{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T15:33:27Z","timestamp":1767713607768,"version":"3.40.5"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T00:00:00Z","timestamp":1670803200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1935789322002452_as1\"><jats:title>Objective:<\/jats:title><jats:p>This cross-sectional study aimed to examine factors potentially associated with psychological distress among undergraduate students during the coronavirus disease 2019 pandemic in Japan.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789322002452_as2\"><jats:title>Methods:<\/jats:title><jats:p>We analyzed data of 958 undergraduates (median age 20 y; 56.8% women) from a Web-based, self-administered questionnaire survey conducted from August to September 2020. Prevalence ratios (PRs) for psychological distress defined as 5 points or over of the Kessler Psychological Distress Scale (K6) were calculated by Poisson regression models.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789322002452_as3\"><jats:title>Results:<\/jats:title><jats:p>The proportion of psychological distress was 40.0%. In the mutually-adjusted model, the following were significantly associated with psychological distress: decreases in household income to 50-99% of the prepandemic amount compared with no change (PR = 1.48), newly experiencing unpaid wages compared with no experience (PR = 1.44), insufficient money to buy necessities compared with no shortage (PR = 1.45), receiving a student loan or scholarship compared with none (PR = 1.27), and communication 1 to 3 times a month compared with at least once a week (PR = 1.22). In contrast, school closure during the pandemic compared with no closure was inversely associated with psychological distress (PR = 0.78).<\/jats:p><\/jats:sec><jats:sec id=\"S1935789322002452_as4\"><jats:title>Conclusions:<\/jats:title><jats:p>Among undergraduate students in Japan, economic difficulties significantly predicted psychological distress.<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2022.245","type":"journal-article","created":{"date-parts":[[2022,12,12]],"date-time":"2022-12-12T08:50:55Z","timestamp":1670835055000},"source":"Crossref","is-referenced-by-count":3,"title":["Psychological Distress During the Coronavirus Disease 2019 Pandemic and Associated Factors Among Undergraduate Students in Japan"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5657-8379","authenticated-orcid":false,"given":"Yukihiro","family":"Sato","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Yatsuya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuaki","family":"Saijo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Yoshioka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Tabuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,12,12]]},"reference":[{"key":"S1935789322002452_ref24","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1002\/mpr.257","article-title":"The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan","volume":"17","author":"Furukawa","year":"2008","journal-title":"Int J Methods Psychiatr Res."},{"key":"S1935789322002452_ref13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jad.2020.05.009","article-title":"Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students","volume":"274","author":"Tang","year":"2020","journal-title":"J Affect Disord."},{"key":"S1935789322002452_ref1","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1038\/s41562-020-01009-0","article-title":"Ranking the effectiveness of worldwide COVID-19 government interventions","volume":"4","author":"Haug","year":"2020","journal-title":"Nat Hum Behav."},{"key":"S1935789322002452_ref9","doi-asserted-by":"crossref","DOI":"10.3390\/su12208438","article-title":"Impacts of the COVID-19 pandemic on life of higher education students: a global perspective","volume":"12","author":"Aristovnik","year":"2020","journal-title":"Sustainability."},{"key":"S1935789322002452_ref2","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1016\/S0140-6736(20)30460-8","article-title":"The psychological impact of quarantine and how to reduce it: rapid review of the evidence","volume":"395","author":"Brooks","year":"2020","journal-title":"Lancet."