Cited by 245COVID-19 and Mental HealthStudent Stress and CopingAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Psychological responses during the COVID-19 outbreak among university students in Bangladesh

Open access
Islam, Md. Saiful, Sujan, Md. Safaet Hossain, Tasnim, Rafia, Sikder, Md. Tajuddin, Potenza, Marc N., van Os, Jim·2020·PLOS ONE

Abstract

Mental health problems in students are considered a public health challenge. We assessed the prevalence of depression, anxiety, and stress (DAS) with the DASS-21, as well as associated factors, among university students in Bangladesh early in the COVID-19 outbreak. We hypothesized high levels of DAS and their associations with previously reported factors (e.g., poor sleep, lack of exercise, heavy internet use) and those linked to disadvantage (e.g., low monthly family income). We also enquired about participants' satisfaction with their pursuit of their academic studies while living under COVID-19 restrictions. An internet-based survey was conducted during the month of April 2020, involving 3,122 Bangladeshi university students aged 18 to 29 years (59.5% males; mean age 21.4±2 years). Prevalence estimates of depression, anxiety and stress were, respectively, 76.1%, 71.5% and 70.1% for at least mild symptoms, 62.9%, 63.6% and 58.6% for at least moderate symptoms, 35.2%, 40.3%, and 37.7% for at least severe symptoms and 19.7%, 27.5% and 16.5% for at least very severe symptoms. The present estimates of DAS were more prevalent than in previous pre-COVID-19 studies among Bangladeshi university students. Regression analyses with DASS-21-score as a dependent variable revealed associations with factors mostly as hypothesized. The largest effect size on DAS symptoms was related to students' satisfaction with their academic studies during the pandemic. As this survey used cross-sectional and self-reported methods, causality cannot be inferred. Mental health monitoring of students attempting to cope with the impacts of the COVID-19 outbreak may be useful and feasible.

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Authors
Islam, M. S., Sujan, M. S. H., Tasnim, R., Sikder, M. T., Potenza, M. N., & van Os, J.
Affiliations
  • Jahangirnagar University (BD)
  • Yale University (US)
Corresponding author
Islam, Md. Saiful
Venue
PLOS ONE
Published
2020-12-31
Volume
15
Issue
12
Pages
e0245083
ISSN
1932-6203 (ISSN-L)
OpenAlex
W3117411710
Cited by
245
References
49
Citations by year
2026: 6 · 2025: 15 · 2024: 28 · 2023: 54 · 2022: 86 · 2021: 48 · 2020: 8
FWCI
19.62
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
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 › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
COVID-19 pandemic, university students, depression, anxiety, stress, mental health, prevalence, risk factors, sleep, physical activity, internet use, household income, academic satisfaction, lockdown, Bangladesh
MeSH terms
COVID-19, SARS-CoV-2, Adolescent, Adult, Bangladesh, Cross-Sectional Studies, Female, Humans, Male, Surveys and Questionnaires, Universities, Pandemics

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