ÜNİVERSİTE LİSANS ÖĞRENCİLERİNDE COVID-19 KORKUSUNUN DEPRESYON DÜZEYİNE ETKİSİ: ANSİYETENİN ARACI ROLÜ

Year 2021, Issue: 20, 660 - 684, 29.03.2022

Fuat Yalman Betül Akalın

https://doi.org/10.21441/sosyalguvence.1042324

Abstract

Bu çalışmanın amacı, üniversite lisans öğrencilerinde COVID-19 korkusunun depresyonu etkileyip etkilemediğini ortaya koymak ve bunun yanı sıra anksiyete düzeyinin COVID-19 korkusu ile depresyon arasındaki ilişkiye aracılık edip etmediğini tespit etmektir. Araştırmada üniversite öğrencileri üzerinde online temelli kesitsel çalışma tasarımı kullanılmıştır. Araştırmanın evrenini aynı bölgede bulunan üç farklı üniversitenin lisans öğrencileri oluşturmuştur. Veriler çevrimiçi anket tekniği kullanılarak 627 öğrenciden toplanmıştır. Verilerin analizinde SPSS ve AMOS paket programları kullanılmıştır. Verilere betimsel analizler, bağımsız örneklem t testi, ANOVA anzlizi, korelasyon analizi ve yol analizi uygulanmıştır. Araştırmanın ampirik sonucu, öğrencilerin yaygın COVID-19 korkusu nedeniyle şuanda kendilerini daha depresif hissettiklerini ortaya koymuştur. Ayrıca, üniversite lisans öğrencilerinde COVID-19 kaynaklı korku düzeyinin depresyonu önemli derecede etkilediği ve bunun yanı sıra anksiyete düzeyinin COVID-19 korkusu ile depresyon arasındaki ilişkiye kısmi aracılık ettiği tespit edilmiştir. Bu araştırma korku ve anksiyete arasındaki karmaşık ilişkilerin, depresyon semptomlarının gelişiminde oynayabileceği önemli rolü ortaya koymuştur.

Keywords

COVID-19 korkusu, anksiyete, depresyon, yapısal eşitlik modellemesi.

Supporting Institution

Destekleyen bir kuruluş yoktur.

THE EFFECT OF FEAR OF COVID-19 ON DEPRESSION LEVEL IN UNIVERSITY UNDERGRADUATE STUDENTS: THE MEDIATOR ROLE OF ANXIETY

Abstract

The aim of this study is to reveal whether the fear of COVID-19 affects depression in university undergraduate students, and also to determine whether the level of anxiety mediates the relationship between fear of COVID-19 and depression. An online-based cross-sectional study design on university students was used in the research. The universe of the research consisted of undergraduate students from three different universities in the same region. Data were collected from 627 students using the online questionnaire technique. SPSS and AMOS package programs were used in the analysis of the data. Descriptive analyzes, independent sample t-test, ANOVA analysis, correlation analysis and path analysis were applied to the data. The empirical result of the study revealed that students currently feel more depressed due to widespread fear of COVID-19. In addition, it has been determined that the level of fear caused by COVID-19 in university undergraduate students significantly affects depression, and that the level of anxiety partially mediates the relationship between fear of COVID-19 and depression. This research revealed the important role that the complex relationships between fear and anxiety can play in the development of symptoms of depression.

Keywords

Fear of COVID-19, anxiety, depression, structural equation modeling, Fear of COVID-19, anxiety, depression, structural equation modeling

