college students; COVID-19; depression; internalizing psychopathology; negative affect; Applied Psychology
Abstract :
[en] We examined whether young adults with internalizing psychopathology during the pre-COVID-19 pandemic period exhibited different patterns of emotional responses than those without such psychopathology during the implementation of the “lockdown” in Cyprus, Greece. Two-wave longitudinal research was conducted i one hundred six college students completing measures of affective experiences, mental health, and quality of life during the prepandemic and lockdown periods. Increased negative affect and internalizing symptoms during the prepandemic period and decreased positive affect and increased perceived stress during the lockdown period both significantly predicted increased internalizing symptoms during the lockdown period. We discuss findings within the context of actions and interventions for young adults with existing internalizing symptomatology during the COVID-19 pandemic.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Panteli, Maria; University of Cyprus, Cyprus ; Center for Applied Neuroscience, Cyprus
Papantoniou, Antonis; University of Cyprus, Cyprus
VAIOULI, Potheini ; University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Humanities (DHUM) > Multilingualism ; University of Cyprus, Cyprus ; Center for Applied Neuroscience, Cyprus
Leonidou, Chrysanthi; University of Cyprus, Cyprus ; Bank of Cyprus Oncology Center, Cyprus
Panayiotou, Georgia; University of Cyprus, Cyprus ; Center for Applied Neuroscience, Cyprus
External co-authors :
yes
Language :
English
Title :
Feeling Down in Lockdown: Effects of COVID-19 Pandemic on Emotionally Vulnerable Individuals
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was partially funded by the University of Cyprus’s internal grants and student grants offered by the Youth Board of Cyprus.
Andreou E. Alexopoulos E. C. Lionis C. Varvogli L. Gnardellis C. Chrousos G. P. Darviri C. (2011). Perceived stress scale: Reliability and validity study in Greece. International Journal of Environmental Research and Public Health, 8(8), 3287–3298. https://doi.org/10.3390/ijerph8083287
Anthony J. L. Lonigan C. J. Hooe E. S. Phillips B. M. (2002). An affect-based, hierarchical model of temperament and its relations with internalizing symptomatology. Journal of Clinical Child and Adolescent Psychology, 31(4), 480–490. https://doi.org/10.1207/S15374424JCCP3104_7
Auerbach R. P. Alonso J. Axinn W. G. Cuijpers P. Ebert D. D. Green J. G. Mortier P. (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
AuthorAnonymous. (1998). The world health organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science & Medicine, 46(12), 1569–1585. https://doi.org/10.1016/S0277-9536(98)00009-4
Belmaker R. H. Agam G. (2008). Major depressive disorder. The New England Journal of Medicine, 358(1), 55–68. https://doi.org/10.1056/NEJMra073096
Berenbaum H. Raghavan C. Le H.-N. Vernon L. L. Gomez J. J. (2003). A taxonomy of emotional disturbances. Clinical Psychology: Science and Practice, 10(2), 206–226. https://doi.org/10.1093/clipsy/bpg011
Bonnert M. Olén O. Lalouni M. Benninga M. A. Bottai M. Engelbrektsson J. Hedman E. Ljótsson B. (2017). Internet-delivered cognitive behavior therapy for adolescents with irritable bowel syndrome: A randomized controlled trial. Official Journal of the American College of Gastroenterology | ACG, 112(1), 152–162. https://doi.org/10.1038/ajg.2016.503
Bono G. Reil K. Hescox J. (2020). Stress and wellbeing in urban college students in the U.S. during the COVID-19 pandemic: Can grit and gratitude help? International Journal of Wellbeing, 10(3), 39–57. https://doi.org/10.5502/ijw.v10i3.1331
Brenes G. A. (2007). Anxiety, depression, and quality of life in primary care patients. Primary Care Companion to the Journal of Clinical Psychiatry, 9(6), 437–443. https://doi.org/10.4088/pcc.v09n0606
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. 395(10227), 912–920. https://doi.org/10.1016/S0140
Carlbring P. Andersson G. Cuijpers P. Riper H. Hedman-Lagerlöf E. (2018). Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: An updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1), 1–18. https://doi.org/10.1080/16506073.2017.1401115
Carter M. A. Pagliano P. Francis A. Thorne M. (2017). Australian university students and mental health: Viewpoints from the literature. International Journal of Innovation, Creativity and Change, 3(3), 1–25. https://scholar.sun.ac.za/handle/10019.1/105347
Chakhssi F. Kraiss J. T. Sommers-Spijkerman M. Bohlmeijer E. T. (2018). The effect of positive psychology interventions on well-being and distress in clinical samples with psychiatric or somatic disorders: A systematic review and meta-analysis. BMC Psychiatry, 18(1), 211–217. https://doi.org/10.1186/s12888-018-1739-2
Chisolm M. S. (1998). Colleges need to provide early treatment of student’s mental illnesses. Chronicle of Higher Education, 44(36), B6.
