PDF(Pubmed)
Abstract：
BACKGROUND: Compelling evidence shows that the COVID-19 pandemic has detrimental effects on the mental health of university students. However, little is known about the psychological distress experienced by students from high schools during the pandemic. This study, therefore, sought to examine the prevalence of depression, anxiety and stress and their associated factors among students from high schools in Rwanda.
METHODS: A retrospective, cross-sectional study was conducted on 384 students randomly selected from high schools. Data were collected using standardized measures of mental disorders and their associated factors. Bivariate and multivariate analyses based on the odds ratio were used to indicate the associated factors of anxiety, depression, and stress.
RESULTS: The results indicated that slightly above half of the participants (51%, n = 195) had clinically significant symptoms of depression, 30.3% (n = 116) had stress and 67.3% (n = 259) had anxiety. Our analyses identified several key risk factors associated with increased odds of these mental disorders. These include exposure to domestic violence, COVID-19 symptoms like cough and myalgia, eating twice per day, having one of the three mental disorders, gender, with females showing higher susceptibility, and direct contact with the people who positively tested covid-19. Conversely, protective factors such as heightened awareness about Covid-19, positive mental health, social support, eating three times, belonging to the third Ubudehe category, and a high resilience emerged as significant elements mitigating the risks of these mental health challenges within our sample. Intriguingly, religious affiliation emerged as a notable factor, with students affiliated with the Witness of Jehovah and Adventist denominations exhibited lower risks for depression and anxiety.
CONCLUSIONS: Our findings highlighted a high prevalence of depression, anxiety, and stress among students from secondary schools. Interestingly, this study also revealed the associated risk and protective factors of depression, anxiety, and stress in Rwandan students in high schools. Therefore, mental health interventions targeting the impact of COVID-19 on students, as young people are needed.
METHODS: A retrospective, cross-sectional study was conducted on 384 students randomly selected from high schools. Data were collected using standardized measures of mental disorders and their associated factors. Bivariate and multivariate analyses based on the odds ratio were used to indicate the associated factors of anxiety, depression, and stress.
RESULTS: The results indicated that slightly above half of the participants (51%, n = 195) had clinically significant symptoms of depression, 30.3% (n = 116) had stress and 67.3% (n = 259) had anxiety. Our analyses identified several key risk factors associated with increased odds of these mental disorders. These include exposure to domestic violence, COVID-19 symptoms like cough and myalgia, eating twice per day, having one of the three mental disorders, gender, with females showing higher susceptibility, and direct contact with the people who positively tested covid-19. Conversely, protective factors such as heightened awareness about Covid-19, positive mental health, social support, eating three times, belonging to the third Ubudehe category, and a high resilience emerged as significant elements mitigating the risks of these mental health challenges within our sample. Intriguingly, religious affiliation emerged as a notable factor, with students affiliated with the Witness of Jehovah and Adventist denominations exhibited lower risks for depression and anxiety.
CONCLUSIONS: Our findings highlighted a high prevalence of depression, anxiety, and stress among students from secondary schools. Interestingly, this study also revealed the associated risk and protective factors of depression, anxiety, and stress in Rwandan students in high schools. Therefore, mental health interventions targeting the impact of COVID-19 on students, as young people are needed.
摘要：
背景：令人信服的证据表明，COVID-19大流行对大学生的心理健康产生不利影响。然而,人们对高中生在大流行期间所经历的心理困扰知之甚少。这项研究,因此,试图检查抑郁症的患病率，卢旺达高中学生的焦虑和压力及其相关因素。
方法：回顾性研究，我们对从高中随机抽取的384名学生进行了横断面研究.使用标准化的精神障碍及其相关因素来收集数据。基于比值比的双变量和多变量分析用于指示焦虑的相关因素，抑郁症,和压力。
结果：结果表明，略高于一半的参与者（51％，n=195）具有临床上明显的抑郁症状，30.3%(n=116)有压力，67.3%(n=259)有焦虑。我们的分析确定了与这些精神障碍几率增加相关的几个关键风险因素。这些包括接触家庭暴力，COVID-19症状如咳嗽和肌痛，每天吃两次，患有三种精神障碍之一，性别,女性表现出更高的易感性，并与对covid-19进行积极测试的人直接接触。相反，保护因素，如提高对新冠肺炎的认识，积极的心理健康，社会支持,吃三次，属于第三类乌布德河，在我们的样本中，高复原力成为减轻这些心理健康挑战风险的重要因素。有趣的是，宗教信仰成为一个值得注意的因素，与耶和华见证人和基督复临信徒的学生有较低的抑郁和焦虑风险。
结论：我们的发现强调了抑郁症的高患病率，焦虑,和中学生的压力。有趣的是,这项研究还揭示了抑郁症的相关风险和保护因素，焦虑,卢旺达高中学生的压力。因此,针对COVID-19对学生的影响的心理健康干预措施，因为需要年轻人。
方法：回顾性研究，我们对从高中随机抽取的384名学生进行了横断面研究.使用标准化的精神障碍及其相关因素来收集数据。基于比值比的双变量和多变量分析用于指示焦虑的相关因素，抑郁症,和压力。
结果：结果表明，略高于一半的参与者（51％，n=195）具有临床上明显的抑郁症状，30.3%(n=116)有压力，67.3%(n=259)有焦虑。我们的分析确定了与这些精神障碍几率增加相关的几个关键风险因素。这些包括接触家庭暴力，COVID-19症状如咳嗽和肌痛，每天吃两次，患有三种精神障碍之一，性别,女性表现出更高的易感性，并与对covid-19进行积极测试的人直接接触。相反，保护因素，如提高对新冠肺炎的认识，积极的心理健康，社会支持,吃三次，属于第三类乌布德河，在我们的样本中，高复原力成为减轻这些心理健康挑战风险的重要因素。有趣的是，宗教信仰成为一个值得注意的因素，与耶和华见证人和基督复临信徒的学生有较低的抑郁和焦虑风险。
结论：我们的发现强调了抑郁症的高患病率，焦虑,和中学生的压力。有趣的是,这项研究还揭示了抑郁症的相关风险和保护因素，焦虑,卢旺达高中学生的压力。因此,针对COVID-19对学生的影响的心理健康干预措施，因为需要年轻人。
