic. The majority supports the governmental lockdown measures (85%). A Patient Health Questionnaire-9 (PHQ-9) sum score of 10 or above, indicating clinically relevant depressive symptoms, was reported by 37% (n = 1,249). The PHQ-9 sum score was on average 8.66 (SD = 5.46). Suicidal thoughts were indicated by 14.5% of the participants. Levels of depressive symptoms differed significantly for the different self-rated income changes during the pandemic (increase, decrease, no change in income). Further, levels of depressive symptoms and suicidal ideation differed significantly for students from different faculties. Multiple regression analyses revealed that not being a parent, having no indirect social contact one or two times a week, higher perceived stress, higher experienced loneliness, lower social support, and lower self-efficacy significantly predicted higher scores of depressive symptoms, also higher hazardous alcohol use, and higher levels of eating disorder symptoms. Other aspects of lifestyle such as social and cultural activities, dating, and hobbies were reported to be negatively affected during the pandemic.Conclusion: The present study implies that University students are vulnerable and due to elevated depressive symptoms at risk, being hit hard by the pandemic, but are in general coping adaptively. Low-threshold online interventions promoting help-seeking and also targeting various mental health conditions might bridge the gap the COVID-19 pandemic opened up recently.

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More Depressive Symptoms, Alcohol and Drug Consumption: Increase in Mental Health Symptoms Among University Students After One Year of the COVID-19 Pandemic

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.790974 ◽

2021 ◽

Vol 12 ◽

Author(s):

Ezgi Dogan-Sander ◽

Elisabeth Kohls ◽

Sabrina Baldofski ◽

Christine Rummel-Kluge

Keyword(s):

Mental Health ◽

Eating Disorder ◽

Depressive Symptoms ◽

University Students ◽

Perceived Stress ◽

Drug Consumption ◽

Online Surveys ◽

Cross Sectional ◽

Eating Disorder Symptoms ◽

Younger Age

Background: As the majority of studies examining mental health during the pandemic are cross-sectional, little is known about the changes in mental health during the pandemic, especially in university students. Most studies indicate a worsening of mental health conditions. This study aimed to evaluate the mental health status of German university students during the third wave of the pandemic in 2021 and to compare the results to a sample of a congruent cross-sectional study from 2020.Methods: Two cross-sectional and anonymous online surveys among university students were conducted (first survey: July-August 2020, N = 3,382; second survey: March-April 2021, N = 5,642). Mental health status was assessed with standardized measures (depressive symptoms, alcohol and drug consumption, and eating disorder symptoms), and social and emotional aspects of the COVID-19 pandemic were assessed. In addition to descriptive statistics and group comparisons of the two survey samples from 2020 and 2021, respectively, risk and protective factors related to mental health were analyzed.Results: There were significant differences in severities of depressive symptoms and alcohol and drug consumption between the two online surveys from 2020 and 2021. Findings suggest an increase in the severity of depressive symptoms as well as alcohol and drug consumption. Significantly more respondents reported suicidal ideation in the survey from 2021. Lower self-efficacy, less social support and lower resilience as well as higher perceived stress and more loneliness were reported by the participants of the survey from 2021 compared to 2020. Regarding factors predicting mental health symptoms, being female was a positive predictor for hazardous alcohol use and anorexia nervosa in comparison to men. Further, younger age, being diverse, higher perceived stress and loneliness were positive predictors for all mental health outcomes.Conclusion: This study reveals an increase in severities of depressive symptoms, including suicidal ideation, drug and alcohol consumption among students. Being diverse, younger age, higher perceived stress and loneliness were mutual risk factors for higher depressive and eating disorder symptoms as well as alcohol consumption. Universities and health care policy should recognize and address mental health issues of young adults during ongoing times of crisis and invest in easy-to-access interventions.

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Adverse and Benevolent Childhood Experiences Predict Mental Health during the COVID-19 Pandemic

10.31234/osf.io/vr5jd ◽

2020 ◽

Author(s):

Jenalee Doom ◽

Kathryn Fox

Keyword(s):

Mental Health ◽

Social Support ◽

Depressive Symptoms ◽

Perceived Stress ◽

Well Being ◽

Future Research ◽

Childhood Experiences ◽

Health Crisis ◽

Current Stress ◽

Adult Mental Health

Background. Adverse childhood experiences (ACEs) are associated with poorer adult mental health, and benevolent childhood experiences (BCEs) are associated with better adult mental health. Objective. To test whether ACEs and BCEs predict adult mental health beyond current stress and social support during the COVID-19 pandemic. Participants and Setting. We analyzed data from undergraduate and graduate students (N = 502) at an urban private university in the western United States. Methods. An online survey was conducted to assess ACEs and BCEs, current stress and social support, depressive and anxiety symptoms, perceived stress, and loneliness in May 2020. Results. Higher levels of ACEs were associated with higher levels of depressive symptoms, β = 0.45, p = .002. Higher levels of BCEs were associated with lower depressive symptoms, β = -0.39, p = .03, lower perceived stress, β = -0.26, p = .002, and less loneliness, β = -0.12, p = .04. These associations held while controlling for current stress, social support, and socioeconomic status. Conclusions. Childhood experiences are associated with mental health during the COVID-19 pandemic. BCEs should be considered an important promotive factor, independent of ACEs, for psychological well-being during a global public health crisis. BCEs should be included along with ACEs in future research and screening with distressed and vulnerable populations.

