Resumo
A pandemia de COVID-19 afetou diversos grupos sociais, entre eles, os estudantes universitários. Deste modo, este estudo teve como objetivos avaliar a saúde mental de discentes do ensino superior em dois momentos distintos da pandemia. Trata-se de um estudo longitudinal, com uma amostra não probabilística e de conveniência formada por 95 participantes (Midade = 27,29 anos; DP = 7,713) de uma universidade federal do estado de Minas Gerais. Empregou-se a ANOVA one-way bayesiana para medidas repetidas para comparar a saúde mental dos voluntários em dois momentos da pandemia e análise de redes para verificar como as variáveis se relacionavam nos dois momentos, bem como qual delas apresentava maior influência esperada nos modelos emergentes. Utilizou-se medidas de satisfação com a vida, ideação suicida, depressão, ansiedade e estresse. Os resultados apontaram não haver diferenças na expressão da saúde mental dos participantes nos períodos de avaliação, apresentando os níveis de depressão, ansiedade, estresse e ideação suicida com maior influência esperada nos dois modelos gerados. Esses resultados revelaram as relações entre as variáveis de cada período e seus desfechos, além de permitirem levantar considerações sobre cuidados futuros em relação à saúde mental de estudantes universitários.Referências
Adedoyin, O. B., & Soykan, E. (2020). Covid-19 pandemic and online learning: The challenges and opportunities. Interactive Learning Environments, 1–13. https://doi.org/10.1080/10494820.2020.1813180
Ahelegbey, D. F., Cerchiello, P., & Scaramozzino, R. (2022). Network based evidence of the financial impact of Covid-19 pandemic. International Review of Financial Analysis, 81, 102101. https://doi.org/10.1016/j.irfa.2022.102101
Aquino, E. M. L., Silveira, I. H., Pescarini, J. M., Aquino, R., Souza-Filho, J. A. de, Rocha, A. dos S., Ferreira, A., Victor, A., Teixeira, C., Machado, D. B., Paixão, E., Alves, F. J. O., Pilecco, F., Menezes, G., Gabrielli, L., Leite, L., Almeida, M. da C. C. de, Ortelan, N., Fernandes, Q. H. R. F., … Lima, R. T. dos R. S. (2020). Medidas de distanciamento social no controle da pandemia de COVID-19: Potenciais impactos e desafios no Brasil. Ciência & Saúde Coletiva, 25(suppl 1), 2423–2446. https://doi.org/10.1590/1413-81232020256.1.10502020
Artemova, E., Bodina, E., Antonova, M., Lukina, E., & Jiang, S. (2022). The development of education in the era of the pandemic and in the perspective. Revista Conrado, 18(S1), 635-639.
Athey, S., Eckles, D., & Imbens, G. W. (2018). Exact p -Values for Network Interference. Journal of the American Statistical Association, 113(521), 230–240. https://doi.org/10.1080/01621459.2016.1241178
Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, C., Caldas-de-Almeida, J. M., Demyttenaere, K., … Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine, 46(14), 2955–2970. https://doi.org/10.1017/S0033291716001665
Bairagi, V., & Munot, M. V. (Orgs.). (2019). Research methodology: A practical and scientific approach. CRC Press, Taylor & Francis Group.
Boden, M., Zimmerman, L., Azevedo, K. J., Ruzek, J. I., Gala, S., Abdel Magid, H. S., Cohen, N., Walser, R., Mahtani, N. D., Hoggatt, K. J., & McLean, C. P. (2021). Addressing the mental health impact of COVID-19 through population health. Clinical Psychology Review, 85, 102006. https://doi.org/10.1016/j.cpr.2021.102006
Brasil. (2020). Ministério da Educação. Portaria nº 544, de 16 de junho de 2020. Dispõe sobre a substituição das aulas presenciais por aulas em meios digitais. Diário Oficial da União, Brasília.
