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Factors associated with psychological distress among college students under COVID-19 pandemic: the moderating role of co** styles and social support

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Abstract

This paper aimed to explore the potential factors of the coronavirus disease 2019 (COVID-19) pandemic on Chinese undergraduates’ psychological distress (PD), as well as the moderating impact of co** styles and social support in this relationship. 5638 Chinese college students in Chengdu were randomly selected for an online survey. 10-item Kessler Psychological Distress Scale (K10), the Simplified Co** Style Questionnaire (SCSQ) and the Social Support Rating Scale (SSRS) were used in this paper. In SPSS 17, one-way ANOVA, multiple linear regression and 95% confidence were used to observe the relationship between sociodemographic characteristics, COVID-19 exposure, co** styles, social support and PD of college students. The PD prevalence rate of our sample during the pandemic was 45.5%. Males, students with a romantic relationship, those spending more time on COVID-19, worrying about getting infected, those whose cohabitants were nervous about COVID-19, higher scores of negative co** style, lower positive co** style and social support scores had a higher risk of experiencing PD. The relationship between the nervousness of cohabitants about COVID-19 and the occurrence of PD was moderated by positive co**. Based on the serious psychological condition of Chinese college students during COVID-19. There is an urgent need to enhance the positive co** styles of college students, and systematic support for their mental health is crucial. This article provides theoretical research guidance for students and schools to further prevent and intervene in PD among college students.

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References

  • Ahmad, A. R., & Murad, H. R. (2020). The impact of social media on panic during the COVID-19 pandemic in Iraqi Kurdistan: Online questionnaire study. Journal of Medical Internet Research, 22(5),19556. https://doi.org/0.2196/19556.

  • Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The fear of COVID-19 scale: development and initial validation. International journal of mental health and addiction, 1–9. https://doi.org/10.1007/s11469-020-00270-8.

  • Alzaid, E. H., Alsaad, S. S., Alshakhis, N., Albagshi, D., Albesher, R., & Aloqaili, M. (2020). Prevalence of COVID-19-related anxiety among healthcare workers: A cross-sectional study. Journal of Family Medicine and Primary Care, 9(9), 4904. https://doi.org/10.4103/jfmpc.jfmpc_674_20.

    Article  PubMed  PubMed Central  Google Scholar 

  • Amundsen, O. M., Hoffart, A., Johnson, S. U., & Ebrahimi, O. V. (2021). Pandemic information dissemination and its associations with the symptoms of mental distress during the COVID-19 pandemic: Cross-sectional study. JMIR Formative Research, 5(12), e28239. https://doi.org/10.2196/28239.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barth, J., Schneider, S., & Känel, R. V. (2010). Lack of social support in the etiology and the prognosis of coronary heart disease: a systematic review and meta-analysis. Psychosomatic Medicine, 72(3), 229–238. https://doi.org/10.1097/PSY.0b013e3181d01611.

  • Beck, E., & Daniels, J. (2022). Intolerance of uncertainty, fear of contamination and perceived social support as predictors of psychological distress in NHS healthcare workers during the COVID-19 pandemic. Psychology Health & Medicine, 1–13. https://doi.org/10.1080/13548506.2022.2092762.

  • Bell, C., Williman, J., Beaglehole, B., Stanley, J., Jenkins, M., Gendall, P., & Every-Palmer, S. (2022). Psychological distress, loneliness, alcohol use and suicidality in New Zealanders with mental illness during a strict COVID-19 lockdown. Australian & New Zealand Journal of Psychiatry, 56(7), 800–810. https://doi.org/10.1177/00048674211034317.

  • Burleson, M. H., Roberts, N. A., Munson, A. A., Duncan, C. J., Randall, A. K., Ha, T., & Mickelson, K. D. (2022). Feeling the absence of touch: Distancing, distress, regulation, and relationships in the context of COVID-19. Journal of Social and Personal Relationships, 39(1), 56–79. https://doi.org/10.1177/0265407521105269.

  • Cao, Y., Huang, L., Si, T., Wang, N. Q., Qu, M., & Zhang, X. Y. (2021). The role of only-child status in the psychological impact of COVID-19 on mental health of Chinese adolescents. Journal of Affective Disorders, 282, 316–321. https://doi.org/10.1016/j.jad.2020.12.113.