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Vigorous physical activity, perceived stress, sleep and mental health among university students from 23 low- and middle-income countries

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2017-0116 ◽

2018 ◽

Vol 0 (0) ◽

Cited By ~ 6

Author(s):

Supa Pengpid ◽

Karl Peltzer

Keyword(s):

Mental Health ◽

Physical Activity ◽

University Students ◽

Sleep Quality ◽

Perceived Stress ◽

Vigorous Physical Activity ◽

Well Being ◽

Good Health ◽

Short Version ◽

Cross Sectional

AbstractBackgroundVigorous physical activity (VPA) may be beneficial for mental health. The aim of the study was to investigate cross-sectional associations between VPA, perceived stress, sleep quality and quantity and mental health among university students.MethodsIn a cross-sectional study, using anonymous questionnaires, data was collected from 15122 (42.1% male and 57.9% female) university students [mean age 20.6, standard deviation (SD) = 2.0] from 23 countries in the Americas, Africa and Asia. They were assessed using the International Physical Activity Questionnaire (short version), and measures of sociodemographic, health status, health behaviour and anthropometrics.ResultsStudents who met VPA recommendations were less likely to report perceived stress, more likely to report subjective good health and depression than students without VPA. There was no association between VPA and sleep quality and quantity and PTSD symptoms.ConclusionThis study only found partial benefits of VPA in relation to well-being of university students.

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THE INFLUENCE OF CUSTODIAL STATUS ON MARITAL AFFECTUAL SOLIDARITY AND MENTAL HEALTH AMONG GRANDPARENTS.

Innovation in Aging ◽

10.1093/geroni/igz038.3433 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S944-S945

Author(s):

Eunbea Kim ◽

Danielle K Nadorff ◽

Rachel Scott ◽

Ian T McKay

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Relationship Quality ◽

Perceived Stress ◽

Marital Relationship ◽

Well Being ◽

Satisfaction With Life Scale ◽

Custodial Grandparents ◽

Psychological Well Being ◽

Targeted Interventions

Abstract Increased life expectancy and the diversity of family structure have resulted in a substantial rise in the number of families with grandparents as the main caregivers (e.g. custodial grandparents). The structures of these families affect the well-being of all family members. After middle age, psychological well-being is associated with marital relationship quality, and raising one’s grandchildren is a known source of strain to relationships. The current study examined adults aged 40 and older (M age = 57.6 yr, 53% female) using a nationwide sample from MIDUS to assess the extent to which custodial grandparenting status influences marital affectual solidarity, depressive symptoms, life satisfaction, and perceived stress. Measures included the Center for Epidemiological Studies Depression Index, Spousal Affectual Solidarity, Satisfaction with Life Scale, and Perceived Stress Scale. Marital affectual solidarity was significantly related to custodial status and psychological well-being, and there were significant differences in marital relationship quality and psychological well-being between custodial grandparents and non-custodial grandparents. However, custodial status failed to moderate the relation between marital affectual solidarity and mental health. Although other factors surrounding custodial grandparents likely affect their marital relationship and mental health, these results suggest that grandparents raising grandchildren are under particular strain in their marriages and are in need of targeted interventions to ameliorate stress and depressive symptoms. These findings will inform the need for more research and supportive educational programs on family relationships and the psychological health of custodial grandparents.

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Differences in well-being and fear of death among female hospice employees and volunteers in Hungary

BMC Palliative Care ◽

10.1186/s12904-020-00550-z ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Ágnes Zana ◽