References

• Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020). The Fear of COVID-19 of COVID- 19 Scale: development and initial validation. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00270-8.
• Akpınar, B. (2013). Öğretmen adaylarının stres düzeylerinin çeşitli değişkenler açısından analizi. Dicle Üniversitesi Ziya Gökalp Eğitim Fakültesi Dergisi, 21, 229-241.
• American Psychological Association. (2020b). Psychological impact of COVID-19. https://www.apa.org/topics/covid-19/psychological-impact
• Bakioglu, F., Korkmaz, O. & Ercan, H. (2020). Fear of COVID-19 and positivity: Mediating role of intolerance of uncertainty, depression, anxiety, and stress. International Journal of Mental Health and Addiction, https://doi.org/10.1007/s11469-020-00331-y
• Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
• Buhr, K. & Dugas, M. J. (2002). The intolerance of uncertainty scale: Psychometric properties of the English version. Behaviour Research and Therapy, 40, 931-45.
• Byrne, B. M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Lawrence Erlbaum Associates.
• Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J. & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatr. Res. 287, 112934. https://doi.org/10.1016/j.psychres.2020.112934.
• Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934. https://doi.org/10.1016/j.psychres.2020.112934.
• Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., He, L., Sheng, C., Cai, Y., Li, X., Wang, J., & Zhang, Z. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The lancet. Psychiatry, 7, e15–e16. https://doi.org/10.1016/S2215-0366(20)30078-X
• Cornine, A. (2020). Reducing nursing student anxiety in the clinical setting: An integrative review. Nursing Education Perspectives, 41(4), 229-234.
• Dai, L. L., Wang, X., Jiang, T. C., Li, P. F., Wang, Y., Wu, S. J., Jia, L. Q., Liu, M., An, L. & Cheng, Z. (2020). Anxiety and depressive symptoms among COVID-19 patients in Jianghan Fangcang Shelter Hospital in Wuhan, China. PLoS ONE, 15, 8: e0238416. https://doi.org/10.1371/journal.pone.0238416.
• Duan, L. & Zhu, G. (2020). Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 7, 300-302.
• Duman, N. (2020). COVID-19 Fear of COVID-19 And Intolerance to Uncertainty in Unıversity Students. The Journal of Social Science, 4, 426-437.
• Ettman, C. K., Abdalla, S. M., Cohen, G. H., Sampson, L., Vivier, P. M. & Galea, S. (2020). Prevalence of depression symptoms in US adults before and during the COVID-19 Pandemic. JAMA Netw Open, 3, e2019686.
• Hair, J. F., Jr., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (8th ed.). Cengage Learning, EMEA.
• Hall, R. C., Hall, R. C., & Chapman, M. J. (2008). The 1995 Kikwit Ebola outbreak: Lessons hospitals and physicians can apply to future viral epidemics. General Hospital Psychiatry, 30(5), 446-452. doi:10.1016/j.genhosppsych.2008.05.003.
• Harper, C. A., Satchell, L. P., Fido, D., & Latzman, R. D. (2020). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00281-5.
• Harrington, D. (2009). Confirmatory Factor Analysis. New York: Oxford University Press, p.21-35.
• Ho, C. S., Chee, C. Y., & Ho, R. C. (2020). Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singapore, 49(1), 1-3.
• Ilhan, N., Bahadırlı, S. & Toptaner, N. E. (2014). Determining the relationship between the mental state of university students and their health behavior. Marmara University Journal of Health Sciences Institute, 4, 207-215.
• International Federation of Red Cross and Red Crescent Societies (IFRC) (2020). Mental health and psychosocial support for staff, volunteers and communities in an outbreak of novel coronavirus. IFRC: Hong Kong, 2020.
• Kapcı, E. G. (2004). The relationship between the type and frequency of bullying in elementary school students with depression, anxiety and self-esteem. Ankara University Journal of Educational Sciences, 37, 1-13.
• Lai, J., Ma, S., Wang, Y. et al. (2020). Factors associated with mental health outcomes among health care workers exposed to Coronavirus disease 2019. JAMA Netw Open 2020, 3, e203976. doi:10.1001/jamanetworkopen.2020.3976
• Lee, S. A. (2020). Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies, 44, 7, 393-401. doi: 10.1080/07481187.2020.1748481.
• Li, S. W., Wang, Y., Yang, Y. Y., Lei, X. M. & Yang, Y. F. (2020). Analysis of influencing factors of anxiety and emotional disorders in children and adolescents during home isolation during the epidemic of novel coronavirus pneumonia. Chinese Journal of Child Health, 1-9.
