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Association between Changes in Daily Life during the COVID-19 Pandemic and Depressive Symptoms in Korean University Students

  • Young-Mee Kim (Institute of Health and Environment, Seoul National University) ;
  • Sung-il Cho (Department of Public Health Science, Graduate School of Public Health and Institute of Health and Environment, Seoul National University)
  • Received : 2023.12.05
  • Accepted : 2023.12.22
  • Published : 2023.12.31

Abstract

Purpose: The COVID-19 pandemic, which emerged in late 2019, had a profound impact on global public health and disrupted the daily lives of people worldwide. Particularly, university students faced a challenging situation as their university life underwent a drastic transformation due to long-term remote learning and isolation measures. This study aimed to investigate the relationship between changes in daily life during the 2020 COVID-19 pandemic and depressive symptoms among university students aged between 19 and 29 in Korea. Methods: We analyzed data from the nationally representative 2020 Community Health Survey (CHS). Among the 229,269 participants, 9,279 university students aged 19-29, either enrolled or on leave, were selected. After excluding 401 cases with missing values, the final sample comprised 8,878 individuals. Using multivariate logistic regression with a complex sample design, we explored the association between daily life changes during the COVID-19 pandemic and depressive symptoms. Results: Changes in daily life during the COVID-19 pandemic was associated with depressive symptoms in Korean university students aged 19 to 29, even after adjusting for sociodemographic characteristics, health-related factors, and COVID-19-related aspects (OR=1.28, 95% CI=1.09~1.50). Conclusion: Our study suggests that when examining the impact of COVID-19 on health issues, it is crucial to consider the changes in daily life caused by the pandemic. These findings can provide insights into the psychological well-being of university students during times of crisis.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (No.2022R1C1C2006424)

