Wendy Wen Li, Daniel Miller, Christopher Rouen, Fang Yang, Huizhen Yu
{"title":"新冠肺炎期间中国大学生心理健康状况：为期28个月的十波纵向研究","authors":"Wendy Wen Li, Daniel Miller, Christopher Rouen, Fang Yang, Huizhen Yu","doi":"10.1192/bjo.2024.869","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The cumulative effects of long-term exposure to pandemic-related stressors and the severity of social restrictions may have been important determinants of mental distress in the time of COVID-19.</p><p><strong>Aim: </strong>This study aimed to investigate mental health among a cohort of Chinese university students over a 28-month period, focusing on the effects of lockdown type.</p><p><strong>Methods: </strong>Depression, anxiety, stress and fear of COVID-19 infection were measured ten times among 188 Chinese students (females 77.7%, mean<sub>age</sub> = 19.8, s.d.<sub>age</sub> = 0.97), every 3 months: from prior to the emergence of COVID-19 in November 2019 (T1) to March 2022 (T10).</p><p><strong>Results: </strong>Initially depression, anxiety and stress dipped from T1 to T2, followed by a sudden increase at T3 and a slow upward rise over the remainder of the study period (T3 to T10). When locked down at university, participants showed greater mental distress compared with both home lockdown (<i>d</i> = 0.35-0.48) and a no-lockdown comparison period (<i>d</i> = 0.28-0.40). Conversely, home lockdown was associated with less anxiety and stress (<i>d</i> = 0.19 and 0.21, respectively), but not with depression (<i>d</i> = 0.13) compared with a no-lockdown period.</p><p><strong>Conclusions: </strong>This study highlights the cumulative effects of exposure to COVID-19 stressors over time. It also suggests that the way in which a lockdown is carried out can impact the well-being of those involved. Some forms of lockdown appear to pose a greater threat to mental health than others.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e56"},"PeriodicalIF":3.9000,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001943/pdf/","citationCount":"0","resultStr":"{\"title\":\"Mental health among Chinese university students during COVID-19: 28-month, ten-wave longitudinal study.\",\"authors\":\"Wendy Wen Li, Daniel Miller, Christopher Rouen, Fang Yang, Huizhen Yu\",\"doi\":\"10.1192/bjo.2024.869\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The cumulative effects of long-term exposure to pandemic-related stressors and the severity of social restrictions may have been important determinants of mental distress in the time of COVID-19.</p><p><strong>Aim: </strong>This study aimed to investigate mental health among a cohort of Chinese university students over a 28-month period, focusing on the effects of lockdown type.</p><p><strong>Methods: </strong>Depression, anxiety, stress and fear of COVID-19 infection were measured ten times among 188 Chinese students (females 77.7%, mean<sub>age</sub> = 19.8, s.d.<sub>age</sub> = 0.97), every 3 months: from prior to the emergence of COVID-19 in November 2019 (T1) to March 2022 (T10).</p><p><strong>Results: </strong>Initially depression, anxiety and stress dipped from T1 to T2, followed by a sudden increase at T3 and a slow upward rise over the remainder of the study period (T3 to T10). When locked down at university, participants showed greater mental distress compared with both home lockdown (<i>d</i> = 0.35-0.48) and a no-lockdown comparison period (<i>d</i> = 0.28-0.40). Conversely, home lockdown was associated with less anxiety and stress (<i>d</i> = 0.19 and 0.21, respectively), but not with depression (<i>d</i> = 0.13) compared with a no-lockdown period.</p><p><strong>Conclusions: </strong>This study highlights the cumulative effects of exposure to COVID-19 stressors over time. It also suggests that the way in which a lockdown is carried out can impact the well-being of those involved. 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Mental health among Chinese university students during COVID-19: 28-month, ten-wave longitudinal study.
Background: The cumulative effects of long-term exposure to pandemic-related stressors and the severity of social restrictions may have been important determinants of mental distress in the time of COVID-19.
Aim: This study aimed to investigate mental health among a cohort of Chinese university students over a 28-month period, focusing on the effects of lockdown type.
Methods: Depression, anxiety, stress and fear of COVID-19 infection were measured ten times among 188 Chinese students (females 77.7%, meanage = 19.8, s.d.age = 0.97), every 3 months: from prior to the emergence of COVID-19 in November 2019 (T1) to March 2022 (T10).
Results: Initially depression, anxiety and stress dipped from T1 to T2, followed by a sudden increase at T3 and a slow upward rise over the remainder of the study period (T3 to T10). When locked down at university, participants showed greater mental distress compared with both home lockdown (d = 0.35-0.48) and a no-lockdown comparison period (d = 0.28-0.40). Conversely, home lockdown was associated with less anxiety and stress (d = 0.19 and 0.21, respectively), but not with depression (d = 0.13) compared with a no-lockdown period.
Conclusions: This study highlights the cumulative effects of exposure to COVID-19 stressors over time. It also suggests that the way in which a lockdown is carried out can impact the well-being of those involved. Some forms of lockdown appear to pose a greater threat to mental health than others.
期刊介绍：
Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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