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Article ; Online: Stress, anxiety, and sleep among college and university students during the COVID-19 pandemic.

Ulrich, Angela K / Full, Kelsie M / Cheng, Bethany / Gravagna, Katie / Nederhoff, Dawn / Basta, Nicole E

Journal of American college health : J of ACH

2021 Volume 71, Issue 5, Page(s) 1323–1327

Abstract: ... found high levels of stress, worry, anxiety, and poor sleep among US college and university students ... among US college and university students during the COVID-19 pandemic.: Methods: We conducted an anonymous ... coping to help students manage anxiety and improve sleep quality as the pandemic continues. ...

Abstract	Objective: We categorized levels of self-reported stress, anxiety, worry, and sleep among US college and university students during the COVID-19 pandemic. Methods: We conducted an anonymous online survey between May 7 and June 21, 2020. Results: Nearly all participants reported worry about the pandemic. Nearly half (95% CI: 43.3-51.3) reported moderate-to-severe anxiety, and 42.0% (95% CI: 38.0-45.9) reported experiencing poor sleep quality. Those with moderate-to-severe anxiety were more likely (OR: 3.3; 95% CI: 2.4-4.7) to report poor sleep quality than those with less anxiety. Moderate or extreme worry about the pandemic was associated with poor sleep quality (OR: 1.5; 95% CI: 1.1-2.1). Conclusions: Our survey found high levels of stress, worry, anxiety, and poor sleep among US college and university students during the early months of the pandemic. Universities should prioritize access to resources for healthy coping to help students manage anxiety and improve sleep quality as the pandemic continues.
MeSH term(s)	Humans ; Universities ; Pandemics ; COVID-19/epidemiology ; Students ; Anxiety/epidemiology ; Sleep
Language	English
Publishing date	2021-07-09
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	604907-2
ISSN	1940-3208 ; 0744-8481
ISSN (online)	1940-3208
ISSN	0744-8481
DOI	10.1080/07448481.2021.1928143
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Article ; Online: The relationship between academic stress and depression among college students during the COVID-19 pandemic: a cross-sectional study from China.

Chen, Baoling / Wang, Weiwei / Yang, Shanlin

BMC psychiatry

2024 Volume 24, Issue 1, Page(s) 46

Abstract: ... academic stress and depression of college students during the COVID-19 pandemic through the mechanism ... depression among college students in China during the COVID-19 pandemic, which is conducive to the provision ... stress had a significant impact on depression in college students under the background of COVID-19 (p < 0 ...

Abstract	Background: The COVID-19 pandemic is a global public health crisis. During the COVID-19 pandemic, mental health has attracted great attention. However, there is a lack of research on the relationship between academic stress and depression in Chinese college students and its mechanisms. Therefore, this study investigated the mechanisms of coping style, sleep quality, and interpersonal relationship in academic stress and depression among college students. Methods: The cross-sectional study was conducted from May to June 2022 through face-to-face questionnaires with college students in Anhui Province, China. The questionnaires included sociodemographic information, the Simplified Coping Style Questionnaire, and the Self-Rating Depression Scale. Ordered logistic regression model was used to study the relationship between academic stress and depression of college students during the COVID-19 pandemic through the mechanism analysis of coping style, sleep quality and interpersonal relationship. Results: Two thousand thirty-three Chinese college students participated in the study, including 1,285 female and 748 male college students, with an average age 19.81 years old (SD = 1.22 years old). The results showed that (1) Academic stress had a significant impact on depression in college students under the background of COVID-19 (p < 0.01); (2) The influence of academic stress on depression had a difference in work experience as student cadres, which showed that college students who had served as student cadres were less affected by academic stress (p < 0.10), college students who had not served as student cadres were greatly affected by the academic stress (p < 0.05); (3) College students' attitudes toward COVID-19 significantly affected depression (p < 0.01); (4) Counselors' concern had a significant impact on college students' depression (p < 0.01); (5) Positive coping style, high quality sleep and good interpersonal relationship were the important mechanisms of the impact of academic stress on college students' depression. Conclusions: This study provides new findings for in-depth understanding of the relationship between academic stress and depression among college students in China during the COVID-19 pandemic, which is conducive to the provision of targeted intervention measures for the mental health of college students.
MeSH term(s)	Humans ; Male ; Female ; Young Adult ; Adult ; Infant ; COVID-19/epidemiology ; COVID-19/psychology ; Cross-Sectional Studies ; SARS-CoV-2 ; Pandemics ; Anxiety/psychology ; Students/psychology ; China/epidemiology
Language	English
Publishing date	2024-01-12
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2050438-X
ISSN	1471-244X ; 1471-244X
ISSN (online)	1471-244X
ISSN	1471-244X
DOI	10.1186/s12888-024-05506-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Academic stress in high school students during the transition from online to offline exams: A retrospective study from post-COVID-19 era.