Ciuca A. Albu M. Perte A. Budau O. Miclea S. Miclea M. (2011). The Romanian adaptation of the psychiatric diagnostic screening questionnaire (PDSQ). Cell Biochemistry and Biophysics, 15(1), 69–93. https://www.researchgate.net/publication/269629803
Cohen S. Kamarck T. Mermelstein R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
Crawford J. R. Henry J. D. (2004). The positive and negative affect schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43(3), 245–265. https://doi.org/10.1348/0144665031752934
Cucinotta D. Vanelli M. (2020). WHO declares COVID-19 a pandemic. Acta Bio Medica: Atenei Parmensis, 91(1), 157–160. https://doi.org/10.23750/abm.v91i1.9397
Daniel J. (2020). Education and the COVID-19 pandemic. Prospects, 49(1), 91–96. https://doi.org/10.1007/s11125-020-09464-3
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
Fredrickson B. L. (2003). The value of positive emotions: The emerging science of positive psychology is coming to understand why it’s good to feel good. American Scientist, 91(4), 330-335.
Fredrickson B. L. Tugade M. M. Waugh C. E. Larkin G. R. (2003). What good are positive emotions in crisis? A prospective study of resilience and emotions following the terrorist attacks on the United States on. Journal of Personality and Social Psychology, 84(2), 365–376. https://doi.org/10.1037/0022-3514.84.2.365
Gao W. Ping S. Liu X. (2020). 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
Gewin V. (2012). Mental health: Under a cloud. Nature, 490(7419), 299–301. https://doi.org/10.1038/nj7419-299a
Ginieri-Coccossis M. Triantafillou E. Tomaras V. Liappas I. A. Christodoulou G. N. Papadimitriou G. N. (2009). Quality of life in mentally ill, physically ill and healthy individuals: The validation of the Greek version of the World Health Organization Quality of Life (WHOQOL-100) questionnaire. Annals of General Psychiatry, 8(1), 1–14. https://doi.org/10.1186/1744-859X-8-23
Goodman F. R. Doorley J. D. Kashdan T. B. (2018). Well-being and psychopathology: A deep exploration into positive emotions, meaning and purpose in life, and social relationships. In Diener E. Oishi S. Tay L. (Eds.), Handbook of well-being: DEF.