  • Chao, M., Xue, D., Liu, T., Yang, H., & Hall, B. J. (2020). Media use and acute psychological outcomes during COVID-19 outbreak in China. Journal of Anxiety Disorders, 74, 102248. https://doi.org/10.1016/j.janxdis.2020.102248.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen, C., Guan, Z., Sun, L., Zhou, T., & Guan, R. (2022a). COVID-19 exposure, pandemic‐related appraisals, co** strategies, and psychological symptoms among the frontline medical staff and gender differences in co** processes. Applied Cognitive Psychology, 36(1), 111–120. https://doi.org/10.1002/acp.3902.

  • Chen, S., Bi, K., Sun, P., & Bonanno, G. A. (2022b). Psychopathology and resilience following strict COVID-19 lockdowns in Hubei, China: Examining person- and context-level predictors for longitudinal trajectories. American Psychologist, 77(2), 262–275. https://doi.org/10.1037/amp0000958.

  • Chiara, A., Lee, T. J., & Lee, M. S. (2021). Psychological well-being of foreign university students during the COVID-19 pandemic: a cross-sectional study in South Korea using the Kessler Psychological Distress Scale (K10). Journal of Global Health Science, 3(2). https://doi.org/10.35500/jghs.2021.3.e15.

  • Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113.

  • Coronavirus (COVID-19) Dashboard: Situation by Region, Country Territory Area, World Health Organization. https://covid19.who.int/table.

  • D’Amico, S., Marano, A., Geraci, M. A., & Legge, E. (2013). Perceived self-efficacy and co** styles related to stressful critical life events. Plos One, 8(7), e67571. https://doi.org/10.1371/journal.pone.0067571.

    Article  PubMed  PubMed Central  Google Scholar 

  • Daly, M., & Robinson, E. (2021). Psychological distress and adaptation to the COVID-19 crisis in the United States. Journal of Psychiatric Research, 136, 603–609. https://doi.org/10.1016/j.jpsychires.2020.10.035.

  • El-Monshed, A. H., Loutfy, A., Saad, M. T., Ali, A. S., El-Gilany, A. H., Mohamed, S., A., & Zoromba, M. (2022). Satisfaction with life and psychological distress during the COVID-19 pandemic: An egyptian online cross-sectional study. African Journal of Primary Health Care & Family Medicine, 14(1), 2896. https://doi.org/10.4102/phcfm.v14i1.2896.

    Article  Google Scholar 

  • Estlein, R., Gewirtz-Meydan, A., & Opuda, E. (2022). Love in the time of COVID‐19: A systematic map** review of empirical research on romantic relationships one year into the COVID‐19 pandemic. Family Process, 61(3), 1208–1228. https://doi.org/10.1111/famp.12775.

  • Fancourt, D., Steptoe, A., & Bu, F. (2021). Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study. The Lancet Psychiatry, 8(2), 141–149. https://doi.org/10.1016/S2215-0366(20)30482-X.

  • Fujihara, S., & Tabuchi, T. (2022). The impact of COVID-19 on the psychological distress of youths in Japan: A latent growth curve analysis. Journal of Affective Disorders, 305, 19–27. https://doi.org/10.1016/j.jad.2022.02.055.

  • Gagné, T., Nandi, A., & Schoon, I. (2022). Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves. Journal of Epidemiology and Community Health, 76(5), 421–427. https://doi.org/10.1136/jech-2021-217266.

  • Gao, J. L., Zheng, P. P., Jia, Y. N., Chen, H., Mao, Y. M., Chen, S. H., Wang, Y., Fu, H., & Dai, J. M. (2020a). Mental health problems and social media exposure during COVID-19 outbreak. Plos One, 15(4), e0231924. https://doi.org/10.1371/journal.pone.0231924.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gao, W., **, S., & Liu, X. (2020b). Gender differences in depression, anxiety, and stress among college students: a longitudinal study from China. Journal of Affective Disorders, 263, 292–300. https://doi.org/10.1016/j.jad.2019.11.121.

