College students and COVID-19: Mental health and purpose formation

Authors

DOI:

https://doi.org/10.5055/jem.0609

Keywords:

college, COVID-19, mental health, purpose

Abstract

Background: The COVID-19 pandemic is a disaster event associated with negative social, mental health, financial, and academic outcomes for college students. However, there is limited evidence to guide efforts to help support college students during the crisis. This study used a disaster conceptual model to evaluate the relationship between COVID-19 stressors and mental health and purpose in college students in the United States.

Methods: Cross-sectional data were collected from 251 undergraduates through an online survey between April and May 2020.

Results: Students were exposed to multiple COVID-19 stressors (M = 8.14, SD = 3.02). Overall, 53.0 percent reported moderate to severe levels of depression, 40.7 percent reported moderate to severe levels of anxiety, and 39.4 percent endorsed having a clear sense of purpose in life. A disaster conceptual model fit the data well (c2 [30] = 31.93, p = .37, CFI = 0.995, RMSEA = 0.02, SRMR = 0.04). COVID-19 stressors were directly associated with depression and anxiety, and inversely associated with purpose. Perceived stress was an intervening variable in this relationship.

Conclusion: Findings highlight the relationship between COVID-19 disaster stressors and mental health and purpose outcomes and provide evidence which may help guide recovery efforts.

Author Biographies

Betty S. Lai, PhD

Department of Counseling, Developmental, and Educational Psychology, Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts

Barbora Hoskova, MA

Department of Counseling, Developmental, and Educational Psychology, Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts

Alexa Riobueno-Naylor, BA

Department of Counseling, Developmental, and Educational Psychology, Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts

Courtney A. Colgan, MA

Department of Counseling, Developmental, and Educational Psychology, Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts

Samantha S. Aubé, BA

Department of Counseling, Developmental, and Educational Psychology, Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts

Belle Liang, PhD

Department of Counseling, Developmental, and Educational Psychology, Lynch School of Education and Human Development, Boston College, Chestnut Hill, Massachusetts

References

McFarlane AC, Norris FH: Definitions and concepts in disaster research. In Norris FH, Galea S, Friedman MJ, et al. (eds.): Methods for Disaster Mental Health Research. New York, NY: The Guilford Press, 2006: 3-19.

Buckingham-Howes S, Holmes K, Glenn Morris J, et al.: Prolonged financial distress after the Deepwater Horizon oil spill predicts behavioral health. J Behav Heal Serv Res. 2019; 46(2): 294-305. DOI:10.1007/s11414-018-9602-2.

Self-Brown S, Lai BS, Thompson JE, et al.: Posttraumatic stress disorder symptom trajectories in Hurricane Katrina affected youth. J Affect Disord. 2013; 147(1-3): 198-204. DOI:10.1016/j.jad.2012.11.002.

Weems CF, Watts SE, Marsee MA, et al: The psychosocial impact of Hurricane Katrina: Contextual differences in psychological symptoms, social support, and discrimination. Behav Res Ther. 2007; 45(10): 2295-2306. DOI:10.1016/j.brat.2007.04.013.

Bruffaerts R, Mortier P, Kiekens G, et al: Mental health problems in college freshmen: Prevalence and academic functioning. J Affect Disord. 2018; 225: 97-103. DOI:10.1016/j.jad.2017.07.044.

Jury M, Smeding A, Stephens NM, et al.: The experience of low-SES students in higher education: Psychological barriers to success and interventions to reduce social-class inequality. J Soc Issues. 2017; 73(1): 23-41. DOI:10.1111/josi.12202.

Stewart S, Lim DH, Kim J: Factors influencing college persistence for first-time students. J Dev Educ. 2015; 38(3): 12-16, 18-20. https://www.jstor.org/stable/pdf/24614019.pdf.

Arnett JJ: Adolescence and Emerging Adulthood: A Cultural Approach. Upper Saddle River, NJ: Pearson, 2013.

Heckler MA: The importance of a college education. Chicago Tribune. Published 2018. Available at https://www.chicagotribune.com/suburbs/post-tribune/opinion/ct-ptb-heckler-guest-columnst-0912-story.html. Accessed December 14, 2020.

Leonhardt D, Chinoy S: The college dropout crisis. The New York Times. Published 2019. Available at https://www.nytimes.com/interactive/2019/05/23/opinion/sunday/college-graduationrates-ranking.html. Accessed December 14, 2020.

UN Office for Disaster Risk Reduction: Sendai Framework for Disaster Risk Reduction 2015-2030, 2019. Available at https://www.unisdr.org/we/coordinate/sendai-framework. Accessed March 14, 2020.

