MENTALNO ZDRAVLJE STUDENATA TOKOM PANDEMIJE COVID-19
Sažetak
Svetska javnost se 2019. godine prvi put suočila sa bolešću COVID-19, kada je novi virus SARS-CoV-2 identifikovan u kineskom gradu Vuhanu. Pandemijska razmera novog korona virusa, dovela je do najveće javnozdravstvene krize na globalnom nivou u poslednjih sto godina, dok je poseban izazov postavljen pred profesionalce koji se bave očuvanjem mentalnog zdravlja i studente koji su zbog mera ograničenja kretanja posebno bili pogođeni. Bolest COVID-19 je respiratorna infekcija, a SARS-CoV-2 je virus iz grupe RNK virusa. Period inkubacije virusa iznosi između dva i četrnaest dana, a prenos je veoma lak i brz. Najčešći simptom ove bolesti je groznica. Pandemija bolesti COVID-19 negativno je delovala na mentalno zdravlje studenata širom sveta i studentkinje su svoje mentalno zdravlje procenjivale lošije u odnosu na studente. U glavne probleme psihološke prirode može se svrstati pre svega povišen nivo depresije, anksioznosti i stresa kao odgovor na pandemiju COVID-19. Depresija se češće sreće kod studenata koji više brinu za svoje zdravlje, kod studenata ženskog pola i onih sa lošijim socio-ekonomskim statusom. Takođe, osobe koje su bile u kontaktu sa zaraženim osobama imaju ozbiljnije depresivne reakcije u odnosu na one koje nisu imale takav kontakt. Kada govorimo o anksioznim reakcijama, studenti ih na početku svojih studija češće doživljavaju i intenzivnije su u odnosu na studente starijih godina studija. Studentska populacija pokazala je takođe i visoke nivoe stresnih reakcija, koji se češće javljaju kod studentkinja, kao i kod onih studenata koji dolaze iz urbanih gradskih sredina. Ipak, problemi sa mentalnim zdravljem mogu se prevazići ako se studentima obezbedi neki vid socijalne podrške ili konsultacija.
Reference
1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China. N Engl J Med. 2020 Jan; 382(8):727-733.
2. Sohrabi C, Alsafi Z, O'neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg, 2020 Feb; 76:71-76.
3. Marazziti D. The COVID-19 outbreak: the latest challenge to psychological and psychiatric intervention. Clin Neuropsychiatry. 2020 Apr; 17(2):39-40.
4. Lai MM. Cavanagh D. The molecular biology of coronaviruses. Adv Virus Res. 1997; 48:1-100.
5. Kooshkaki O, Derakhshani A, Conradie AM, Hemmat N, Barreto SG, Baghbanzadeh A, et al. Coronavirus disease 2019: a brief review of the clinical manifestations and pathogenesis to the novel management approaches and treatments. Front Oncol. 2020 Oct; 2031:1-17
6. Linton N, Kobayashi T, Yang Y, Hayashi K, Akhmetzhanov A, Jung S, et al. Incubation period and other epidemiological characteristics of 2019 novel coronavirus infections with right truncation: a statistical analysis of publicly available case data. J Clin Med. 2020 Feb; 9(2):538-547.
7. Chan J, Yuan S, Kok K, To K, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet. 2020 Jan; 395(10223): 514-523.
8. Hasabo EA, Ayyad FA, Alam Eldeen SA, Noureldaim MK, Abdallah TA, Ahmed YT, et al. Clinical manifestations, complications, and outcomes of patients with COVID-19 in Sudan: a multicenter observational study. Trop Med Public. 2021 Nov; 49(1):1-13.
9. Chen X, Tang Y, Mo Y, Li S, Lin D, Yang Z, et al. A diagnostic model for coronavirus disease 2019 (COVID-19) based on radiological semantic and clinical features: a multi-center study. Eur Radiol. 2020 Apr; 30(9):4893-4902.
10. Lai C, Shih T, Ko W, Tang H, Hsueh P. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020 Feb; 55(3):105924-105934.
11. Meini S, Suardi LR, Busoni M, Roberts AT, Fortini A. Olfactory and gustatory dysfunctions in 100 patients hospitalized for COVID-19: sex differences and recovery time in real-life. Eur Arch Otorhinolaryngol. 2020 Jun; 277(12): 3519-3523.
12. Feng W, Zong W, Wang F, Ju S. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): a review. Mol Cancer. 2020 Jun; 19(1): 1-14.
13. Reyes LM, Ortiz L, Abedi M, Luciano Y, Ramos W, Reyes PJDJ. Misinformation on COVID-19 origin and its relationship with perception and knowledge about social distancing: A cross-sectional study. PLoS One. 2021 Mar; 16(3):e0248160-е0248174.
14. Casagrande M, Favieri F, Tambelli R, Forte G. The enemy who sealed the world: Effects quarantine due to the COVID-19 on sleep quality, anxiety, and psychological distress in the Italian population. Sleep Med. 2020 Nov; 75:12-20.
