Impact of COVID-19 on the mental health of optometry students at a higher education institution: A case study

Background The coronavirus disease 2019 (COVID-19) outbreak poses serious threats to the physical and mental health of individuals worldwide. The lockdown strategy and social distancing regulations adopted in South Africa have disrupted the day-to-day life activities of all people including students. Aim To explore the impact of COVID-19 on the mental health of optometry students at a higher education institution. Setting The study population included optometry students currently registered at the University of KwaZulu-Natal, in Durban, South Africa. Methods The study adopted a case study research design and used an online questionnaire and follow-up interviews to collect data. The Depression Anxiety Stress Scale (DASS-21) questionnaire that assesses depression, anxiety and stress subscales was used. Data were analysed using descriptive and inferential statistics. The interview data were analysed using thematic content analysis. Results A total of 147 participants responded to the online questionnaire and consisted of majority black people (n = 98), female (n = 114) and second year (n = 58) students. The majority of the participants had normal scores for depression (n = 97), anxiety (n = 79) and stress (n = 107). Only a few participants had scores indicating severe or extremely severe depression (n = 13), anxiety (n = 23) and stress (n = 5). Follow-up interviews were conducted with 10 participants and of these, seven reported that COVID-19 had a negative impact on their ability to concentrate and they felt anxious about examining patients. Factors such as stigma and judgment were perceived as hindrances to seeking mental health help. Conclusion Most participants had normal scores for depression, anxiety and stress; however, some participants presented with abnormal scores. The impact of the COVID-19 pandemic on mental health should be highlighted and higher education authorities should plan and provide appropriate services to improve the quality of life of affected students.