Indian Journal of Respiratory Care

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VOLUME 12 , ISSUE 3 ( July-September, 2023 ) > List of Articles

Original Article

Mental Health of Undergraduate Health Science Students during and after the COVID-19 Lockdown

Ayedh D Alahmari, Gokul G. Krishna, Ann M Jose, Mazen M Homoud, Albara M Majeed, Asr M Almofareh, Faisal M Alhzaani, Khalid S Alwadeai

Keywords : Anxiety, Coronavirus disease 2019, Depression, Education, Health Science, Lockdown, Stress, Students, Undergraduate

Citation Information : Alahmari AD, Krishna GG, Jose AM, Homoud MM, Majeed AM, Almofareh AM, Alhzaani FM, Alwadeai KS. Mental Health of Undergraduate Health Science Students during and after the COVID-19 Lockdown. Indian J Respir Care 2023; 12 (3):248-253.

DOI: 10.5005/jp-journals-11010-1063

License: CC BY-NC-SA 4.0

Published Online: 30-10-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: The health, economic, social, and educational systems worldwide have been seriously impacted by the coronavirus disease of 2019 (COVID-19). Students’ academic results and mental health were greatly impacted by the lack of traditional face-to-face lectures, access to digital learning, and possibilities for networking and socializing. The study's outcome was to investigate the stress, depression, and anxiety experienced by undergraduate health science students during and after the COVID-19 lockdown. Materials and methods: We collected data from 470 students using three validated questionnaires: the Kessler Psychological Distress Scale (K10) for stress, the Generalized Anxiety Disorder (GAD-7) for anxiety, and the Patient Health Questionnaire (PHQ-9) for depression. The questionnaires were sent to potential participants via e-mail during the COVID-19 lockdown. After the lockdown, a follow-up was made. Results: A total of 368 (78.3%) participants completed the questionnaires; 30.7% (n = 113) vs 19.8% (n = 73) experienced severe stress during and after the lockdown, respectively. The mean scores for stress, anxiety, and depression during the lockdown vs postlockdown were 22 (11) vs 20 (11), 9 (7) vs 9 (6), and 7 (6) vs 7 (6.5), respectively. Conclusion: During the COVID-19 lockdown, undergraduate health science students experienced serious mental health issues, especially those under medication for psychological disorders. A significant improvement was observed postlockdown in overall mental health among students, but the number of students experiencing mental health issues remained high.

