The Journal of Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회지)

The Korean Society for School & Community Health Education (한국학교ㆍ지역보건교육학회)
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The relationship among fear of COVID-19, mental disorder and mental wellbeing for college students

대학생의 COVID-19에 대한 두려움, 정신장애 및 정신적 웰빙 간 관계

  • Wonmo Kang (Clinical and Counseling Psychology, School of Psychology, Korea University) ;
  • Sua Lee (Clinical and Counseling Psychology, School of Psychology, Korea University) ;
  • Seungjin Lee (Clinical and Counseling Psychology, School of Psychology, Korea University) ;
  • Young-gun Ko (Clinical and Counseling Psychology, School of Psychology, Korea University)
  • 강원모 (고려대학교 심리학부 임상 및 상담심리 전공 ) ;
  • 이수아 (고려대학교 심리학부 임상 및 상담심리 전공) ;
  • 이승진 (고려대학교 심리학부 임상 및 상담심리 전공 ) ;
  • 고영건 (고려대학교 심리학부 임상 및 상담심리 전공)
  • Received : 2023.01.20
  • Accepted : 2023.02.25
  • Published : 2023.02.28
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Abstract

Objectives: The purpose of this study is to identify differences in fear of COVID-19 according to types of positive mental health in college students, and to verify the moderating effect of mental well-being in the relationship between mental disorders and fear of COVID-19. Methods: The results of 1,542 college students' responses to the COVID-19 Fear Scale, Korean Mental Disorder Scale, and Korean Mental Health Scale were analyzed. According to the presence of mental disorders and the level of mental well-being (high, medium, and low) of the participants which were assessed by the Korean Mental Disorder Scale and the Korean Mental Health Scale, participants were classified into five mental health groups. And the difference in fear of COVID-19 between groups was identified by one-way ANOVA. In addition, it was identified whether the moderating effect of mental well-being was significant in the relationship between mental disorders and fear of COVID-19 using hierarchical regression analysis. Results: When participants were classified by positive mental health types, the flourish group had significantly lower fear of COVID-19 than the moderate mental health group and the languishing group. The moderating effect of mental well-being was significant in the relationship between mental disorder and fear of COVID-19. Additionally, the reducing effect of mental well-being upon fear of COVID-19 was greater when the severity of mental disorder was lower. Conclusions: Basically, in the case of groups with mental disorders, efforts to reduce mental disorders should be given first and foremost. In contrast, for groups without mental disorders, psychological interventions to raise levels of mental well-being are likely to help reduce fear of COVID-19.

