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Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic.
Wathelet, Marielle; Duhem, Stéphane; Vaiva, Guillaume; Baubet, Thierry; Habran, Enguerrand; Veerapa, Emilie; Debien, Christophe; Molenda, Sylvie; Horn, Mathilde; Grandgenèvre, Pierre; Notredame, Charles-Edouard; D'Hondt, Fabien.
  • Wathelet M; Department of Public Health, Centre Hospitalier Universitaire de Lille, Lille, France.
  • Duhem S; Fédération de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, Lille, France.
  • Vaiva G; Centre National de Ressources et de Résilience Lille-Paris, Lille, France.
  • Baubet T; Fédération de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, Lille, France.
  • Habran E; Centre National de Ressources et de Résilience Lille-Paris, Lille, France.
  • Veerapa E; University Lille, Inserm, Centre Hospitalier Universitaire de Lille, CIC1403-Clinical Investigation Center, Lille, France.
  • Debien C; Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France.
  • Molenda S; Centre National de Ressources et de Résilience Lille-Paris, Lille, France.
  • Horn M; Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France.
  • Grandgenèvre P; University Lille, Inserm, Centre Hospitalier Universitaire de Lille, U1172-LilNCog-Lille Neuroscience and Cognition, Lille, France.
  • Notredame CE; Centre National de Ressources et de Résilience Lille-Paris, Lille, France.
  • D'Hondt F; Department of Infant, Child and Adolescent Psychiatry, Avicenne Hospital, Assistance Publique-Hôpitaux de Paris, Sorbonne Paris Nord University, Centre de recherche en Epidémiologie et Santé des Populations, Bobigny, France.
JAMA Netw Open ; 3(10): e2025591, 2020 10 01.
Article in English | MEDLINE | ID: covidwho-888008
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 69 054 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 1 600 000 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 69 054 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 (50 251 [72.8%]) and first-year students (32 424 [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% (15 463 students), 24.7% (17 093 students), 16.1% (11 133 students), and 27.5% (18 970 students), respectively, with 29 564 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.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Social Isolation / Students / Universities / Coronavirus Infections / Suicidal Ideation / Pandemics / Mental Disorders Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Female / Humans / Male / Young adult Language: English Journal: JAMA Netw Open Year: 2020 Document Type: Article Affiliation country: Jamanetworkopen.2020.25591

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Social Isolation / Students / Universities / Coronavirus Infections / Suicidal Ideation / Pandemics / Mental Disorders Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Limits: Adolescent / Adult / Female / Humans / Male / Young adult Language: English Journal: JAMA Netw Open Year: 2020 Document Type: Article Affiliation country: Jamanetworkopen.2020.25591