Meta-analysis of prevalence and associated factors of depressive symptoms in Chinese college students before and after the COVID-19 epidemic

ZHAI Wenhai; ZHANG Qiong; YAN Jun

doi:10.16835/j.cnki.1000-9817.2022.07.023

Volume 43 Issue 7

Jul. 2022

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ZHAI Wenhai, ZHANG Qiong, YAN Jun. Meta-analysis of prevalence and associated factors of depressive symptoms in Chinese college students before and after the COVID-19 epidemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(7): 1055-1060. doi: 10.16835/j.cnki.1000-9817.2022.07.023

Citation:

ZHAI Wenhai, ZHANG Qiong, YAN Jun. Meta-analysis of prevalence and associated factors of depressive symptoms in Chinese college students before and after the COVID-19 epidemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(7): 1055-1060. doi: 10.16835/j.cnki.1000-9817.2022.07.023

Citation:

ZHAI Wenhai, ZHANG Qiong, YAN Jun. Meta-analysis of prevalence and associated factors of depressive symptoms in Chinese college students before and after the COVID-19 epidemic[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(7): 1055-1060. doi: 10.16835/j.cnki.1000-9817.2022.07.023

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Meta-analysis of prevalence and associated factors of depressive symptoms in Chinese college students before and after the COVID-19 epidemic

doi: 10.16835/j.cnki.1000-9817.2022.07.023

School Hospital of China Three Gorges University, Yichang (443002), Hubei Province, China

Received Date: 2022-01-04
Rev Recd Date: 2022-04-17

Available Online: 2022-07-27

Publish Date: 2022-07-25

Abstract

Abstract

Objective To explore the prevalence and related factors of depressive symptoms in Chinese college students before and after the COVID-19 epidemic and to provide a reference for mental health education and management. Methods Database of PubMed, Cochrane, CBM, WanFang, CNKI and CIP were searched for the studies on depressive symptoms in Chinese college students using the Self-Rating Depression Scale (SDS) or the Center for Epidemiologic Studies Depression Scale (CES-D). All the literatures were classified according to the publication time before and after the epidemic around January 2020. Meta-analysis was performed by using Stata15.1. Results There were 26 articles before the epidemic, with a total sample size of 76 816 participants, and 18 articles after the epidemic, with a total sample size of 102 653 participants. The detection rate of depressive symptoms in college students after the epidemic was higher than that before the epidemic (35.7%, 30.9%). Fifteen factors were included in the Meta-analysis. There was a positive correlation between being third year in college and college students before the epidemic (OR=1.27). Before and after the epidemic, being fourth year in college, introvert personality, breakfast skipping, physically unhealthy, poor family economy, single parent, staying up late and poor sleep quality were all positively correlated with depression of college students (OR=1.44, 1.35;1.68, 2.01;3.33, 3.03;2.21, 4.99;1.80, 1.89;2.33, 1.92;1.53, 3.08;2.23, 2.97), while high social support and physical exercise were negatively correlated with depression for depressive symptoms in college students(OR=0.57, 0.55;0.78, 0.60)(P < 0.05). Conclusion The detection rate of depressive symptoms among college students after the epidemic is higher. The effect of introversion, physical exercise, physically unhealthy, poor sleep quality and staying up late are higher after pandemic compared than before the epidemic. The targeted mental intervention and health education should be strengthened.
- Depression,
- Mental health,
- Meta-analysis,
- Students

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References(51)