15. Jia J, Hu X, Yang F, Song X, Dong L, Zhang J, et al. Epidemiological characteristics on the clustering nature of COVID-19 in Qingdao City, 2020: a descriptive analysis. Disaster Med Public Health Prep. 2020 Oct; 14(5): 643-647.
16. Bernal JL, Andrews N, Gower C, Gallagher E, Simmons R, Thelwall S, et al. Effectiveness of Covid-19 vaccines against the B. 1.617. 2 (Delta) variant. N Engl J Med, 2021 Aug; 385(7):585-595.
17. Mahmud R, Rahman MM, Rassel MA, Monayem FB, Sayeed SJB, Islam MS, et al. Post-COVID-19 syndrome among symptomatic COVID-19 patients: A prospective cohort study in a tertiary care center of Bangladesh. PLoS One, 2021 Apr; 16(4): e0249644-e0249658.
18. World Health Organization. Strengthening Mental Health Promotion. Geneva: World Health Organization; 2001.
19. Јašović Gađić M, Lečić Toševski D, urednici. Psihijatrija: Udžbenik za student medicine. Treće izdanje. Beograd: Centar za izdavačku, bibliotečku i informacionu delatnost; 2014.
20. Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Health. 2021 Jan; 46(1):3-10.
21. Lei X, Liu C, Jiang H. Mental health of college students and associated factors in Hubei of China. PloS One. 2021 Jul; 16(7):0254183-0254194.
22. Bruffaerts R, Mortier P, Kiekens G, Auerbach RP, Cuijpers P, Demyttenaere K, et al. Mental health problems in college freshmen: Prevalence and academic functioning. J Affect Disord. 2018 Jan; 225: 97-103.
23. Seehuus M, Moeller RW, Peisch V. Gender effects on mental health symptoms and treatment in college students. J Am Coll Health. 2021 Jan; 69(1):95-102.
24. Kecojevic A, Basch CH, Sullivan M, Davi NK. The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study. PloS One. 2020 Sep; 15(9):e0239696-e0239712.
25. Alyoubi A, Halstead EJ, Zambelli Z, Dimitriou D. The impact of the COVID-19 pandemic on students’ mental health and sleep in Saudi Arabia. Int J Environ Res Public Health. 2021 Sep; 18(17):9344-9360.
26. Seedat S, Scott KM, Angermeyer MC, Berglund P, Bromet EJ, Brugha TS, et al. Cross-national associations between gender and mental disorders in the World Health Organization World Mental Health Surveys. Arch Gen Psychiatry. 2009; 66(7): 785-795.
27. Ghazawy ER, Ewis AA, Mahfouz EM, Khalil DM, Arafa A, Mohammed Z, et al. Psychological impacts of COVID-19 pandemic on the university students in Egypt. Health Promot Int. 2021 Aug; 36(4): 1116-1125.
28. Fila-Witecka K, Senczyszyn A, Kołodziejczyk A, Ciułkowicz M, Maciaszek J, Misiak B, et al. Lifestyle Changes among Polish University Students during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021 Sep; 18(18):9571-9589.
29. Fruehwirth JC, Biswas S, Perreira KM. The Covid-19 pandemic and mental health of first-year college students: Examining the effect of Covid-19 stressors using longitudinal data. PloS One. 2021 Mar; 16(3):e0247999-e0248014.
30. Iurcov R, Pop LM, Iorga M. Impact of COVID-19 Pandemic on Academic Activity and Health Status among Romanian Medical Dentistry Students; A Cross-Sectional Study. Int J Environ Res Public Health. 2021 Jun; 18(11):6041-6058.
31. Ferreira LC, Amorim RS, Melo Campos FM, Cipolotti R. Mental health and illness of medical students and newly graduated doctors during the pandemic of SARS-Cov-2/COVID-19. PloS One. 2021 May; 16(5):e0251525-e0251535.
32. García-Espinosa P, Ortiz-Jiménez X, Botello-Hernández E, Aguayo-Samaniego R, Leija-Herrera J, Góngora-Rivera F. Psychosocial impact on health-related and non-health related university students during the COVID-19 pandemic. Results of an electronic survey. Rev Colomb Psiquiatr. 2021 Jul; 50(3): 214-224.
33. Vujčić I, Safiye T, Milikić B, Popović E, Dubljanin D, Dubljanin E, et al. Coronavirus Disease 2019 (COVID-19) Epidemic and Mental Health Status in the General Adult Population of Serbia: A Cross-Sectional Study. Int J Environ Res Public Health. 2021 Feb; 18(4): 1957-1973.
34. Volken T, Zysset A, Amendola S, Klein Swormink A, Huber M, von Wyl A, et al. Depressive symptoms in Swiss university students during the covid-19 pandemic and its correlates. Int J Environ Res Public Health. 2021 Feb; 18(4):1458-1462.
