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



              Our research found differences in the level of   take public transportation may cause trauma or stress-
            depression/anxiety among students of different majors.   related diseases. Our survey found that the mental health
            Compared with nonmedical majors, medical students   status of college students worsened significantly after
            were more affected after the easing of the restrictions of the   the easing of the restrictions of the pandemic. It may be
            pandemic. The results of this study are similar to those of   that the mental health problems of college students are
            previous studies. The prevalence of anxiety among medical   becoming increasingly serious, and the pressure caused by
            students worldwide is much higher than that in the general   COVID-19 had further adverse effects on their learning
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            population.  Moreira et al.  also found that the prevalence   and mental health. To cope with the psychological health
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            of anxiety and depression among medical students was   challenges faced by many college students as a result of the
            higher than that among nonmedical students. During the   easing of the COVID-19 restrictions, different authorities
            pandemic, the proportion of anxiety and depression among   and departments such as universities, governments, and
            Chinese medical students was also higher than that among   even the society should heighten their attention regarding
            nonmedical students,  and the specific influencing factors   the psychological health of this demographic group.
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            need further study. In addition, male students have lower   5. Study limitations
            levels of anxiety and depression than female students. In
            general, the prevalence of anxiety and depression among   This study has several limitations as follows: first, the
            female students is significantly higher than that among   study is of cross-sectional design, which is not feasible for
            their  male  counterparts.   Biological  factors,  such  as   establishing a causal relationship. Second, certain factors
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            genetic and epigenetic susceptibility, stress, immune   could affect the generalizability of our findings. Third, the
            system, neural plasticity, and hormone environment, are   respondents were free to respond to each survey question
            all factors that affect women when suffering from anxiety   with the answer of their choice, potentially constituting
            and depression.  Some data show that with increased age,   bias in the survey results. The high number of cases with
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            women experience higher levels of stress than men do, and   depression, anxiety, and perceived stress in this survey are
            the degree of aggravation is also significantly stronger than   probably stemming from this presumed bias. In addition,
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            that among men.  Therefore, after the easing of COVID-19   we did not investigate whether the respondents had mental
            restrictions, female students may be more likely to show   health diseases or received relevant treatment before the
            stress internalization disorder, which leads to stress-related   pandemic restrictions were eased. Next, the respondents in
            diseases. Women are more likely to have depression than   this survey were all recruited from the same regions; such
            men due to life stress. 35                         geographical limitation poses challenges for the findings to
                                                               be extrapolated to students in other regions. Finally, the self-
              After the easing of the pandemic restrictions,   reported mental health level determined in this survey was
            people’s behaviors underwent shifts to some extent.   not evaluated and confirmed by mental health professionals.
            The  survey  showed  that  people  were  afraid  of  taking
            public  transportation  and  became  more  attentive  to  the   6. Conclusion
            treatment of COVID-19. Although the fear for being
            infected with COVID-19 is commonly cited as the    Our survey results support the view that easing pandemic
            probable cause of behavioral changes, other factors such   restrictions significantly affected the mental health of
            as having an enhanced understanding of COVID-19 and   college  students in a negative fashion. College students
            its  implications  if  infected  and  feeling  trepidation  over   from families with vulnerable individuals may be
                                                               particularly susceptible to a greater number of mental
            COVID-19 infection in themselves or their families also   health problems. The easing of pandemic restrictions may
            stand out as prominent causes.
                                                               have further compounded the stress on the students who
              According to our survey results, the intensification   already have psychological health problems. After the
            of stress, the ability to cope with stress, the lack of   pandemic restrictions were relaxed, the mental health of
            knowledge about the spread or infection of COVID-19,   many students was adversely affected by their persistent
            and the worry about taking public transportation were   worries and fears of the uncertainties in the reinstitution
            significantly related to the increase in depression and   of restrictions, which had taken a toll on both their
            anxiety (P < 0.001). These findings are consistent with   physical and mental well-being. Addressing the many
            previous research results. Excessive stress changes the   negative  consequences of  poor  mental  health  requires
            circadian rhythm of sleep, which is the main factor leading   the cooperation of the government, schools, and families
            to anxiety and depression. 36,37  The pressure caused by   working to address the risk factors in this demographic
            sudden changes in society, the fear or lack of knowledge   group. Our results showed that college students lacked
            of COVID-19 transmission, and the fear of going out to   relevant information on mental health protection


            Volume 3 Issue 2 (2025)                         43                              doi: 10.36922/jcbp.2139
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