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  1. Pfefferbaum B, North CS. Mental health and the COVID-19 pandemic. N Engl J Med 2020;383(6):510–512. DOI: 10.1056/nejmp2008017
  2. Marazziti D. The COVID-19 outbreak: the latest challenge to psychological and psychiatric intervention. Clin Neuropsychiatry 2020;17(2):39–40. DOI: 10.36131/clinicalnpsych20200201
  3. Aguilera-Hermida AP, Quiroga-Garza A, Gómez-Mendoza S, et al. Comparison of students’ use and acceptance of emergency online learning due to COVID-19 in the USA, Mexico, Peru, and Turkey. Educ Inf Technol (Dordr) 2021;26(6):6823–6845. DOI: 10.1007/s10639-021-10473-8
  4. Akdeniz G, Kavakci M, Gozugok M, et al. A survey of attitudes, anxiety status, and protective behaviors of the university students during the COVID-19 outbreak in Turkey. Front Psychiatry 2020;11:695. DOI: 10.3389/fpsyt.2020.00695
  5. Husky MM, Kovess-Masfety V, Swendsen JD, et al. Stress and anxiety among university students in France during COVID-19 mandatory confinement. Compr Psychiatry 2020;102:152191. DOI: 10.1016/j.comppsych.2020.152191
  6. Liu C, McCabe M, Dawson A, et al. Identifying predictors of university students’ wellbeing during the COVID-19 pandemic—a data-driven approach. Int J Environ Res Public Health 2021;18(13):6730. DOI: 10.3390/ijerph18136730
  7. Luberto CM, Goodman JH, Halvorson B, et al. Stress and coping among health professions students during COVID-19: a perspective on the benefits of mindfulness. Glob Adv Health Med 2020;9:216495612097782. DOI: 10.1177/2164956120977827
  8. Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020;287:112934. DOI: 10.1016/j.psychres.2020.112934
  9. Marcén-Román Y, Gasch-Gallen A, Vela Martín de la Mota II, et al. Stress perceived by University Health Sciences students, 1 year after COVID-19 pandemic. Int J Environ Res Public Health 2021;18(10):5233. DOI: 10.3390/ijerph18105233
  10. Bahhawi TA, Albasheer OB, Makeen AM, et al. Depression, anxiety, and stress and their association with khat use: a cross-sectional study among Jazan University students, Saudi Arabia. Neuropsychiatric Disease and Treatment 2018;14:2755–2761. DOI: 10.2147/ndt.s182744
  11. Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health 2001;25(6):494–497. DOI: 10.1111/j.1467-842x.2001.tb00310.x
  12. Dhira TA, Rahman MA, Sarker AR, et al. Validity and reliability of the Generalized Anxiety Disorder-7 (GAD-7) among university students of Bangladesh. PLoS One 2021;16(12):e0261590. DOI: 10.1371/journal.pone.0261590
  13. Kroenke K, Spitzer RL, Williams JB, et al. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med 2007;146(5):317–325. DOI: 10.7326/0003-4819-146-5-200703060-00004
  14. Dial LA, DeNardo FA, Fevrier B, et al. Comparing mental health and well-being of US undergraduate and graduate students during the early stages of the COVID-19 pandemic. J Am Coll Health 2021:1–11. DOI: 10.1080/07448481.2021.1996372
  15. Odriozola-González P, Planchuelo-Gómez Á, Irurtia MJ, et al. Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish University. Psychiatry Res 2020;290:113108. DOI: 10.1016/j.psychres.2020.113108
  16. Tedesco LA. A psychosocial perspective on the dental educational experience and student performance. J Dent Educ 1986;50(10): 601–605.
  17. Trockel MT, Barnes MD, Egget DL. Health-related variables and academic performance among first-year college students: implications for sleep and other behaviors. J Am Coll Health 2000;49(3):125–131. DOI: 10.1080/07448480009596294
  18. Li Y, Zhao J, Ma Z, et al. Mental health among college students during the COVID-19 pandemic in China: a 2-wave longitudinal survey. J Affect Disord 2021;281:597–604. DOI: 10.1016/j.jad.2020.11.109
  19. Fruehwirth JC, Biswas S, Perreira KM. The COVID-19 pandemic and mental health of first-year college students: examining the effect of COVID-19 stressors using longitudinal data. PLoS One 2021;16(3):e0247999. DOI: 10.1371/journal.pone.0247999
  20. Gómez-Salgado J, Andrés-Villas M, Domínguez-Salas S, et al. Related health factors of psychological distress during the COVID-19 pandemic in Spain. Int J Environ Res Public Health 2020;17(11):3947. DOI: 10.3390/ijerph17113947
  21. Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: the importance of gender. Int J Soc Psychiatry 2020;66(5):504–511. DOI: 10.1177/0020764020927051.
  22. Solomou I, Constantinidou F. Prevalence and predictors of anxiety and depression symptoms during the COVID-19 pandemic and compliance with precautionary measures: age and sex matter. Int J Environ Res Public Health 2020;17(14):4924. DOI: 10.3390/ijerph17144924
  23. Jardon C, Choi KR. COVID-19 experiences and mental health among graduate and undergraduate nursing students in Los Angeles. J Am Psychiatr Nurses Assoc 2022:10783903211072222. DOI: 10.1177/10783903211072222
  24. Sundarasen S, Chinna K, Kamaludin K, et al. Psychological impact of COVID-19 and lockdown among University Students in Malaysia: implications and policy recommendations. Int J Environ Res Public Health 2020;17(17):6206. DOI: 10.3390/ijerph17176206
  25. Dong L, Bouey J. Public mental health crisis during COVID-19 pandemic, China. Emerg Infect Dis 2020;26(7):1616–1618. DOI: 10.3201/eid2607.200407
  26. Chatterjee SS, Barikar CM, Mukherjee A. Impact of COVID-19 pandemic on pre-existing mental health problems. Asian J Psychiatry 2020;51:102071. DOI: 10.1016/j.ajp.2020.102071
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