Depressive symptoms in higher education students during the first wave of the COVID-19 pandemic. An examination of the association with various social risk factors across multiple high- and middle-income countries.

Journal: SSM - population health

Volume: 16

Issue: 

Year of Publication: 

Affiliated Institutions:  Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Sint-Jacobsstraat -, , Antwerpen, Belgium. Student Health Services, University of Amsterdam, the Netherlands. Department of Psychology, Middle East Technical University, Üniversiteler Mahallesi, Dumlupınar Bulvarı No:, , Çankaya/Ankara, Turkey. Health & Demographic Research, Department of Sociology, Ghent University, Korte Meer , , Gent, Belgium. Institute of Social and Preventive Medicine, Faculty of Medicine, Universität Bern, Mittelstrasse , , Bern, Switzerland. Leibniz Institute for Prevention Research and Epidemiology - BIPS, Achterstraße , , Bremen, Germany. School of Health Sciences, Faculty of Health, Education & Life Sciences, Birmingham City University, Westbourne Road, Birmingham, B TN, UK. National Centre for Social Research, Kratinou & Athinas St., , Athens, Greece. Department of Social Epidemiology and Health Policy, University of Antwerp, Universiteitsplein , , Wilrijk, Belgium. Clinical Investigation Center, CHU Rouen, U , Normandie University, F Rouen, France.

Abstract summary 

Higher-education students face substantial risks for developing depressive symptoms during the COVID-19 pandemic or experiencing exacerbated pre-existing depressive symptoms. This study uses data from the COVID-19 International Student Well-Being Study, which collected data through a non-representative convenience sample in 125 higher-education institutions (HEI) across 26 high- and middle-income countries (N: 20,103) during the first wave of the COVID-19 pandemic. It describes the prevalence of depressive symptoms in higher-education students. We find substantial cross-national variation in depressive symptoms, with lowest mean levels established in the Nordic countries and France, while highest mean levels of depressive symptoms were found in Turkey, South Africa, Spain and the USA. Elevated risk for depressive symptoms was found in female students, students with fewer social support resources and in a more disadvantaged socioeconomic position, and students with a migrant background. COVID-19 related stressors, such as reduced social contact, increased financial insecurity, and academic stress explained a relatively larger proportion of the variance in depressive symptoms compared to non-COVID-19 related stressors. This finding shows that not the pandemic itself, but rather the secondary effects of the pandemic relate to students' mental health. Our results enable HEIs to be better equipped to target groups that are particularly at risk during a pandemic.

Authors & Co-authors:  Van de Velde S S Buffel V V van der Heijde C C Çoksan S S Bracke P P Abel T T Busse H H Zeeb H H Rabiee-Khan F F Stathopoulou T T Van Hal G G Ladner J J Tavolacci M M Tholen R R Wouters E E

Study Outcome 

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Statistics
Citations :  Abdulghani H.M., Sattar K., Ahmad T., Akram A. Association of COVID-19 pandemic with undergraduate medical students' perceived stress and coping. Psychology Research and Behavior Management. 2020;13:871.
Authors :  16
Identifiers
Doi : 100936
SSN : 2352-8273
Study Population
Female
Mesh Terms
Other Terms
COVID-19;Depressive symptoms;Higher education students
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England