Griffith J. W. Zinbarg R. E. Craske M. G. Mineka S. Rose R. D. Waters A. M. Sutton J. M. (2010). Neuroticism as a common dimension in the internalizing disorders. Psychological Medicine, 40(7), 1125–1136. https://doi.org/10.1017/S0033291709991449
Groarke J. M. Berry E. Graham-Wisener L. McKenna-Plumley P. E. McGlinchey E. Armour C. (2020). Loneliness in the UK during the COVID-19 pandemic: Cross-sectional results from the COVID-19 psychological wellbeing study. PLoS ONE, 15(9), Article e0239698-18. https://doi.org/10.1371/journal.pone.0239698
Hofmann S. G. Wu J. Q. Boettcher H. (2014). Effect of cognitive-behavioral therapy for anxiety disorders on quality of life: A meta-analysis. Journal of Consulting and Clinical Psychology, 82(3), 375–391. https://doi.org/10.1037/a0035491
Holmes E. A. O’Connor R. C. Perry V. H. Tracey I. Wessely S. Bullmore E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560. https://doi.org/10.1016/ S2215-0366(20)30168-1
Husky M. M. Kovess-Masfety V. Swendsen J. D. (2020). Stress and anxiety among university students in France during Covid-19 mandatory confinement. Comprehensive Psychiatry, 102, 152191. https://doi.org/10.1016/j.comppsych.2020.152191
Karekla M. Pilipenko N. Feldman J (2012). Patient health questionnaire: Greek language validation and subscale factor structure. Comprehensive Psychiatry, 53(8), 1217–1226. https://doi.org/10.1016/j.comppsych.2012.05.008
Lamers F. de Jonge P. Nolen W. A. Smit J. H. Zitman F. G. Beekman A. T. Penninx B. W. (2010). Identifying depressive subtypes in a large cohort study: Results from the Netherlands study of depression and anxiety (NESDA). The Journal of Clinical Psychiatry, 71(12), 1582–1589. https://doi.org/10.4088/JCP.09m05398blu
Larson J. L. Rosen A. B. Wilson F. A. (2020). The effect of telehealth interventions on quality of life of cancer survivors: A systematic review and meta-analysis. Health Informatics Journal, 26(2), 1060–1078. http://doi.org/10.1089/tmj.2017.0112
Leary M. R. Tate E. B. Adams C. E. Batts Allen A. Hancock J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904. https://doi.org/10.1037/0022-3514.92.5.887
Lisa M. S Liberzon I. (2010). The neurocircuitry of fear, stress, and anxiety disorders. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology, 35(1), 169–191. https://doi.org/10.1038/npp.2009.8319625997
Losada-Baltar A. Jiménez-Gonzalo L. Gallego-Alberto L. Pedroso-Chaparro M. D. S. Fernandes-Pires J. Márquez-González M. (2020). “We’re staying at home”. Association of self-perceptions of aging, personal and family resources and loneliness with psychological distress during the lock-down period of COVID-19. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 76(2), 1–7. https://doi.org/10.1093/geronb/gbaa048
Mazza C. Ricci E. Biondi S. Colasanti M. Ferracuti S. Napoli C. Roma P. (2020). A nationwide survey of psychological distress among Italian people during the COVID-19 pandemic: Immediate psychological responses and associated factors. International Journal of Environmental Research and Public Health, 17(9), 31–65. https://doi.org/10.3390/ijerph17093165
McCutcheon V. E. Grant J. B. Schulenberg S. E. (2020). Answering the call of COVID-19: An integrated mental health response considering education, training, research, and service. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S284–S286. https://doi.org/10.1037/tra0000896
Muhomba M. Chugani C. D. Uliaszek A. A. Kannan D. (2017). Distress tolerance skills for college students: A pilot investigation of a brief DBT group skills training program. Journal of College Student Psychotherapy, 31(3), 247–256. https://doi.org/10.1080/87568225.2017.1294469
Oei T. P. McAlinden N. M. (2014). Changes in quality of life following group CBT for anxiety and depression in a psychiatric outpatient clinic. Psychiatry Research, 220(3), 1012–1018. https://doi.org/10.1016/j.psychres.2014.08.036
Panayiotou G. Karekla M. (2013). Perceived social support helps, but does not buffer the negative impact of anxiety disorders on quality of life and perceived stress. Social Psychiatry and Psychiatric Epidemiology, 48(2), 283–294. https://doi.org/10.1007/s00127-012-0533-6
Panayiotou G. Panteli M. Leonidou C. (2021). Coping with the invisible enemy: The role of emotion regulation and awareness in quality of life during the COVID-19 pandemic. Journal of Contextual Behavioral Science, 19, 17–27. https://doi.org/10.1016/j.jcbs.2020.11.002
Panayiotou G. Panteli M. Vlemincx E (2019). Adaptive and maladaptive emotion processing and regulation, and the case of alexithymia. Cognition and Emotion, 35(3), 1–12. https://doi.org/10.1080/02699931.2019.1671322
Panteli M. Vaiouli P. Leonidou C. Panayiotou G. (2021). Perceived stress of Cypriot college students during COVID-19. European Journal of Psychology Open, 80(1–2), 31–39. https://doi.org/10.1024/2673-8627/a000005
Pennebaker J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8(3), 162–166. https://doi.org/10.1111/j.1467-9280.1997.tb00403.x
Perre N. M. Wilson N. J. Smith-Merry J. Murphy G. (2016). Australian university students’ perceptions of mental illness: A qualitative study. JANZSSA-Journal of the Australian and New Zealand Student Services Association, 24(2), 1–13. https://submissions.scholasticahq.com/api/v1/attachments/2991/download
Polizzi C. Lynn S. J. Perry A. (2020). Stress and coping in the time of COVID-19: Pathways to resilience and recovery. Clinical Neuropsychiatry, 17(2), 59–62. https://doi.org/10.36131/CN20200204
Reay R. E. Looi J. C. Keightley P. (2020). Telehealth mental health services during COVID-19: Summary of evidence and clinical practice. Australasian Psychiatry, 28(5), 514–516. https://doi.org/10.1177/1039856220943032
Reeve J. (2009). The motivated and emotional brain. In Understanding Motivation and Emotion (5th ed., pp. 437-450). John Wiley & Sons.
