{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T18:10:30Z","timestamp":1778177430801,"version":"3.51.4"},"reference-count":61,"publisher":"Medicinska Naklada d.o.o.","issue":"1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:p>Backround: The novel coronavirus disease (COVID-19) emerged at the end of 2019 and has since affected T\u00fcrkiye as well as\nthe rest of the World. The main purpose of this study is to examine the effects of social isolation measures during the COVID-19 epidemic on education perceptions, anxiety levels, sleep quality, and physical activity levels of healthcare students, as well as the relationship\nbetween anxiety with sleep quality and physical activity level.\nSubjects and Methods: The cross-sectional and descriptive study was conducted between May and June 2020. The sample\nconsisted of 457 physiotherapy, nursing, and occupational therapy students aged 18-41. Before to starting the survey, electronic consent was obtained from all participants. The data were collected through the Google Forms web survey platform using the convenience\nsampling method. The demographic information form, Beck Anxiety Inventory, Pittsburgh Sleep Quality Inventory, and Rapid Assessment of Physical Activity were used to collect data. The data were analyzed using the Statistical Package for Social Sciences (SPSS)\nfor Windows 22 (IBM SPSS Inc., Chicago, IL) at a significance level of 0.05.\nResults: The majority of students expressed concerns regarding the insufficiency of distance education (82.5%). Over half\n(53.39%) of the study participants reported experiencing mild, moderate, and severe anxiety. In addition, students exhibited poor sleep\nquality (67.5%) and low levels of physical activity (61.1%). A statistically significant positive correlation was found between the total\nscores of the Beck Anxiety Inventory and the Pittsburgh Sleep Quality Index (r = 0.425, p &lt; 0.001).\nConclusion: Healthcare students were concerned about distance education during the first wave of the pandemic. Universities\nshould provide all students with guidance on mental health and encourage them to perform more physical activity. Moreover, different\nmethods and techniques should be developed for applied science during distance education.<\/jats:p>","DOI":"10.24869\/psyd.2026.53","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T17:15:22Z","timestamp":1778174122000},"page":"53","source":"Crossref","is-referenced-by-count":0,"title":["The effects of social isolation measures due to the COVID-19 pandemic on education perception, anxiety, sleep, and physical activity in healthcare students"],"prefix":"10.24869","volume":"38","author":[{"given":"Sevil","family":"Y\u0131lmaz","sequence":"first","affiliation":[{"name":"Istanbul University-Cerrahpa\u015fa, Florence Nightingale Faculty of Nursing, Department of Mental Health and Psychiatric Nursing. Avcilar \u2013 \u0130stanbul, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ay\u015fe","family":"G\u00f6kta\u015f","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Gulhane Faculty of Health Sciences, Department of Ergotherapy, Ankara, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sevgi","family":"\u00d6zdin\u00e7","sequence":"additional","affiliation":[{"name":"Trakya University, Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Edirne, T\u00fcrkiye"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6768","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"ref0","unstructured":"1. A\u011farg\u00fcn, M.Y., Kara, H., Anlar, \u00d6. (1996). The validity and reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry, 7(2), 107\u2013115."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"2. Altena, E., Baglioni, C., Espie, C.A., Ellis, J., Gavriloff, D., Holzinger, B., Schlarb, A., Frase, L., Jernel\u00f6v, S., Riemann, D. (2020). Dealing with sleep problems during home confinement due to the COVID\u201019 outbreak: Practical recommendations from a task force of the European CBT\u2010I Academy. Journal of Sleep Research, 29(4), e13052. https:\/\/doi.org\/10.1111\/jsr.13052","DOI":"10.1111\/jsr.13052"},{"key":"ref2","unstructured":"3. Altunta\u015f Y\u0131lmaz, N. (2020). Investigation of students' attitudes towards applied distance education in the COVID-19 pandemic process in higher education institutions: Example of physiotherapy and rehabilitation department. Necmettin Erbakan University Faculty of Health Science Journal, 3(1), 15-20."