Evidence map›Paper›PMID 39520464›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Mental Health Symptoms Among US College Students Before, Early, and Late Into the COVID-19 Pandemic: A Longitudinal Analysis.

Jane Cooley Fruehwirth, Lu Huang, Caroline E Tompson, Krista M Perreira

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jane Cooley FruehwirthDepartment of Economics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: jane_fruehwirth@unc.edu.
Lu HuangDepartment of Economics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Caroline E TompsonDepartment of Economics, North Carolina State University, Raleigh, North Carolina.
Krista M PerreiraDepartment of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

purposeTo study how COVID-19 stress-related factors and changes in psychosocial resources during the pandemic contributed to changes in mental health symptoms among first-year college students during the pandemic.

methodsUsing data on 339 first-year students (ages 18-20) at a large public university in North Carolina, we evaluated changes in anxiety and depression symptoms from before to early and later stages of the COVID-19 pandemic. Additionally, we estimated longitudinal associations of chronic stress, COVID-19 stress/stressors and psychosocial resources with anxiety and depression symptoms using a first-difference model.

resultsWe found that mental health symptoms increased significantly 4 months into the pandemic. Eighteen months into the pandemic, depression symptoms had returned to prepandemic levels, but anxiety symptoms had not. Chronic stress, social isolation, and distanced learning were significant risk factors; resilience was significantly protective. Results varied by the presence/absence of moderate-severe anxiety/depression symptoms prepandemic. DISCUSSION: Mental health symptoms for first-year college students were at already high levels prepandemic and have not improved 18 months into the pandemic. Colleges may help address this growing mental health crisis through bolstering social connectedness and resilience.

Indexed as

AnxietyCOVID-19DepressionMental HealthStress, PsychologicalStudentsAdolescentFemaleHumansLongitudinal StudiesMaleNorth CarolinaPandemicsRisk FactorsSARS-CoV-2Social IsolationAnxietyChronic stressCOVID-19DepressionFirst-year college studentsResilience

Identifiers

PMID39520464
PMCPMC11738670

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.