Bach C, Gupta AK, Nair SS, et al.: Critical infrastructures and disaster risk reduction. Natl Inst Disaster Manag. 2013; 72. Available at https://nidm.gov.in/PDF/modules/cric infra.pdf.

Cutter SL, Barnes L, Berry M, et al: Community and regional resilience: Perspectives from hazards, disasters, and emergency management. Geography. 2008; 1(7): 2301-2306.

Peacock WG: Final Report: Advancing the Resilience of Coastal Localities. Hazard Reduction and Recovery Center, College Station, TX. 2010.

Disaster Resilient Universities Network: Disaster Resilient Universities (DRU) Overview. 2016. Available at https://safety.uoregon.edu/sites/safety1.uoregon.edu/files/dru_network_overview_060116_fnl.pdf. Accessed March 14, 2020.

La Greca AM, Silverman WK, Lai B, et al.: Hurricane-related exposure experiences and stressors, other life events, and social support: Concurrent and prospective impact on children’s persistent post-traumatic stress symptoms. J Consult Clin Psychol. 2010; 78(6): 794-805. DOI:10.1037/a0020775.

Lai BS, Osborne MC, Piscitello J, et al.: The relationship between social support and posttraumatic stress symptoms among youth exposed to a natural disaster. Eur J Psychotraumatol. 2018; 1-11. 9(suppl 2). DOI:10.1080/20008198.2018.1450042.

Lai BS, Auslander BA, Fitzpatrick SL, et al.: Disasters and depressive symptoms in children: A review. Child Youth Care Forum. 2014; 43(4): 489-504. DOI:10.1007/s10566-014-9249-y.

Lai BS, Kelley M Lou, Harrison KM, et al.: Posttraumatic stress, anxiety, and depression symptoms among children after Hurricane Katrina: A latent profile analysis. J Child Fam Stud. 2015; 24(5): 1262-1270. DOI:10.1007/s10826-014-9934-3.

Llabre MM, Hadi F, La Greca AM, et al.: Psychological distress in young adults exposed to war-related trauma in childhood. J Clin Child Adolesc Psychol. 2015; 44(1):169-180. DOI:10.1080/15374416.2013.828295.

Damon W, Menon J, Cotton Bronk K: The development of purpose during adolescence. Appl Dev Sci. 2003; 7(3): 119-128.

Erikson EH: Identity: Youth and Crisis. Ashland, OH: W. W. Norton & Company, 1968. DOI:10.1207/S1532480XADS0703_2.

Blattner MCC, Liang B, Lund T, et al.: Searching for a sense of purpose: The role of parents and effects on self-esteem among female adolescents. J Adolesc. 2013; 36(5): 839-848. DOI:10.1016/j.adolescence.2013.06.008.

Sumner R, Burrow AL, Hill PL: The development of purpose in life among adolescents who experience marginalization: Potential opportunities and obstacles. Am Psychol. 2018; 73(6): 740-752. DOI:10.1037/amp0000249.

Burrow AL, O’Dell AC, Hill PL: Profiles of a developmental asset: Youth purpose as a context for hope and well-being. J Youth Adolesc. 2010; 39: 1265-1273. DOI:10.1007/s10964-009-9481-1.

Cotton Bronk K, Hill PL, Lapsley DK, et al.: Purpose, hope, and life satisfaction in three age groups. J Posit Psychol. 2009; 4(6): 500-510. DOI:10.1080/17439760903271439.

Cotton Bronk K, Finch WH: Adolescent characteristics by type of long-term aim in life. Appl Dev Sci. 2010; 14(1): 35-44. DOI:10.1080/10888690903510331.

Han H: Purpose as a moral virtue for flourishing. J Moral Educ. 2015; 44(3): 291-309. DOI:10.1080/03057240.2015.1040383.

Seligman MEP: Positive psychology, positive prevention, and positive psychology . In Snyder CR, Lopez SJ (eds.): Handbook of Positive Psychology. New York, NY: Oxford University Press, 2002: 3-9. Available at https://psycnet.apa.org/record/2002-02382-001. Accessed November 13, 2020.

Gutowski E, White AE, Liang B, et al.: How stress influences purpose development: The importance of social support. J Adolesc Res. 2018; 33(5): 571-597. DOI:10.1177/0743558417737754.

Calcagno JC, Crosta P, Bailey T, et al.: Does age of entrance affect community college completion probabilities? Evidence from a discrete-time Hazard model. Educ Eval Policy Anal. 2007; 29(3): 218-235. DOI:10.3102/0162373707306026.