},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"4. Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., Bouaziz, B., Bentlage, E., How, D., Ahmed, M., M\u00fcller, P., M\u00fcller, N., Aloui, A., Hammouda, O., Paineiras-Domingos, L.L., Braakman-Jansen, A., Wrede, C., Bastoni, S., Pernamboco, C.S., ... On Behalf of the ECLB-COVID19 Consortium. (2020). Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 International Online Survey. Nutrients, 12(6), 1583. https:\/\/doi.org\/10.3390\/nu12061583","DOI":"10.3390\/nu12061583"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"5. Aristovnik, A., Ker\u017ei\u010d, D., Rav\u0161elj, D., Toma\u017eevi\u010d, N., & Umek, L. (2020). Impacts of the COVID-19 pandemic on life of higher education students: A global perspective. Sustainability, 12(20), 8438. https:\/\/doi.org\/10.3390\/su12208438","DOI":"10.3390\/su12208438"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"6. Bar\u011f\u0131, G., Akkaya, M., & G\u00fcney, Y. (2022). Investigation of university students' attitudes toward web-based distance education in terms of theoretical and applied courses during the COVID-19 pandemic period. Journal of Experimental and Clinical Medicine, 39(1), 110-116. https:\/\/doi.org\/10.52142\/omujecm.39.1.22","DOI":"10.52142\/omujecm.39.1.22"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"7. Ba\u015ft\u00fcrk, P., Kundurac\u0131lar, Z., Y\u00fccel, H., Y\u0131lmaz, F. K., & Erim, A. (2023). The impact of the new coronavirus disease on university students: Anxiety, health anxiety, and physical activity. Journal of Health Professions Research, 5(3), 159-166.","DOI":"10.57224\/jhpr.1293249"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"8. Bdair, I. A. (2021). Nursing students' and faculty members' perspectives about online learning during COVID-19 pandemic: A qualitative study. Teaching and Learning in Nursing, 16(3), 220-226. https:\/\/doi.org\/10.1016\/j.teln.2021.02.008","DOI":"10.1016\/j.teln.2021.02.008"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"9. Borodavko, L. T., Silkin, N. N., Shakhmatov, A. V., & Chelysheva, O. V. (2020). Organization of education using modern distance learning technologies in the context of the COVID-19 pandemic (on the example of Russian law schools). Amazonia Investiga, 9(33), 51-58. https:\/\/doi.org\/10.34069\/AI\/2020.33.09.6","DOI":"10.34069\/AI\/2020.33.09.6"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"10. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020 March 14). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 395(10227), 912-920. https:\/\/doi.org\/10.1016\/S0140-6736(20)30460-8","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"11. Browning, M.H.E.M., Larson, L. R., Sharaievska, I., Rigolon, A., McAnirlin, O., Mullenbach, L., Cloutier, S., Vu, T.M., Thomsen, J., Reigner, N., Metcalf, E.C., D'Antonio, A., Helbich, M., Bratman, G.N., & Alvarez, H. O. (2022). Correction: Psychological impacts from COVID-19 among university students: Risk factors across seven states in the United States. PloS One, 17(8), e0273938. https:\/\/doi.org\/10.1371\/journal.pone.0273938","DOI":"10.1371\/journal.pone.0273938"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"12. Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193-213. https:\/\/doi.org\/10.1016\/0165-1781(89)90047-4","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"13. 