• Mertens, G., Gerritsen, L., Salemink, E., & Engelhard, I. (2020). Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020.
• Munro, B. H. (2005). Statistical Methods For Health Care Research. Philadelphia: Lippincott Williams & Wilkins, p.351-376.
• Nelson, L. M., Simard JF, Oluyomi, A. et al. (2020). US public concerns about the COVID-19 pandemic from results of a survey given via social media. JAMA Intern Med, 180, 1020-1022.
• Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V.G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901-907.
• Pappas, G., Kiriaze, I. J., Giannakis, P. & Falagas, M. E. (2009). Psychosocial consequences of infectious diseases. Clin Microbiol Infect, 15, 743-747.
• Psychiatric Association of Turkey (2020). Preventive, Protective and Therapeutic Psychiatric Services in the Treatment of COVID-19. https://www.psikiyatri.org.tr/TPDData/Uploads/files/COVID19_Pandemi_PsikiyatrikTedavilerTPDRTACB-05052020.pdf.
• Rajkumar, R. P. (2020). COVID-19 and Mental Health: A Review of the Existing Literature. Asian Journal of Psychiatry, 52, 102066, https://doi.org/10.1016/j.ajp.2020.102066.
• Ro, J. S., Lee, J. S., Kang, S. C., & Jung, H. M. (2017). Worry experienced during the 2015 Middle East respiratory syndrome (MERS) pandemic in Korea. PloS one, 12(3), e0173234.
• Rodríguez-Rey, R., Garrido-Hernansaiz, H., and Collado, S. (2020). Psychological impact and associated factors during the initial stage of the Coronavirus (COVID-19) pandemic among the general population in Spain. Front. Psychol. 11:1540. doi: 10.3389/fpsyg.2020.01540
• Satıcı, B., Gocet-Tekin, E., Deniz, M. E., & Satıcı, S. A. (2020). Adaptation of the Fear of COVID19 Scale: Its association with psychological distress and life satisfaction in Turkey. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00294-0.
• Shea, T. L., Tennant, A., & Pallant, J. F. (2009). Rasch model analysis of the Depression, Anxiety and Stress Scales (DASS). BMC Psychiatry, 9, https://doi. org/10.1186/1471-244X-9-21.
• Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M. & Benedek, D. M. (2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatr. Clin. Neurosci, 74, 281-282.
• Shiina, A., Niitsu, T., Kobori, O., Idemoto, K., Hashimoto, T., Sasaki, T., Igarashi, Y., Shimizu, E., Nakazato, M., Hashimoto, K. & Iyo, M. (2020). Relationship between perception and anxiety about COVID-19 infection and risk behaviors for spreading infection: A national survey in Japan. Brain, Behavior, & Immunity-Health, 6, https://doi.org/10.1016/j.bbih.2020.100101.
• Spielberger, C. D. (2010). State-Trait anxiety inventory. The Corsini Encyclopedia of Psychology, 1-1. https://doi.org/10.1002/9780470479216.corpsy0943
• Taylor, S. (2019). The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease. Newcastle upon Tyne: Cambridge Scholars Publishing.
• Taylor, S. (2019). The Psychology of Pandemics: Preparing for the Next Global Outbreak of Infectious Disease. Newcastle upon Tyne: Cambridge Scholars Publishing.
• Torales, J., O’Higgins, M., Castaldelli-Maia, J. M. & Ventriglio, A. (2020). The outbreak of COVID-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry, 66, 317-320.
• Wang, C., & Zhao, H. (2020). The Impact of COVID-19 on Anxiety in Chinese University Students. Frontiers in psychology, 11, 1168. https://doi.org/10.3389/fpsyg.2020.01168
• Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. doi:10.3390/ijerph17051729.
• World Health Organization (2020a). Coronavirus, received from: https://www.who.int/healthtopics/coronavirus#tab=tab_1.
• World Health Organization (2020b). Coronavirus disease (COVID-19) advice for the public, recieved from: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html
• Wu, K. K., Chan, S. K. & Ma, T. M. (2005). Posttraumatic Stress, Anxiety, and Depression in Survivors of Severe Acute Respiratory Syndrome (SARS). Journal of Traumatic Stress, 18, 39-42.
• Yang, Y., Li, W., Zhang, Q., Zhang, L., Cheung, T., & Xiang, Y. T. (2020). Mental health services for older adults in China during the COVID-19 outbreak. Lancet Psychiatry, 7, e19. https://doi.org/10.1016/S2215-0366(20)30079-1
• Yılmaz, M. & Ocakbaşı, A. F. (2010). Determining the anxiety levels of university students living in a girls' dormitory. Maltepe University Nursing Science and Art Journal, 3, 1-9.