  • Gaygisiz, U., Gaygisiz, E., Ozkan, T., & Lajunen, T. (2012). Individual differences in behavioral reactions to H1N1 during a later stage of the epidemic. Journal of Infection and Public Health, 5 (1), 9–21. https://doi.org/10.1016/j.jiph.2011.09.008.

  • Ghecham, M. A. (2022). The Impact of COVID-19 on Economic Growth of Countries: What Role Has Income Inequality in It? Economies, 10(7), 158. https://doi.org/10.3390/economies10070158.

  • Gibson, P. A., Baker, E. H., & Milner, A. N. (2016). The role of sex, gender, and education on depressive symptoms among young adults in the United States. Journal of Affective Disorders, 189, 306–313. https://doi.org/10.1016/j.jad.2015.08.067.

  • Gloria, C. T., & Steinhardt, M. A. (2016). Relationships among positive emotions, co**, resilience and mental health. Stress and Health, 32(2), 145–156. https://doi.org/10.1002/smi.2589.

  • Gómez-Salgado, J., Andrés-Villas, M., Domínguez-Salas, S., Díaz-Milanés, D., & Ruiz-Frutos, C. (2020). Related health factors of psychological distress during the COVID-19 pandemic in Spain. International Journal of Environmental Research and Public Health, 17(11), 3947. https://doi.org/10.3390/ijerph17113947.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gong, S., Li, L. Z., & Wang, S. (2021). Youth mental health before and after the control of the coronavirus disease 2019: A nationally representative cohort study of chinese college students. Journal of Affective Disorders Reports, 3, 100066. https://doi.org/10.1016/j.jadr.2020.100066.

    Article  PubMed  PubMed Central  Google Scholar 

  • Guessoum, S. B., Lachal, J., Radjack, R., Carretier, E., Minassian, S., Benoit, L., & Moro, M. R. (2020). Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown. Psychiatry Research, 291, 113264. https://doi.org/10.1016/j.psychres.2020.113264.

    Article  PubMed  PubMed Central  Google Scholar 

  • Guo, J., Fu, M. Q., ** style and posttraumatic growth among adult survivors 8 years after the 2008 Wenchuan earthquake in China. Personality and Individual Differences, 111, 31–36. https://doi.org/10.1016/j.paid.2017.01.046.

  • Gurvich, C., Thomas, N., Thomas, E. H., Hudaib, A. R., Sood, L., Fabiatos, K., & Kulkarni, J. (2021). Co** styles and mental health in response to societal changes during the COVID-19 pandemic. International Journal of Social Psychiatry, 67(5), 540–549. https://doi.org/10.1177/0020764020961790.

  • Hatfield, E., Rapson, R. L., & Narine, V. (2018). Emotional contagion in organizations: cross-cultural perspectives. Research on Emotion in Organizations, 14, 245–258. https://doi.org/10.1108/S1746-979120180000014019.

  • Hayes, A. F. (2013). Mediation, moderation, and conditional process analysis. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach, 1, 20.

  • Horesh, D., Lev-Ari, K., R., & Hasson‐Ohayon, I. (2020). Risk factors for psychological distress during the COVID‐19 pandemic in Israel: Loneliness, age, gender, and health status play an important role. British Journal of Health Psychology, 25(4), 925–933. https://doi.org/10.1111/bjhp.12455.

  • Hu, J., Huang, Y., Liu, J., Zheng, Z., Xu, X., Zhou, Y., & Wang, J. (2022). COVID-19 Related Stress and Mental Health Outcomes 1 Year After the Peak of the Pandemic Outbreak in China: the Mediating Effect of Resilience and Social Support. Frontiers in Psychiatry, 13, 828379. https://doi.org/10.3389/fpsyt.2022.828379.

  • Jambunathan, P., **dal, M., Patra, P., & Madhusudan, T. (2020). COVID-warriors: Psychological impact of the severe acute respiratory syndrome coronavirus 2 pandemic on health-care professionals. Journal of Marine Medical Society, 22(3), 57. https://doi.org/10.4103/jmms.jmms4420.

