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Impact of COVID-19 Pandemic on College Student Mental Health and Wellness

https://doi.org/10.1016/j.jaac.2020.08.466Get rights and content

Objective

To test the impact of the coronavirus disease 2019 (COVID) pandemic on the emotions, behavior, and wellness behaviors of first-year college students.

Method

A total of 675 first-year university students completed a full assessment of behavioral and emotional functioning at the beginning of the spring semester 2020. Of these, 576 completed the same assessment at the end of the spring semester, 600 completed at least 1 item from a COVID-related survey after the onset of COVID pandemic, and 485 completed nightly surveys of mood and wellness behaviors on a regular basis before and after the onset of the COVID crisis.

Results

Externalizing problems (mean = −0.19, 95% CI = −0.06 to 0.33, p = .004) and attention problems (mean = −0.60, 95% CI = −0.40 to 0.80, p < .001) increased after the onset of COVID, but not internalizing symptoms (mean = 0.18, 95% CI = −0.1 to 0.38, p = .06). Students who were enrolled in a campus wellness program were less affected by COVID in terms of internalizing symptoms (β = 0.40, SE = 0.21, p = .055) and attention problems (β = 0.59, SE = 0.21, p = .005) than those who were not in the wellness program. Nightly surveys of both mood (β = −0.10, SE = 0.03, p = .003) and daily wellness behaviors (β = −0.06, SE = 0.03, p = .036), but not stress (β = 0.02, SE = 0.03, p = .58), were negatively affected by the COVID crisis. The overall magnitude of these COVID-related changes were modest but persistent across the rest of the semester and different from patterns observed in a prior year.

Conclusion

COVID and associated educational/governmental mitigation strategies had a modest but persistent impact on mood and wellness behaviors of first-year university students. Colleges should prepare to address the continued mental health impacts of the pandemic.

Key words

adolescence
COVID-19
young adulthood
wellness
substance use
college behavior change

Cited by (0)

The work presented here was supported by a research grant from the Conrad Hilton Foundation. The funding source had no involvement in the study design, data collection, analysis and interpretation of data, writing of the report, or the decision to submit the article for publication.

Author Contributions

Conceptualization: Hudziak

Data curation: Bai, Adams, Nardone, Devadanam

Formal analysis: Copeland, Bai

Funding acquisition: Hudziak

Investigation: Devadanam, Rettew, Hudziak

Methodology: Rettew, Hudziak

Project administration: Adams, Nardone, Devadanam

Resources: Devadanam, Rettew, Hudziak

Supervision: Copeland, Hudziak

Writing – original draft: Copeland, McGinnis, Bai, Nardone

Writing – review and editing: Copeland, McGinnis, Bai, Adams, Nardone, Rettew, Hudziak

ORCID

William E. Copeland, PhD: https://orcid.org/0000-0002-1348-7781

Ellen McGinnis, PhD: https://orcid.org/0000-0001-8566-2289

Zoe Adams, BS: https://orcid.org/0000-0001-6913-3352

Jeffrey Rettew, PhD: https://orcid.org/0000-0002-4238-5979

Jim J. Hudziak, MD: https://orcid.org/0000-0001-9653-758X

Disclosure: Dr. Copeland has received research support from the National Institute of Mental Health, the National Institute on Drug Abuse, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Dr. Hudziak has received research grants from the Conrad N. Hilton Foundation and Apple Corps and has been a scientific consultant to Happy Corp. Drs. McGinnis, Bai, Rettew, Mss. Adams and Nardone, and Mr. Devadanam have reported no biomedical financial interests or potential conflicts of interest.

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