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The prevalence and incidence of major depressive disorder in 8079 Chinese university freshmen before and during COVID-19.
Liu, Debiao; Li, Baohua; Hao, Fengcheng; Liu, Ning; Su, Zhonghua; Zhu, Jin; Tang, Yunfeng; Wang, Bin; Wang, JianLi; Liu, Yan.
  • Liu D; School of Mental Health, Jining Medical University, Jining, China.
  • Li B; The Second Affiliated Hospital of Jining Medical University, Jining, China.
  • Hao F; Zoucheng People's Hospital, Zoucheng, China.
  • Liu N; School of Mental Health, Jining Medical University, Jining, China.
  • Su Z; The Second Affiliated Hospital of Jining Medical University, Jining, China.
  • Zhu J; School of Mental Health, Jining Medical University, Jining, China.
  • Tang Y; Weifang Medical University, Weifang, China.
  • Wang B; The Second Affiliated Hospital of Jining Medical University, Jining, China.
  • Wang J; School of Mental Health, Jining Medical University, Jining, China; Institute of Mental Health Research, University of Ottawa, Ottawa, Canada; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada. Electronic address: JianLi.Wang@theroyal.ca.
  • Liu Y; School of Mental Health, Jining Medical University, Jining, China. Electronic address: hakunaly@163.com.
J Affect Disord ; 307: 62-68, 2022 06 15.
Article in English | MEDLINE | ID: covidwho-1920982
ABSTRACT

BACKGROUND:

COVID-19 pandemic may impact the prevalence and incidence of depression in college students. However, there is no longitudinal study focusing on major depressive disorder (MDD) before and during COVID-19 pandemic.

METHODS:

A cohort study was carried out among 8079 Chinese college freshmen. The baseline survey was conducted in 2018 (T0) and annual follow-ups were in 2019 (T1, before COVID-19) and in 2020 (T2, during COVID-19). CIDI-3.0 was used to diagnose MDD. Random effects logistic models of panel data analysis were used for the risk of MDD incidence. STATA 15.1 was used for all analysis.

RESULTS:

The weighted 12-month prevalence of MDD at T2 (2.10%) was significantly lower than that at T1 (2.67%) (p < 0.001). However, among students who reported exposure to the COVID-19 events, the annual prevalence of MDD at T2 was higher than that at T1 (4.21% vs. 2.79%, p < 0.001). The incidence from T0 to T1, incidence from T1 to T2, and the 2-year incidence was 2.23%, 1.34% and 3.75%, respectively. Only 8.93% of MDD students had chosen to seek professional help during the COVID-19 pandemic period.

LIMITATIONS:

The computer assisted CIDI may not be as sensitive and specific as the diagnosis made by a psychiatrist and may have caused report bias.

CONCLUSIONS:

Although the MDD incidence of college students was decreasing over time, the impact of the pandemic on student mental health may depend on exposure to COVID-19 events. Not seeking professional help in the Chinese college students is still an important issue.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depressive Disorder, Major / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: J Affect Disord Year: 2022 Document Type: Article Affiliation country: J.jad.2022.03.022

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depressive Disorder, Major / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Asia Language: English Journal: J Affect Disord Year: 2022 Document Type: Article Affiliation country: J.jad.2022.03.022