college students
Coronavirus Depression

Pandemic Increasing Depression in College Students

The COVID-19 pandemic is putting significant stress on college students, many of whom are worried about increasing financial pressures caused by the pandemic and the lack of easily accessible mental health care, the survey also finds.

The new Healthy Minds Network survey of more than 18,000 college students on 14 campuses, conducted between March and May of this year in collaboration with the American College Health Association, focused on students’ attitudes, concerns, preventive behaviors and their perceived supportiveness of colleges and universities related to COVID-19.

The survey’s findings can help inform decisions by college and university leaders who are positioned to implement programs and policies to support students’ needs over the summer and into the fall 2020 semester, said mental health expert Sarah Ketchen Lipson, an assistant professor of health law, policy, and management at the Boston University School of Public Health and co-principal investigator of the national Healthy Minds Study.

“There is a strong economic case for investing in programs and services to support student mental health,” Lipson said. “Our prior research has shown that mental health problems such as depression are associated with a two-fold increase in the likelihood of dropping out of college.”

Depression among college students

Lipson said that risk is significantly decreased when students receive support, including support through online mental health resources, which are in high demand at the current moment. Survey data from March, April, and May show that 60 percent of students say the pandemic has made it more difficult for them to access mental health services.

“Even with the current financial uncertainty for institutions of higher education, investments to support student mental health, especially those that leverage mobile technology, should be prioritized,” Lipson said.

Coronavirus Hits Black Communities Hard

The report on the survey’s findings notes that symptoms of mental health conditions have been high in college student populations since before the start of the pandemic. But relative to fall 2019, the prevalence of depression increased while substance use decreased in spring 2020. And compared to the previous year, in March to May 2020 a higher proportion of students reported that their mental health negatively affected their academic performance.

“Comparing Healthy Minds data from fall 2019 to the data collected from March to May 2020, our research shows increasing rates of depression in student populations,” Lipson said.

“We also see troubling changes to risk factors affecting both well-being and college retention, as well as those that reinforce inequalities, particularly for students of color who face systemic barriers to college persistence and lower access to and quality of mental health services.”

Supportive faculty and staff

The data are not all bad news: Nearly 70 percent of students surveyed said that their campus administration has been supportive or very supportive during the pandemic, and 78 percent said their professors had been supportive.

“It’s encouraging to see that a high proportion of students felt supported by their campus and especially by their faculty members,” Lipson said. “In the spring semester, we saw many examples of faculty being flexible with assignments and grading, and I think faculty will need to build on this flexibility and supportiveness as we move into the fall semester. I encourage faculty to educate themselves on campus mental health resources and referral processes, and to exercise compassion when teaching and mentoring under these truly unprecedented conditions.”

COVID-19: Finding Safety When Home Isn't Safe

The Healthy Minds survey also found that about 15 percent of students believe that they may have had COVID-19 based on symptoms they experienced, but only 1 percent reported a test-confirmed case. Of the student, 60 percent said they were susceptible to contracting the virus. About 65 percent are very or extremely concerned about how long the pandemic will last, and 64 percent are very or extremely concerned about people they care about contracting COVID-19.

Asked how closely they followed public health guidelines, 60 percent said they followed recommended hygiene practices very closely, and 70 percent said they practice physical distancing.

Support for students of color

The survey also asked students about race-based discrimination. Of the participants, 6 percent said they had experienced race-based discrimination as a result of the pandemic, while 41 percent reported witnessing race-based discrimination (online or in person).

Lipson said the data underscore the need for changes that can advance equity, especially for students of color, who experience system-level forces that undermine well-being and academic performance.

“At BU,” she said, “where we are engaged in new ways in conversations around antiracism at the university, an important question to ask, one that can guide decisions in line with our values is: ‘What does an antiracist approach to improving access to mental health services look like?’ Put simply: We need to listen to the needs of and then invest in resources that support the well-being of Black students and other students of color on campus.”

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