Reich J. W. (2006). Three psychological principles of resilience in natural disasters. Disaster Prevention and Management: An International Journal, 15(5), 793–798. https://doi.org/10.1108/0965356061071273
Shanahan L. Steinhoff A. Bechtiger L. Murray A. L. Nivette A. Hepp U. Ribeaud D. Eisner M. (2020). Emotional distress in young adults during the COVID-19 pandemic: Evidence of risk and resilience from a longitudinal cohort study. Psychological Medicine. Advance online publication. https://doi.org/10.1017/S003329172000241X
Shin L. M. Liberzon I. (2010). The neurocircuitry of fear, stress, and anxiety disorders. Neuropsychopharmacology, 35(1), 169–191. https://doi.org/10.1038/npp.2009.83
Sin N. L. Lyubomirsky S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: A practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467–487. https://doi.org/10.1002/jclp.20593
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 Electronic Resource, 22(9), e21279–14. https://doi.org/10.2196/21279
Theodorou C. Panayiotou G. Karekla M. (2013). Examining the factors of the psychiatric diagnostic screening questionnaire (PDSQ). In 3rd Annual Conference of the Center for Applied Neuroscience, Nicosia, Cyprus.
Tugade M. M. Fredrickson B. L. (2004). Resilient individuals use positive emotions to bounce back from negative emotional experiences. Journal of Personality and Social Psychology, 86(2), 320–333. https://doi.org/10.1037/0022-3514.86.2.320
Wang C. Pan R. Wan X. Tan Y. Xu L. McIntyre R. S. Ho C. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, 87, 40–48. https://doi.org/10.1016/j.bbi.2020.04.028
Watson D. Clark L. A. Tellegen A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070. https://doi.org/10.1037//0022-3514.54.6.1063
Wei N. Huang B. Lu S. Hu J. Zhou X. Hu C. Hu H. (2020). Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. Journal of Zhejiang University Science B, 21(5), 400–404. https://doi.org/10.1631/jzus.B2010013
WHOQoL Group. (1996). In Jeneve (Ed.)., December). WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment: Field trial version, 1996 generic version of the assessment: Field trial version. Switzerland: World Health Organization.
WHOQoL Group (1998). The World Health Organization quality of life assessment. World Health Organization.
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Jama, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
Yusufov M. Nicoloro-SantaBarbara J. Grey N. E. Moyer A. Lobel M. (2019). Meta-analytic evaluation of stress reduction interventions for undergraduate and graduate students. International Journal of Stress Management, 26(2), 132–145. https://doi.org/10.1037/str0000099
Zhai Y. Du X. (2020). Addressing collegiate mental health amid COVID-19 pandemic. Psychiatry Research, 288, 113003. https://doi.org/10.1016/j.psychres.2020.113003
Zimmerman M. Mattia J. I. (2001). The psychiatric diagnostic screening questionnaire: Development, reliability and validity. Comprehensive Psychiatry, 42(3), 175–189. https://doi.org/10.1053/comp.2001.23126
Zivin K. Eisenberg D. Gollust S. E. Golberstein E. (2009). Persistence of mental health problems and needs in a college student population. Journal of Affective Disorders, 117(3), 180–185. https://doi.org/10.1016/j.jad.2009.01.001