Keywords

References

  1. 고영건. (2020). 청소년을 위한 긍정적 정신건강의 평가와 개입, 집문당.
  2. 김진영, 고영건 (2009). 긍정임상심리학: 멘탈 휘트니스(mental fitness)와 긍정심리치료(positive psychotherapy). 한국심리학회지: 문화 및 사회문제, 15(1), 155-168. 
  3. 김현정, 고영건. (2012). 정신건강 2요인 구조: 임상집단을 대상으로. 한국심리학회지: 건강, 17(4), 1087-1096. 
  4. 보건복지부. 2021. 정신건강실태조사. 국립정신건강센터.
  5. 이선혜. (2002). 대학생의 정신건강 원조체계 활용행태 정신건강서비스 활성화에 대한 함의. 정신건강과 사회복지, 13, 36-58. 
  6. 임영진, 고영건, 신희천, 조용래. (2010). 한국인의 정신건강. 한국심리학회 학술대회 자료집, 2010(1), 233-257. 
  7. 임영진, 고영건, 신희천, 조용래. (2012). 정신적 웰빙 척도(MHC-SF)의 한국어판 타당화 연구. 한국심리학회지: 일반, 31(2), 369-386. 
  8. 정구철, 김영화. (2019). 대학생들의 정신건강과 대학생활적응 간의 관계에서 마음챙김의 조절효과. 한국콘텐츠학회논문지, 19(9), 430-440.  https://doi.org/10.5392/JKCA.2019.19.09.430
  9. 최은미, 신점란, 배재홍, 김명식. (2014). 학생의 우울, 불안, 충동성, 공격성과 인터넷 중독과의 관계. 한국콘텐츠학회논문지, 4(8), 329-341. 
  10. 홍보경. (2022). 대학생의 COVID-19 스트레스와 학업소진의 관계에서 스트레스 대처방식의 매개. 한국학교지역보건교육학회지, 23(4), 1-15. 
  11. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. (2022). The fear of COVID-19 scale: Development and initial validation. International Journal of Mental Health and Addiction, 20(3), 1537-1545.  https://doi.org/10.1007/s11469-020-00270-8
  12. Aiyer A, Surani S, Gill Y, Ratnani I, Sunesara S. (2020). COVID-19 anxiety and stress survey (cass) in high school and college students due to coronavirus disease 2019. Chest, 158(4), A314. 
  13. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5, No. 5). Washington, DC: American Psychiatric Association(권준수 외 역. <정신질환의 진단 및 통계 편람 제5판>. 서울: 학지사, 2015). 
  14. Balachandran AK, Alagarsamy S, Mehrolia S. (2020). Suicide among children during COVID-19 pandemic: An alarming social issue. Asian Journal of Psychiatry, 54, 102420. 
  15. Bendau A, Plag J, Kunas S, Wyka S, Strohle A, Petzold MB. (2021). Longitudinal changes in anxiety and psychological distress, and associated risk and protective factors during the first three months of the COVID-19 pandemic in Germany. Brain and Behavior, 11(2), e01964. 
  16. Blakey SM, Abramowitz JS. (2017). Psychological predictors of health anxiety in response to the Zika virus. Journal of Clinical Psychology in Medical Settings, 24(3), 270-278.  https://doi.org/10.1007/s10880-017-9514-y
  17. Burnett D, Eapen V, Lin PI. (2020). Time trends of the public's attention toward suicide during the COVID-19 pandemic: Retrospective, longitudinal time-series study, JMIR Public Health and Surveillance, 6(4), e24694. 
  18. Caballero-Dominguez CC, Jimenez-Villamizar MP, Campo-Arias A. (2022). Suicide risk during the lockdown due to coronavirus disease (COVID-19) in Colombia. Death Studies, 46(4), 885-890.  https://doi.org/10.1080/07481187.2020.1784312
  19. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 2934. 
  20. Charles NE, Strong SJ, Burns LC, Bullerjahn MR, Serafine KM. (2021). Increased mood disorder symptoms, perceived stress, and alcohol use among college students during the COVID-19 pandemic. Psychiatry Research, 296, 3706. 
  21. Chen RN, Liang SW, Peng Y, Li XG, Chen JB, Tang SY, Zhao JB. (2020). Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: A large-scale survey. Journal of Psychosomatic Research, 137, 110219. 
  22. Daly M, Robinson E. (2021). Psychological distress and adaptation to the COVID-19 crisis in the United States. Journal of Psychiatric Research, 136, 603-609.  https://doi.org/10.1016/j.jpsychires.2020.10.035
  23. Duong CD. (2021). The impact of fear and anxiety of COVID-19 on life satisfaction: Psychological distress and sleep disturbance as mediators. Personality and Individual Differences, 178, 110869. 