35. Di Consiglio M, Merola S, Pascucci T, Violani C, Couyoumdjian A. The Impact of COVID-19 Pandemic on Italian University Students’ Mental Health: Changes across the Waves. Int J Environ Res Public Health. 2021 Sep; 18(18): 9897-9900.
36. Alsairafi Z, Naser A, Alsaleh FM, Awad A, Jalal Z. Mental health status of healthcare professionals and students of health sciences faculties in Kuwait during the COVID-19 pandemic. Int J Environ Res Public Health. 2021 Feb; 18(4):2203-2218.
37. Gritsenko V, Skugarevsky O, Konstantinov V, Khamenka N., Marinova T, Reznik A, et al. COVID 19 fear, stress, anxiety, and substance use among Russian and Belarusian university students. Int J Ment Health Addict. 2021 May;19(6):2362-2368.
38. Luo W, Zhong BL, Chiu HFK. Prevalence of depressive symptoms among Chinese university students amid the COVID-19 pandemic: a systematic review and meta-analysis. Epidemiol Psychiatr Sci. 2021 Mar; 30:1-50.
39. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020 May; 287:112934-112944.
40. Lavergne JA, Kennedy ML. Telepsychiatry and Medical Students: a Promising Mental Health Treatment for Medical Student Use Both Personally and Professionally. Curr Psychiatry Rep. 2021 Apr; 23(6):1-6.
41. Gupta P, Anupama BK, Ramakrishna K. Prevalence of Depression and Anxiety Among Medical Students and House Staff During the COVID-19 Health-Care Crisis. Acad Psychiatry. 2021 Oct; 45(5):575-580.
42. Saeed N, Javed N. Lessons from the COVID-19 pandemic: Perspectives of medical students. Pak J Med Sci. 2021 Sep; 37(5):1402-1407.
43. Fu W, Yan S, Zong Q, Anderson-Luxford D, Song X, Lv Z, et al. Mental health of college students during the COVID-19 epidemic in China. J Affect Disord. 2021 Feb; 280:7-10.
44. Esteves CS, Oliveira CRD, Argimon IIDL. Social distancing: prevalence of depressive, anxiety, and stress symptoms among Brazilian students during the COVID-19 pandemic. Front Public Health. 2021 Jan; 8:923-928.
45. Li X, Lv Q, Tang W, Deng W, Zhao L, Meng Y, et al. Psychological stresses among Chinese university students during the COVID-19 epidemic: The effect of early life adversity on emotional distress. J Affect Disord. 2021 Mar; 282:33-38.
46. Lyons Z, Wilcox H, Leung L, Dearsley O. COVID-19 and the mental well-being of Australian medical students: impact, concerns and coping strategies used. Australas Psychiatry. 2020 Dec; 28(6):649-652.
47. Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PloS One. 2020 Aug; 15(8):e0237303-e0237315.
48. Haynes R, Gale S. Mortality, long-term illness and deprivation in rural and metropolitan wards of England and Wales. Health Place. 1999 Dec; 5(4):301-312.
49. Puranachaikere T, Hataiyusuk S, Anupansupsai R, In-Iw S, Saisavoey N, Techapanuwat T, et al. Stress and associated factors with received and needed support in medical students during COVID-19 pandemic: a multicenter study. Korean J Med Educ. 2021 Sep; 33(3):203-214.
50. Li Y, Wang Y, Jiang J, Valdimarsdóttir UA, Fall K, Fang F, et al. Psychological distress among health professional students during the COVID-19 outbreak. Psychol Med. 2021 Aug; 51(11):1952-1954.
51. Al Shehri AM. A lesson learned from Middle East respiratory syndrome (MERS) in Saudi Arabia. Med Teach. 2015 Apr; 37(1):S88-S93.
52. Gao J, Zheng P, Jia Y, Chen H, Mao Y, Chen S, et al. Mental health problems and social media exposure during COVID-19 outbreak. PloS One. 2020 Apr; 15(4):e0231924-e0231935.
53. Zgueb Y, Bourgou S, Neffeti A, Amamou B, Masmoudi J, Chebbi H, et al. Psychological crisis intervention response to the COVID 19 pandemic: A Tunisian centralised Protocol. Psychiatry Res. 2020 Jul; 289:113042-113046.
54. Polizzi C, Lynn SJ, Perry A. Stress and coping in the time of COVID-19: pathways to resilience and recovery. Clin Neuropsychiatry. 2020 Apr; 17(2):59-62.
55. Savitsky B, Findling Y, Ereli A, Hendel T. Anxiety and coping strategies among nursing students during the covid-19 pandemic. Nurse Educ Pract. 2020 Jul; 46:102809-102818.
56. Han S, Choi S, Cho SH, Lee J. Yun JY. Associations between the working experiences at frontline of COVID-19 pandemic and mental health of Korean public health doctors. BMC Psychiatry. 2021 Jun; 21(1):298-316.
57. Troyer EA, Kohn JN, Hong S. Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19? Neuropsychiatric symptoms and potential immunologic mechanisms. Brain Behav Immun. 2020 Jul; 87:34-39.