    Article  Google Scholar 

  • Jungmann, S. M., & Witthöft, M. (2020). Health anxiety, cyberchondria, and co** in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? Journal of Anxiety Disorders, 73, 102239. https://doi.org/10.1016/j.janxdis.2020.102239.

    Article  PubMed  PubMed Central  Google Scholar 

  • Karyotaki, E., Cuijpers, P., Albor, Y., Alonso, J., Auerbach, R. P., Bantjes, J., & Kessler, R. C. (2020). Sources of stress and their associations with mental disorders among college students: Results of the world health organization world mental health surveys international college student initiative. Frontiers in Psychology, 11, 1759. https://doi.org/10.3389/fpsyg.2020.01759.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. https://doi.org/10.1017/S0033291702006074.

  • Khan, A. G., Kamruzzaman, M., Rahman, M. N., Mahmood, M., & Uddin, M. A. (2021). Quality of life in the COVID-19 outbreak: Influence of psychological distress, government strategies, social distancing, and emotional recovery. Heliyon, 7(3), e06407. https://doi.org/10.1016/j.heliyon.2021.e06407.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kim, J. M., Stewart, R., Kim, S. W., Kang, H. J., Kim, S. Y., Lee, J. Y., Bae, K. Y., Shin, I. S., & Yoon, J. S. (2014). Interactions between a serotonin transporter gene, life events and social support on suicidal ideation in korean elders. Journal of Affective Disorders, 160, 14–20. https://doi.org/10.1016/j.jad.2014.02.030.

    Article  PubMed  Google Scholar 

  • Knapstad, M., Sivertsen, B., Knudsen, A. K., Smith, O. R. F., Aarø, L. E., Lønning, K. J., & Skogen, J. C. (2021). Trends in self-reported psychological distress among college and university students from 2010 to 2018. Psychological Medicine, 51(3), 470–478. https://doi.org/10.1017/S0033291719003350.

  • Kucmin, T., Kucmin, A., Turska, D., Turski, A., & Nogalski, A. (2018). Co** styles and dispositional optimism as predictors of post-traumatic stress disorder (PTSD) symptoms intensity in paramedics. Psychiatria Polska, 52(3), 557–571. https://doi.org/10.12740/PP/68514.

  • Labrague, L. J. (2021). Psychological resilience, co** behaviours and social support among health care workers during the COVID-19 pandemic: A systematic review of quantitative studies. Journal of Nursing Management, 29(7), 1893–1905. https://doi.org/10.1111/jonm.13336.

  • Lahav, Y. (2020). Psychological distress related to COVID-19–the contribution of continuous traumatic stress. Journal of Affective Disorders, 277, 129–137. https://doi.org/10.1016/j.jad.2020.07.141.

  • Lathabhavan, R. (2022). Fear of COVID-19, psychological distress, well-being and life satisfaction: A comparative study on first and second waves of COVID-19 among college students in India. Current Psychology, 1–8. https://doi.org/10.1007/s12144-022-03207-7.

  • Li, S., Wang, Y., Xue, J., Zhao, N., & Zhu, T. (2020). The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. International Journal of Environmental Research and Public Health, 17(6), 20–32. https://doi.org/10.3390/ijerph17062032.

  • Li, N., Li, S., & Fan, L. (2021a). Risk factors of psychological disorders after the COVID-19 outbreak: The mediating role of social support and emotional intelligence. Journal of Adolescent Health, 69(5), 696–704. https://doi.org/10.1016/j.jadohealth.2021.07.018.

  • Li, Y., Peng, J., & Tao, Y. (2021b). Relationship between social support, co** strategy against COVID-19, and anxiety among home-quarantined Chinese university students: A path analysis modeling approach. Current Psychology, 1–16. https://doi.org/10.1007/s12144-021-02334-x.

  • Li, Z., Ge, J., Feng, J., Jiang, R., Zhou, Q., Xu, X., & Liu, C. (2021c). Less social support for patients with COVID-19: Comparison with the experience of nurses. Frontiers in Psychiatry, 12, 554435. https://doi.org/10.3389/fpsyt.2021.554435.