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912–920. https://doi.org/10.1016/S0140-6736(20)30460-8
Bruffaerts, R., Mortier, P., Auerbach, R. P., Alonso, J., Hermosillo De la Torre, A. E., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., Hasking, P., Stein, D. J., Ennis, E., Nock, M. K., Pinder‐Amaker, S., Sampson, N. A., Vilagut, G., Zaslavsky, A. M., Kessler, R. C., & WHO WMH‐ICS Collaborators. (2019). Lifetime and 12‐month treatment for mental disorders and suicidal thoughts and behaviors among first year college students. International Journal of Methods in Psychiatric Research, 28(2), e1764. https://doi.org/10.1002/mpr.1764
Caldarelli, G. (2020). A perspective on complexity and networks science. Journal of Physics: Complexity, 1(2), 021001. https://doi.org/10.1088/2632-072X/ab9a24
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934. https://doi.org/10.1016/j.psychres.2020.112934
Cerda, A. A., & García, L. Y. (2022). Factors explaining the fear of being infected with COVID‐19. Health Expectations, 25(2), 506–512. https://doi.org/10.1111/hex.13274
Chang, E. C., & Chang, O. D. (2016). Development of the Frequency of Suicidal Ideation Inventory: Evidence for the Validity and Reliability of a Brief Measure of Suicidal Ideation Frequency in a College Student Population. Cognitive Therapy and Research, 40(4), 549–556. https://doi.org/10.1007/s10608-016-9758-0
Chivese, T., Matizanadzo, J. T., Musa, O. A. H., Hindy, G., Furuya-Kanamori, L., Islam, N., Al-Shebly, R., Shalaby, R., Habibullah, M., Al-Marwani, T. A., Hourani, R. F., Nawaz, A. D., Haider, M. Z., Emara, M. M., Cyprian, F., & Doi, S. A. R. (2022). The prevalence of adaptive immunity to COVID-19 and reinfection after recovery – a comprehensive systematic review and meta-analysis. Pathogens and Global Health, 116(5), 269–281. https://doi.org/10.1080/20477724.2022.2029301
Choompunuch, B., Suksatan, W., Sonsroem, J., Kutawan, S., & In-udom, A. (2021). Stress, adversity quotient, and health behaviors of undergraduate students in a Thai university during COVID-19 outbreak. Belitung Nursing Journal, 7(1), 1–7. https://doi.org/10.33546/bnj.1276
Çoban, S. (2021). Gender and telework: Work and family experiences of teleworking professional, middle‐class, married women with children during the Covid‐19 pandemic in Turkey. Gender, Work & Organization, 29(1), 241–255. https://doi.org/10.1111/gwao.12684
Copeland, W. E., McGinnis, E., Bai, Y., Adams, Z., Nardone, H., Devadanam, V., Rettew, J., & Hudziak, J. J. (2021). Impact of COVID-19 Pandemic on College Student Mental Health and Wellness. Journal of the American Academy of Child & Adolescent Psychiatry, 60(1), 134-141.e2. https://doi.org/10.1016/j.jaac.2020.08.466
Crocq, M.-A. (2015). A history of anxiety: From Hippocrates to DSM. Dialogues in Clinical Neuroscience, 17(3), 319–325. https://doi.org/10.31887/DCNS.2015.17.3/macrocq
de los Reyes, E. J., Blannin, J., Cohrssen, C., & Mahat, M. (2022). Resilience of higher education academics in the time of 21 st century pandemics: A narrative review. Journal of Higher Education Policy and Management, 44(1), 39–56. https://doi.org/10.1080/1360080X.2021.1989736
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49(1), 71-75.
Eisenberg, D., Hunt, J., Speer, N., & Zivin, K. (2011). Mental Health Service Utilization Among College Students in the United States. Journal of Nervous & Mental Disease, 199(5), 301–308. https://doi.org/10.1097/NMD.0b013e3182175123
Engelbrecht, F. A., & Scholes, R. J. (2021). Test for Covid-19 seasonality and the risk of second waves. One Health, 12, 100202. https://doi.org/10.1016/j.onehlt.2020.100202
Ettman, C. K., Abdalla, S. M., Cohen, G. H., Sampson, L., Vivier, P. M., & Galea, S. (2020). Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic. JAMA Network Open, 3(9), e2019686. https://doi.org/10.1001/jamanetworkopen.2020.19686
European Centre for Disease Prevention and Control (ECDC) (2020). Considerations relating to social distancing measures in response to COVID-19 – second update. Stockholm.
