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      Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey Study

      research-article
      , BS, MS 1 , , BEng, MS, PhD 1 , , BS 1 , , BS, PhD 1 , , BA, BCS, MASc, SM, PhD 1 , 2 ,
      , ,
      (Reviewer), (Reviewer)
      Journal of Medical Internet Research
      JMIR Publications
      COVID-19, pandemic, college student, mental health, stress, anxiety, self-management

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          Abstract

          Background

          Student mental health in higher education has been an increasing concern. The COVID-19 pandemic situation has brought this vulnerable population into renewed focus.

          Objective

          Our study aims to conduct a timely assessment of the effects of the COVID-19 pandemic on the mental health of college students.

          Methods

          We conducted interview surveys with 195 students at a large public university in the United States to understand the effects of the pandemic on their mental health and well-being. The data were analyzed through quantitative and qualitative methods.

          Results

          Of the 195 students, 138 (71%) indicated increased stress and anxiety due to the COVID-19 outbreak. Multiple stressors were identified that contributed to the increased levels of stress, anxiety, and depressive thoughts among students. These included fear and worry about their own health and of their loved ones (177/195, 91% reported negative impacts of the pandemic), difficulty in concentrating (173/195, 89%), disruptions to sleeping patterns (168/195, 86%), decreased social interactions due to physical distancing (167/195, 86%), and increased concerns on academic performance (159/195, 82%). To cope with stress and anxiety, participants have sought support from others and helped themselves by adopting either negative or positive coping mechanisms.

          Conclusions

          Due to the long-lasting pandemic situation and onerous measures such as lockdown and stay-at-home orders, the COVID-19 pandemic brings negative impacts on higher education. The findings of our study highlight the urgent need to develop interventions and preventive strategies to address the mental health of college students.

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          Most cited references47

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          Using thematic analysis in psychology

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            The psychological impact of quarantine and how to reduce it: rapid review of the evidence

            Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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              A Global Measure of Perceived Stress

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                Author and article information

                Contributors
                Journal
                J Med Internet Res
                J. Med. Internet Res
                JMIR
                Journal of Medical Internet Research
                JMIR Publications (Toronto, Canada )
                1439-4456
                1438-8871
                September 2020
                3 September 2020
                3 September 2020
                : 22
                : 9
                : e21279
                Affiliations
                [1 ] Department of Industrial and Systems Engineering Texas A&M University College Station, TX United States
                [2 ] Center for Outcomes Research Houston Methodist Hospital Houston, TX United States
                Author notes
                Corresponding Author: Farzan Sasangohar sasangohar@ 123456tamu.edu
                Author information
                https://orcid.org/0000-0002-8405-481X
                https://orcid.org/0000-0001-9711-8459
                https://orcid.org/0000-0002-1791-9481
                https://orcid.org/0000-0002-3432-0227
                https://orcid.org/0000-0001-9962-5470
                Article
                v22i9e21279
                10.2196/21279
                7473764
                32805704
                9561ca06-50e9-4480-9028-d19c92987711
                ©Changwon Son, Sudeep Hegde, Alec Smith, Xiaomei Wang, Farzan Sasangohar. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 03.09.2020.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.

                History
                : 10 June 2020
                : 28 July 2020
                : 1 August 2020
                : 15 August 2020
                Categories
                Original Paper
                Original Paper

                Medicine
                covid-19,pandemic,college student,mental health,stress,anxiety,self-management
                Medicine
                covid-19, pandemic, college student, mental health, stress, anxiety, self-management

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