Abstract
Studies indicate that college students have been the most affected in mental health by the COVID-19 pandemic. Likewise, there has been a higher incidence of depression, anxiety, stress, and loneliness in female university students after this period. However, studies aimed at understanding the impact of the post-pandemic on mental health among Puerto Rican youth are scarce. Considering this limitation, this study sought to evaluate the state of mental health and identify differences by sex in the post-pandemic period in a sample of 872 students from the University of Puerto Rico. The participants completed an online survey that collected information on sociodemographic variables and instruments to measure levels of depression, anxiety, stress, and loneliness. A descriptive analysis and a multivariate analysis of variance were conducted to explore differences between men and women on the scales evaluated. The statistical analysis revealed significant effects of sex on the levels of depression (p = .004), anxiety (p < .001), stress (p < .001), and loneliness (p = .015). Women scored significantly higher on all scales compared to men. The results of this study not only demonstrate the impact of the post-pandemic on the mental health of college students, but also these findings highlight the importance of considering women and men differences in the experience of mental health during adversity.
References
Abdalla, S. M., Ettman, C. K., Cohen, G. H., & Galea, S. (2021). Mental health consequences of COVID-19: a nationally representative cross-sectional study of pandemic-related stressors and anxiety disorders in the USABMJ. BMJ Open, 11(8), 1-9. https://doi.org/10.1136/bmjopen-2020-044125
Allen, J., Darlington, O., Hughes, K., & Bellis, M. A. (2022). The public health impact of loneliness during the COVID-19 pandemic. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-14055-2
ASSMCA | Administración de Servicios de Salud Mental y contra la Adicción. (s.f.). https://www.assmca.pr.gov/
Bermejo-Franco, A., Sánchez-Sánchez, J. L., Gaviña-Barroso, M. I., Atienza-Carbonell, B., Balanzá-Martínez, V., & Clemente-Suárez, V. J. (2022). Gender differences in psychological stress factors of physical therapy degree students in the COVID-19 pandemic: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(2), 810. https://doi.org/10.3390/ijerph19020810
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). Perceived Stress Scale [Database record]. APA PsycTests. https://doi.org/10.1037/t02889-000
Coss-Guzmán, M., & Román-Vázquez, N. (2023). Informe Mensual de Suicidios en Puerto Rico, marzo 2023. Comisión para la Prevención del Suicidio, Departamento de Salud, San Juan. P. R.
Cumba-Avilés, E., Pagán-Torres, O., Rosario-Hernández, E., Gómez-Rivera, D., & Rivera-Santiago, K. (2021). Posttraumatic, Anxious, and Depressive Symptoms during the COVID-19 Pandemic in Puerto Rico: Comparing Sociodemographic Groups [Conference presentation]. APPR Convention, Ponce, Puerto Rico. https://www.researchgate.net/publication/357285232_Posttraumatic_Anxious_and_Depressive_Symptoms_during_the_COVID-19
Daly, M., & Robinson, E. (2021). Psychological distress and adaptation to the COVID-19 crisis in the United States. J. Psychiatric, 136, 603-609. https://doi.org/10.1016/j.jpsychires.2020.10.035
DeCarlo, L. T. (1997). On the meaning and use of kurtosis. Psychological Methods, 2(3), 292-307. https://doi.org/10.1037/1082-989X.2.3.292
Field, A. (2017). Discovering statistics using IBM SPSS statistics: North American edition. Sage Publications.
Holm-Hadulla, R. M., Wendler, H., Baracsi, G., Storck, T., Möltner, A., & Herpertz, S. C. (2023). Depression and social isolation during the COVID-19 pandemic in a student population: The effects of establishing and relaxing social restrictions. Frontiers in Psychiatry, 14, 1200643.
Hughes, M. E., Waite, L. J., Hawkley, L. C., & Cacioppo, J. T. (2004). A Short Scale for Measuring Loneliness in Large Surveys. Research On Aging, 26(6), 655-672. https://doi.org/10.1177/0164027504268574
Ibarra-Mejia, G., Lusk, M., & Umucu, E. (2022). Mental Health Among College Students During the COVID-19 Pandemic at a Hispanic-Serving Institution. Health Promotion Practice, 24(3). https://doi.org/10.1177/15248399221092750
Intellectus Statistics. (2019). Intellectus Statistics [Online computer software]. Retrieved from http://analyze.intellectusstatistics.com/
Kibbey, M. M., Fedorenko, E. J., & Farris, S. G. (2021). Anxiety, Depression, and Health Anxiety in Undergraduate Students living in initial US outbreak “hotspot” during COVID-19 pandemic. Cognitive Behaviour Therapy, 50(5), 1-13. https://doi.org/10.1080/16506073.2020.1853805
Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford Publications.
