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Journal of Clinical and
            Basic Psychosomatics                       Mental health status of Chinese college students in the post-epidemic period



            1. Introduction                                    pandemic, the level of anxiety and depression among
                                                               college students has increased significantly.  Interestingly,
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            Coronavirus disease 2019 (COVID-19) is an acute    the easing of pandemic restrictions intensified or created
            respiratory infectious disease caused by a novel   new sources of pressure, including worries and fears about
            coronavirus, primarily transmitted through the direct   the risk of infection of oneself and family members,
                                                                                                             3
            aerosol and contact routes.  The virus incubation period   the anxiety of whether COVID-19 prevention-related
                                  1
            and symptoms vary with individuals. The main clinical   materials will be obtained in time, and the correct methods
            symptoms are fever, dry cough, fatigue, etc. Some patients   to prevent COVID-19 infection. At the same time, incorrect
            suffer nasal congestion, runny nose, diarrhea, and other   information further increases people’s anxiety, depression,
            upper respiratory and digestive tract symptoms.  Despite   and  stress.  Hence,  there  is  an  urgent  need  to  assess  the
                                                   2
            their effectiveness, the control and treatment approaches   pandemic’s effects on college students’ mental health.
            for COVID-19 have aroused concern in societies, sparking
            debates about their implications for social progress and   The purpose of this study was to conduct a survey-based
            development.                                       mental health assessment of Chinese college students after
                                                               the easing of COVID-19 restrictions to determine their
              The transmission of severe acute respiratory syndrome   levels of anxiety, depression, and stress. Stress-related
            coronavirus 2 – the virus responsible for COVID-19 – was   factors after the easing of restrictions and whether college
            first reported in Wuhan, China, in December 2019 before   students could cope with the pressure after restrictions
            its rapid spread worldwide.  Since January 2020, the global   were lifted were explored.
                                 3
            spread of this novel coronavirus has been defined as an
            international public health event, marking the time that   2. Methods
            brought huge ramifications to people’s lives.  For college
                                                4
            students, their social activities became hindered. Changes   2.1. Recruitment of study participants
            in  learning  style  increased the  difficulty  of learning  and   A cross-sectional survey was designed and conducted by
            led to significantly irregular daily behaviors.  A survey   Sichuan Provincial People’s Hospital and Sichuan Mental
                                                 5,6
            showed that social interaction and social function were   Health Center at the beginning of December 2022 during
            hindered by the pandemic, which increased the prevalence   the initial stage of the lifting of COVID-19 restrictions.
            of anxiety and depression.  Some studies suggest that   This study was approved by the Human Research Ethics
                                  7
            online learning heightens stress among students, and the   Committee of Sichuan Provincial People’s Hospital,
            exacerbated learning difficulty eventually leads to increased   Sichuan Academy of Medical Sciences, and the University
            mental health problems.  Irregular daily behaviors, such   of Electronic Science and Technology review committee
                                8
            as getting up early, staying up late, and spending more   (Protocol No.  2023-47). Informed consent of the study
            time online, may lead to the interruption of the biological   participants was obtained by digital means. Participants
            rhythm, which is considered an important clinical feature   were recruited from the University of Electronic Science
            and pathophysiological mechanism of mental illness  and is   and Technology student group in Sichuan Province, China.
                                                     9
            closely related to the onset, symptoms, and social functions   At the beginning of December 2022, COVID-19 restrictions
            of depression.  College students with sleep problems tend   were eased while the students in this university were on
                       10
            to feel tired, lethargic, and irritable and suffer from other   semester break. Thus, some students were at home with
            negative emotions.  According to some statistical data,   their families, some were preparing for final examinations
                           11
            during the COVID-19 pandemic, approximately 9 – 54%   and entrance examinations at school, and some were
            of college students or young people suffered from different   interning at different units or companies. The questionnaire
            mental health problems.  Some studies have shown that   was released through the Questionnaire Star survey
                                12
            the  COVID-19  pandemic  has  a  widespread  effect  on   platform (https://www.wjx.cn/wjx/design/previewmobile)
            individual mental health, marked by mental disorders   on December 16, 2022, and the questionnaire remained
            arising in individuals, including acute stress disorder,   open until no report was completed for two consecutive
            depression, and anxiety. 13                        days. During this period, the questionnaire was distributed
                                                               to more than 2000 students at the University of Electronic
              After 3  years of restrictions due to the pandemic,
            COVID-19 restriction mode shifted mode from closed to   Science and Technology through WeChat.
            open control in China back in December 2022. Following   2.2. Measurements
            the easing of the restrictions in China, many people
            became infected with COVID-19, which is expected to   2.2.1. Demographics
            have a further bearing on the mental health of all citizens,   Demographic information included age, sex, residence,
            including college students. Son et al. found that after the   educational  background  (undergraduate,  master’s,


            Volume 3 Issue 2 (2025)                         36                              doi: 10.36922/jcbp.2139
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