Factors Associated with Mental Health Disorders among University Students in France Confined during the COVID-19 Pandemic. D'Hondt, F., Wathelet, M., Duhem, S., Vaiva, G., Baubet, T., Habran, E., Veerapa, E., Debien, C., Molenda, S., Horn, M., Grandgenèvre, P., Notredame, C. E., & D'Hondt, F. JAMA Network Open, 3(10):1–13, oct, 2020.
doi  abstract   bibtex   
Importance: The coronavirus disease 2019 (COVID-19) pandemic and quarantine measures have raised concerns regarding their psychological effects on populations. Among the general population, university students appear to be particularly susceptible to experiencing mental health problems. Objectives: To measure the prevalence of self-reported mental health symptoms, to identify associated factors, and to assess care seeking among university students who experienced the COVID-19 quarantine in France. Design, Setting, and Participants: This survey study collected data from April 17 to May 4, 2020, from 69054 students living in France during the COVID-19 quarantine. All French universities were asked to send an email to their students asking them to complete an online questionnaire. The targeted population was approximately 1600000 students. Exposure: Living in France during the COVID-19 quarantine. Main Outcomes and Measures: The rates of self-reported suicidal thoughts, severe distress, stress, anxiety, and depression were assessed using the 22-item Impact of Events Scale-Revised, the 10-item Perceived Stress Scale, the 20-item State-Trait Anxiety Inventory (State subscale), and the 13-item Beck Depression Inventory, respectively. Covariates were sociodemographic characteristics, precariousness indicators (ie, loss of income or poor quality housing), health-related data, information on the social environment, and media consumption. Data pertaining to care seeking were also collected. Multivariable logistic regression analyses were performed to identify risk factors. Results: A total of 69054 students completed the survey (response rate, 4.3%). The median (interquartile range) age was 20 (18-22) years. The sample was mainly composed of women (50251 [72.8%]) and first-year students (32424 [47.0%]). The prevalence of suicidal thoughts, severe distress, high level of perceived stress, severe depression, and high level of anxiety were 11.4% (7891 students), 22.4% (15463 students), 24.7% (17093 students), 16.1% (11133 students), and 27.5% (18970 students), respectively, with 29564 students (42.8%) reporting at least 1 outcome, among whom 3675 (12.4%) reported seeing a health professional. Among risk factors identified, reporting at least 1 mental health outcome was associated with female gender (odds ratio [OR], 2.10; 95% CI, 2.02-2.19; P <.001) or nonbinary gender (OR, 3.57; 95% CI, 2.99-4.27; P <.001), precariousness (loss of income: OR, 1.28; 95% CI, 1.22-1.33; P <.001; low-quality housing: OR, 2.30; 95% CI, 2.06-2.57; P <.001), history of psychiatric follow-up (OR, 3.28; 95% CI, 3.09-3.48; P <.001), symptoms compatible with COVID-19 (OR, 1.55; 95% CI, 1.49-1.61; P <.001), social isolation (weak sense of integration: OR, 3.63; 95% CI, 3.35-3.92; P <.001; low quality of social relations: OR, 2.62; 95% CI, 2.49-2.75; P <.001), and low quality of the information received (OR, 1.56; 95% CI, 1.49-1.64; P <.001). Conclusions and Relevance: The results of this survey study suggest a high prevalence of mental health issues among students who experienced quarantine, underlining the need to reinforce prevention, surveillance, and access to care..
