{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T20:20:19Z","timestamp":1769372419793,"version":"3.49.0"},"reference-count":78,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","doi-asserted-by":"publisher","award":["FCT \u2013 Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P. (UIDB\/05704\/2020 and UIDP\/05704\/2020) and under the Scientific Employment Stimulus - Institutional Call \u2013 [CEECINST\/00051\/2018]."],"award-info":[{"award-number":["FCT \u2013 Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P. (UIDB\/05704\/2020 and UIDP\/05704\/2020) and under the Scientific Employment Stimulus - Institutional Call \u2013 [CEECINST\/00051\/2018]."]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The COVID-19 pandemic has had significant psychological impact on vulnerable groups, particularly students. The present study aims to investigate the mental and psychological impact of the COVID-19 pandemic and associated factors in a sample of Portuguese higher education students. An online cross-sectional study was conducted among 1522 higher education students selected by convenience sampling. The survey assessed mental health symptoms as well as sociodemographic variables, health-related perceptions, and psychological factors. Results were fitted to binary and multivariable logistic regression models. The overall prevalences of stress, anxiety, and depression were 35.7%, 36.2%, and 28.5%, respectively. Poor mental health outcomes were related with being female, having no children, living with someone with chronic disease, facing hopelessness, and lacking resilient coping. Future studies focusing on better ways to promote mental health and wellbeing among students are warranted. It is necessary to gather more evidence on the post-pandemic mental health using robust study designs and standardized assessment tools.<\/jats:p>","DOI":"10.3390\/ijerph19010337","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T23:31:35Z","timestamp":1640820695000},"page":"337","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Mental Health and Psychological Impact during COVID-19 Pandemic: An Online Survey of Portuguese Higher Education Students"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","sequence":"first","affiliation":[{"name":"School of Health Sciences, Campus 2, Polytechnic of Leiria, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal"},{"name":"Research in Education and Community Intervention (RECI I&D), Piaget Institute, 3515-776 Viseu, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9035-8548","authenticated-orcid":false,"given":"Maria Anjos","family":"Dixe","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Campus 2, Polytechnic of Leiria, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal"}]},{"given":"Olga","family":"Valentim","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Campus 2, Polytechnic of Leiria, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Center for Research in Health and Information Systems (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal"}]},{"given":"Zaida","family":"Charepe","sequence":"additional","affiliation":[{"name":"Institute of Health Sciences (ICS), Universidade Cat\u00f3lica Portuguesa, Palma de Cima, 1649-023 Lisboa, Portugal"},{"name":"Centre for Interdisciplinary Research in Health (CIIS), Universidade Cat\u00f3lica Portuguesa, 1649-023 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-773X","authenticated-orcid":false,"given":"Ana","family":"Querido","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Campus 2, Polytechnic of Leiria, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, Polytechnic of Leiria, 2410-541 Leiria, Portugal"},{"name":"Center for Research in Health and Information Systems (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"World Health Organization (2020). 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