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Published in: BMC Psychiatry 1/2021

01-12-2021 | COVID-19 | Research

Changes in mental health during three waves of the COVID-19 pandemic: a repeated cross-sectional study among Polish university students

Authors: Aleksandra M. Rogowska, Dominika Ochnik, Cezary Kuśnierz, Karolina Chilicka, Monika Jakubiak, Maria Paradowska, Luiza Głazowska, Dawid Bojarski, Julia Fijołek, Marcin Podolak, Maciej Tomasiewicz, Dominika Nowicka, Marek Kawka, Maksymilian Grabarczyk, Zuzanna Babińska

Published in: BMC Psychiatry | Issue 1/2021

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Abstract

Background

Research indicates that mental health worsened during the Coronavirus crisis, in particular among women and university students. However, few longitudinal studies have so far investigated the changes in mental health outcomes across three subsequent waves of the COVID-19 pandemic. Therefore, this study aims to examine changes in mental health among university students.

Methods

A total of 1,961university students from Poland, at mean age 23.23 years (SD = 3.16, 57.47% of women) were included in this repeated cross-sectional study across three waves of the COVID-19 pandemic: W1 (n = 657), W2 (n = 654), and W3 (n = 650). They completed the online survey with the Generalized Anxiety Disorder (GAD-7), Perceived Stress Scale (PSS-10), General Self-Rated Health (GSRH), and Satisfaction with Life Scale (SWLS), as well as sociodemographic variables.

Results

The prevalence of people at high risk of anxiety and perceived stress, poorer physical health, and low life satisfaction changed significantly across three waves of the COVID-19 pandemic. The results of the two-way ANOVA showed that both the wave (W1<W2<W3) and gender (men<women) had a significant impact on the level of anxiety. Statistically significant changes in perceived stress were found between pandemic waves (W1>W2, W1>W3), and genders (men<women). Self-reported physical health significantly deteriorated in W3 compared to W1 and W2 (W1>W3, W2>W3), and was significantly worse in women than in men. The level of life satisfaction also decreased significantly in W3 (W1>W3, W2>W3), but did not differ between men and women. High GAD risk was presented two times more frequently among women and people who subjectively assessed their health as poor, three times more likely in participants dissatisfied with their lives, and seven times more probably in persons with high-stress levels.

