{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:47:40Z","timestamp":1792453660235,"version":"4.5.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T00:00:00Z","timestamp":1642464000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Background\/Objective<\/jats:title><jats:p>Mental health problems are common among college students. This study sought to assess the prevalence and risk factors of depressive and anxiety symptoms and well-being among Chinese college students 9 months after initiation of the outbreak of COVID-19.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross-sectional study (<jats:italic>N<\/jats:italic> = 3,951, mean age = 19.58) was conducted from October to December 2020. An online survey was used to collect socio-demographic data, and the symptoms of depression and anxiety and satisfaction with life using Disorder 7-Item Scale (GAD-7), the Patient Health Questionnaire 9-Item Scale (PHQ-9), and the 5-items Satisfaction with Life Scale (SWLS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of depressive and anxiety symptoms was 59.35 and 54.34%, respectively, and the score of satisfaction with life was 20.51 \u00b1 6.42 among Chinese college students during the pandemic. After controlling for covariates, students in urban areas (AOR = 0.73, 95% CI = 0.61\u20130.87), with good family economic levels (AOR = 0.77, 95% CI = 0.66\u20130.91), and having psychological counseling (AOR = 0.55, 95% CI = 0.42\u20130.73) were positively associated with depression symptoms; meanwhile, higher anxiety symptoms were observed among medical students (AOR = 0.81, 95% CI = 0.69\u20130.95). Besides, healthy lifestyle such as regular physical activity and diet was associated with depression and anxiety symptoms. Multiple linear models revealed that medical students (\u03b2 = 0.479, <jats:italic>P<\/jats:italic> = 0.031), those with good family economic level by self-evaluation (\u03b2 = 1.283, <jats:italic>P<\/jats:italic> &amp;lt; 0.001 for good; \u03b2 = 3.013, <jats:italic>P<\/jats:italic> &amp;lt; 0.001 for general), good academic performance by self-evaluation (\u03b2 = 1.786, <jats:italic>P<\/jats:italic> &amp;lt; 0.001 for good; \u03b2 = 3.386, <jats:italic>P<\/jats:italic> &amp;lt; 0.001 for general), learning burden (\u03b2 = 1.607, <jats:italic>P<\/jats:italic> &amp;lt; 0.001 for general; \u03b2 = 2.117, <jats:italic>P<\/jats:italic> &amp;lt; 0.001 for light), regular physical activity (\u03b2 = 0.859, <jats:italic>P<\/jats:italic> &amp;lt; 0.001), daily routine (\u03b2 = 1.289, <jats:italic>P<\/jats:italic> &amp;lt; 0.001), diet (\u03b2 = 1.714, <jats:italic>P<\/jats:italic> &amp;lt; 0.001), and sufficient sleep (\u03b2 = 1.408, <jats:italic>P<\/jats:italic> &amp;lt; 0.001) had more score of SWLS (all \u03b2 &amp;gt; 0, <jats:italic>P<\/jats:italic> &amp;lt; 0.05), while senior students (\u03b2 = \u22121.053, <jats:italic>P<\/jats:italic>=0.009), students having psychological counseling (\u03b2 = \u22121.753, <jats:italic>P<\/jats:italic> &amp;lt; 0.001), and drinking (\u03b2 = \u22120.743, <jats:italic>P<\/jats:italic> = 0.012) had lower satisfaction with life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings suggest that more attention should be paid to psychological health among college students, especially during and after the COVID-19 outbreak. Policy makers and educators should help college students develop a healthy lifestyle with regular diet and exercise to promote the psychological health of college students.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2021.777190","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T06:20:56Z","timestamp":1642486856000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":48,"title":["Anxiety, Depression, and Satisfaction With Life Among College Students in China: Nine Months After Initiation of the Outbreak of 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