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","DOI":"10.1016\/j.psychres.2020.112934"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"14. Cellini, N., Canale, N., Mioni, G., & Costa, S. (2020). Changes in sleep pattern, sense of time and digital media use during COVID\u201019 lockdown in Italy. Journal of Sleep Research, 29(4), e13074. https:\/\/doi.org\/10.1111\/jsr.13074","DOI":"10.1111\/jsr.13074"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"15. Chu, Y. H., & Li, Y. C. (2022). The impact of online learning on physical and mental health in university students during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(5), 2966. https:\/\/doi.org\/10.3390\/ijerph19052966","DOI":"10.3390\/ijerph19052966"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"16. Coakley, K. E., Lardier, D. T., Holladay, K. R., Amorim, F. T., & Zuhl, M. N. (2021). Physical activity behavior and mental health among university students during COVID-19 lockdown. Frontiers in Sports and Active Living, 3, 682175. https:\/\/doi.org\/10.3389\/fspor.2021.682175","DOI":"10.3389\/fspor.2021.682175"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"17. \u00c7ekok, F. K., Kahraman, T., Kalk\u0131\u015f\u0131m, M., Gen\u00e7, A., & Keskino\u011flu, P. (2017). Cross\u2010cultural adaptation and psychometric study of the Turkish version of the Rapid Assessment of Physical activity. Geriatrics & Gerontology International, 17(11), 1837-1842. https:\/\/doi.org\/10.1111\/ggi.12970","DOI":"10.1111\/ggi.12970"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"18. \u00c7\u0131tak, \u015e., & Pekdemir, \u00dc. (2020). An analysis on sleep habits and generalized anxiety levels of individuals during the COVID-19 pandemic. Journal of Family Counseling and Education, 5(1), 60-73. https:\/\/doi.org\/10.32568\/jfce.742086","DOI":"10.32568\/jfce.742086"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"19. \u00c7imen, E., G\u00fcrdal, G., \u00c7uhadar, S., & \u00c7anak, T. A. (2020). Turkish University libraries during novel Cronovirus (COVID-19) pandemic. Information World, 21(1), 167-203. https:\/\/doi.org\/10.15612\/BD.2020.834","DOI":"10.15612\/BD.2020.834"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"20. Demir, G. T., Cicio\u011flu, H. \u0130., & \u0130lhan, E. L. (2020). Athlete's anxiety to catch the novel coronavirus (Covid-19) Scale (AACNCS): Validity and reliability study. Journal of Human Sciences, 17(2), 458-468. https:\/\/doi.org\/10.14687\/jhs.v17i2.5988","DOI":"10.14687\/jhs.v17i2.5988"},{"key":"ref20","unstructured":"21. Ergin, A., Aydemir-Acar, G., Bekar, T. (2018). Determination of sleep quality of students in faculties providing health education. Pam Med J, 11(3), 347-354."},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"22. Garc\u00eda-Garc\u00eda, J., Ma\u00f1as, A., Gonz\u00e1lez-Gross, M., Espin, A., Ara, I., Ruiz, J. R., Ortega, F.B., Casajus, J.A., Rodriguez-Larrad, A., & Irazusta, J. (2023). Physical activity, sleep, and mental health during the COVID-19 pandemic: A one-year longitudinal study of Spanish university students. Heliyon, 9(9), e19338. https:\/\/doi.org\/10.1016\/j.heliyon.2023.e19338","DOI":"10.1016\/j.heliyon.2023.e19338"},{"key":"ref22","doi-asserted-by":"crossref","unstructured":"23. Garett, R., Liu, S., & Young, S. D. (2018). The relationship between social media use and sleep quality among undergraduate students. Information, Communication & Society, 21(2), 163-173. https:\/\/doi.org\/10.1080\/1369118X.2016.1266374","DOI":"10.1080\/1369118X.2016.1266374"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"24. G\u00fc\u00e7han Topcu, Z., Belgen Kayg\u0131s\u0131z, B., & Demiralp, C. (2020). How are the physical activity and anxiety levels of the university students affected during the coronavirus (Covid-19) pandemic?. Baltic Journal of Health and Physical Activity, 12(4), 33-40. https:\/\/doi.org\/10.29359\/BJHPA.2020.Suppl.1.04","DOI":"10.29359\/BJHPA.2020.Suppl.1.04"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"25. Han, B., Du, G., Yang, Y., Chen, J., & Sun, G. (2023). Relationships between physical activity, body image, BMI, depression and anxiety in Chinese college students during the COVID-19 pandemic. BMC Public Health, 23(1), 24. https:\/\/doi.org\/10.1186\/s12889-022-14917-9","DOI":"10.1186\/s12889-022-14917-9"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"26. Holm-Hadulla, R. M., & Koutsoukou-Argyraki, A. (2015). Mental health of students in a globalized world: Prevalence of complaints and disorders, methods and effectivity of counseling, structure of mental health services for students. Mental Health & Prevention, 3(1-2), 1-4. https:\/\/doi.org\/10.1016\/j.mhp.2015.04.003","DOI":"10.1016\/j.mhp.2015.04.003"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"27. Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Research, 288, 112954. https:\/\/doi.org\/10.1016\/j.psychres.2020.112954","DOI":"10.1016\/j.psychres.2020.112954"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"28. Islam, M. A., Barna, S. D., Raihan, H., Khan, M. N. A., & Hossain, M. T. (2020). Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PloS One, 15(8), e0238162. https\/\/doi.org\/10.1371\/journal.pone.0238162","DOI":"10.1371\/journal.pone.0238162"},{"key":"ref28","unstructured":"29. Jain, T., Ranjan, R., Chaudhary, N., Kumar, P., & Ahmad, S. (2021). Effect on mental health among undergraduate college students of India during the COVID-19 pandemic: a cross-sectional multicentric study. Psychiatria Danubina, 33(suppl 13), 392-398."},{"key":"ref29","unstructured":"30. Karatay, G., Ba\u015f, G.N., Aldemir, H., Akay, M., Bay\u0131r, M., Onayl\u0131, H. (2016). Examining the sleep habits of nursing department students and the affective factors. HSP, 3(1), 16-22. https:\/\/doi.org\/10.17681\/hsp.34639"},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"31. Karyotaki, E., Cuijpers, P., Albor, Y., Alonso, J., Auerbach, R. P., Bantjes, J., Bruffaerts, R., Ebert, D.D., Hasking, P., Kiekens, G., Lee, S., McLafferty, M., Mak, A., Mortier, P., Sampson, N.A., Stein, D.J., Vilagut, G., & Kessler, R. C. (2020). Sources of stress and their associations with mental disorders among college students: results of the World Health Organization World Mental Health Surveys International College Student Initiative. Frontiers in Psychology, 11, 1759. https:\/\/doi.org\/10.3389\/fpsyg.2020.01759","DOI":"10.3389\/fpsyg.2020.01759"},{"key":"ref31","unstructured":"32. Kaya, P., Yazgan, E.A. (2020). The effect of physical activity status on quality of life during social isolation in COVID-19 epidemic. Istanbul Commerce University Journal of Social Science, 19(37), 262-279."},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"33. Lee, Y., Lui, L. M., Chen-Li, D., Liao, Y., Mansur, R. B., Briezke, E., Rosenblat, J.D., Ho, R., Rodrigues, N.B., Lipsitz, O., Nasri, F., Cao, B., Subramaniapillai, M., Gill, H., Lu, C., & McIntyre, R. S. (2021). Government response moderates the mental health impact of COVID-19: a systematic review and meta-analysis of depression outcomes across countries. Journal of Affective Disorders, 290, 364-377. https:\/\/doi.org\/10.1016\/j.jad.2021.04.050","DOI":"10.1016\/j.jad.2021.04.050"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"34. Li, Y., Qin, Q., Sun, Q., Sanford, L. D., Vgontzas, A. N., & Tang, X. (2020). Insomnia and psychological reactions during the COVID-19 outbreak in China. Journal of Clinical Sleep Medicine, 16(8), 1417-1418. https:\/\/doi.org\/10.5664\/jcsm.8524","DOI":"10.5664\/jcsm.8524"},{"key":"ref34","unstructured":"35. L\u00f6k, N., & Bademli, K. (2017). Determination of the relationship between physical activity and depression in adult individuals. Hatay Mustafa Kemal University Journal of Social Sciences Institute, 14(40), 101-110."},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"36. Majumdar, P., Biswas, A., & Sahu, S. (2020). COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India. Chronobiology International, 37(8), 1191-1200. https:\/\/doi.org\/10.1080\/07420528.2020.1786107","DOI":"10.1080\/07420528.2020.1786107"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"37. Marconcin, P., Werneck, A. O., Peralta, M., Ihle, A., Gouveia, \u00c9. R., Ferrari, G., ... & Marques, A. (2022). The association between physical activity and mental health during the first year of the COVID-19 pandemic: a systematic review. BMC Public Health, 22(1), 