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Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study.

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  • Additional Information
    • Source:
      Publisher: JMIR Publications Country of Publication: Canada NLM ID: 100959882 Publication Model: Electronic Cited Medium: Internet ISSN: 1438-8871 (Electronic) Linking ISSN: 14388871 NLM ISO Abbreviation: J. Med. Internet Res. Subsets: MEDLINE
    • Publication Information:
      Publication: <2011- > : Toronto : JMIR Publications
      Original Publication: [Pittsburgh, PA? : s.n., 1999-
    • Subject Terms:
    • Abstract:
      Background: The vast majority of people worldwide have been impacted by coronavirus disease (COVID-19). In addition to the millions of individuals who have been infected with the disease, billions of individuals have been asked or required by local and national governments to change their behavioral patterns. Previous research on epidemics or traumatic events suggests that this can lead to profound behavioral and mental health changes; however, researchers are rarely able to track these changes with frequent, near-real-time sampling or compare their findings to previous years of data for the same individuals.
      Objective: By combining mobile phone sensing and self-reported mental health data among college students who have been participating in a longitudinal study for the past 2 years, we sought to answer two overarching questions. First, have the behaviors and mental health of the participants changed in response to the COVID-19 pandemic compared to previous time periods? Second, are these behavior and mental health changes associated with the relative news coverage of COVID-19 in the US media?
      Methods: Behaviors such as the number of locations visited, distance traveled, duration of phone usage, number of phone unlocks, sleep duration, and sedentary time were measured using the StudentLife smartphone sensing app. Depression and anxiety were assessed using weekly self-reported ecological momentary assessments of the Patient Health Questionnaire-4. The participants were 217 undergraduate students, with 178 (82.0%) students providing data during the Winter 2020 term. Differences in behaviors and self-reported mental health collected during the Winter 2020 term compared to previous terms in the same cohort were modeled using mixed linear models.
      Results: During the first academic term impacted by COVID-19 (Winter 2020), individuals were more sedentary and reported increased anxiety and depression symptoms (P<.001) relative to previous academic terms and subsequent academic breaks. Interactions between the Winter 2020 term and the week of the academic term (linear and quadratic) were significant. In a mixed linear model, phone usage, number of locations visited, and week of the term were strongly associated with increased amount of COVID-19-related news. When mental health metrics (eg, depression and anxiety) were added to the previous measures (week of term, number of locations visited, and phone usage), both anxiety (P<.001) and depression (P=.03) were significantly associated with COVID-19-related news.
      Conclusions: Compared with prior academic terms, individuals in the Winter 2020 term were more sedentary, anxious, and depressed. A wide variety of behaviors, including increased phone usage, decreased physical activity, and fewer locations visited, were associated with fluctuations in COVID-19 news reporting. While this large-scale shift in mental health and behavior is unsurprising, its characterization is particularly important to help guide the development of methods to reduce the impact of future catastrophic events on the mental health of the population.
      (©Jeremy F Huckins, Alex W DaSilva, Weichen Wang, Elin Hedlund, Courtney Rogers, Subigya K Nepal, Jialing Wu, Mikio Obuchi, Eilis I Murphy, Meghan L Meyer, Dylan D Wagner, Paul E Holtzheimer, Andrew T Campbell. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 17.06.2020.)
    • References:
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    • Grant Information:
      R01 MH059282 United States MH NIMH NIH HHS
    • Contributed Indexing:
      Keywords: COVID-19*; anxiety*; app*; behavior*; depression*; mental health*; mobile sensing*; pandemic*; phone usage*; sedentary*
    • Subject Terms:
      COVID-19
    • Subject Terms:
      severe acute respiratory syndrome coronavirus 2
    • Publication Date:
      Date Created: 20200611 Date Completed: 20200707 Latest Revision: 20200814
    • Publication Date:
      20200827
    • Accession Number:
      PMC7301687
    • Accession Number:
      10.2196/20185
    • Accession Number:
      32519963
  • Citations
    • ABNT:
      HUCKINS, J. F. et al. Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. Journal of medical Internet research, [s. l.], v. 22, n. 6, p. e20185, 2020. DOI 10.2196/20185. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=32519963. Acesso em: 24 set. 2020.
    • AMA:
      Huckins JF, daSilva AW, Wang W, et al. Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. Journal of medical Internet research. 2020;22(6):e20185. doi:10.2196/20185
    • APA:
      Huckins, J. F., daSilva, A. W., Wang, W., Hedlund, E., Rogers, C., Nepal, S. K., Wu, J., Obuchi, M., Murphy, E. I., Meyer, M. L., Wagner, D. D., Holtzheimer, P. E., & Campbell, A. T. (2020). Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. Journal of Medical Internet Research, 22(6), e20185. https://doi.org/10.2196/20185
    • Chicago/Turabian: Author-Date:
      Huckins, Jeremy F, Alex W daSilva, Weichen Wang, Elin Hedlund, Courtney Rogers, Subigya K Nepal, Jialing Wu, et al. 2020. “Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study.” Journal of Medical Internet Research 22 (6): e20185. doi:10.2196/20185.
    • Harvard:
      Huckins, J. F. et al. (2020) ‘Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study’, Journal of medical Internet research, 22(6), p. e20185. doi: 10.2196/20185.
    • Harvard: Australian:
      Huckins, JF, daSilva, AW, Wang, W, Hedlund, E, Rogers, C, Nepal, SK, Wu, J, Obuchi, M, Murphy, EI, Meyer, ML, Wagner, DD, Holtzheimer, PE & Campbell, AT 2020, ‘Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study’, Journal of medical Internet research, vol. 22, no. 6, p. e20185, viewed 24 September 2020, .
    • MLA:
      Huckins, Jeremy F., et al. “Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study.” Journal of Medical Internet Research, vol. 22, no. 6, June 2020, p. e20185. EBSCOhost, doi:10.2196/20185.
    • Chicago/Turabian: Humanities:
      Huckins, Jeremy F, Alex W daSilva, Weichen Wang, Elin Hedlund, Courtney Rogers, Subigya K Nepal, Jialing Wu, et al. “Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study.” Journal of Medical Internet Research 22, no. 6 (June 17, 2020): e20185. doi:10.2196/20185.
    • Vancouver/ICMJE:
      Huckins JF, daSilva AW, Wang W, Hedlund E, Rogers C, Nepal SK, et al. Mental Health and Behavior of College Students During the Early Phases of the COVID-19 Pandemic: Longitudinal Smartphone and Ecological Momentary Assessment Study. Journal of medical Internet research [Internet]. 2020 Jun 17 [cited 2020 Sep 24];22(6):e20185. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=32519963