Rure, Daisy / Kaithwas, Nisha / Singh, Rajesh / Shakya, Makhan

Industrial psychiatry journal

2023 Volume 32, Issue Suppl 1, Page(s) S231–S235

Abstract: ... and due to different reasons. Stress in students can be due to many reasons-non-academic and academic ... academic stress in high school students, to compare stress between male and female students, and to find ... implicated in mental illnesses like depression, anxiety, sleep disorders, and even suicide, and physical ...

Abstract	Background: Stress is a common phenomenon. Everyone faces stress, albeit of different intensity and due to different reasons. Stress in students can be due to many reasons-non-academic and academic. Academic stress is a major deciding factor in the fluctuation in academic achievements. It has also been implicated in mental illnesses like depression, anxiety, sleep disorders, and even suicide, and physical illnesses like hypertension, obesity, etc., Additionally, post-COVID-19 pandemic in 2020, there have been adverse effects on the education sector due to the offline-online mode of classes. Aim: To assess academic stress in high school students, to compare stress between male and female students, and to find the correlation of academic stress with the 10 Material and methods: A retrospective study was designed by the Department of Psychiatry, of a medical college of Madhya Pradesh in schools of Khandwa and nearby areas from June 2022 to August 2022. A total of 162 high school students were selected as per inclusion and exclusion criteria. Perception of Academic Stress (PAS) scale and Scale for Assessing Academic Stress (SAAS) were used to assess academic stress. Statistical analysis was done by SPSS version 25 using the Student Results: The mean age of the study participants was 15.82 ± 0.81 years. There was a significant difference in the mean percentage of the 9 Conclusion: Academic stress is ubiquitous. External factors like the transition from online to offline exams in addition to anticipation of the exams themselves can add to the stress. Prompt identification of stress can alleviate the emergence of future psychiatric illnesses.
Language	English
Publishing date	2023-11-30
Publishing country	India
Document type	Journal Article
ZDB-ID	2580355-4
ISSN	0976-2795 ; 0972-6748
ISSN (online)	0976-2795
ISSN	0972-6748
DOI	10.4103/ipj.ipj_231_23
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Article ; Online: The link among academic stress, sleep disturbances, depressive symptoms, academic performance, and the moderating role of resourcefulness in health professions students during COVID-19 pandemic.

Alhamed, Arwa A

Journal of professional nursing : official journal of the American Association of Colleges of Nursing

2023 Volume 46, Page(s) 83–91

Abstract: ... of 21, and the majority were nursing and medicine students. High academic stress, anxiety ... of this study was to assess the relationship between academic stress, anxiety, sleep ... and tools to early detect subtle signs of high academic stress, anxiety, depression, and ...

Abstract	Background: The rapid shift to virtual learning in response to the COVID-19 pandemic contributed to high academic stress among health profession students. High academic stress was associated with impaired psychosocial well-being and decreased academic performance. Objectives: The purpose of this study was to assess the relationship between academic stress, anxiety, sleep disturbances, depressive symptoms, academic performance, and the moderating effect of resourcefulness among undergraduate health profession students. Methods: This descriptive and cross-sectional study included undergraduate health profession students. The primary investigator distributed the study link to all students through the university's Central Messaging Centre, Twitter account, and WhatsApp. The study variables were measured using the Student Life Stress Inventory, the Generalized Anxiety Disorder-7 questionnaire, the Centre for Epidemiology Scale of Depression, the Pittsburgh Sleep Quality Index, and the Resourcefulness Skills Scale. Pearson R correlation and linear regression analysis were utilized for statistical analysis. Results: Our sample included 94 undergraduate health profession students, 60 % of which were females with a mean age of 21, and the majority were nursing and medicine students. High academic stress, anxiety, sleep disturbances, depressive symptoms, and resourcefulness were reported among 50.6 %, 43 %, 79.6 %, 60.2 %, and 60 % of the participants, respectively. However, no effect of resourcefulness was found on any of the study variables. Instead, academic stress and sleep disturbances were the strongest predictors of depressive symptoms regardless of the level of resourcefulness. Conclusion: Adequate academic support during virtual learning and tools to early detect subtle signs of high academic stress, anxiety, depression, and sleep disturbance should be routinely utilized by educational institutions. In addition, incorporating sleep hygiene and resourcefulness training in health professions education is highly indicated.
MeSH term(s)	Female ; Humans ; Young Adult ; Adult ; Male ; Depression/epidemiology ; Depression/psychology ; Cross-Sectional Studies ; Pandemics ; COVID-19/epidemiology ; Students, Medical ; Academic Performance/psychology ; Sleep ; Health Occupations
Language	English
Publishing date	2023-03-17
Publishing country	United States
Document type	Journal Article
ZDB-ID	632951-2
ISSN	1532-8481 ; 8755-7223
ISSN (online)	1532-8481
ISSN	8755-7223
DOI	10.1016/j.profnurs.2023.02.010
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Article: COVID-19 Related Emotional Stress and Bedtime Procrastination Among College Students in China: A Moderated Mediation Model.