  24. Feng LS, Dong ZJ, Yan RY, Wu XQ, Zhang L, Ma J, Zeng Y. (2020). Psychological distress in the shadow of the COVID-19 pandemic: Preliminary development of an assessment scale. Psychiatry Research, 291, 113202. 
  25. Frazier PA, Tix AP, Barron KE. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115. 
  26. Guideline Development Panel for the Treatment of Depressive Disorders. (2022). Summary of the clinical practice guideline for the treatment of depression across three age cohorts. The American Psychologist, 77(6), 770-780.  https://doi.org/10.1037/amp0000904
  27. Hayes AF, Preacher KJ. (2014). Statistical mediation analysis with a multicategorical independent variable. The British Journal of Mathematical and Statistical Psychology, 67(3), 451-470.  https://doi.org/10.1111/bmsp.12028
  28. Isumi A, Doi S, Yamaoka Y, Takahashi K, Fujiwara T. (2020). Do suicide rates in children and adolescents change during school closure in Japan? The acute effect of the first wave of COVID-19 pandemic on child and adolescent mental health. Child Abuse and Neglect, 110(2), 104680. 
  29. Juchnowicz D, Baj J, Forma A, Karakula K, Sitarz E, Bogucki J, Karakula-Juchnowicz H. (2021). The outbreak of SARS-CoV-2 pandemic and the well-being of Polish students: The risk factors of the emotional distress during COVID-19 lockdown. Journal of Clinical Medicine, 10(5), 944. 
  30. Kaparounaki CK, Patsali ME, Mousa DV, Papadopoulou EVK, Papadopoulou KKK, Fountoulakis KN. (2020). University students' mental health amidst the COVID-19 quarantine in Greece. Psychiatry Research, 290, 3111. 
  31. Keyes CL. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539-548.  https://doi.org/10.1037/0022-006X.73.3.539
  32. Keyes CL, Shmotkin D, Ryff CD. (2002). Optimizing well-being: The empirical encounter of two traditions. Journal of Personality and Social Psychology, 82(6), 1007. 
  33. Keyes CL, Wissing M, Potgieger JP, Temane M, Kruger MA, van Rooy S. (2008). Evaluation of the mental health continuum-short form (MHC-SF) in setswana-speaking South African. Clinical Psychology and Psychotherapy, 15(3), 181-192.  https://doi.org/10.1002/cpp.572
  34. Keyes CL, Waterman, MB. (2003). Dimensions of well-being and mental health in adulthood, Lawrence Erlbaum Associates Publishers. 
  35. Lee SA, Crunk EA. (2022). Fear and psychopathology during the COVID-19 crisis: Neuroticism, hypochondriasis, reassurance-seeking, and coronaphobia as fear factors. OMEGA-Journal of Death and Dying, 85(2), 483-496.  https://doi.org/10.1177/0030222820949350
  36. Lee SA, Mathis AA, Jobe MC, Pappalardo EA. (2020). Clinically significant fear and anxiety of COVID-19: A psychometric examination of the coronavirus anxiety scale. Psychiatry Research, 290, 113112. 
  37. Maddux JE, Snyder CR, Lopez SJ. (2004). Toward a positive clinical psychology: Deconstructing the illness ideology and constructing an ideology of human strengths and potential, John Wiley & Sons, Inc. 
  38. Mcloughlin BC, Miles A, Webb TE, Knopp P, Eyres C, Fabbri A, Humphries F, Davis D. (2020). Functional and cognitive outcomes after COVID-19 delirium. European Geriatric Medicine, 11(5), 857-862.  https://doi.org/10.1007/s41999-020-00353-8
  39. Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. (2020). Fear of the coronavirus(COVID-19): Predictors in an online study conducted in March 2020. Journal of Anxiety Disorders, 74, 102258. 
  40. Min H, Kim J, Moon K, Lee S, Kim JY, Ko YG. (2022). Development and validation of COVID-19 impact scale. BMC Psychology, 10(1), 1-10.  https://doi.org/10.1186/s40359-021-00711-6
  41. Odriozola-Gonzalez P, Planchuelo-Gomez A, Irurtia MJ, de Luis-Garcia R. (2020). Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Research, 290, 113108. 