Field, A. (2017). Discovering Statistics Using IBM SPSS Statistics (5th Edition). Sage.
Flor, L. S., Friedman, J., Spencer, C. N., Cagney, J., Arrieta, A., Herbert, M. E., Stein, C., Mullany, E. C., Hon, J., Patwardhan, V., Barber, R. M., Collins, J. K., Hay, S. I., Lim, S. S., Lozano, R., Mokdad, A. H., Murray, C. J. L., Reiner, R. C., Sorensen, R. J. D., … Gakidou, E. (2022). Quantifying the effects of the COVID-19 pandemic on gender equality on health, social, and economic indicators: A comprehensive review of data from March, 2020, to September, 2021. The Lancet, 399(10344), 2381–2397. https://doi.org/10.1016/S0140-6736(22)00008-3
Foygel, R., & Drton, M. (2010). Extended Bayesian Information Criteria for Gaussian Graphical Models. Advances Neural Information Processing Systems, 23, 2020-2028.
Fruchterman, T. M. J., & Reingold, E. M. (1991). Graph drawing by force-directed placement. Software: Practice and Experience, 21(11), 1129–1164. https://doi.org/10.1002/spe.4380211102
Fruehwirth, J. C., Biswas, S., & Perreira, K. M. (2021). The Covid-19 pandemic and mental health of first-year college students: Examining the effect of Covid-19 stressors using longitudinal data. PLOS ONE, 16(3), e0247999. https://doi.org/10.1371/journal.pone.0247999
Gavin, B., Hayden, J., Adamis, D., & McNicholas, F. (2020). Caring for the psychological well-being of healthcare workers in the COVID-19 pandemic crisis. Irish Medical Journal, 113(4), 51.
Gibbons, M. M., Rhinehart, A., & Hardin, E. (2019). How First-Generation College Students Adjust to College. Journal of College Student Retention: Research, Theory & Practice, 20(4), 488–510. https://doi.org/10.1177/1521025116682035
Golino, H., Shi, D., Christensen, A. P., Garrido, L. E., Nieto, M. D., Sadana, R., ... & Martinez-Molina, A. (2020). Investigating the performance of exploratory graph analysis and traditional techniques to identify the number of latent factors: A simulation and tutorial. Psychological Methods, 25(3), 292. https://doi.org/10.1037/met0000255
Gouveia, V. V., Milfont, T. L., da Fonseca, P. N., & Coelho, J. A. P. de M. (2009). Life Satisfaction in Brazil: Testing the Psychometric Properties of the Satisfaction With Life Scale (SWLS) in Five Brazilian Samples. Social Indicators Research, 90(2), 267–277. https://doi.org/10.1007/s11205-008-9257-0
Gunnell, D., Appleby, L., Arensman, E., Hawton, K., John, A., Kapur, N., Khan, M., O’Connor, R. C., Pirkis, J. (2020). Suicide risk and prevention during the COVID-19 pandemic. The Lancet Psychiatry, 7(6), 468–471.
Gurgel, A. do M., Santos, C. C. S. dos, Alves, K. P. de S., Araujo, J. M. de, & Leal, V. S. (2020). Estratégias governamentais para a garantia do direito humano à alimentação adequada e saudável no enfrentamento à pandemia de Covid-19 no Brasil. Ciência & Saúde Coletiva, 25(12), 4945–4956. https://doi.org/10.1590/1413-812320202512.33912020
Guo, K., Zhang, X., Bai, S., Minhat, H. S., Nazan, A. I. N. M., Feng, J., Li, X., Luo, G., Zhang, X., Feng, J., Li, Y., Si, M., Qiao, Y., Ouyang, J., & Saliluddin, S. (2021). Assessing social support impact on depression, anxiety, and stress among undergraduate students in Shaanxi province during the COVID-19 pandemic of China. PLOS ONE, 16(7), e0253891. https://doi.org/10.1371/journal.pone.0253891
Hall, H. (2020). The effect of the COVID-19 pandemic on healthcare workers' mental health. Jaapa, 33(7), 45-48.