Fischer EMJ: Settling into campus life: Differences by race/ ethnicity in college involvement and outcomes. J High Educ. 2007; 78(2): 125-161. DOI:10.1080/00221546.2007.11780871.

Park RSE, Scott-Clayton J: The impact of Pell Grant eligibility on community college students’ financial aid packages, labor supply, and academic outcomes. Educ Eval Policy Anal. 2018; 40(4): 557-585. DOI:10.3102/0162373718783868.

Pratt IS, Harwood HB, Cavazos JT, et al.: Should I stay or should I go? Retention in first-generation college students. J Coll Student Retent Res Theory Pract. 2019; 21(1): 105-118. DOI:10.1177/1521025117690868.

Harris PA, Taylor R, Minor BL, et al.: The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019; 95. DOI:10.1016/j.jbi.2019.103208.

Bollen KA, Bauldry S: Three Cs in measurement models: Causal indicators, composite indicators, and covariates. Psychol Methods. 2011; 16(3): 265-284. DOI:10.1037/a0024448.

Hardin AM, Chang JCJ, Fuller MA, et al.: Formative measurement and academic research: In search of measurement theory. Educ Psychol Meas. 2011; 71(2): 281-305. DOI:10.1177/0013164410370208.

Errett N, Lamprea Montealegre J, Busch Isaksen T: King County COVID-19 community study. DesignSafe-CI. 2021. Available at DOI:10.17603/ds2-atw6-7z47. Accessed February 5, 2021.

Linden W: Development and initial validation of a Life Event Scale for students. Can Couns. 1984; 18(3): 106-110. https://cjc-rcc.ucalgary.ca/article/view/59826.

Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress. J Health Soc Behav. 1983; 24(4): 385-396. DOI:10.2307/2136404.

Lee E-H: Review of the psychometric evidence of the Perceived Stress Scale. Asian Nurs Res (Korean Soc Nurs Sci). 2012; 6(4): 121-127. DOI:10.1016/j.anr.2012.08.004.

State of New Hampshire Employee Assistance Program: Perceived Stress Scale. Published 2014. Available at https://das.nh.gov/wellness/Docs/PercievedStressScale.pdf. Accessed December 14, 2020.

Kroenke K, Strine TW, Spitzer RL, et al.: The PHQ-8 as a measure of current depression in the general population. J Affect Disord. 2009; 114(1-3): 163-173. DOI:10.1016/j.jad.2008.06.026.

Kroenke K, Spitzer RL, Williams JBW: The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9): 606-613. DOI:10.1046/j.1525-1497.2001.016009606.x.

Shin C, Lee SH, Han KM, et al.: Comparison of the usefulness of the PHQ-8 and PHQ-9 for screening for major depressive disorder: Analysis of psychiatric outpatient data. Psychiatry Investig. 2019; 16(4): 300-305. DOI:10.30773/pi.2019.02.01.

Spitzer RL, Kroenke K, Williams JBW, et al.: A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med. 2006; 166(10): 1092-1097. DOI:10.1001/archinte.166.10.1092.

Bronk KC, Riches BR, Mangan SA: Claremont Purpose Scale: A measure that assesses the three dimensions of purpose among adolescents. Res Hum Dev. 2018; 15(2): 101-117. DOI:10.1080/15427609.2018.1441577.

Muthén LK, Muthén BO: Mplus User’s Guide. Los Angeles, CA: 8th ed. Muthén & Muthén, 2017.

Aucejo EM, French J, Ugalde Araya MP, et al.: The impact of COVID-19 on student experiences and expectations: Evidence from a survey. J Public Econ. 2020; 191: 104271. DOI:10.1016/j.jpubeco.2020.104271.

Coughenour C, Gakh M, Pharr JR, et al.: Changes in depression and physical activity among college students on a diverse campus after a COVID-19 stay-at-home order. J Community Health. Published online November 9, 2020; 46(4): 758-766. DOI:10.1007/s10900-020-00918-5. Accessed December 14, 2020.

Ritchie A, Sautner B, Omege J, et al.: Long-term mental health effects of a devastating wildfire are amplified by sociodemographic and clinical antecedents in college students. Disaster Med Public Health Prep. Published online 2020: 1-11. DOI:10.1017/dmp.2020.87. Accessed December 14, 2020.

Davis TE, Grills-Taquechel AE, Ollendick TH: The psychological impact from Hurricane Katrina: Effects of displacement and trauma exposure on university students. Behav Ther. 2010; 41(3): 1-12. 340-349. DOI:10.1016/j.beth.2009.09.004.

Islam MA, Barna SD, Raihan H, et al.: Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PLoS One. 2020; 15(8). DOI:10.1371/journal.pone.0238162.

