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Published in: BMC Psychiatry 1/2021

Open Access 01-12-2021 | Mood Disorders | Research

The impacts of coping style and perceived social support on the mental health of undergraduate students during the early phases of the COVID-19 pandemic in China: a multicenter survey

Authors: Yiman Huang, Xiaoyou Su, Mingyu Si, Weijun Xiao, Hao Wang, Wenjun Wang, Xiaofen Gu, Li Ma, Jing Li, Shaokai Zhang, Zefang Ren, Youlin Qiao

Published in: BMC Psychiatry | Issue 1/2021

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Abstract

Background

An increasing number of undergraduate students in China have been reported to have psychological problems. In response to the COVID-19 pandemic, a series of preventive and control measures were implemented, which undoubtedly worsened their psychological health. Coping style and social support were probably important factors that affected the psychological well-being of undergraduate students during the pandemic. This study aimed to explore the effects of coping style and perceived social support on the psychological well-being of college students and relevant risk factors.

Methods

This cross-sectional study was performed in February and March of 2020 by distributing an online questionnaire among undergraduate students from seven geographical regions across China. The questionnaire included sociodemographic information; the 21-item Depression, Anxiety and Stress Scale (DASS-21); the Perceived Social Support Scale (PSSS); and the Simplified Coping Style Questionnaire (SCSQ). For the analyses, t-tests, one-way analysis of variance (ANOVA), the Kruskal–Wallis test and multiple linear regression were utilized. The level of significance was set at P < 0.05.

Results

Among 3113 college students, the rates of anxiety, depression and stress symptoms were 13.3, 15.4 and 6.8%, respectively. Increased rates of current smoking and drinking (5.5 and 25.2%, respectively) among undergraduates were identified. The results indicated that the PSSS subscales and SCSQ subscales were significantly associated with DASS-21 scores (P < 0.001). Multiple linear regression analysis showed that active coping style and family support were protective factors while passive coping style could aggravate psychological problems among participants (P < 0.001).