Hancková, M., & Betáková, T. (2021). Pandemics of the 21st Century: The Risk Factor for Obese People. Viruses, 14(1), 25. https://doi.org/10.3390/v14010025
Horta, B. L., Silveira, M. F., Barros, A. J. D., Hartwig, F. P., Dias, M. S., Menezes, A. M. B., & Hallal, P. C. (2022). COVID-19 and outpatient care: A nationwide household survey. Cadernos de Saúde Pública, 38(4), e00194121. https://doi.org/10.1590/0102-311x00194121
Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015
Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (Inep) (2019). Censo da Educação Superior 2018: notas estatísticas. Brasília
Khan, K. S., Mamun, M. A., Griffiths, M. D., & Ullah, I. (2022). The Mental Health Impact of the COVID-19 Pandemic Across Different Cohorts. International Journal of Mental Health and Addiction, 20(1), 380–386. https://doi.org/10.1007/s11469-020-00367-0
Khudaykulov, A., Changjun, Z., Obrenovic, B., Godinic, D., Alsharif, H. Z. H., & Jakhongirov, I. (2022). The fear of COVID-19 and job insecurity impact on depression and anxiety: An empirical study in China in the COVID-19 pandemic aftermath. Current Psychology. https://doi.org/10.1007/s12144-022-02883-9
Kim, H.-G., Cheon, E.-J., Bai, D.-S., Lee, Y. H., & Koo, B.-H. (2018). Stress and Heart Rate Variability: A Meta-Analysis and Review of the Literature. Psychiatry Investigation, 15(3), 235–245. https://doi.org/10.30773/pi.2017.08.17
Li, Y., Wang, A., Wu, Y., Han, N., & Huang, H. (2021). Impact of the COVID-19 Pandemic on the Mental Health of College Students: A Systematic Review and Meta-Analysis. Frontiers in Psychology, 12, 669119. https://doi.org/10.3389/fpsyg.2021.669119
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343. https://doi.org/10.1016/0005-7967(94)00075-U
McGinty, E. E., Presskreischer, R., Han, H., & Barry, C. L. (2020). Psychological Distress and Loneliness Reported by US Adults in 2018 and April 2020. JAMA, 324(1), 93. https://doi.org/10.1001/jama.2020.9740
Morey, R. D., & Rouder, J. N. (2015). Bayes Factor 0.9.12-4.2. Comprehensive R Archive Network. https://CRAN.R-project.org/package=BayesFactor
Morris, M. R., Feldpausch, N. I., Inga Eshelman, M. G., & Bohle-Frankel, B. U. (2019). Recovering in Place: Creating Campus Models of Care for the High-Risk College Student. Current Psychiatry Reports, 21(11), 111. https://doi.org/10.1007/s11920-019-1101-5
Nathoo, F. S., & Masson, M. E. J. (2016). Bayesian alternatives to null-hypothesis significance testing for repeated-measures designs. Journal of Mathematical Psychology, 72, 144–157. https://doi.org/10.1016/j.jmp.2015.03.003
Neubauer, A. B., Smyth, J. M., & Sliwinski, M. J. (2019). Age differences in proactive coping with minor hassles in daily life. The Journals of Gerontology: Series B, 74(1), 7-16.
Neuman, W. L. (2014). Social research methods: Qualitative and quantitative approaches (7th ed.). Pearson education.
