The Effects of COVID-19 on Anxiety and Depressive Symptoms Among Chinese College Students: Chain Mediation of Three Long COVID-19 Symptoms.

IF 2.2 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Psychology Pub Date : 2024-12-19 DOI:10.1080/00223980.2024.2437382

Yuanyuan Deng, Yifan Tong, Yao Zhang, Mingfan Liu

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引用次数: 0

Abstract

Long COVID has become a public health issue, and anxiety and depressive symptoms have been on the rise among young people since the COVID-19 pandemic. The primary purpose of this study was to survey the status of COVID-19 infection, long COVID, and mental health among Chinese college students after China lifted the dynamic zero-COVID policy on December 7, 2022. The secondary purpose was to explore the mediation effect of long COVID on the relationship between COVID-19 and anxiety and depressive symptoms. A total of 958 Chinese college students (M_age = 18.68, ages 16-22, 78.2% were female) completed measures of the severity of COVID-19, long COVID somatic symptom, insomnia, fatigue, anxiety, and depressive symptoms. Four potential chain mediation models was used to examine the role of long COVID somatic symptoms, insomnia, and fatigue as mediators between COVID-19 and anxiety and depressive symptoms. The results showed that ∼80% of Chinese college students suffered COVID-19 in late 2022 and early 2023, and 47.8, 35.4, 43.8, 37, and 54.3% of the participants had at least one somatic symptom, insomnia, fatigue, anxiety, and depressive symptoms, respectively, about 2-3 months after onset. This study revealed that the influence of COVID-19 on anxiety and depressive symptoms is not determined by the severity of COVID-19 in acute phase but by long COVID. Long COVID somatic symptoms, insomnia, and fatigue played mediation effects in different degree between COVID-19 and anxiety and depressive symptoms. Interventions that target long COVID may improve anxiety and depressive symptoms of Chinese college students who have had COVID-19.

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新型冠状病毒肺炎对中国大学生焦虑抑郁症状的影响：三长型新型冠状病毒肺炎症状的连锁中介作用

COVID-19已经成为一个公共卫生问题，自COVID-19大流行以来，年轻人的焦虑和抑郁症状有所增加。本研究的主要目的是调查2022年12月7日中国解除动态零冠政策后中国大学生的COVID-19感染状况、长期COVID-19状况和心理健康状况。次要目的是探讨长COVID在COVID-19与焦虑、抑郁症状关系中的中介作用。共有958名中国大学生（年龄16-22岁，年龄18.68岁，78.2%为女性）完成了COVID-19严重程度、长冠躯体症状、失眠、疲劳、焦虑和抑郁症状的测量。采用四种电位链中介模型，研究长冠躯体症状、失眠和疲劳在COVID-19与焦虑和抑郁症状之间的中介作用。结果显示，~ 80%的中国大学生在2022年底和2023年初感染了COVID-19, 47.8%、35.4、43.8、37和54.3%的参与者在发病后约2-3个月分别出现了至少一种躯体症状，失眠、疲劳、焦虑和抑郁症状。本研究发现，COVID-19对焦虑和抑郁症状的影响不是由急性期COVID-19的严重程度决定的，而是由长期COVID决定的。长时间躯体症状、失眠、疲劳在新冠肺炎与焦虑、抑郁症状之间有不同程度的中介作用。针对长COVID的干预措施可能会改善中国大学生COVID-19的焦虑和抑郁症状。

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来源期刊

Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

4.30

自引率

3.70%

发文量

期刊介绍： The Journal of Psychology is an interdisciplinary journal that publishes empirical research and theoretical articles in applied areas of psychology, including: Behavioral Psychology Clinical Psychology Cognitive Psychology Counseling Psychology Cultural Psychology Economic Psychology Educational Psychology Environmental Psychology Ethics in Psychology Family Psychology and Couples Psychology Forensic Psychology Health Psychology Industrial and Personnel Psychology Managerial and Leadership Psychology Measurement/Assessment Professional Practice Psychology of Religion Psychotherapy School Psychology Social Psychology Sport Psychology Work, Industrial and Organizational Psychology