Social isolation and psychological distress among southern US college students in the era of COVID-19

Background College students are at heightened risk for negative psychological outcomes due to COVID19. We examined the prevalence of psychological distress and its association with social isolation among public university students in the southern United States. Methods A cross-sectional survey was emailed to all University of North Carolina-Chapel Hill students in June 2020 and was open for two weeks. Students self-reported if they were self-isolating none, some, most, or all of the time. Validated screening instruments were used to assess clinically significant symptoms of depression, loneliness, and increased perceived stress. The data was weighted to the complete student population. Results 7,012 completed surveys were included. Almost two-thirds (64%) of the students reported clinically significant depressive symptoms and 65% were categorized as lonely. An estimated 64% of students reported self-isolating most or all of the time. Compared to those self-isolating none of the time, students self-isolating some of the time were 1.78 (95% CI 1.37, 2.30) times as likely to report clinically significant depressive symptoms, and students self-isolating most or all of the time were 2.12 (95% CI 1.64, 2.74) and 2.27 (95% CI 1.75, 2.94) times as likely to report clinically significant depressive symptoms, respectively. Similar associations between self-isolation and loneliness and perceived stress were observed. Conclusions The prevalence of adverse mental health indicators among this sample of university students in June 2020 was exceptionally high. University responses to the COVID-19 pandemic should prioritize student mental health and prepare a range of support services to mitigate mental health consequences as the pandemic continues to evolve.

Automated summary

In June 2020, the prevalence of adverse mental health indicators was exceptionally high among university students in the southern United States. A significant proportion of students reported clinically significant depressive symptoms and loneliness. Students who self-isolated most or all of the time were more likely to have clinically significant depressive symptoms, loneliness, and perceived stress compared to those who did not self-isolate.