COVID-19; Stay-at-home order; Belgium; Mental health; Higher education students; Depressive symptoms; Academic stress; Fear of infection; Institutional dissatisfaction
Résumé :
[en] Background: The surge of COVID-19 infections has prompted many countries to take unprecedented policy measures. In Belgium, the authorities implemented a nation-wide stay-at-home order for several months. Evidence of the mental health effect of such measures is scarce. A recent review by Brooks et al. has compiled a defined list of stressors affecting people’s mental health under quarantine during previous epidemic settings. This study aims to test the association between these stressors and the mental health of students attending higher education during the stay-at-home order in Belgium.
Methods: In this cross-sectional study, 18,301 students from 13 higher education institutions (HEI) participated in an online survey between 26 April and 11 May 2020. We assessed the association between potential stressors and depressive symptoms severity scores and structural equation modeling was used to assess how stressors may mediate the association between duration of exposure and depressive symptoms severity.
Results: The stressors proposed by Brooks et al. were found to be associated with depressive symptoms severity. The stressors ‘perceived academic stress’, ‘institutional dissatisfaction’ and ‘fear of being infected’ were associated with substantially higher depressive symptoms severity scores. The association between duration of exposure and depressive symptoms severity was mediated by ‘academic stress’. Being in a steady relationship and living together with others were both associated with a lower depressive symptoms severity.
Conclusion: Findings underline the need for a student-centered approach and mental health prevention. Authorities and HEIs should consider whether and if so, how a stay-at-home order should be implemented.
Disciplines :
Etudes régionales & interrégionales
Auteur, co-auteur :
De Man, Jeroen; Universiteit Antwerpen - UA > Department of Family Medicine and Population Health
Buffel, Veerle; Universiteit Antwerpen - UA > Department of Sociology
van de Velde, Sarah; Universiteit Antwerpen - UA > Department of Sociology
Bracke, Piet; Universiteit Gent - UGent > Department of Sociology
Van Hal, Guido F.; Universiteit Antwerpen - UA > Social Epidemiology and Health Policy
Wouters, Edwin; Universiteit Antwerpen - UA > Department of Sociology
Gadeyne, Sylvie; Vrije Universiteit Brussel - VUB > Department of Sociology
Kindermans, Hanne; Universiteit Hasselt - UH > Research Group Healthcare and Ethics
Joos, Mathilde; HOGENT University of Applied Sciences and Arts
Vanmaercke, Sander; Vlaamse Vereniging van Studenten
Nyssen, Anne-Sophie ; Université de Liège - ULiège > Département de Psychologie > Ergonomie et intervention au travail
Puttaert, Ninon ; Université de Liège - ULiège > Département de Psychologie > Psychologie sociale
Vervecken, Dries; Karel de Grote University College
Johns Hopkins University. COVID-19 Map - Coronavirus Resource Center [Internet]. 2020 [cited 2020 Sep 29]. Available from: https://coronavirus.jhu.edu/map.html.
Sciensano. Covid-19: epidemiology [Internet]. [cited 2020 Aug 2]. Available from: https://covid-19.sciensano.be/nl/covid-19-epidemiologische-situatie.
Belgian Federal Government. Coronavirus: reinforced measures [Internet]. 2020 [cited 2020 Aug 5]. Available from: https://www.belgium.be/en/news/2020/coronavirus_reinforced_measures.
Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547–60 [cited 2020 Aug 17]. Available from: www.thelancet.com/psychiatry. DOI: 10.1016/S2215-0366(20)30168-1
Lee J. Mental health effects of school closures during COVID-19. Lancet Child Adolesc Heal. 2020;4(6):421 [cited 2020 Aug 18]. Available from: www.thelancet.com/child-adolescent. DOI: 10.1016/S2352-4642(20)30109-7
Viner RM, Russell SJ, Croker H, Packer J, Ward J, Stansfield C, et al. School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review [Internet], vol. 4: The Lancet Child and Adolescent Health. Elsevier B.V; 2020. p. 397–404. [cited 2020 Aug 18]. Available from: www.thelancet.com/child-adolescentVol.
O’Neill S, Auerbach R, Alonso J, … WA-P, 2016 undefined. Mental disorders among college students in the World Health Organization World Mental Health Surveys. pure.ulster.ac.uk [Internet]. 2017 [cited 2020 Aug 18]; Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:33461094.