Ng, K., Poon, B. H., Kiat Puar, T. H., Shan Quah, J. L., Loh, W. J., Wong, Y. J., Tan, T. Y., & Raghuram, J. (2020). COVID-19 and the Risk to Health Care Workers: A Case Report. Annals of Internal Medicine, 172(11), 766–767. https://doi.org/10.7326/L20-0175
Organização Mundial da Saúde (OMS) (2017). Depression and other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization
Organização Mundial da Saúde (OMS) (2020). WHO Director-General's opening remarks at the media briefing on COVID-19. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
Organização Mundial da Saúde (OMS) (2021). Adapting to life with COVID-19 and staying safe. https://www.who.int/westernpacific/news-room/commentaries/detail-hq/adapting-to-life-with-covid-19-and-staying-safe
Organização Mundial da Saúde (OMS) (2022). Advice for the public: Coronavirus disease (COVID-19). https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
Organização das Nações Unidas para a Educação, a Ciência e a Cultura (UNESCO) (2020). Coronavirus COVID-19 and Higher Education: Impact and Recommendations. https://www.iesalc.unesco.org/en/2020/03/09/coronavirus-covid-19-and-higher-education-impact-and-recommendations/
Pakpour, A. H., & Griffiths, M. D. (2020). The fear of COVID-19 and its role in preventive behaviours. Journal of Concurrent Disorders, 2(1). https://doi.org/10.54127/WCIC8036
Paula, W. de, Breguez, G. S., Machado, E. L., & Meireles, A. L. (2020). Prevalence of anxiety, depression, and suicidal ideation symptoms among university students: A systematic review. Brazilian Journal of Health Review, 3(4), 8739–8756. https://doi.org/10.34119/bjhrv3n4-119
Pijls, B. G., Jolani, S., Atherley, A., Derckx, R. T., Dijkstra, J. I. R., Franssen, G. H. L., Hendriks, S., Richters, A., Venemans-Jellema, A., Zalpuri, S., & Zeegers, M. P. (2021). Demographic risk factors for COVID-19 infection, severity, ICU admission and death: A meta-analysis of 59 studies. BMJ Open, 11(1), e044640. https://doi.org/10.1136/bmjopen-2020-044640
Pradhan, M., Chettri, A., & Maheshwari, S. (2022). Fear of death in the shadow of COVID-19: The mediating role of perceived stress in the relationship between neuroticism and death anxiety. Death Studies, 46(5), 1106–1110. https://doi.org/10.1080/07481187.2020.1833384
Rana, K. S. (2021). Impact of Novel Coronavirus (COVID-19) on Aspects of Personal and Professional Life. 27(2), 17.
Rodríguez-Planas, N. (2022). Hitting where it hurts most: COVID-19 and low-income urban college students. Economics of Education Review, 87, 102233. https://doi.org/10.1016/j.econedurev.2022.102233
Roozenbeek, J., Schneider, C. R., Dryhurst, S., Kerr, J., Freeman, A. L., Recchia, G., van der Bles, A. M. & Van Der Linden, S. (2020). Susceptibility to misinformation about COVID-19 around the world. Royal Society open science, 7(10), 201199.
Ruiz-Hernández, J. A., Guillén, Á., Pina, D., & Puente-López, E. (2022). Mental Health and Healthy Habits in University Students: A Comparative Associative Study. European Journal of Investigation in Health, Psychology and Education, 12(2), 114–126. https://doi.org/10.3390/ejihpe12020010
Sallam, M., Dababseh, D., Yaseen, A., Al-Haidar, A., Taim, D., Eid, H., Ababneh, N. A., Bakri, F. G., & Mahafzah, A. (2020). COVID-19 misinformation: Mere harmless delusions or much more? A knowledge and attitude cross-sectional study among the general public residing in Jordan. PLOS ONE, 15(12), e0243264. https://doi.org/10.1371/journal.pone.0243264
Shah, G. H., Rochani, H. D., Telfair, J., Ayangunna, E., & Skuraton, G. (2021). College Students’ Experiences of Race-Related Bias or Hatred in Their Lifetimes and COVID-19 Era. Journal of Public Health Management and Practice, 27(3), 258–267. https://doi.org/10.1097/PHH.0000000000001351
Shanahan, L., Steinhoff, A., Bechtiger, L., Murray, A. L., Nivette, A., Hepp, U., Ribeaud, D., & Eisner, M. (2022). Emotional distress in young adults during the COVID-19 pandemic: Evidence of risk and resilience from a longitudinal cohort study. Psychological Medicine, 52(5), 824–833. https://doi.org/10.1017/S003329172000241X
Son, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. (2020). Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey Study. Journal of Medical Internet Research, 22(9), e21279. https://doi.org/10.2196/21279
Stamatis, C. A., Broos, H. C., Hudiburgh, S. E., Dale, S. K., & Timpano, K. R. (2022). A longitudinal investigation of COVID‐19 pandemic experiences and mental health among university students. British Journal of clinical psychology, 61(2), 385-404.