209. https:\/\/doi.org\/10.1186\/s12889-022-12590-6","DOI":"10.1186\/s12889-022-12590-6"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"38. Marelli, S., Castelnuovo, A., Somma, A., Castronovo, V., Mombelli, S., Bottoni, D., Leitner, C., Fossati, A., & Ferini-Strambi, L. (2021). Impact of COVID-19 lockdown on sleep quality in university students and administration staff. Journal of Neurology, 268, 8-15. https:\/\/doi.org\/10.1007\/s00415-020-10056-6","DOI":"10.1007\/s00415-020-10056-6"},{"key":"ref38","unstructured":"39. \u00d6l\u00e7\u00fcc\u00fc, B., Vatansever, \u015e., \u00d6zcan, G., \u00c7elik, A., Pakta\u015f, Y. (2015). The relationship between depression, anxiety and physical activity level among university students. International Journal of Turkish Education Sciences, 3(4), 294-303."},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"40. Osipov, A. Y., Ratmanskaya, T. I., Zemba, E. A., Potop, V., Kudryavtsev, M. D., & Nagovitsyn, R. S. (2021). The impact of the universities closure on physical activity and academic performance in physical education in university students during the COVID-19 pandemic. Physical Education of Students, 25(1), 20-27. https:\/\/doi.org\/10.15561\/20755279.2021.0103","DOI":"10.15561\/20755279.2021.0103"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"41. \u00d6zdin\u00e7, S., Ata, H., Selcuk, H., Can, H. B., Sermenli, N., & Turan, F. N. (2020). Temporomandibular joint disorder determined by Fonseca Anamnestic Index and associated factors in 18-to 27-year-old university students. CRANIO\u00ae, 38(5), 327-332. https:\/\/doi.org\/10.1080\/08869634.2018.1513442","DOI":"10.1080\/08869634.2018.1513442"},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"42. \u00d6zdin\u00e7, S., & Turan, F. N. (2019). Investigation of relationship among musculoskeletal system problems, physical activity and stress level in the students of faculty of health sciences. Archives of Health Sciences and Research, 6(2), 247-55. https:\/\/doi.org\/10.17681\/hsp.434594","DOI":"10.17681\/hsp.434594"},{"key":"ref42","doi-asserted-by":"crossref","unstructured":"43. \u00d6zdo\u011fan, A.\u00c7., & Berkant, H.G. (2020). The examination of stakeholders' opinions on distance education during the COVID-19 epidemic. Milli Egitim Journal, 49(1), 13-43. https:\/\/doi.org\/10.37669\/milliegitim.788118","DOI":"10.37669\/milliegitim.788118"},{"key":"ref43","unstructured":"44. Pirin\u00e7\u00e7i, C. \u015e., Cihan, E., & Y\u0131ld\u0131r\u0131m, N. \u00dc. (2020). The relationship between physical activity level and quality of life, presence of chronic disease, smoking and academic success in university students. KTO Karatay University Journal of Health Sciences, 1(1), 15-23."},{"key":"ref44","doi-asserted-by":"crossref","unstructured":"45. Rebar, A. L., Stanton, R., Geard, D., Short, C., Duncan, M. J., & Vandelanotte, C. (2015). A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations. Health Psychology Review, 9(3), 366-378. https:\/\/doi.org\/10.1080\/17437199.2015.1022901","DOI":"10.1080\/17437199.2015.1022901"},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"46. Rogowska, A. M., Ku\u015bnierz, C., & Bokszczanin, A. (2020). Examining anxiety, life satisfaction, general health, stress and coping styles during COVID-19 pandemic in Polish sample of university students. Psychology Research and Behavior Management, 13, 797-811. https:\/\/doi.org\/10.2147\/PRBM.S266511","DOI":"10.2147\/PRBM.S266511"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"47. R\u00f6sel, I., Bauer, L. L., Seiffer, B., Deinhart, C., Atrott, B., Sudeck, G., Hautzinger, M., & Wolf, S. (2022). The effect of exercise and affect regulation skills on mental health during the COVID-19 pandemic: A cross-sectional survey. Psychiatry Research, 312, 114559. https:\/\/doi.org\/10.1016\/j.psychres.2022.114559","DOI":"10.1016\/j.psychres.2022.114559"},{"key":"ref47","doi-asserted-by":"crossref","unstructured":"48. Rossi, R., Socci, V., Talevi, D., Mensi, S., Niolu, C., Pacitti, F., Di Marco, A., Rossi, A., Siracusano, A., & Di Lorenzo, G. (2020). COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in Psychiatry, 11, 