    Article  PubMed  PubMed Central  Google Scholar 

  • Li, Z., Yi, X., Zhong, M., Li, Z., ** style, and perceived stress among medical staff and medical students in the early stages of the COVID-19 epidemic in China. Frontiers in Psychiatry, 12, 664808. https://doi.org/10.3389/fpsyt.2021.664808.

    Article  PubMed  PubMed Central  Google Scholar 

  • Li, J., Yan, C., Yang, S., Li, Z., Li, W., Gui, Z., & Zhou, C. (2022). Social isolation transitions and psychological distress among older adults in rural China: A longitudinal study before and during the COVID-19 pandemic. Journal of Affective Disorders, 308, 337–342. https://doi.org/10.1016/j.jad.2022.04.045.

  • Liang, L., Gao, T., Ren, H., Cao, R., Qin, Z., Hu, Y., & Mei, S. (2020). <? covid19?> Post-traumatic stress disorder and psychological distress in Chinese youths following the COVID-19 emergency. Journal of Health Psychology, 25(9), 1164–1175. https://doi.org/10.1177/1359105320937057.

  • Lin, C. Y., Broström, A., Griffiths, M. D., & Pakpour, A. H. (2020). Investigating mediated effects of fear of COVID-19 and COVID-19 misunderstanding in the association between problematic social media use, psychological distress, and insomnia. Internet Interventions, 21, 100345. https://doi.org/10.1016/j.invent.2020.100345.

    Article  PubMed  PubMed Central  Google Scholar 

  • Liu, J., & **a, L. X. (2018). The direct and indirect relationship between interpersonal self-support traits and perceived social support: A longitudinal study. Current Psychology, 37(1), 73–81. https://doi.org/10.1007/s12144-016-9491-6.

  • Liu, F., Zhou, N., Cao, H., Fang, X., Deng, L., Chen, W., & Zhao, H. (2017). Chinese college freshmen’s mental health problems and their subsequent help-seeking behaviors: A cohort design (2005–2011). Plos One, 12(10), e0185531. https://doi.org/10.1371/journal.pone.0185531.

    Article  PubMed  PubMed Central  Google Scholar 

  • Luo, H., Yao, H., **, Y., Zhang, Z., Li, J., Li, J., Wang, X. W., Zhong, Z. X., & Lv, Y. (2021). Protective and risk factors for medical and nursing staff suffering from psychological symptoms during COVID-19. Frontiers in Psychology, 12, 1085. https://doi.org/10.3389/fpsyg.2021.603553.

    Article  Google Scholar 

  • Luo, X., Xu, Q., Fan, K., Wang, J., Wei, D., Wang, X., & Mao, Z. (2022). Prevalence and risk factors of depressive symptoms among 140,259 college students during the COVID-19 epidemic normalization in China: A cross-sectional survey. Frontiers in Public Health, 10, 936700. https://doi.org/10.3389/fpubh.2022.936700.

    Article  PubMed  PubMed Central  Google Scholar 

  • Luszczynska, A., Mohamed, N. E., & Schwarzer, R. (2005). Self-efficacy and social support predict benefit finding 12 months after cancer surgery: The mediating role of co** strategies. Psychology, Health and Medicine, 10(4), 365–375. https://doi.org/10.1080/13548500500093738.

  • Marahwa, P., Makota, P., Chikomo, D. T., Chakanyuka, T., Ruvai, T., Osafo, K. S., & Chen, L. (2022). The psychological impact of COVID-19 on university students in China and Africa. Plos One, 17(8), e0270824. https://doi.org/10.1371/journal.pone.0270824.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mayo, O., Horesh, D., Korisky, A., Milstein, N., Zadok, E., Tomashin, A., & Gordon, I. (2022). I feel you: Prepandemic physiological synchrony and emotional contagion during COVID-19. Emotion. https://doi.org/10.1037/emo0001122.

    Article  PubMed  Google Scholar 

  • Michniewicz, K. S., Bosson, J. K., Lenes, J. G., & Chen, J. I. (2016). Gender-atypical mental illness as male gender threat. American Journal of Men’s Health, 10(4), 306–317. https://doi.org/10.1177/1557988314567224.