  42. Quittkat HL, Dusing R, Holtmann FJ, Buhlmann U, Svaldi J, Vocks S. (2020). Perceived impact of COVID-19 across different mental disorders: A study on disorder-specific symptoms, psychosocial stress and behavior. Frontiers in Psychology, 11, 586246. 
  43. Ren SY, Gao RD, Chen YL. (2020). Fear can be more harmful than the severe acute respiratory syndrome coronavirus 2 in controlling the corona virus disease 2019 epidemic. World Journal of Clinical Cases, 8(4), 652. 
  44. Riggs SA, Han G. (2009). Predictors of anxiety and depression in emerging adulthood. Journal of Adult Development, 16(1), 39-52.  https://doi.org/10.1007/s10804-009-9051-5
  45. Rogowska A, Ku'snierz C, Bokszczanin A. (2020). Examining anxiety, life satisfaction, general health, stress and coping styles during COVID-19 pandemic in Polish sample of university students. Psychology Research and Behavior Management, 13, 797-811.  https://doi.org/10.2147/PRBM.S266511
  46. Savitsky B, Findling Y, Ereli A, Hendel T. (2020). Anxiety and coping strategies among nursing students during the COVID-19 pandemic. Nurse Education in Practice, 46, 102809. 
  47. Seligman ME. (2002a). Positive psychology, positive prevention, and positive therapy. Handbook of Positive Psychology, 2(2002), 3-12. 
  48. Seligman ME. (2002b). Authentic happiness: Using the new positive psychology to realize your potential for lasting fulfillment, Simon and Schuster. 
  49. Sun S, Goldberg SB, Lin D, Qiao S, Operario D. (2021). Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China. Globalization and Health, 17(1), 15. 
  50. Tang W, Hu T, Hu B, Jin C, Wang G, Xie C, Chen S, Xu J. (2020). Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. Journal of Affective Disorders, 274(7). 
  51. Tasso AF, Hisli Sahin N, San Roman GJ. (2021). COVID-19 disruption on college students: Academic and socioemotional implications. Psychological Trauma : Theory, Research, Practice and Policy, 13(1), 9-15.  https://doi.org/10.1037/tra0000996
  52. Wheaton MG, Abramowitz JS, Berman NC, Fabricant LE, Olatunji BO. (2012). Psychological predictors of anxiety in response to the H1N1 (swine flu) pandemic. Cognitive Therapy and Research, 36(3), 210-218.  https://doi.org/10.1007/s10608-011-9353-3
  53. Widiger TA, Samuel DB. (2005). Diagnostic categories or dimensions? A question for the diagnostic and statistical manual of mental disorders. Journal of Abnormal Psychology, 114(4), 494. 
  54. Wong JP, Cheung EP, Chan KK, Ma KK, Tang SW. (2006). Web-based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Australia and New Zealand Journal of Psychiatry, 40, 777-782.  https://doi.org/10.1080/j.1440-1614.2006.01883.x
  55. Xiong J, Lipsitz O, Nasri F, Lui LM, Gill H, Phan L, Chen-Li D, Lacobucci M, Ho R, Majeed A, Mclntyre RS. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 55-64.  https://doi.org/10.1016/j.jad.2020.08.001
  56. Ye B, Wu D, Im H, Liu M, Wang X, Yang Q. (2020). Stressors of COVID-19 and stress consequences: The mediating role of rumination and the moderating role of psychological support. Children and Youth Services Review, 118, 105466. 
  57. Zainal Badri SK, Wan Mohd Yunus WMA. (2021). The relationship between academic vs. family/personal role conflict and Malaysian students' psychological wellbeing during COVID-19 lockdown. Journal of Further and Higher Education, 46(1), 76-88.  https://doi.org/10.1080/0309877X.2021.1884210
  58. Zhang K, Wu S, Xu Y, Cao W, Goetz T, Parks-Stamm EJ. (2021). Adaptability promotes student engagement under COVID-19: The multiple mediating effects of academic emotion. Frontiers in Psychology, 11, 633265.