Wörfel F, Gusy B, Lohmann K, Töpritz K, Kleiber D. Mental health problems among university students and the impact of structural conditions. J Public Health (Bangkok). 2016;24(2):125–33 [cited 2020 Aug 18]. Available from: http://link.springer.com/10.1007/s10389-015-0703-6. DOI: 10.1007/s10389-015-0703-6
Pierce M, Hope H, Ford T, Hatch S, Hotopf M, John A, et al. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. Lancet Psychiatry. 2020;0(0) [cited 2020 Aug 18]. Available from: www.thelancet.com/psychiatryPublishedonline.
Kavčič T, Avsec A, Zager Kocjan G. Psychological Functioning of Slovene Adults during the COVID-19 Pandemic: Does Resilience Matter? Psychiatr Q. 2020:1–10 [cited 2020 Aug 21]. Available from: 10.1007/s11126-020-09789-4.
Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954. DOI: 10.1016/j.psychres.2020.112954
Vijayaraghavan P, Singhal D. A Descriptive Study of Indian General Public’s Psychological responses during COVID-19 Pandemic Lockdown Period in India. 2020; [cited 2020 Aug 17]. Available from: https://psyarxiv.com/jeksn/.
Kaparounaki CK, Patsali ME, Mousa DPV, Papadopoulou EVK, Papadopoulou KKK. Fountoulakis KN. University students’ mental health amidst the COVID-19 quarantine in Greece. Psychiatry Res. 2020;290:113111 Elsevier Ireland Ltd. DOI: 10.1016/j.psychres.2020.113111
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934 [cited 2020 Aug 18]. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0165178120305400. DOI: 10.1016/j.psychres.2020.112934
Odriozola-González P, Planchuelo-Gómez Á, Irurtia MJ, de Luis-García R. 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
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395:912–20 Lancet Publishing Group. [cited 2020 Aug 17]. Available from: https://10.1016/. DOI: 10.1016/S0140-6736(20)30460-8
Centre for population, family and health. The COVID-19 International Student Well-being Study [Internet]. [cited 2020 Aug 4]. Available from: https://www.uantwerpen.be/en/research-groups/centre-population-family-health/research2/covid-19-internation/.
van Buuren S, Groothuis-Oudshoorn K. mice: Multivariate Imputation by Chained Equations in R. J Stat Softw. 2011;45(3):1–67 Available from: https://www.jstatsoft.org/v45/i03/. DOI: 10.18637/jss.v045.i03
Radloff LS. The CES-D scale. Appl Psychol Meas. 1977;1(3):385–401 Available from: http://journals.sagepub.com/doi/10.1177/014662167700100306. DOI: 10.1177/014662167700100306
Van de Velde S, Bracke P, Levecque K, Meuleman B. Gender differences in depression in 25 European countries after eliminating measurement bias in the CES-D 8. Soc Sci Res. 2010;39(3):396–404. DOI: 10.1016/j.ssresearch.2010.01.002
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model A Multidiscip J. 1999;6(1):1–55 [cited 2019 Apr 25]. Available from: http://www.tandfonline.com/doi/abs/10.1080/10705519909540118. DOI: 10.1080/10705519909540118
Cerin E. Ways of unraveling how and why physical activity influences mental health through statistical mediation analyses. Ment Health Phys Act. 2010;3(2):51–60 [cited 2019 May 16]. Available from: https://www.sciencedirect.com/science/article/pii/S1755296610000268. DOI: 10.1016/j.mhpa.2010.06.002
Rosseel Y. lavaan: An R Package for Structural Equation Modeling. J Stat Softw. 2012;48(2) Available from: http://www.jstatsoft.org/v48/i02/.
Jorgensen TD, Pornprasertmanit S, Schoemann AM, Rosseel Y. semTools: Useful tools for structural equation modeling. R package version 0.5-3. [Internet]. 2020 [cited 2020 Jun 1]. Available from: https://cran.r-project.org/package=semTools.
Mazza C, Ricci E, Biondi S, Colasanti M, Ferracuti S, Napoli C, et al. A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors. Int J Environ Res Public Health. 2020;17(9):3165 [cited 2020 Sep 8]. Available from: https://www.mdpi.com/1660-4601/17/9/3165. DOI: 10.3390/ijerph17093165
Flemish government; department of education. Dataloep [Internet]. [cited 2020 Sep 3]. Available from: https://dataloep-publiek.vlaanderen.be/QvAJAXZfc/notoolbar.htm?document=HO-Publiek%2FPubliek_Inschrijvingen_HO.qvw&host=PubliekQVS%40cwv100163&anonymous=true. https://dataloep-publiek.vlaanderen.be/QvAJAXZfc/notoolbar.htm?document=HO-Publiek%2FPubliek_I.