Adrienne Kegye ◽

Edit Czeglédi ◽

Katalin Hegedűs

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Perceived Stress ◽

Hospice Care ◽

Well Being ◽

Fear Of Death ◽

Care Providers ◽

Psychological Well Being ◽

Vital Exhaustion ◽

Hospice Volunteers

Abstract Background Voluntary work plays a significant role in hospice care, but international research has mainly been conducted on the mental health and fear of death of paid hospice staff. The aim of the present study was to compare the Hungarian hospice volunteers with paid employees with regard to attitudes and fear of death, as well as mental health in order to see their role in hospice work and their psychological well-being more clearly. Methods The target population of the cross-sectional questionnaire study was hospice care providers in Hungary (N = 1255). The response rate was 15.5% (N = 195); 91.8% (N = 179) of them were women. The mean age of female hospice workers was 45.8 years (SD = 10.46 years, range: 23–73 years). One-quarter (27.9%, N = 50) of the female respondents were volunteers. The instruments were: the Multidimensional Fear of Death Scale, the Perceived Stress Scale, the WHO-5 Well-Being Index, and a shortened versions of the Beck Depression Inventory and the Maastricht Vital Exhaustion Questionnaire. Results Volunteers scored significantly lower on 5 dimensions of fear of death than paid employees, and showed significantly lower levels of vital exhaustion and significantly higher levels of psychological well-being than paid employees. Fear of the dying process was associated with an increased perceived stress, depressive symptoms, and vital exhaustion in both groups. Psychological well-being showed a significant negative, moderate correlation with four aspects of fear of death among paid staff; this pattern did not appear in the volunteer group. In addition, the association between fear of premature death and perceived stress, vital exhaustion, and depressive symptoms was more pronounced is case of paid workers. Conclusion Higher levels of psychological well-being and lower levels of fear of death among hospice volunteers suggest that they are less exhausted than paid employees. Increasing the recruitment of volunteers in hospices may help reduce the overload and exhaustion of paid employees.

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A faith-based mind–body intervention to improve psychosocial well-being among rural adults

Translational Behavioral Medicine ◽

10.1093/tbm/ibz136 ◽

2020 ◽

Vol 10 (3) ◽

pp. 546-554

Author(s):

Scherezade K Mama ◽

Nishat Bhuiyan ◽

Melissa J Bopp ◽

Lorna H McNeill ◽

Eugene J Lengerich ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Negative Affect ◽

Health Outcomes ◽

Perceived Stress ◽

Underserved Populations ◽

Well Being ◽

Mental Health Outcomes ◽

Faith Based ◽

Rural Adults

Abstract Churches are well positioned to promote better mental health outcomes in underserved populations, including rural adults. Mind–body (MB) practices improve psychological well-being yet are not widely adopted among faith-based groups due to conflicting religious or practice beliefs. Thus, “Harmony & Health” (HH) was developed as a culturally adapted MB intervention to improve psychosocial health in urban churchgoers and was adapted and implemented in a rural church. The purpose of this study was to explore the feasibility, acceptability, and efficacy of HH to reduce psychosocial distress in rural churchgoers. HH capitalized on an existing church partnership to recruit overweight or obese (body mass index [BMI] ≥25.0 kg/m2) and insufficiently active adults (≥18 years old). Eligible adults participated in an 8 week MB intervention and completed self-reported measures of perceived stress, depressive symptoms, anxiety, and positive and negative affect at baseline and postintervention. Participants (mean [M] age = 49.1 ± 14.0 years) were mostly women (84.8%), non-Hispanic white (47.8%) or African American (45.7%), high socioeconomic status (65.2% completed ≥bachelor degree and 37.2% reported an annual household income ≥$80,000), and obese (M BMI = 32.6 ± 5.8 kg/m2). Participants reported lower perceived stress (t = −2.399, p = .022), fewer depressive symptoms (t = −3.547, p = .001), and lower negative affect (t = −2.440, p = .020) at postintervention. Findings suggest that HH was feasible, acceptable, and effective at reducing psychosocial distress in rural churchgoers in the short-term. HH reflects an innovative approach to intertwining spirituality and MB practices to improve physical and psychological health in rural adults, and findings lend to our understanding of community-based approaches to improve mental health outcomes in underserved populations.

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Prevalence of Depressive Symptoms and Associated Psychosocial risk Factors among University Students: The Moderating and Mediating Effects of Resilience

10.31124/advance.11914911 ◽

2020 ◽

Author(s):

Cyrille Kossigan KOKOU KPOLOU ◽

Askar Jumageldinov ◽

Sunyoung Park ◽

Nicolas Nieuviarts ◽

Pari-Gole Noorishad ◽

...

Keyword(s):

