Prevalence and Predictors of Post-traumatic Stress Symptoms and Depressive Symptoms Among Bangladeshi Students During COVID-19 Mandatory Home Confinement: A Nationwide Cross-sectional Survey

Overview

Journal Child Youth Serv Rev

Specialty Pediatrics

Date 2022 Dec 21

PMID 36540198

Authors

Mst Sadia Sultana

Abid Hasan Khan

Sahadat Hossain

Adnan Ansar

Md Tajuddin Sikder

M Tasdik Hasan

Affiliations

Soon will be listed here.

Abstract

The COVID-19 pandemic has brought not only the risk of infection but also unbearable mental health difficulties with the concern of educational loss among students. This study explored the adverse impact of the COVID-19 outbreak on Bangladeshi students' mental health and detected potential influencing factors related to post-traumatic stress symptoms (PTSS) and depressive symptoms. Convenience sampling was applied to collect data via online survey from 3997 college and university students between 29th May and 22nd July 2020. PHQ-9 and IES scales were used to assess depressive symptoms and PTSS, respectively. Of all participants, 52.87% had depressive symptoms and 40.91% had PTSS. Severe educational disruption was a risk factor for depressive symptoms (AOR = 1.68; 95% CI: 1.37-2.06) and PTSS (AOR = 1.86; 95% CI: 1.51-2.29). COVID-19 like symptoms including fever, cough, breathing difficulty and fatigue showed a stronger association with higher IES and PHQ-9 scores than other symptoms (e.g., diarrhea, sore throat) (p ≤ 0.01). Fear of infection and death by COVID-19 were risk factors for PTSS and depressive symptoms (p ≤ 0.01). Recreational activity and regular physical exercise emerged as the most protective factors for depressive symptoms and PTSS. The mental health of students is significantly affected in this pandemic suggesting the need for adequate psychological support.

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References

Khan A, Sultana M, Hossain S, Hasan M, Ahmed H, Sikder M . The impact of COVID-19 pandemic on mental health & wellbeing among home-quarantined Bangladeshi students: A cross-sectional pilot study. J Affect Disord. 2020; 277:121-128. PMC: 7410816. DOI: 10.1016/j.jad.2020.07.135. View

Coffey S, Gudmundsdottir B, Beck J, Palyo S, Miller L . Screening for PTSD in motor vehicle accident survivors using the PSS-SR and IES. J Trauma Stress. 2006; 19(1):119-28. PMC: 1424666. DOI: 10.1002/jts.20106. View

Odriozola-Gonzalez P, Planchuelo-Gomez A, Irurtia M, de Luis-Garcia R . Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Res. 2020; 290:113108. PMC: 7236679. DOI: 10.1016/j.psychres.2020.113108. View

Islam M, Barna S, Raihan H, Khan M, Hossain M . Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PLoS One. 2020; 15(8):e0238162. PMC: 7449469. DOI: 10.1371/journal.pone.0238162. View

Neria Y, Sullivan G . Understanding the mental health effects of indirect exposure to mass trauma through the media. JAMA. 2011; 306(12):1374-5. PMC: 3637659. DOI: 10.1001/jama.2011.1358. View

Eysenbach G . Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004; 6(3):e34. PMC: 1550605. DOI: 10.2196/jmir.6.3.e34. View

Horowitz M, WILNER N, Alvarez W . Impact of Event Scale: a measure of subjective stress. Psychosom Med. 1979; 41(3):209-18. DOI: 10.1097/00006842-197905000-00004. View

Anjum A, Hossain S, Sikder T, Uddin M, Rahim D . Investigating the prevalence of and factors associated with depressive symptoms among urban and semi-urban school adolescents in Bangladesh: a pilot study. Int Health. 2019; 14(4):354-362. PMC: 10575608. DOI: 10.1093/inthealth/ihz092. View

Ji X, Chan C, Lau B, Chan J, Chan C, Chung K . The interrelationship between sleep and depression: a secondary analysis of a randomized controlled trial on mind-body-spirit intervention. Sleep Med. 2017; 29:41-46. DOI: 10.1016/j.sleep.2016.08.025. View

10.

Reardon S . Ebola's mental-health wounds linger in Africa. Nature. 2015; 519(7541):13-4. DOI: 10.1038/519013a. View

11.

Tham K, Tan Y, Loh O, Tan W, Ong M, Tang H . Psychiatric morbidity among emergency department doctors and nurses after the SARS outbreak. Ann Acad Med Singap. 2005; 33(5 Suppl):S78-9. View

12.

Rau V, DeCola J, Fanselow M . Stress-induced enhancement of fear learning: an animal model of posttraumatic stress disorder. Neurosci Biobehav Rev. 2005; 29(8):1207-23. DOI: 10.1016/j.neubiorev.2005.04.010. View

13.

Elmer T, Mepham K, Stadtfeld C . Students under lockdown: Comparisons of students' social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS One. 2020; 15(7):e0236337. PMC: 7377438. DOI: 10.1371/journal.pone.0236337. View

14.

Banna M, Sayeed A, Kundu S, Christopher E, Hasan M, Begum M . The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: a nationwide cross-sectional study. Int J Environ Health Res. 2020; 32(4):850-861. DOI: 10.1080/09603123.2020.1802409. View

15.

Mamun M, Chandrima R, Griffiths M . Mother and Son Suicide Pact Due to COVID-19-Related Online Learning Issues in Bangladesh: An Unusual Case Report. Int J Ment Health Addict. 2020; 21(2):687-690. PMC: 7340761. DOI: 10.1007/s11469-020-00362-5. View

16.

Sultana M, Khan A, Hossain S, Ansar A, Sikder M, Hasan M . Anxiety, depressive symptoms, sleep patterns & associated factors among Bangladeshi wage earners during the COVID-19 pandemic: a cross-sectional study. Psychol Health Med. 2022; 28(4):917-928. DOI: 10.1080/13548506.2022.2083642. View

17.

Chowdhury A, Ghosh S, Sanyal D . Bengali adaptation of brief patient health questionnaire for screening depression at primary care. J Indian Med Assoc. 2005; 102(10):544-7. View

18.

Kopala-Sibley D, Danzig A, Kotov R, Bromet E, Carlson G, Olino T . Negative emotionality and its facets moderate the effects of exposure to Hurricane Sandy on children's postdisaster depression and anxiety symptoms. J Abnorm Psychol. 2016; 125(4):471-81. PMC: 4850107. DOI: 10.1037/abn0000152. View

19.

Hossain S, Anjum A, Uddin M, Rahman M, Hossain M . Impacts of socio-cultural environment and lifestyle factors on the psychological health of university students in Bangladesh: A longitudinal study. J Affect Disord. 2019; 256:393-403. DOI: 10.1016/j.jad.2019.06.001. View

20.

Bo H, Li W, Yang Y, Wang Y, Zhang Q, Cheung T . Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China. Psychol Med. 2020; 51(6):1052-1053. PMC: 7200846. DOI: 10.1017/S0033291720000999. View