Conclusions

The results of this study consistently indicate (using parametric and non-parametric statistical analysis) that there are significant differences in mental health problems across three waves of the COVID-19 pandemic. It suggests that pandemic waves should be considered in future review studies and meta-analyses. Furthermore, these findings indicate a potential role for prevention and intervention programs aimed at alleviating life satisfaction and subjective assessment of health and improving coping skills to reduce stress and anxiety.
Literature
4.
go back to reference Tull MT, Edmonds KA, Scamaldo KM, Richmond JR, Rose JP, Gratz KL. Psychological outcomes associated with stay-at-home orders and the perceived impact of covid-19 on daily life. Psychiatry Research. 2020;289:113098.CrossRefPubMedPubMedCentral Tull MT, Edmonds KA, Scamaldo KM, Richmond JR, Rose JP, Gratz KL. Psychological outcomes associated with stay-at-home orders and the perceived impact of covid-19 on daily life. Psychiatry Research. 2020;289:113098.CrossRefPubMedPubMedCentral
5.
go back to reference Benke C, Autenrieth LK, Asselmann E, Pané-Farré CA. Stay-at-home orders due to the COVID-19 pandemic are associated with elevated depression and anxiety in younger, but not older adults: results from a nationwide community sample of adults from Germany. Psychol Med. 2020;1–2. https://doi.org/10.1017/S0033291720003438 Benke C, Autenrieth LK, Asselmann E, Pané-Farré CA. Stay-at-home orders due to the COVID-19 pandemic are associated with elevated depression and anxiety in younger, but not older adults: results from a nationwide community sample of adults from Germany. Psychol Med. 2020;1–2. https://​doi.​org/​10.​1017/​S003329172000343​8
12.
go back to reference Cénat JM, Blais-Rochette C, Kokou-Kpolou CK, Noorishad PG, Mukunzi JN, McIntee SE, et al. Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2021;295:113599. doi: https://doi.org/10.1016/j.psychres.2020.113599CrossRefPubMed Cénat JM, Blais-Rochette C, Kokou-Kpolou CK, Noorishad PG, Mukunzi JN, McIntee SE, et al. Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res. 2021;295:113599. doi: https://​doi.​org/​10.​1016/​j.​psychres.​2020.​113599CrossRefPubMed
13.
go back to reference Necho M, Tsehay M, Birkie M, Biset G, Tadesse E. Prevalence of anxiety, depression, and psychological distress among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Int J Soc Psychiatry. 2021:207640211003121. doi: https://doi.org/10.1177/00207640211003121 Necho M, Tsehay M, Birkie M, Biset G, Tadesse E. Prevalence of anxiety, depression, and psychological distress among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Int J Soc Psychiatry. 2021:207640211003121. doi: https://​doi.​org/​10.​1177/​0020764021100312​1
14.
go back to reference Nochaiwong, S., Ruengorn, C., Thavorn, K, Hutton B, Awiphan R, Phosuya C, et al. Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and meta-analysis. Sci Rep 2021;11<background-color:#FFCC66;bvertical-align:super;>:</background-color:#FFCC66;bvertical-align:super;>10173. https://doi.org/10.1038/s41598-021-89700-8CrossRefPubMedPubMedCentral Nochaiwong, S., Ruengorn, C., Thavorn, K, Hutton B, Awiphan R, Phosuya C, et al. Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: a systematic review and meta-analysis. Sci Rep 2021;11<background-color:#FFCC66;bvertical-align:super;>:</background-color:#FFCC66;bvertical-align:super;>10173. https://​doi.​org/​10.​1038/​s41598-021-89700-8CrossRefPubMedPubMedCentral
31.
go back to reference López-Bueno R, Calatayud J, Ezzatvar Y, et al. Association Between Current Physical Activity and Current Perceived Anxiety and Mood in the Initial Phase of COVID-19 Confinement [published correction appears in Front Psychiatry. 2021 May 20;12:694760]. Front Psychiatry. 2020;11:729. Published 2020 Jul 23. doi:https://doi.org/10.3389/fpsyt.2020.00729 López-Bueno R, Calatayud J, Ezzatvar Y, et al. Association Between Current Physical Activity and Current Perceived Anxiety and Mood in the Initial Phase of COVID-19 Confinement [published correction appears in Front Psychiatry. 2021 May 20;12:694760]. Front Psychiatry. 2020;11:729. Published 2020 Jul 23. doi:https://​doi.​org/​10.​3389/​fpsyt.​2020.​00729
32.
go back to reference Smith L, Jacob L, Trott M, Yakkundi A, Butler L, Barnett Y, Armstrong NC, McDermott D, Schuch F, Meyer J, López-Bueno R, Sánchez GFL, Bradley D, Tully MA. The association between screen time and mental health during COVID-19: A cross sectional study. Psychiatry Res. 2020;292:113333. doi: https://doi.org/10.1016/j.psychres.2020.113333 Smith L, Jacob L, Trott M, Yakkundi A, Butler L, Barnett Y, Armstrong NC, McDermott D, Schuch F, Meyer J, López-Bueno R, Sánchez GFL, Bradley D, Tully MA. The association between screen time and mental health during COVID-19: A cross sectional study. Psychiatry Res. 2020;292:113333. doi: https://​doi.​org/​10.​1016/​j.​psychres.​2020.​113333
44.
go back to reference Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.CrossRefPubMed Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96.CrossRefPubMed
47.
go back to reference Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction with Life Scale. J Pers Assess. 1985;49:71–75.CrossRefPubMed Diener E, Emmons RA, Larsen RJ, Griffin S. The Satisfaction with Life Scale. J Pers Assess. 1985;49:71–75.CrossRefPubMed
48.
go back to reference Diener E. New findings and future directions for subjective wellbeing research. Am Psychol. 2012;67(8):590–597CrossRefPubMed Diener E. New findings and future directions for subjective wellbeing research. Am Psychol. 2012;67(8):590–597CrossRefPubMed
58.
go back to reference Praharso NF, Tear MJ, Cruwys T. Stressful life transitions and wellbeing: A comparison of the stress-buffering hypothesis and the social identity model of identity change. Psychiatry Res. 2017;247:265–275.CrossRefPubMed Praharso NF, Tear MJ, Cruwys T. Stressful life transitions and wellbeing: A comparison of the stress-buffering hypothesis and the social identity model of identity change. Psychiatry Res. 2017;247:265–275.CrossRefPubMed
Metadata
Title
Changes in mental health during three waves of the COVID-19 pandemic: a repeated cross-sectional study among Polish university students
Authors
Aleksandra M. Rogowska
Dominika Ochnik
Cezary Kuśnierz
Karolina Chilicka
Monika Jakubiak
Maria Paradowska
Luiza Głazowska
Dawid Bojarski
Julia Fijołek
Marcin Podolak
Maciej Tomasiewicz
Dominika Nowicka
Marek Kawka
Maksymilian Grabarczyk
Zuzanna Babińska
Publication date
01-12-2021
Publisher
BioMed Central
Keywords
COVID-19
Anxiety
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03615-2

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