Mental Health ◽

Risk Factors ◽

Depressive Symptoms ◽

University Students ◽

Perceived Stress ◽

Mental Health Problems ◽

Severe Depression ◽

Cumulative Effect ◽

Mediation Analyses ◽

Individual Resilience

Background: Previous studies have indicated that university students constitute a higher risk population for mental health problems, especially for depression. Yet, there appears to be a lack of literature addressing a such issues in France. The present study aimed to estimate the prevalence rates of depression, its sociodemographic correlates in French university students (FUS), and to examine whether individual resilience resources moderated and mediated the relationship between perceived stress and depressive symptoms. Methods: The data were collected through web-based questionnaires. The sample included 1435 FUS with a mean age of 20.5 (SD = 3.38) years. Participants completed the Beck Depression Inventory (BDI-II), the Perceived Stress Scale, the Brief Resilience Scale, and a sociodemographic questionnaire. Descriptive, multiple logistic regression and mediation analyses were used. Results: With respect to the BDI-II’s cutoff scores, 20.3% and 22.8% were positive to moderate and severe depression, respectively (43.1%). Gender and education attainment appeared as moderate risk factors when accounting for cumulative effect of perceived stress and individual resilience. Resilience was found to buffer and mediate partially the perceived stress–depression relationship. Conclusion: The prevalence of depression was higher in FUS, as similar to those reported in previous studies. The amount of academic and daily stress explained this prevalence. University students with low resilience level were more at risk. Interventions with aim to improving resilience skills could help to mitigate the negative effects of stress and to promote mental health in this population.

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The Impact of the COVID-19 Pandemic on US College Students’ Physical Activity and Mental Health

Journal of Physical Activity and Health ◽

10.1123/jpah.2020-0325 ◽

2021 ◽

Vol 18 (3) ◽

pp. 272-278 ◽

Cited By ~ 1

Author(s):

Oliver W.A. Wilson ◽

Kelsey E. Holland ◽

Lucas D. Elliott ◽

Michele Duffey ◽

Melissa Bopp

Keyword(s):

Mental Health ◽

Physical Activity ◽

College Students ◽

Depressive Symptoms ◽

Perceived Stress ◽

Online Survey ◽

Well Being ◽

Significant Decline ◽

Spring Semester ◽

The Impact

Background: Investigating the impact of the COVID-19 pandemic on both physical activity (PA) and mental health is important to demonstrate the need for interventions. This study examined the apparent impact of the pandemic on college students’ PA, perceived stress, and depressive symptoms. Methods: From 2015 through 2020, data were collected at the beginning and end of the spring semester at a large Northeastern US university via an online survey assessing student demographics, PA, perceived stress, and depressive symptoms. Mixed ANOVA examined differences in PA and mental health changes over the spring semester between “normal” and COVID-19 circumstances. Two-way ANOVA examined the interaction between circumstance and changes in PA in relation to changes in mental health. Results: Participants (n = 1019) were predominately women and non-Hispanic white. There was a significant decline in PA and an increase in perceived stress under COVID-19, but not normal, circumstances and a significant increase in depressive symptoms under COVID-19, but not normal, circumstances among women. Conclusions: A significant decline in PA and mental health among college students occurred under COVID-19 circumstances, and PA did not appear to protect against deterioration in mental health. Proactive and innovative policies, programs, and practices to promote student health and well-being must be explored immediately.

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Are self-determination, perceived stress and social support predictors of emotional well-being in university students?

European Journal of Public Health ◽

10.1093/eurpub/cku164.065 ◽

2014 ◽

Vol 24 (suppl_2) ◽

Author(s):

E Paulisová ◽

O Orosová ◽

L Hricová ◽

J Petkeviciene ◽

R Gabrhelík ◽

...

Keyword(s):

Social Support ◽

University Students ◽

Perceived Stress ◽

Well Being ◽

Self Determination

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The COVID-19 International Student Well-Being Study (C-19 ISWS)

European Journal of Psychology Open ◽

10.1024/2673-8627/a000014 ◽

2021 ◽

Author(s):

Ioulia Solomou ◽

Fofi Constantinidou ◽

Maria Karekla ◽

Charis Psaltis ◽

Andreas Chatzittofis

Keyword(s):

Mental Health ◽

College Students ◽

Depressive Symptoms ◽

University Students ◽

Online Survey ◽

Well Being ◽

Academic Stress ◽

Genetic Characteristics ◽

Academic Satisfaction ◽

The Impact

Abstract. The COVID-19 pandemic has had a great impact on the mental health and well-being of different populations including young adults. This study replicates and extends previous research by evaluating the impact of the COVID-19 pandemic on the well-being of college students in Cyprus, a Mediterranean island with unique sociocultural and genetic characteristics, and to identify risk factors related to the poor mental health of university students. Behavioral changes in the students before and during the quarantine period were also examined. A total of 387 university students completed an online survey coordinated by the Young Universities of Europe (YUFE) network. Results indicated that most of the sample (89.3%) reported depressive symptoms. Academic stress and academic satisfaction were associated with depressive symptoms and loneliness. Specifically, students with greater academic stress and lower academic satisfaction reported more symptoms of depression and felt lonelier. Younger students with poorer economic capital were more likely to feel depressed, and younger college students with higher academic stress were more likely to feel lonely. The results of t-test analyses indicated that quarantine affected students’ time and type of study turning to online studies and to moderate physical activities. The present study’s findings add to the existing literature and support the development of new measures to support students, both financially as well as psychologically.

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