Prevalence of anxiety and depression symptom, and the demands for psychological knowledge and interventions in college students during COVID-19 epidemic: A large cross-sectional study
Open accessAbstract
Background Although studies have suggested experiencing the epidemic of severe infectious diseases increased the prevalence of mental health problems, the association between COVID-19 epidemic and risk of anxiety and depression symptom in college students in China was unclear. Methods A large cross-sectional online survey with 44,447 college students was conducted in Guangzhou, China. The Zung's Self-rating Anxiety Scale (SAS) and the Center for Epidemiologic Studies Depression Scale (CES-D Scale) were used to define the anxiety and depression symptom, respectively. Multivariable logistic regression models were used to analyze the association between COVID-19 epidemic and risk of anxiety and depression symptom. Results The prevalence of anxiety and depression symptom was 7.7% (95% confidence interval [CI]: 7.5%, 8.0%) and 12.2% (95%CI: 11.9%, 12.5%), respectively. Compared with students who reported have not infected or suspected cases in family members and relatives, students who reported having confirmed (OR=4.06; 95%CI: 1.62, 10.19; P = 0.003), and suspected (OR=2.11; 95%CI: 1.11, 4.00; P = 0.023) cases in family members and relatives had higher risk of depression symptom. Additionally, the proportions of students with anxiety and depression symptom reported more demand of psychological knowledge and interventions than those without (P<0.001). Limitations All the data in this study was collected through online questionnaire, and we did not evaluate the reliability and validity. Conclusions The prevalence of anxiety and depression symptom was relatively low in college students, but the COVID-19 epidemic-related factors might be associated with higher depression symptom risk.
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The review identified 16 studies on college students.
“our findings of five studies on children and 16 studies on college students”
From Mental Health Impact of COVID-19 among Children and College Students: A Systematic Review (2023) · cites this paper as [27]
The 16 college student studies included 15 cross-sectional studies and one cohort study.
“Of the 16 studies remaining, 15 were cross sectional studies and one was a cohort study [16, 19–33].”
From Mental Health Impact of COVID-19 among Children and College Students: A Systematic Review (2023) · cites this paper as [27]
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- Authors
- Wang, Z.-H., Yang, H.-L., Yang, Y.-Q., Liu, D., Li, Z.-H., Zhang, X.-R., Zhang, Y.-J., Shen, D., Chen, P.-L., Song, W.-Q., Wang, X.-M., Wu, X.-B., Yang, X.-F., & Mao, C.
- Affiliations
- Southern Medical University (CN)
- Guangzhou Institute of Dermatology (CN)
- Corresponding author
- Yang, Hai-Lian
- Yang, Yun-Qing
- Yang, Xing-Fen
- Mao, Chen
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2020-10
- Volume
- 275
- Pages
- 188-193
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC7330560
- OpenAlex
- W3039942070
- Cited by
- 377
- References
- 23
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 34 · 2023: 93 · 2022: 89 · 2021: 117 · 2020: 18
- FWCI
- 31.83
- Type
- journal article
- Language
- en
- Update notices
- erratum (2020-11-01)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Southern Medical University
- Zhejiang University
- National Natural Science Foundation of China
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- COVID-19 pandemic, anxiety, depression, university students, mental health, psychological intervention, prevalence, psychological distress
- MeSH terms
- COVID-19, Adolescent, Anxiety, Anxiety Disorders, China, Cross-Sectional Studies, Depression, Female, Humans, Male, Pneumonia, Viral, Surveys and Questionnaires, Students, Reproducibility of Results, Prevalence, Coronavirus Infections, Young Adult, Pandemics
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