Storrie, K., Ahern, K., & Tuckett, A. (2010). A systematic review: Students with mental health problems-A growing problem. International Journal of Nursing Practice, 16(1), 1–6. https://doi.org/10.1111/j.1440-172X.2009.01813.x
Sundarasen, S., Chinna, K., Kamaludin, K., Nurunnabi, M., Baloch, G. M., Khoshaim, H. B., Hossain, S. F. A., & Sukayt, A. (2020). Psychological Impact of COVID-19 and Lockdown among University Students in Malaysia: Implications and Policy Recommendations. International Journal of Environmental Research and Public Health, 17(17), 6206. https://doi.org/10.3390/ijerph17176206
Taber, K. S. (2018). The use of Cronbach’s alpha when developing and reporting research instruments in science education. Research in science education, 48(6), 1273-1296.
Taylor, S. (2019). The psychology of pandemics: Preparing for the next global outbreak of infectious disease. Cambridge scholars publishing.
Teodoro, M., de Souza, R. S. B., Martins, C. de C., Sediyama, C. Y. N., Alvares-Teodoro, J., Chang, O. D., & Chang, E. C. (2020). Validity of the Frequency of Suicidal Ideation Inventory in Brazilian adults. Death Studies, 1–5. https://doi.org/10.1080/07481187.2020.1824201
Teodoro, M. L. M., Alvares-Teodoro, J., Peixoto, C. B., Pereira, E. G., Diniz, M. L. N., De Freitas, S. K. P., Ribeiro, P. C. C., Gomes, C. M. A., & Mansur-Alves, M. (2021). Saúde mental em estudantes universitários durante a pandemia de COVID-19. Revista Família, Ciclos de Vida e Saúde no Contexto Social, 9(2), 372. https://doi.org/10.18554/refacs.v9i2.5409
Thorley, C. (2017). Not by degrees: Improving student mental health in the UK's universities. London: Institute for Public Policy Research
Unwin, B. K., Goodie, J., Reamy, B. V., & Quinlan, J. (2013). Care of the college student. American Family Physician, 88(9), 596–604.
Vila-Corcoles, A., Satue-Gracia, E., Vila-Rovira, A., de Diego-Cabanes, C., Forcadell-Peris, M. J., & Ochoa-Gondar, O. (2021). Development of a predictive prognostic rule for early assessment of COVID-19 patients in primary care settings. Atencion Primaria, 53(9), 102118.
Vignola, R. C. B., & Tucci, A. M. (2014). Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. Journal of Affective Disorders, 155, 104–109. https://doi.org/10.1016/j.jad.2013.10.031
Wang, X., Hegde, S., Son, C., Keller, B., Smith, A., & Sasangohar, F. (2020). Investigating Mental Health of US College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study. Journal of Medical Internet Research, 22(9), e22817. https://doi.org/10.2196/22817
Xiao, H., Carney, D. M., Youn, S. J., Janis, R. A., Castonguay, L. G., Hayes, J. A., & Locke, B. D. (2017). Are we in crisis? National mental health and treatment trends in college counseling centers. Psychological Services, 14(4), 407–415. https://doi.org/10.1037/ser0000130
Zhen‐Duan, J., Gade, N., Falgas‐Bagué, I., Sue, K. L., DeJonckheere, M., & Alegría, M. (2022). Using a structural vulnerability framework to understand the impact of COVID‐19 on the lives of Medicaid beneficiaries receiving substance use treatment in New York City. Health Services Research, 1475-6773.13975. https://doi.org/10.1111/1475-6773.13975
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