Conclusions

A remarkable number of college students adopted passive coping strategies to cope with negative feelings, such as smoking and drinking, which were detrimental to their mental health. In contrast, active coping strategies helped improve their psychological well-being. Moreover, family support was particularly important for maintaining their mental health and ameliorating mental health challenges in this major health crisis. Consequently, suitable psychointervention, routine screening for risk behaviors, and provision of further social support are needed for undergraduate students in the COVID-19 pandemic or other emergency public health events.
Literature
1.
go back to reference Mahase E. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ (Clinical research ed). 2020;368:m408. Mahase E. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ (Clinical research ed). 2020;368:m408.
2.
go back to reference Huckins JF, daSilva AW, Wang W, Hedlund E, Rogers C, Nepal SK, et al. Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. J Med Internet Res. 2020;22(6):e20185.CrossRefPubMedPubMedCentral Huckins JF, daSilva AW, Wang W, Hedlund E, Rogers C, Nepal SK, et al. Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. J Med Internet Res. 2020;22(6):e20185.CrossRefPubMedPubMedCentral
4.
go back to reference Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet (London, England). 2020;395(10224):e37–e8.CrossRef Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet (London, England). 2020;395(10224):e37–e8.CrossRef
11.
go back to reference Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5, 5). https://doi.org/10.3390/ijerph17051729. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5, 5). https://​doi.​org/​10.​3390/​ijerph17051729.
14.
go back to reference Patsali ME, Mousa DV, Papadopoulou EVK, Papadopoulou KKK, Kaparounaki CK, Diakogiannis I, et al. University students’ changes in mental health status and determinants of behavior during the COVID-19 lockdown in Greece. Psychiatry Res. 2020;292:113298.CrossRefPubMedPubMedCentral Patsali ME, Mousa DV, Papadopoulou EVK, Papadopoulou KKK, Kaparounaki CK, Diakogiannis I, et al. University students’ changes in mental health status and determinants of behavior during the COVID-19 lockdown in Greece. Psychiatry Res. 2020;292:113298.CrossRefPubMedPubMedCentral
15.
go back to reference Prowse R, Sherratt F, Abizaid A, Gabrys RL, Hellemans KGC, Patterson ZR, et al. Coping With the COVID-19 Pandemic: Examining Gender Differences in Stress and Mental Health Among University Students. Front Psychiatry. 2021;12:650759.CrossRefPubMedPubMedCentral Prowse R, Sherratt F, Abizaid A, Gabrys RL, Hellemans KGC, Patterson ZR, et al. Coping With the COVID-19 Pandemic: Examining Gender Differences in Stress and Mental Health Among University Students. Front Psychiatry. 2021;12:650759.CrossRefPubMedPubMedCentral
18.
go back to reference Yalçın İ. Relationships between well-being and social support: a meta analysis of studies conducted in Turkey. Turk Psikiyatri Derg. 2015;26(1):21–32.PubMed Yalçın İ. Relationships between well-being and social support: a meta analysis of studies conducted in Turkey. Turk Psikiyatri Derg. 2015;26(1):21–32.PubMed
33.
go back to reference Taherdoost HJP-P. Determining sample size; how to calculate survey sample size; 2017. Taherdoost HJP-P. Determining sample size; how to calculate survey sample size; 2017.
40.
go back to reference Xie Y. Reliability and validity of the simplified coping style questionnaire. Chinese J Clin Psychol. 1998;6(2):114–5. Xie Y. Reliability and validity of the simplified coping style questionnaire. Chinese J Clin Psychol. 1998;6(2):114–5.
46.
go back to reference TAO j-q, ZENG H-w, LIANG L-y. Meta-analysis on smoking status in students from mainland China in recent 5 years. Modern Prev Med. 2019;046(006):961–5. TAO j-q, ZENG H-w, LIANG L-y. Meta-analysis on smoking status in students from mainland China in recent 5 years. Modern Prev Med. 2019;046(006):961–5.
47.
go back to reference Asharani PV, Ling Seet VA, Abdin E, Siva Kumar FD, Wang P, Roystonn K, et al. Smoking and Mental Illness: Prevalence, Patterns and Correlates of Smoking and Smoking Cessation among Psychiatric Patients. Int J Environ Res Public Health. 2020;17(15). https://doi.org/10.3390/ijerph17155571. Asharani PV, Ling Seet VA, Abdin E, Siva Kumar FD, Wang P, Roystonn K, et al. Smoking and Mental Illness: Prevalence, Patterns and Correlates of Smoking and Smoking Cessation among Psychiatric Patients. Int J Environ Res Public Health. 2020;17(15). https://​doi.​org/​10.​3390/​ijerph17155571.
48.
49.
go back to reference Zhuo L, Wu Q, Le H, Li H, Zheng L, Ma G, et al. COVID-19-Related Intolerance of Uncertainty and Mental Health among Back-To-School Students in Wuhan: The Moderation Effect of Social Support. Int J Environ Res Public Health. 2021;18(3). https://doi.org/10.3390/ijerph18030981. Zhuo L, Wu Q, Le H, Li H, Zheng L, Ma G, et al. COVID-19-Related Intolerance of Uncertainty and Mental Health among Back-To-School Students in Wuhan: The Moderation Effect of Social Support. Int J Environ Res Public Health. 2021;18(3). https://​doi.​org/​10.​3390/​ijerph18030981.
58.
go back to reference Huang CY, Hsieh YP, Shen AC, Wei HS, Feng JY, Hwa HL, et al. Relationships between Parent-Reported Parenting, Child-Perceived Parenting, and Children's Mental Health in Taiwanese Children. Int J Environ Res Public Health. 2019;16(6). https://doi.org/10.3390/ijerph16061049. Huang CY, Hsieh YP, Shen AC, Wei HS, Feng JY, Hwa HL, et al. Relationships between Parent-Reported Parenting, Child-Perceived Parenting, and Children's Mental Health in Taiwanese Children. Int J Environ Res Public Health. 2019;16(6). https://​doi.​org/​10.​3390/​ijerph16061049.
Metadata
Title
The impacts of coping style and perceived social support on the mental health of undergraduate students during the early phases of the COVID-19 pandemic in China: a multicenter survey
Authors
Yiman Huang
Xiaoyou Su
Mingyu Si
Weijun Xiao
Hao Wang
Wenjun Wang
Xiaofen Gu
Li Ma
Jing Li
Shaokai Zhang
Zefang Ren
Youlin Qiao
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03546-y

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