},{"key":"S1935789322002452_ref33","unstructured":"33. Ministry of Education, Culture, Sports, Science and Technology. School basic survey. Published 2020. Accessed June 24, 2021. https:\/\/www.mext.go.jp\/b_menu\/toukei\/chousa01\/kihon\/kekka\/k_detail\/1419591_00003.htm"},{"key":"S1935789322002452_ref28","unstructured":"28. Japan Student Services Organization. Student life survey 2018 (in Japanese). Published 2018. Accessed June 24, 2021. https:\/\/www.jasso.go.jp\/about\/statistics\/gakusei_chosa\/2018.html"},{"key":"S1935789322002452_ref17","doi-asserted-by":"crossref","first-page":"e12209","DOI":"10.1002\/1348-9585.12209","article-title":"Impact of the COVID-19 pandemic on working students: results from the Labour Force Survey and the student lifestyle survey","volume":"63","author":"Tsurugano","year":"2021","journal-title":"J Occup Health."},{"key":"S1935789322002452_ref5","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.jad.2020.08.001","article-title":"Impact of COVID-19 pandemic on mental health in the general population: a systematic review","volume":"277","author":"Xiong","year":"2020","journal-title":"J Affect Disord."},{"key":"S1935789322002452_ref15","doi-asserted-by":"crossref","first-page":"113561","DOI":"10.1016\/j.psychres.2020.113561","article-title":"The effect of remote learning on the mental health of first year university students in Japan","volume":"295","author":"Horita","year":"2021","journal-title":"Psychiatry Res."},{"key":"S1935789322002452_ref16","unstructured":"16. National Federation of University Co-operative. Urgent report on undergraduate and graduate students\u2019 life survey (in Japanese). National Federation of University Co-operative. Published 2020. Accessed February 3, 2021. https:\/\/www.univcoop.or.jp\/covid19\/enquete\/index.html"},{"key":"S1935789322002452_ref25","doi-asserted-by":"crossref","first-page":"e043728","DOI":"10.1136\/bmjopen-2020-043728","article-title":"Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan","volume":"10","author":"Arima","year":"2020","journal-title":"BMJ Open."},{"key":"S1935789322002452_ref32","doi-asserted-by":"crossref","first-page":"444","DOI":"10.2188\/jea.JE20180116","article-title":"Study profile: the Japan \u201cSociety and New Tobacco\u201d Internet Survey (JASTIS): a longitudinal internet cohort study of heat-not-burn tobacco products, electronic cigarettes, and conventional tobacco products in Japan","volume":"29","author":"Tabuchi","year":"2019","journal-title":"J Epidemiol."},{"key":"S1935789322002452_ref26","doi-asserted-by":"crossref","first-page":"102407","DOI":"10.1016\/j.ajp.2020.102407","article-title":"Mental health of university freshmen in Japan during the COVID-19 pandemic: screening with Kessler psychological distress scale (K6)","volume":"54","author":"Fuse-Nagase","year":"2020","journal-title":"Asian J Psychiatr."},{"key":"S1935789322002452_ref8","first-page":"e7541","article-title":"Closure of universities due to coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff","volume":"12","author":"Sahu","year":"2020","journal-title":"Cureus."},{"key":"S1935789322002452_ref34","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1111\/pcn.12894","article-title":"Prevalence of mental disorders and mental health service use in Japan","volume":"73","author":"Nishi","year":"2019","journal-title":"Psychiatry Clin Neurosci."},{"key":"S1935789322002452_ref21","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.jad.2021.03.028","article-title":"Urbanization level and neighborhood deprivation, not COVID-19 case numbers by residence area, are associated with severe psychological distress and new-onset suicidal ideation during the COVID-19 pandemic","volume":"287","author":"Okubo","year":"2021","journal-title":"J Affect Disord."},{"key":"S1935789322002452_ref23","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1111\/j.1440-1819.2011.02236.x","article-title":"Screening performance of K6\/K10 and other screening instruments for mood and anxiety disorders in Japan","volume":"65","author":"Sakurai","year":"2011","journal-title":"Psychiatry Clin Neurosci."},{"key":"S1935789322002452_ref31","unstructured":"31. Centers for Disease Control and Prevention. Science brief: transmission of SARS-CoV-2 in K-12 schools and early care and education programs \u2013 updated. In: CDC COVID-19 Science Briefs. Centers for Disease Control and Prevention (US); 2020."},{"key":"S1935789322002452_ref3","doi-asserted-by":"crossref","first-page":"102066","DOI":"10.1016\/j.ajp.2020.102066","article-title":"COVID-19 and mental health: a review of the existing literature","volume":"52","author":"Rajkumar","year":"2020","journal-title":"Asian J Psychiatr."