TY - JOUR PY - 2021// TI - COVID-19 dimensions are related to depression and anxiety among US college students: findings from the Healthy Minds Survey 2020 JO - Journal of affective disorders A1 - Oh, Hans A1 - Marinovich, Caitlin A1 - Rajkumar, Ravi A1 - Besecker, Megan A1 - Zhou, Sasha A1 - Jacob, Louis A1 - Koyanagi, Ai A1 - Smith, Lee SP - 270 EP - 275 VL - 292 IS - N2 - BACKGROUND: The COVID-19 pandemic has brought about tremendous social and economic turmoil, which has been associated with increased levels of depression and anxiety.

METHODS: We analyzed data from the Healthy Minds Study (Fall Semester Cohort 2020), a non-probability sample of students across multiple colleges who completed an online survey between September - December 2020. Using multivariable logistic regression, we examined the associations between COVID-19 dimensions (concern, racial/ethnic discrimination, financial distress, infection, illness of loved one, death of loved one, caregiving) and mental health outcomes (depression, anxiety), adjusting for age, gender, race/ethnicity, and international student status.

RESULTS: Nearly a fifth of the sample reported moderately severe or severe depression, and nearly a third reported moderately severe or severe anxiety over the past two weeks. When accounting for all COVID-19 dimensions in the same model, COVID-19 concern, racial/ethnic discrimination, financial distress, and infection were significantly associated with moderately severe or severe depression; COVID-19 concern, financial distress, and infection were significantly associated with moderately severe or severe anxiety.

CONCLUSIONS: This study showed that the COVID-19 pandemic may have shaped mental health through a range of potential social and environmental dimensions. Interventions are required that consider multiple dimensions of COVID-19 to improve mental health during and after the pandemic.

Language: en

LA - en SN - 0165-0327 UR - http://dx.doi.org/10.1016/j.jad.2021.05.121 ID - ref1 ER -