Deng, Yuhong / Ye, Baojuan / Yang, Qiang

Nature and science of sleep

2022 Volume 14, Page(s) 1437–1447

Abstract: ... rumination to reduce the bedtime procrastination of college students with high levels of COVID-19 related ... known about the relationship between COVID-19 related emotional stress and bedtime procrastination ... Therefore, we investigated the correlation between COVID-19 related emotional stress and bedtime procrastination and examined ...

Abstract	Purpose: Although bedtime procrastination is prevalent during the COVID-19 pandemic, little is known about the relationship between COVID-19 related emotional stress and bedtime procrastination. Therefore, we investigated the correlation between COVID-19 related emotional stress and bedtime procrastination and examined the mediating role of negative affect and the moderating role of rumination among Chinese college students. Methods: A multicenter, cross-sectional, and quantitative research was conducted in China from August 11, 2021, to August 27, 2021, during the COVID-19 pandemic. The sampling method used in the study is the convenience sampling method. A total of 913 college students (aged 18-24 years) participated and completed online self-reported questionnaires. Their levels of COVID-19 related emotional stress, negative affect, rumination, and bedtime procrastination were measured by the Coronavirus Stress Measure, the Depression Anxiety Stress Scale, the Ruminative Responses Scale, and the Bedtime Procrastination Scale, respectively. The data were analyzed using Pearson correlations and moderated mediation analysis. Results: COVID-19 related emotional stress was positively associated with bedtime procrastination. Meanwhile, the association could be mediated by negative affect (Effect = 0.33, Boot 95% Conclusion: The findings of this study shed light on a correlation between COVID-19 related emotional stress and bedtime procrastination. Moreover, this study suggests that interventions could be targeted at alleviating negative affect and rumination to reduce the bedtime procrastination of college students with high levels of COVID-19 related emotional stress.
Language	English
Publishing date	2022-08-22
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2587468-8
ISSN	1179-1608
ISSN	1179-1608
DOI	10.2147/NSS.S371292
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Article ; Online: Evaluation of Sleep Habits, Generalized Anxiety, Perceived Stress, and Research Outputs Among Postgraduate Research Students in Hong Kong During the Coronavirus (COVID-19) Pandemic

Anwer S / Li H / Antwi-Afari MF / Shaphe MA / Alghadir A / Wong AYL

Journal of Multidisciplinary Healthcare, Vol Volume 14, Pp 3135-

2021 Volume 3149

Abstract: ... anxiety levels, and perceived stress during the outbreak of COVID-19 were assessed. Questions about COVID ... study aimed to evaluate the impact of coronavirus (COVID-19) pandemic on sleep hygiene, anxiety levels ... survey was developed and distributed to Hong Kong postgraduate research students. The sleep hygiene ...

