COVID-19 pandemic effects on college student mental health: A cross-sectional cohort comparison study

J Am Coll Health. 2024 Dec;72(9):3536-3545. doi: 10.1080/07448481.2023.2180989. Epub 2023 Mar 27.

Abstract

Objective: Evaluate COVID-19 pandemic impacts on college student mental health.

Participants: Three cohorts of college students (2018 n = 466; 2019 n = 459; 2020, n = 563; N = 1488) from three American universities. Participants were 71.4% female, 67.5% White, and 85.9% first-year students.

Methods: Multivariable regression models and bivariate correlations were used to compare anxiety, depression, well-being, and search for meaning before and during the pandemic, and the relationships between pandemic health-compliance behaviors and mental health.

Results: Anxiety, depression, and well-being did not significantly worsen during compared to before (2019) the pandemic (ps = .329-.837). During the pandemic, more frequent in-person social interactions were correlated with lower anxiety (r = -0.17, p < .001) and depressive symptoms (r=-0.12, p = .008), and higher well-being (r = 0.16, p < .001), but also less handwashing (r = -0.11, p = .016) and face mask-wearing (r = -0.12, p = .008).

Conclusions: We observed little evidence for pandemic impacts on college student mental health. Lower compliance with pandemic health guidelines was associated with better mental health.

Keywords: Anxiety; COVID-19; college students; depression; health tradeoffs; social interactions; well-being.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Anxiety* / epidemiology
  • Anxiety* / psychology
  • COVID-19* / epidemiology
  • COVID-19* / prevention & control
  • COVID-19* / psychology
  • Cohort Studies
  • Cross-Sectional Studies
  • Depression* / epidemiology
  • Depression* / psychology
  • Female
  • Humans
  • Male
  • Mental Health* / statistics & numerical data
  • Pandemics
  • SARS-CoV-2
  • Students* / psychology
  • Students* / statistics & numerical data
  • United States / epidemiology
  • Universities / statistics & numerical data
  • Young Adult