  • Nogalski, A., Kucmin, T., & Turska, D. (2018). Co** styles and dispositional optimism as predictors of post-traumatic stress disorder (PTSD) symptoms intensity in paramedics. Psychiatria Polska, 52(3), 557–571. https://doi.org/10.12740/PP/68514.

  • Ongeri, L., Ametaj, A., Kim, H., Stroud, R. E., Newton, C. R., Kariuki, S. M., & Gelaye, B. (2022). Measuring psychological distress using the K10 in Kenya. Journal of Affective Disorders, 303, 155–160. https://doi.org/10.1016/j.jad.2022.02.12.

  • Ortiz-Calvo, E., Martínez-Alés, G., Mediavilla, R., González-Gómez, E., Fernández-Jiménez, E., Bravo-Ortiz, M. F., & Moreno-Küstner, B. (2022). The role of social support and resilience in the mental health impact of the COVID-19 pandemic among healthcare workers in Spain. Journal of psychiatric research, 148, 181–187. https://doi.org/10.1016/j.jpsychires.2021.12.030.

  • Pakenham, K. I., Chiu, J., Bursnall, S., & Cannon, T. (2007). Relations between social support, appraisal and co** and both positive and negative outcomes in young carers. Journal of Health Psychology, 12(1), 89–102. https://doi.org/10.1177/1359105307071743.

  • Panigrahi, S., Mohapatra, S., Shetty, A. P., Baby, R. S., & Singh, A. K. (2021). The burden & contributing factors of psychological distress across India during the COVID pandemic. Archives of Psychiatric Nursing, 35(6), 678–684. https://doi.org/10.1016/j.apnu.2021.10.003.

  • Patterson, J. M. (2002). Understanding family resilience. Journal of Clinical Psychology, 58(3), 233–246. https://doi.org/10.1002/jclp.10019.

  • Pederson, E. L., & Vogel, D. L. (2007). Male gender role conflict and willingness to seek counseling: Testing a mediation model on college-aged men. Journal of Counseling Psychology, 54(4), 373. https://doi.org/10.1037/0022-0167.54.4.373.

    Article  Google Scholar 

  • Peng, P., Hao, Y., Liu, Y., Chen, S., Wang, Y., Yang, Q., & Liu, T. (2022). The prevalence and risk factors of mental problems in medical students during COVID-19 pandemic: A systematic review and meta-analysis. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2022.10.040.

    Article  PubMed  PubMed Central  Google Scholar 

  • Porru, F., Robroek, S. J., Bültmann, U., Portoghese, I., Campagna, M., & Burdorf, A. (2021). Mental health among university students: The associations of effort-reward imbalance and overcommitment with psychological distress. Journal of Affective Disorders, 282, 953–961. https://doi.org/10.1016/j.jad.2020.12.183.

  • Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and co** strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14(5), 364–388. https://doi.org/10.1080/15325020902724271.

  • Quadros, S., Garg, S., Ranjan, R., Vijayasarathi, G., & Mamun, M. A. (2021). Fear of COVID 19 infection across different cohorts: A sco** review. Frontiers in Psychiatry, 12, 708430. https://doi.org/10.3389/fpsyt.2021.708430.

    Article  PubMed  PubMed Central  Google Scholar 

  • Romeo, A., Benfante, A., Castelli, L., & Di Tella, M. (2021). Psychological distress among italian university students compared to general workers during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(5), 2503. https://doi.org/10.3390/ijerph18052503.

    Article  PubMed  PubMed Central  Google Scholar 

  • Roth, F., & Brönnimann, G. (2013). Using the Internet for Public Risk Communication. Risk and Resilience Reports. https://www.researchgate.net/publication/256126259.

  • Seetan, K., Al-Zubi, M., Rubbai, Y., Athamneh, M., Khamees, A. A., & Radaideh, T. (2021). Impact of COVID-19 on medical students’ mental wellbeing in Jordan. Plos One, 16(6), e0253295. https://doi.org/10.1371/journal.pone.0253295.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shultz, J. M., Baingana, F., & Neria, Y. (2014). The 2014 Ebola outbreak and mental health: Current status and recommended response. JAMA, 313, 567–568. https://doi.org/10.1001/jama.2014.17934.