Cao W, Fang Z, Hou G, et al.: The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020; 287: 112934. DOI:10.1016/j.psychres.2020.112934.

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. DOI:10.31234/OSF.IO/UA6TQ.

Liu CH, Zhang E, Wong GTF, et al.: Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for US young adult mental health. Psychiatry Res. 2020; 290: 113172. DOI:10.1016/j.psychres.2020.113172.

Andrews AR, Jobe-Shields L, López CM, et al.: Polyvictimization, income, and ethnic differences in trauma-related mental health during adolescence. Soc Psychiatry Psychiatr Epidemiol. 2015; 50(8): 1223-1234. DOI:10.1007/s00127-015-1077-3.

Galindo KB, Eslami ZR, Bashir H: Culture’s influence on social network vulnerabilities for ethnic minorities in rural disaster events. J Int Humanit Action. 2018; 3(1): 1-17. DOI:10.1186/s41018-018-0047-2.

Gill DA, Ladd AE, Cross GW, et al.: Impacts of Hurricane Katrina on Mississippi State University students. In Learning from Catastrophe: Quick Response Research in the Wake of Hurricane Katrina.Boulder, CO: Natural Hazards Research and Applications Information Center, University of Colorado. Natural Hazards Center, 2006: 373-402.

La Greca AM, Lai BS, Llabre MM, et al.: Children’s post-disaster trajectories of PTS symptoms: Predicting chronic distress. Child Youth Care Forum. 2013; 42(4): 351-369. DOI:10.1007/s10566-013-9206-1.

Norris FH, Friedman MJ, Watson PJ, et al.: 60,000 Disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. 2002; 65(3): 207-239. DOI:10.1521/psyc.65.3.207.20173.

Finch C, Emrich CT, Cutter SL: Disaster disparities and differential recovery in New Orleans. Popul Environ. 2010; 31(4): 179-202. DOI:10.1007/s11111-009-0099-8.

Moore JT, Ricaldi JN, Rose CE, et al: Disparities in incidence of COVID-19 among underrepresented racial/ethnic groups in counties identified as hotspots during June 5-18, 2020—22 states, February–June 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(33): 1122-1126. DOI:10.15585/mmwr.mm6933e1.

Triplett KN, Tedeschi RG, Cann A, et al.: Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychol Trauma. 2012; 4(4): 400-410. DOI:10.1037/a0024204.

DeWitz SJ, Woolsey ML, Walsh WB: College student retention: An exploration of the relationship between self-efficacy beliefs and purpose in life among college students. J Coll Stud Dev. 2009; 50(1): 19-34. DOI:10.1353/csd.0.0049.

Kashdan TB, Kane JQ: Posttraumatic distress and the presence of posttraumatic growth and meaning in life: Experiential avoidance as a moderator. Pers Individ Dif. 2011; 50(1): 84-89. DOI:10.1016/j.paid.2010.08.028.

Compas BE, Banez GA, Malcarne V, et al.: Perceived control and coping with stress: A developmental perspective. J Soc Issues. 1991; 47(4): 23-34. DOI:10.1111/j.1540-4560.1991.tb01832.x.

Forsythe CJ, Compas BE: Interaction of cognitive appraisals of stressful events and coping: Testing the goodness of fit hypothesis. Cognit Ther Res. 1987; 11(4): 473-485. DOI:10.1007/BF01175357.

Matthieu MM, Ivanoff A: Using stress, appraisal, and coping theories in clinical practice: Assessments of coping strategies after disasters. Br Treat Cris Interv. 2006; 6(4): 337-348. DOI:10.1093/brief-treatment/mhl009.

Yeung NCY, Lu Q, Wong CCY, et al.: The roles of needs satisfaction, cognitive appraisals, and coping strategies in promoting posttraumatic growth: A stress and coping perspective. Psychol Trauma. 2016; 8(3): 284-295. DOI:10.1037/tra0000091.

Santiago-Rivera AL, Bernstein BL: Affiliation, achievement and life events: Contributors to stress appraisals in college men and women. Pers Individ Dif. 1996; 21(3): 411-419. DOI:10.1016/0191-8869(96)00076-1.

Downloads

Published

05/11/2022

How to Cite

Lai, PhD, B. S., B. Hoskova, MA, A. Riobueno-Naylor, BA, C. A. Colgan, MA, S. S. Aubé, BA, and B. Liang, PhD. “College Students and COVID-19: Mental Health and Purpose Formation”. Journal of Emergency Management, vol. 20, no. 9, May 2022, pp. 65-77, doi:10.5055/jem.0609.