Abstract	Shahnawaz Anwer,1,2 Heng Li,2 Maxwell Fordjour Antwi-Afari,3 Mohammad Abu Shaphe,4 Ahmad Alghadir,1 Arnold YL Wong5 1Rehabilitation Research Chair, College of Applied Medical Science, King Saud University, Riyadh, Saudi Arabia; 2Department of Building and Real Estate, Faculty of Construction and Environment, Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative Region; 3Department of Civil Engineering, College of Engineering and Physical Sciences, Aston University, Birmingham, B4 7ET, UK; 4Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia; 5Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong Special Administrative RegionCorrespondence: Shahnawaz Anwer Email Shahnawaz.anwer@connect.polyu.hkPurpose: The current study aimed to evaluate the impact of coronavirus (COVID-19) pandemic on sleep hygiene, anxiety levels, perceived stress, and research output among postgraduate research students in Hong Kong.Methods: An online survey was developed and distributed to Hong Kong postgraduate research students. The sleep hygiene, anxiety levels, and perceived stress during the outbreak of COVID-19 were assessed. Questions about COVID-19’s impact on research outputs were asked.Results: A total of 108 (response rate, 72%) full-time postgraduate students (PhD, 64%; M Phil, 8%; and Masters, 28%) participated. Approximately 83% of students reported poor sleep hygiene. Similarly, nearly 76% of students reported mild to severe levels of self-perceived anxiety levels. Most of the respondents (89%) expressed a moderate level of perceived stress. Sleep hygiene scores were moderately associated with anxiety levels (r = 0.384, p < 0.01) and perceived stress scores (r = 0.423, p < 0.01). Perceived stress was strongly correlated with anxiety levels (r = 0.601, p < 0.01). A hierarchical regression analysis revealed a significant association between respondents’ ethnicity (B = − 0.923, p = 0.003), past medical ...
Keywords	coronavirus ; covid-19 pandemic ; postgraduate students ; research ; anxiety ; sleep hygiene ; stress ; Medicine (General) ; R5-920
Subject code	690
Language	English
Publishing date	2021-11-01T00:00:00Z
Publisher	Dove Medical Press
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The longitudinal mediating role of sleep in associations between COVID-19 stressors predicting mental and physical health outcomes among emerging adult college students.

Williams, Chelsea D / Gade, Sneha / Johnson, Kaprea / Peterson, Roseann E / Moreno, Oswaldo / Hood, Kristina B / Santana, Arlenis / Vassileva, Jasmin / Dick, Danielle M / Amstadter, Ananda B / Chartier, Karen G / Bravo, Diamond Y

Stress and health : journal of the International Society for the Investigation of Stress

2024 , Page(s) e3416

Abstract: ... of the United States who attended college during the COVID-19 pandemic and completed surveys about their experiences ... students (Mage = 19.95, SD = 0.33) from a large public university in the mid-Atlantic region ... on whether students' housing instability stress and food/financial instability stress at the beginning of the pandemic ...

Abstract	The current study tested a longitudinal mediation model throughout the COVID-19 pandemic focused on whether students' housing instability stress and food/financial instability stress at the beginning of the pandemic in spring 2020 (T1) informed sleep dissatisfaction and duration in fall 2020 (T2) and, in turn, physical and mental health in spring 2021 (T3). Further, we tested whether relations varied based on students' ethnic-racial backgrounds. Participants included 879 Asian, Black, Latine, Multiracial, and White emerging adult college students (Mage = 19.95, SD = 0.33) from a large public university in the mid-Atlantic region of the United States who attended college during the COVID-19 pandemic and completed surveys about their experiences. Findings indicated a significant mediation process, such that T1 housing instability stress predicted greater T2 sleep dissatisfaction and, in turn, less physical health, greater depressive symptoms, and greater anxiety symptoms at T3. Additionally, T1 food/financial instability stress was significantly associated with less T2 sleep duration but was not, in turn, associated with any T3 outcomes. Findings did not vary by students' ethnicity/race. Results highlight that sleep dissatisfaction is an important factor that accounts for relations between COVID-19 stressors predicting mental and physical health outcomes throughout the pandemic.
Language	English
Publishing date	2024-05-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2042041-9
ISSN	1532-2998 ; 1532-3005
ISSN (online)	1532-2998
ISSN	1532-3005
DOI	10.1002/smi.3416
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Article ; Online: Stress, anxiety, and sleep among college and university students during the COVID-19 pandemic.

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Article ; Online: The relationship between academic stress and depression among college students during the COVID-19 pandemic: a cross-sectional study from China.

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Article: Academic stress in high school students during the transition from online to offline exams: A retrospective study from post-COVID-19 era.

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Article ; Online: The link among academic stress, sleep disturbances, depressive symptoms, academic performance, and the moderating role of resourcefulness in health professions students during COVID-19 pandemic.

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Article: COVID-19 Related Emotional Stress and Bedtime Procrastination Among College Students in China: A Moderated Mediation Model.

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Article ; Online: Evaluation of Sleep Habits, Generalized Anxiety, Perceived Stress, and Research Outputs Among Postgraduate Research Students in Hong Kong During the Coronavirus (COVID-19) Pandemic

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Article ; Online: The longitudinal mediating role of sleep in associations between COVID-19 stressors predicting mental and physical health outcomes among emerging adult college students.

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