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Link to original content: http://www.ncbi.nlm.nih.gov/pubmed/34991506
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. 2022 Jan 7;22(1):20.
doi: 10.1186/s12888-021-03671-8.

Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students

Lu Lu  1   2 , Xiaobin Wang  1 , Xuehang Wang  3 , Xiaoxi Guo  3 , Bochen Pan  4
Affiliations

Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students

Lu Lu et al. BMC Psychiatry. .

Abstract

Background: The outbreak of Covid-19 had negative impacts on the mental stress and induced psychological distress among university students worldwide. This study proposed a moderated mediation model, and hypothesized that the Covid-19 pandemic-related stress was positively related to depressive symptoms among international medical students.

Methods: An online survey on stress and depressive symptoms of international students was conducted in a medical university. Questions on Covid-19 pandemic-related stress, Patient Health Quesionnaire-9, Simplified Coping Style Questionnaire and the Perceived Social Support Scale were used as measurements, and model analyses were conducted using Hayes' PROCESS macro for SPSS.

Results: It was found that 9.83%, 3.08% and 2.12% students had mild, moderate and severe depressive symptoms, respectively, and the positive association between Covid-19 pandemic-related stress and depressive symptoms was significant (β = 0.27, t = 6.87, P < 0.01). Negative coping was also significantly correlated to depressive symptoms (β = 0.26, t = 6.60, P < 0.01), and partially mediated the association between Covid-19 pandemic-related stress and depressive symptoms. Perceived social support had a negative association with depressive symptoms (β=-0.26, t=-6.25, P < 0.01), played a negative moderating role in the relationship between negative coping and depressive symptoms, and moderated the indirect effect of Covid-19 pandemic-related stress on depressive symptoms via negative coping.

Conclusions: Results of the study suggested that under the background of continuing pandemic, intervention or prevention of mental health problem is urgently needed for the international students, and depression may be alleviated through reducing negative coping and increasing perceived social support.

Keywords: Coping style; Covid-19; Depressive symptoms; Perceived social support; Stress.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Conceptual framework of the study
Fig. 2
Fig. 2
The moderating effect of perceived social support on the relationship between negative coping and depressive symptoms
See this image and copyright information in PMC

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