  • Smith, B. M., Twohy, A. J., & Smith, G. S. (2020). Psychological inflexibility and intolerance of uncertainty moderate the relationship between social isolation and mental health outcomes during COVID-19. Journal of Contextual Behavioral Science, 18, 162–174. https://doi.org/10.1016/j.jcbs.2020.09.005.

  • Staneva, A., Carmignani, F., & Rohde, N. (2022). Personality, gender, and age resilience to the mental health effects of COVID-19. Social Science & Medicine, 301, 114884. https://doi.org/10.1016/j.socscimed.2022.114884.

    Article  Google Scholar 

  • Sun, Y., Zhu, S., ChenHuang, G., Zhu, L., Yang, S., Zhang, X., & Zheng, Z. (2022). COVID-19 burnout, resilience, and psychological distress among chinese college students. Frontiers in Public Health, 10, 1009027. https://doi.org/10.3389/fpubh.2022.1009027.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tan, W., Hao, F., McIntyre, R. S., Jiang, L., Jiang, X., Zhang, L., & Tam, W. (2020). Is returning to work during the COVID-19 pandemic stressful? A study on Immediate mental health status and Psy-choneuroimmunity Prevention measures of Chinese Workforce. Brain Behavior Immunity, 97, 84e92. https://doi.org/10.1016/j.bbi.2020.04.055.

  • Tang, W., Hu, T., Hu, B., **, C., Wang, G., ** efficacy, negative moods and post-traumatic stress syndrome following major trauma. International Journal of Nursing Practice, 7(2), 74–83. https://doi.org/10.1046/j.1440-172X.2001.00257.x.

  • Tulucu, F., Anasori, E., & Kinali Madanoglu, G. (2022). How does mindfulness boost work engagement and inhibit psychological distress among hospital employees during the COVID-19 pandemic? The mediating and moderating role of psychological resilience. The Service Industries Journal, 42(3–4), 131–147. https://doi.org/10.1080/02642069.2021.2021182.

  • Usher, K., Bhullar, N., Durkin, J., Gyamfi, N., & Jackson, N. (2020). Family violence and COVID-19: increased vulnerability and reduced options for support. International Journal of Mental Health Nursing, 29(4), 549–552. https://doi.org/10.1111/inm.12735.

  • Wang, Y., Kala, M. P., & Jafar, T. H. (2020). Factors associated with psychological distress during the coronavirus disease 2019 (COVID-19) pandemic on the predominantly general population: A systematic review and meta-analysis. PloS ONE, 15(12), e0244630. https://doi.org/10.1371/journal.pone.0244630.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wang, C., Tee, M., Roy, A. E., Fardin, M. A., Srichokchatchawan, W., Habib, H. A., & Kuruchittham, V. (2021). The impact of COVID-19 pandemic on physical and mental health of Asians: A study of seven middle-income countries in Asia. Plos One, 16, e0246824. https://doi.org/10.1371/journal.pone.0246824.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wang, D., Zhao, J., Ross, B., Ma, Z., Zhang, J., Fan, F., & Liu, X. (2022). Longitudinal trajectories of depression and anxiety among adolescents during COVID-19 lockdown in China. Journal of Affective Disorders, 299, 628–635. https://doi.org/10.1016/j.jad.2021.12.086.

  • Warren, C. D., & Fowler, K. (2021). Examination of Gender Differences in the Influence of Social Support on Psychological Distress in Canadian Adults with Bipolar Disorder. Psychiatric Quarterly, 1–13. https://doi.org/10.1007/s11126-021-09898-8.

  • WHO (2022). Coronavirus (COVID-19) Dashboard: Situation by Region, Country Territory Area, World Health Organization. https://covid19.who.int/table.

  • Wright, M., Banerjee, R., Hoek, W., Rieffe, C., & Novin, S. (2010). Depression and social anxiety in children: Differential links with co** strategies. Journal of Abnormal Child Psychology, 38, 405–419. https://doi.org/10.1007/s10802-009-9375-4.