@article{DHondt2020,
abstract = {Importance: The coronavirus disease 2019 (COVID-19) pandemic and quarantine measures have raised concerns regarding their psychological effects on populations. Among the general population, university students appear to be particularly susceptible to experiencing mental health problems. Objectives: To measure the prevalence of self-reported mental health symptoms, to identify associated factors, and to assess care seeking among university students who experienced the COVID-19 quarantine in France. Design, Setting, and Participants: This survey study collected data from April 17 to May 4, 2020, from 69054 students living in France during the COVID-19 quarantine. All French universities were asked to send an email to their students asking them to complete an online questionnaire. The targeted population was approximately 1600000 students. Exposure: Living in France during the COVID-19 quarantine. Main Outcomes and Measures: The rates of self-reported suicidal thoughts, severe distress, stress, anxiety, and depression were assessed using the 22-item Impact of Events Scale-Revised, the 10-item Perceived Stress Scale, the 20-item State-Trait Anxiety Inventory (State subscale), and the 13-item Beck Depression Inventory, respectively. Covariates were sociodemographic characteristics, precariousness indicators (ie, loss of income or poor quality housing), health-related data, information on the social environment, and media consumption. Data pertaining to care seeking were also collected. Multivariable logistic regression analyses were performed to identify risk factors. Results: A total of 69054 students completed the survey (response rate, 4.3%). The median (interquartile range) age was 20 (18-22) years. The sample was mainly composed of women (50251 [72.8%]) and first-year students (32424 [47.0%]). The prevalence of suicidal thoughts, severe distress, high level of perceived stress, severe depression, and high level of anxiety were 11.4% (7891 students), 22.4% (15463 students), 24.7% (17093 students), 16.1% (11133 students), and 27.5% (18970 students), respectively, with 29564 students (42.8%) reporting at least 1 outcome, among whom 3675 (12.4%) reported seeing a health professional. Among risk factors identified, reporting at least 1 mental health outcome was associated with female gender (odds ratio [OR], 2.10; 95% CI, 2.02-2.19; P <.001) or nonbinary gender (OR, 3.57; 95% CI, 2.99-4.27; P <.001), precariousness (loss of income: OR, 1.28; 95% CI, 1.22-1.33; P <.001; low-quality housing: OR, 2.30; 95% CI, 2.06-2.57; P <.001), history of psychiatric follow-up (OR, 3.28; 95% CI, 3.09-3.48; P <.001), symptoms compatible with COVID-19 (OR, 1.55; 95% CI, 1.49-1.61; P <.001), social isolation (weak sense of integration: OR, 3.63; 95% CI, 3.35-3.92; P <.001; low quality of social relations: OR, 2.62; 95% CI, 2.49-2.75; P <.001), and low quality of the information received (OR, 1.56; 95% CI, 1.49-1.64; P <.001). Conclusions and Relevance: The results of this survey study suggest a high prevalence of mental health issues among students who experienced quarantine, underlining the need to reinforce prevention, surveillance, and access to care..},
author = {D'Hondt, Fabien and Wathelet, Marielle and Duhem, St{\'{e}}phane and Vaiva, Guillaume and Baubet, Thierry and Habran, Enguerrand and Veerapa, Emilie and Debien, Christophe and Molenda, Sylvie and Horn, Mathilde and Grandgen{\`{e}}vre, Pierre and Notredame, Charles Edouard and D'Hondt, Fabien},
doi = {10.1001/jamanetworkopen.2020.25591},
file = {:C\:/Users/fabie/AppData/Local/Mendeley Ltd./Mendeley Desktop/Downloaded/Wathelet et al. - 2020 - Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-1.pdf:pdf},
issn = {25743805},
journal = {JAMA Network Open},
keywords = {Adolescent,Adult,Anxiety,Anxiety Disorders,Betacoronavirus,COVID-19,Coronavirus Infections,Depression,Depressive Disorder,Female,Humans,Male,Mental Disorders,Odds Ratio,Pandemics,Patient Acceptance of Health Care,Pneumonia,Prevalence,Psychological,Quarantine,SARS-CoV-2,Social Isolation,Stress,Students,Suicidal Ideation,Surveys and Questionnaires,Universities,Viral,Young Adult,epidemiology,etiology,psychology,virology},
language = {eng},
month = {oct},
number = {10},
pages = {1--13},
pmid = {33095252},
title = {{Factors Associated with Mental Health Disorders among University Students in France Confined during the COVID-19 Pandemic}},
volume = {3},
year = {2020}
}

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