References

  1. Thu TPB, Ngoc PNH, Hai NM. Effect of the social distancing measures on the spread of COVID-19 in 10 highly infected countries. Science of the Total Environment. 2020;742:140430. https://doi.org/10.1016/j.scitotenv.2020.140430
  2. Disaster C, of the Republic SCH. Rules and guidelines for distancing in daily life to control coronavirus disease 2019 in Korea: 3rd version, announced on July 3, 2020. Journal of Educational Evaluation for Health Professions. 2020;17:20. https://doi.org/10.3352/jeehp.2020.17.20
  3. Ettman CK, Abdalla SM, Cohen GH, Sampson L, Vivier PM, Galea S. Prevalence of depression symptoms in US adults before and during the COVID-19 pandemic. JAMA Network Open. 2020;3(9):e2019686-e. https://doi.org/10.1001/jamanetworkopen.2020.19686
  4. Hosen I, Al-Mamun F, Mamun MA. Prevalence and risk factors of the symptoms of depression, anxiety, and stress during the COVID-19 pandemic in Bangladesh: a systematic review and meta-analysis. Global Mental Health. 2021;8:e47. https://doi.org/10.1017/gmh.2021.49
  5. Al Mamun F, Gozal D, Hosen I, Misti JM, Mamun MA. Predictive factors of insomnia during the COVID-19 pandemic in Bangladesh: a GIS-based nationwide distribution. Sleep Medicine. 2022;91:219-225. https://doi.org/10.1016/j.sleep.2021.04.025
  6. Hoffart A, Johnson SU, Ebrahimi OV. Loneliness and social distancing during the COVID-19 pandemic: risk factors and associations with psychopathology. Frontiers in Psychiatry. 2020;11:589127. https://doi.org/10.3389/fpsyt.2020.589127
  7. Feeney MP, Xu Y, Surface M, Shah H, Vanegas-Arroyave N, Chan AK, et al. The impact of COVID-19 and social distancing on people with Parkinson's disease: a survey study. NPJ Parkinson's Disease. 2021;7(1):10. https://doi.org/10.1038/s41531-020-00153-8
  8. Hyun JH. COVID-19, Korean National Mental Health Survey (2020). Survey Report. Daegu: Daegu University, Ministry of Health and Welfare; 2020 December. Report No.: 11-1352000-002917-01.
  9. Mihashi M, Otsubo Y, Yinjuan X, Nagatomi K, Hoshiko M, Ishitake T. Predictive factors of psychological disorder development during recovery following SARS outbreak. Health Psychology. 2009;28(1):91. https://doi.org/10.1037/a0013674
  10. Hong SH. An exploratory study of daily life and coping bahaviors since the onset of COVID-19: data from university students. Journal of Families and Better Life. 2021;39(2):47-61. https://doi.org/10.7466/jfbl.2021.39.2.47
  11. Cho S, Ju HR, Oh H, Choi E-S, Lee JA. The association between the restriction of daily life and depression during the COVID-19 pandemic in Korea: a nationwide based survey. Scientific Reports. 2022;12(1):17722. https://doi.org/10.1038/s41598-022-21301-5
  12. Lee H, Chu HS. The effects of changes in daily life due to the COVID-19 pandemic on the depressive symptoms among community- dwelling older adults in Korea. International Journal of Mental Health Nursing. 2022;31(4):974-984. https://doi.org/10.1111/inm.13008
  13. Park JH. Depression and anxiety patterns perceived by undergraduate students and effect of positive psychological capital in COVID-19 situation. The Journal of Welfare and Counselling Education. 2021;10(2):51-71.
  14. Kim YT, Choi BY, Lee KO, Kim H, Chun JH, Kim SY, et al. Overview of Korean Community Health Survey. Journal of the Korean Medical Association. 2012;55(1):74-83. https://doi.org/10.5124/jkma.2012.55.1.74
  15. Choi SH, Lee HY. Influence on college students' depression of anxiety, unemployment stress, and self-esteem - moderating effect of resilience. The Journal of the Korea Contents Association. 2014;14(10):619-627. https://doi.org/10.5392/jkca.2014.14.10.619
  16. Park S-J, Choi H-R, Choi J-H, Kim K-W, Hong J-P. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety and Mood. 2010;6(2):119-124.
  17. Lee S, Huh Y, Kim J, Han C. Finding optimal cut off points of the Korean version of the Patient Health Questionnaire-9 (PHQ-9) for screening depressive disorders. Mood and Emotion. 2014;12(1):32-36.
  18. Schofield MJ, O'halloran P, McLean SA, Forrester-Knauss C, Paxton SJ. Depressive symptoms among Australian university students: Who is at risk? Australian Psychologist. 2016;51(2):135-144. https://doi.org/10.1111/ap.12129
  19. Asante KO, Andoh-Arthur J. Prevalence and determinants of depressive symptoms among university students in Ghana. Journal of Affective Disorders. 2015;171:161-166. https://doi.org/10.1016/j.jad.2014.09.025
  20. Santomauro DF, Herrera AMM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet. 2021;398(10312):1700-1712. https://doi.org/10.1016/S0140-6736(21)02143-7
  21. Venkatesh A, Edirappuli S. Social distancing in covid-19: what are the mental health implications? BMJ. 2020;369:m1379. https://doi.org/10.1136/bmj.m1379
  22. Lee YJ. An analysis of positive psychological capital influencing emotional reactions of college students under COVID-19. The Journal of Humanities and Social Science. 2020;11(6):2885-2899. https://doi.org/10.22143/hss21.11.6.203
  23. Im S, Choi EH, Lee M, Hong NY, Hwang DY, Choi YB. Adjustment experiences of nursing students in the face of COVID-19. Journal of the Korean Society of School Health. 2020;33(3):213-221. https://doi.org/10.15434/kssh.2020.33.3.213
  24. Khudaykulov A, Changjun Z, Obrenovic B, Godinic D, Alsharif HZH, Jakhongirov I. The fear of COVID-19 and job insecurity impact on depression and anxiety: an empirical study in China in the COVID-19 pandemic aftermath. Current Psychology. 2022:1-14. https://doi.org/10.1007/s12144-022-02883-9
  25. Katayama O, Lee S, Bae S, Makino K, Chiba I, Harada K, et al. Are non-face-to-face interactions an effective strategy for maintaining mental and physical health? Archives of Gerontology and Geriatrics. 2022;98:104560. https://doi.org/10.1016/j.archger.2021.104560
  26. Kim NY, Kim JE. Influence of social contact on suicidal ideation among nursing students during the COVID-19 pandemic: the mediating effects of depression and loneliness. Journal of the Korean Society of School Health. 2023;36(2):31-39. https://doi.org/10.15434/kssh.2023.36.2.31
  27. Everson SA, Maty SC, Lynch JW, Kaplan GA. Epidemiologic evidence for the relation between socioeconomic status and depression, obesity, and diabetes. Journal of Psychosomatic Research. 2002;53(4):891-895. https://doi.org/10.1016/s0022-3999(02)00303-3
  28. Milic M, Gazibara T, Pekmezovic T, Kisic Tepavcevic D, Maric G, Popovic A, et al. Tobacco smoking and health-related quality of life among university students: mediating effect of depression. Plos One. 2020;15(1):e0227042. https://doi.org/10.1371/journal.pone.0227042
  29. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Globalization and Health. 2020;16(1):1-11. https://doi.org/10.1186/s12992-020-00589-w
  30. Regier DA, Narrow WE, Kuhl EA, Kupfer DJ. The conceptual development of DSM-V. American Journal of Psychiatry. 2009;166(6):645-650. https://doi.org/10.1176/appi.ajp.2009.09020279