Kohls, E., Guenthner, L., Baldosfski, S., Brock, T., Schuhr, J., & Rummel-Kluge, C. (2023). Two years COVID-19 pandemic: Development of university student’s mental health 2020-2022. Front Psychiatry. https://doi.org/10.3389/fpsyt.2023.1122256
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Journal Of General Internal Medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Lee, C. M., Cadigan, J. M., & Rhew, I. C. (2020). Increases in Loneliness Among Young Adults During the COVID-19 Pandemic and Association With Increases in Mental Health Problems. Journal Of Adolescent Health, 67(5), 714-717. https://doi.org/10.1016/j.jadohealth.2020.08.009
Martínez-Taboas, A. (2020). Pandemias, COVID-19 y Salud Mental: ¿Qué Sabemos Actualmente? Revista Caribeña de Psicología, 4(2), 143-152. https://doi.org/10.37226/rcp.v4i2.4907
Mehus, C. J., Lyden, G. R., Bonar, E. E., Gunlicks-Stoessel, M., Morrell, N., Parks, M. J., Wagner, A. C., & Patrick, M. E. (2021). Association between COVID-19-related loneliness or worry and symptoms of anxiety and depression among first-year college students. Journal of American College Health, 71(5), 1-6. https://doi.org/10.1080/07448481.2021.1942009
Metin, A., Erbicer, E. S., Sen, S., & Cetinkaya, A. S. (2022). Gender and COVID-19 related fear and anxiety: A meta-analysis. Journal of Affective Disorders, 310, 384-395. https://doi.org/10.1016/j.jad.2022.05.036
Morales-Rodríguez, F. M. (2021). Fear, stress, resilience and coping strategies during COVID-19 in Spanish university students. Sustainability, 13(11). https://doi.org/10.3390/su13115824
Muñoz, A., Alvarez-Ankass, L., Sánchez-Guillén, C., Guillén- Huanqui, M., Sánchez- Zegarra, J., N Candia-Puma, M., De La Fuente- Torre, M., Apaza-Ayamamani, R., De La Fuente -Torres, M., Cari-Mogrovejo, M., Zapana-Begazo, R., Calle-Zambrano, C., Begazo- Muñoz-del-Carpio, L., Diaz del Olmo Calvo, F., Caycho-Rodríguez, T., Torales, J., & Ramos-Vargas, L. F. (2024). Salud mental en estudiantes universitarios en Aislamiento Social durante la pandemia COVID-19. Arequipa, Perú. Medicina Clínica y Social, 8(1), 11–19. https://doi.org/10.52379/mcs.v8i1.315
Newton, R. R., & Rudestam, K. E. (2012). Your statistical consultant. Sage Publications.
Niño, M. D., Harris, C. T., Drawve, G., & Fitzpatrick, K. M. (2021). Race and ethnicity, gender, and age on perceived threats and fear of COVID-19: Evidence from two national data sources. SSM-Population Health, 13, 100717. https://doi.org/10.1016/j.ssmph.2020.100717
Olagoke, A., Olagoke, O., & Hughes, A. M. (2020). Exposure to coronavirus news on mainstream media: The role of risk perceptions and depression. British Journal Of Health Psychology, 25(4), 865-874. https://doi.org/10.1111/bjhp.12427
Phalswal, U., Pujari, V., Sethi, R., & Verma, R. (2023). Impact of social media on mental health of the general population during Covid-19 pandemic: A systematic review. Journal of Education and Health Promotion, 12(1). Wolters Kluwer Medknow Publications. https://doi.org/10.4103/jehp.jehp_460_22
Pai, N. B. (2022). The physical and mental health consequences of social isolation and loneliness in the context of COVID-19. Current Opinion In Psychiatry, 35(5), 305-310. https://doi.org/10.1097/yco.0000000000000806
Power, K. (2020). The COVID-19 pandemic has increased the care burden of women and families. Sustainability: Science, Practice, and Policy, 16(1), 67-73. https://doi.org/10.1080/15487733.2020.1776561
Ptacek, J. T., Smith, R. E., & Dodge, K. L. (1994). Gender Differences in Coping with Stress: When Stressor and Appraisals Do Not Differ. Personality And Social Psychology Bulletin, 20(4), 421-430. https://doi.org/10.1177/0146167294204009
Remor, E. (2006). Psychometric properties of a European Spanish version of the Perceived Stress Scale (PSS). Spanish Journal of Psychology, 9(1), 86-93. https://doi.org/10.1017/S1138741600006004
Reyes-Rodríguez, M. L., Rivera-Medina, C. L., Cámara-Fuentes, L., Suárez-Torres, A., & Bernal, G. (2013). Depression symptoms and stressful life events among college students in Puerto Rico. Journal of Affective Disorders, 145(3), 324-330. https://doi.org/10.1016/j.jad.2012.08.010
Rosario, M., Shinn, M., Mørch, H., & Huckabee, C. B. (1988). Gender differences in coping and social supports: Testing socialization and role constraint theories. Journal of Community Psychology, 16(1), 55-69. https://doi.org/10.1002/1520-6629(198801)16:1
Rudenstine, S., Schulder, T., Bhatt, K. J., McNeal, K., Ettman, C. K., & Galea, S. (2022). Long-COVID and comorbid depression and anxiety two years into the COVID-19 pandemic. Psychiatry Research, 317. https://doi.org/10.1016/j.psychres.2022.114924
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder. Archives Of Internal Medicine, 166(10), 1092. https://doi.org/10.1001/archinte.166.10.1092
Tasso, A. F., Hisli Sahin, N., & San Roman, G. J. (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
Verma, G., Bhardwaj, A., Aledavood, T., De Choudhury, M., & Kumar, S. (2022). Examining the impact of sharing COVID-19 misinformation online on mental health. Scientific Reports, 12(1), 8045.
Wickens, C. M., McDonald, A. J., Elton‐Marshall, T., Wells, S., Nigatu, Y. T., Jankowicz, D., & Hamilton, H. (2021). Loneliness in the COVID-19 pandemic: Associations with age, gender and their interaction. Journal of Psychiatric Research, 136, 103-108. https://doi.org/10.1016/j.jpsychires.2021.01.047
World Health Organization: WHO. (2022). COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. World Health Organization. https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide
Ye, J., & Ren, Z. (2022). Examining the impact of sex differences and the COVID-19 pandemic on health and health care: findings from a national cross-sectional study. JAMIA Open, 5(3). https://doi.org/10.1093/jamiaopen/ooac076
Zarowski, B., Giokaris, D., & Green, O. (2024). Effects of the COVID-19 pandemic on university students' mental health: a literature review. Cureus, 16(2).
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2024 Psicologías