Association between COVID-19-related loneliness or worry and symptoms of anxiety and depression among first-year college students

Abstract

Objective

To examine the relationship between COVID-19-related distress and mental health among first-year college students.

Participants

Data for this longitudinal study (n = 727) were collected before the school year (August 2019), end of fall semester (December 2019), and soon after the university suspended in-person instruction (April 2020).

Methods

We used multivariable log-linear and logistic regressions to examine continuous and dichotomous outcomes on the 9-item Patient Health Questionnaire and the 7-item Generalized Anxiety Disorder scale.

Results

The most consistent predictor of during-pandemic mental health was feeling extremely isolated (versus not at all), which was associated with increased symptom severity of depression (proportional change[95% CI] = 2.43[1.87, 3.15]) and anxiety (2.02[1.50, 2.73]) and greater odds of new moderate depression (OR[95% CI] = 14.83[3.00, 73.41]) and anxiety (24.74[2.91, 210.00]). Greater COVID-19-related concern was also related to increased mental health symptoms.

Conclusions

Results highlight the need for mental health services during crises that lead to social isolation.

Keywords:

• Anxiety
• COVID-19
• depression
• loneliness

Conflict of interest disclosure

The authors have no conflicts of interest to report. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of [country name] and received approval from the University of Minnesota, United States.