550552. https:\/\/doi.org\/10.3389\/fpsyt.2020.00790","DOI":"10.3389\/fpsyt.2020.00790"},{"key":"ref48","doi-asserted-by":"crossref","unstructured":"49. Sahu, P. (2020). Closure of universities due to Coronavirus Disease 2019 (COVID-19): Impact on education and mental health of students and academic staff. Cureus, 12(4), e7541. https:\/\/doi.org.10.7759\/cureus.7541","DOI":"10.7759\/cureus.7541"},{"key":"ref49","doi-asserted-by":"crossref","unstructured":"50. Sa\u00f1udo, B., Fennell, C., & S\u00e1nchez-Oliver, A. J. (2020). Objectively-assessed physical activity, sedentary behavior, smartphone use, and sleep patterns pre-and during-COVID-19 quarantine in young adults from Spain. Sustainability, 12(15), 5890. https:\/\/doi.org\/10.3390\/su12155890","DOI":"10.3390\/su12155890"},{"key":"ref50","doi-asserted-by":"crossref","unstructured":"51. Silva, M. P. F. N. D., Silva Cardoso, G. M. D., Priolo Filho, S. R., Weber, S. A. T., & Corr\u00eaa, C. D. C. (2023). Technologies and mental health in university students: an unhealthy combination. International Archives of Otorhinolaryngology, 27(2), 324-328. https:\/\/doi.org\/10.1055\/s-0042-1748807","DOI":"10.1055\/s-0042-1748807"},{"key":"ref51","doi-asserted-by":"crossref","unstructured":"52. \u0160krlec, I., Talapko, J., Pustijanac, E., & Me\u0161trovi\u0107, T. (2021, January). Depression, anxiety, stress and physical activity in health-related university students during COVID-19. Medical Sciences Forum, 4, 43. https:\/\/doi.org\/10.3390\/ECERPH-3-09028","DOI":"10.3390\/ECERPH-3-09028"},{"key":"ref52","doi-asserted-by":"crossref","unstructured":"53. Su, T. P., Lien, T. C., Yang, C. Y., Su, Y. L., Wang, J. H., Tsai, S. L., & Yin, J. C. (2007). Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: a prospective and periodic assessment study in Taiwan. Journal of Psychiatric Research, 41(1-2), 119-130. https:\/\/doi.org\/10.1016\/j.jpsychires.2005.12.006","DOI":"10.1016\/j.jpsychires.2005.12.006"},{"key":"ref53","unstructured":"54. T\u00fcz\u00fcn, H., Demirk\u00f6se, H., \u00d6zkan, S., Dikmen, A. U., & \u0130lhan, M. N. (2020). COVID- Risk communication in the COVID-19 pandemic. Gazi Journal of Health Sciences, (Special Issue), 1-8."},{"key":"ref54","unstructured":"55. Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 163-172."},{"key":"ref55","doi-asserted-by":"crossref","unstructured":"56. 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. https:\/\/doi.org\/10.3390\/ijerph17051729","DOI":"10.3390\/ijerph17051729"},{"key":"ref56","doi-asserted-by":"crossref","unstructured":"57. Wang, F., & B\u00edr\u00f3, \u00c9. (2021). Determinants of sleep quality in college students: A literature review. Explore, 17(2), 170-177. https:\/\/doi.org\/10.1016\/j.explore.2020.11.003","DOI":"10.1016\/j.explore.2020.11.003"},{"key":"ref57","doi-asserted-by":"crossref","unstructured":"58. Xiang, M. Q., Tan, X. M., Sun, J., Yang, H. Y., Zhao, X. P., Liu, L., Hou, X.H., & Hu, M. (2020). Relationship of physical activity with anxiety and depression symptoms in Chinese college students during the COVID-19 outbreak. Frontiers in Psychology, 11, 582436. https:\/\/doi.org\/10.3389\/fpsyg.2020.582436","DOI":"10.3389\/fpsyg.2020.582436"},{"key":"ref58","unstructured":"59. Altunta\u015f-Y\u0131lmaz, N. (2020). Investigation of students' attitudes towards applied distance education in the COVID-19 pandemic process in higher education institutions: Example of physiotherapy and rehabilitation department. Necmettin Erbakan University Faculty of Health Sciences Journal, 3(1), 15-20."},{"key":"ref59","unstructured":"60. Yeni Elbay, R., Yilmaz, H., Cifteci, K., & Karadere, E. (2021). The psychological effects of COVID 19 on medical and non-medical university students. Psychiatria Danubina, 33(suppl 10), 126-131."},{"key":"ref60","doi-asserted-by":"crossref","unstructured":"61. Zhang, S. X., Wang, Y., Rauch, A., & Wei, F. (2020). Unprecedented disruption of lives and work: Health, distress and life satisfaction of working adults in China one month into the COVID-19 outbreak. 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