Impact of self-restraint by COVID-19 pandemic on mental health in college students-COVID-19 Longitudinal survey of the 2nd and 3rd waves

Main Article Content

Takashi Ohue

Abstract

[Purpose] The purpose of this study was to investigate the effects of the COVID-19 pandemic on mental health in students at university.


[Method] 1880 students from university were surveyed. Survey period: July-August 2020


Demographic factors were used department, grade, gender, age. Mental health factors (PHQ-9 Japanese version, GAD-7 Japanese version, IES-R) were used. Decreased motivation to learn, loneliness: Japanese version UCLA loneliness scale was used.


[Results] As a result of the survey, in (July-August), 737 patients (123 males and 614 females) were recovered (recovery rate 40.9%). As a result, in terms of gender difference, males had a higher total of "loneliness" than females and had a higher total of PTSD and "invasive symptoms". Students whose parents corresponded to corona had high "anxiety" and "depression". Students who felt rumors had high scores for "PTSD," "depression," "anxiety," and "loneliness." Students "seeking support" also scored higher on PTSD, depression, anxiety, and loneliness. Those who were "not very careful" about infection control were more likely to be depressed than those who were "careful", and those who were "quite careful" were less motivated to learn. Family structure and parental profession have no effect. In addition, the relationship between each psychiatric symptom (PTSD, depression, anxiety disorder) and "loneliness" and "motivation to learn" was examined using covariance structure analysis. When the model was examined, the models of "loneliness" ⇒ "decreased learning motivation" ⇒ "PTSD" ⇒ "depression" and "anxiety" were verified. In other words, it was shown that it is important to deal with "loneliness" to improve mental health and learning motivation during the COVID 19 pandemic.


[Conclusion] At the time of the COVID-19 pandemic, college students may be high-risk persons with mental health problems.

Article Details

How to Cite
Impact of self-restraint by COVID-19 pandemic on mental health in college students-COVID-19 Longitudinal survey of the 2nd and 3rd waves. (2024). International Journal of Nursing Education, 16(4), 56-63. https://doi.org/10.37506/5hbfv826
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Original Article

How to Cite

Impact of self-restraint by COVID-19 pandemic on mental health in college students-COVID-19 Longitudinal survey of the 2nd and 3rd waves. (2024). International Journal of Nursing Education, 16(4), 56-63. https://doi.org/10.37506/5hbfv826

References

[1] World Health Organization. (2020). Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Published January 30, 2020. Accessed February 2, 2020. https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)

[2] Ministry of Health, Labour and Welfare. (2022). Current situation of the novel coronavirus infection and the response of the Ministry of Health, Labour and Welfare (as of June 27, 2022). https://www.mhlw.go.jp/stf/newpage_26465.html

[3] Zhai, Y., & Du, X. (2020). Addressing collegiate mental health amid COVID-19 pandemic. Psychiatry Research, 288, 113003. https://doi.org/10.1016/j.psychres.2020.113003

[4] Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934.

[5] Elmer, T., Mepham, K., & Stadtfeld, C. (2020). Students under lockdown: Comparisons of students' social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS ONE, 15(7), e0236337.

[6] Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729.

[7] Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on college students' mental health in the United States: Interview survey study. Journal of Medical Internet Research, 22(9), e21279.

[8] Ami Takahashi, Saki Kitagawa, Tomoyuki Sasaki, et al. (2021). Impact of COVID-19 outbreak on the mental health of university students. Journal of Psychiatric and Mental Health Nursing, 29(2), 85-92.

[9] Hiroko Masuda, Chika Takahashi, Rena Hiraoka, et al. (2021). Study on stress and mental health of nursing students during the COVID-19 pandemic response period. Journal of Nursing Universities in Japan, 44(1), 37-45.

[10] Yoshiyuki Ochiai (1989). The structure of loneliness in adolescence, Kazama Shobo.

[11] Takashi Oue (2024). Impact of self-restraint by COVID-19 pandemic on mental health in university students—COVID-19 Cross-sectional survey during the second wave in Japan, Hyogo University Journal, 30, 157-166.

[12] Xiaofeng Wang, Zhenshun Cheng (2020). Cross-Sectional Studies: Strengths, Weaknesses, and Recommendations, Chest, 58(1S). doi: 10.1016/j.chest.2020.03.012.

[13] Kroenke, K., Spitzer, R. L., Williams, J. B. (2010). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16: 606-613.

[14] Kumiko Muramatsu (2014). Japanese version of Patient Health Questionnaire (PHQ-9, PHQ-15) and Generalized Anxiety Disorder-7: up to date, Niigata Seiryo University Graduate School of Clinical Psychology Research, 7, 35-39.

[15] Muramatsu, K., Miyaoka, H., Kamijima, K., et al. (2018). Performance of the Japanese version of the Patient Health Questionnaire-9 (J-PHQ-9) for depression in primary care. General Hospital Psychiatry, 52, 64-69.

[16] Spitzer, R. L., Kroenke, K., Williams, J. B., Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092-1097.

[17] Muramatsu, K., Muramatsu, Y., Miyaoka, H., et al. (2010). Validation and utility of a Japanese version of the GAD-7. Japanese Journal of Psychosomatic Medicine, 50(6), 166.

[18] Asukai, N., Kato, H., Kawamura, N., Kim, Y., Yamamoto, K., Kishimoto, J., Miyake, Y., Nishizono-Maher, A. (2002). Reliability and validity of the Japanese-language version of the Impact of Event Scale-Revised (IES-R-J): Four studies on different traumatic events.

[19] Haruhiko Shimoyama (1995). A study on apathy in male university students. Research in Educational Psychology, 43, 145-155.

[20] Russell, D., Peplau, L. A., & Ferguson, M. L. (1978). Developing a measure of loneliness. Journal of Personality Assessment, 42, 290-294.

[21] Kudo, R., & Nishikawa, M. (1983). A study on loneliness (I): Examination of the reliability and validity of the loneliness scale. Experimental Social Psychology Research, 22, 99-108.

[22] Tokyo Metropolitan Institute of Medical Science. (2014). PTSD Symptom Scale. https://mentalhealth-unit.jp/research/ptsd.

[23] Smith, K. E., Norman, G. J., & Decety, J. (2020). Increases in loneliness during medical school are associated with increases in individuals' likelihood of mislabeling emotions as negative. Emotion. https://doi.org/10.1037/emo0000773

[24] Jones, D., Jopling, K. (2021). Lessons from lockdown: Conversations through COVID-19. Campaign to End Loneliness. https://www.campaigntoendloneliness.org/wp-content/uploads/Conversations-through-Covid-19-final-1.pdf