  • Wu, Y., Zhang, T., Ye, Z., Chen, K., Kuijp, J. V. D., Sun, X., & Huang, L. (2022). Public anxiety through various stages of COVID-19 co**: Evidence from China. Plos One, 17(6), e0270229. https://doi.org/10.1371/journal.pone.0270229.

    Article  PubMed  PubMed Central  Google Scholar 

  • ** style questionnaire (article in Chinese). Chinese Journal of Clinical, 6, 114–115.

  • Yan, L., Gan, Y., Ding, X., Wu, J., & Duan, H. (2021). The relationship between perceived stress and emotional distress during the COVID-19 outbreak: Effects of boredom proneness and co** style. Journal of Anxiety Disorders, 77, 102328. https://doi.org/10.1016/j.janxdis.2020.102328.

    Article  PubMed  Google Scholar 

  • Ye, Z., Yang, X. Y., Zeng, C. B., Wang, Y. Y., Shen, Z. J., Li, X. M., & Lin, D. H. (2020). Resilience, Social Support, and Co** as Mediators between COVID-19-related Stressful Experiences and Acute Stress Disorder among College Students in China. Applied Psychology Health and Well-Being, 12(4), 1074–1094. https://doi.org/10.1111/aphw.12211.

  • Zhan, H., Zheng, C., Zhang, X., Yang, M., Zhang, L., & Jia, X. (2021). Chinese college students’ stress and anxiety levels under COVID-19. Frontiers in Psychiatry, 12, 615390. https://doi.org/10.3389/fpsyt.2021.615390.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang, Y., Kong, F., Wang, L., Chen, H., Gao, X., Tan, X., & Liu, Y. (2010). Mental health and co** styles of children and adolescent survivors one year after the 2008 Chinese earthquake. Children and Youth Services Review, 32(10), 1403–1409. https://doi.org/10.1016/j.childyouth.2010.06.009.

  • Zhang, Q., Dong, G., Meng, W., Chen, Z., Cao, Y., & Zhang, M. (2022a). Perceived stress and psychological impact among healthcare workers at a Tertiaty Hospital in China during the COVID-19 outbreak: The moderating role of resilience and social support. Frontiers in Psychiatry, 12, 570971. https://doi.org/10.3389/fpsyt.2021.570971.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhang, Q., Zhou, Y., & Ho, S. M. Y. (2022b). Active and avoidant co** profiles in children and their relationship with anxiety and depression during the COVID-19 pandemic. Scientific Reports, 12, 13430. https://doi.org/10.1038/s41598-022-15793-4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zheng, Y., Fan, F., Liu, X., & Mo, L. (2012). Life events, co**, and posttraumatic stress symptoms among chinese adolescents exposed to 2008 Wenchuan Earthquake, China. Plos One, 7(1), e29404. https://doi.org/10.1371/journal.pone.0029404.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zhou, C. C., He, J. J., & Xu, L. Z. (2009). First application of Kessler 10 scale to measuring mental health status of the aged in China (article in Chinese). Chinese Journal of Clinical Psychology. 17, 761–763.

  • Zou, L., Wang, T., Herold, F., Ludyga, S., Liu, W., Zhang, Y., & Hossain, M. M. (2023). Associations between sedentary behavior and negative emotions in adolescents during home confinement: Mediating role of social support and sleep quality. International Journal of Clinical and Health Psychology, 23(1), 100337. https://doi.org/10.1016/j.ijchp.2022.100337.

    Article  PubMed  Google Scholar 

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Acknowledgements

This work was supported by the first-class discipline key project of Chengdu Normal University, PR China (Grant No. CS18SA02).

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Zhiqian Mao: Methodology, Data curation, Writing - Original Draft. Tingjie Qin: Data curation, Writing- Original draft. Lurong Fan: Conceptualization, Methodology, Software, Data curation, Writing - Original Draft. Supervision Na Li: Investigation, Funding acquisition. Yan Wang: Conceptualization, Data curation.

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Correspondence to Lurong Fan.

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Mao, Z., Qin, T., Fan, L. et al. Factors associated with psychological distress among college students under COVID-19 pandemic: the moderating role of co** styles and social support. Curr Psychol 43, 17771–17786 (2024). https://doi.org/10.1007/s12144-023-05156-1

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