},{"key":"S1935789322002452_ref7","doi-asserted-by":"crossref","first-page":"27277","DOI":"10.1073\/pnas.2009609117","article-title":"Economic hardship and mental health complaints during COVID-19","volume":"117","author":"Witteveen","year":"2020","journal-title":"Proc Natl Acad Sci U S A."},{"key":"S1935789322002452_ref10","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.jad.2020.08.042","article-title":"Mental health of French students during the Covid-19 pandemic","volume":"277","author":"Essadek","year":"2020","journal-title":"J Affect Disord."},{"key":"S1935789322002452_ref14","unstructured":"14. Ministry of Education, Culture, Sports, Science and Technology. Survey on the status of support for students affected by the Novel Coronavirus (in Japanese). Published 2021. Accessed March 31, 2021. https:\/\/www.mext.go.jp\/content\/20210216-mxt_kouhou01-000007001-1.pdf"},{"key":"S1935789322002452_ref20","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1177\/00220345211005782","article-title":"Dental pain and worsened socioeconomic conditions due to the COVID-19 pandemic","volume":"100","author":"Matsuyama","year":"2021","journal-title":"J Dent Res."},{"key":"S1935789322002452_ref19","unstructured":"19. Cabinet Secretariat. Declaration of a State of Emergency in response to the Novel Coronavirus Disease. Published 2020. Accessed February 12, 2021. https:\/\/japan.kantei.go.jp\/ongoingtopics\/_00020.html"},{"key":"S1935789322002452_ref12","doi-asserted-by":"crossref","first-page":"e2025591","DOI":"10.1001\/jamanetworkopen.2020.25591","article-title":"Factors associated with mental health disorders among university students in France confined during the COVID-19 pandemic","volume":"3","author":"Wathelet","year":"2020","journal-title":"JAMA Netw Open."},{"key":"S1935789322002452_ref22","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1017\/S0033291702006074","article-title":"Short screening scales to monitor population prevalences and trends in non-specific psychological distress","volume":"32","author":"Kessler","year":"2002","journal-title":"Psychol Med."},{"key":"S1935789322002452_ref29","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1093\/aje\/kwh090","article-title":"A modified poisson regression approach to prospective studies with binary data","volume":"159","author":"Zou","year":"2004","journal-title":"Am J Epidemiol."},{"key":"S1935789322002452_ref30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v074.i07","article-title":"Imputation with the R Package VIM","volume":"74","author":"Kowarik","year":"2016","journal-title":"J Stat Softw."},{"key":"S1935789322002452_ref4","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s12992-020-00589-w","article-title":"Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"16","author":"Salari","year":"2020","journal-title":"Global Health."},{"key":"S1935789322002452_ref6","unstructured":"6. Organisation for Economic Co-operation and Development. OECD economic outlook, Volume 2020 Issue 1. Published online 2020. Accessed December 9, 2022. https:\/\/www.oecd-ilibrary.org\/content\/publication\/0d1d1e2e-en"},{"key":"S1935789322002452_ref11","doi-asserted-by":"crossref","first-page":"e0239696","DOI":"10.1371\/journal.pone.0239696","article-title":"The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study","volume":"15","author":"Kecojevic","year":"2020","journal-title":"PLoS One."},{"key":"S1935789322002452_ref18","doi-asserted-by":"crossref","first-page":"e25232","DOI":"10.2196\/25232","article-title":"Impact of the COVID-19 pandemic on the psychological distress of medical students in Japan: cross-sectional survey study","volume":"23","author":"Nishimura","year":"2021","journal-title":"J Med Internet Res."},{"key":"S1935789322002452_ref27","doi-asserted-by":"crossref","first-page":"436","DOI":"10.2188\/jea.JE20190057","article-title":"Student loans and psychological distress: a cross-sectional study of young adults in Japan","volume":"30","author":"Sato","year":"2020","journal-title":"J Epidemiol."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789322002452","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T20:33:25Z","timestamp":1701549205000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789322002452\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,12]]},"references-count":34,"alternative-id":["S1935789322002452"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2022.245","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"type":"print","value":"1935-7893"},{"type":"electronic","value":"1938-744X"}],"subject":[],"published":{"date-parts":[[2022,12,12]]},"article-number":"e294"}}