References

[1]	LEI X Y, XIAO L M, LIU Y N, et al. Prevalenceof depression among Chinese university students: a Meta-analysis[J]. PLoS One, 2016, 11(4): e0153454. doi: 10.1371/journal.pone.0153454
[2]	赵颖, 王艳秋, 王俊, 等. 大学生自伤行为抑郁焦虑现况及相关性分析[J]. 中国学校卫生, 2021, 42(1): 92-95. doi: 10.16835/j.cnki.1000-9817.2021.01.022 ZHAO Y, WANG Y Q, WANG J, et al. Relationship between self-harm with depression and anxiety in college students[J]. Chin J Sch Health, 2021, 42(1): 92-95. doi: 10.16835/j.cnki.1000-9817.2021.01.022
[3]	WANG Z H, YANG H L, YANG Y Q, et al. Prevalence of anxiety and depression symptom, and the demands for psychological knowledge and interventions in college students during COVID-19 epidemic: a large cross-sectional study[J]. J Affect Disord, 2020, 275: 188-193. doi: 10.1016/j.jad.2020.06.034
[4]	曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四: 观察性研究的质量评价工具[J]. 中国循证心血管医学杂志, 2012, 4(4): 297-299. doi: 10.3969/j.1674-4055.2012.04.004 ZENG X T, LIU H, CHEN X, et al. Meta-analysis series IV: quality assessment tools for observational studies[J]. Chin J Evid Based Cardiovasc Med, 2012, 4(4): 297-299. doi: 10.3969/j.1674-4055.2012.04.004
[5]	TANG Z L, FENG S D, LIN J. Depression and its correlation with social support and health-promoting lifestyles among Chinese university students: a cross-sectional study[J]. BMJ Open, 2021, 11(7): e044236. doi: 10.1136/bmjopen-2020-044236
[6]	LI Q, GUO L, ZHANG S, et al. The relationship between childhood emotional abuse and depressive symptoms among Chinese college students: the multiple mediating effects of emotional and behavioral problems[J]. J Affect Disord, 2021, 288(9): 129-135.
[7]	XIE H, TAO S, ZHANG Y, et al. Impact of problematic mobile phone use and insufficient physical activity on depression symptoms: a college-based follow-up study[J]. BMC Public Health, 2019, 19(1): 1640. doi: 10.1186/s12889-019-7873-z
[8]	LI W, YIN J, CAI X, et al. Association between sleep duration and quality and depressive symptoms among university students: a cross-sectional study[J]. PLoS One, 2020, 15(9): e0238811. doi: 10.1371/journal.pone.0238811
[9]	CHENG S, JIA C, WANG Y. Only children were associated with anxiety and depressive symptoms among college students in China[J]. Int J Environ Res Public Health, 2020, 17(11): 4035. doi: 10.3390/ijerph17114035
[10]	李婷婷, 伍晓艳, 陶舒曼. 大学生体力活动与身体健康及抑郁症状的关联[J]. 中国学校卫生, 2020, 41(6): 867-870. doi: 10.16835/j.cnki.1000-9817.2020.06.018 LI T T, WU X Y, TAO S M, et al. Study on the relationship between physical activity and physical, mental health of college students[J]. Chin J Sch Health, 2020, 41(6): 867-870. doi: 10.16835/j.cnki.1000-9817.2020.06.018
[11]	刘梦, 姜明静, 倪方端, 等. 甘肃省某高校大学生抑郁情绪调查研究[J]. 华南预防医学, 2019, 45(1): 69-72. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF201901017.htm LIU M, JIANG M J, NI F D, et al. Status of depression of college students in Gansu Province[J]. South Chin J Prev Med, 2019, 45(1): 69-72. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF201901017.htm
[12]	戎志, 程明慧, 王思远, 等. 家庭及社会支持对医学生抑郁情绪的影响作用分析[J]. 社会与公益, 2020, 11(1): 71-73. https://www.cnki.com.cn/Article/CJFDTOTAL-SHGI202001022.htm RONG Z, CHENG M H, WANG S Y, et al. Effect of family and social support on depression of medical students[J]. Soc Public Welfare, 2020, 11(1): 71-73. https://www.cnki.com.cn/Article/CJFDTOTAL-SHGI202001022.htm
[13]	马兰, 郭丽芳, 李越, 等. 大学生抑郁症状现况及其与负性生活事件的关系[J]. 现代预防医学, 2020, 47(8): 1435-1438. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202008023.htm MA L, GUO L F, LI Y, et al. Relationship between depressive symptoms and negative life events of university students[J]. Mod Prev Med, 2020, 47(8): 1435-1438. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202008023.htm
[14]	赵浴光, 杨宏艳, 葛杰, 等. 齐齐哈尔市大学生留守经历睡眠质量对抑郁的影响[J]. 中国学校卫生, 2020, 41(2): 258-260, 264. doi: 10.16835/j.cnki.1000-9817.2020.02.026 ZHAO Y G, YANG H Y, GE J, et al. Effects of left-behind experience and sleep quality on depression in college students[J]. Chin J Sch Health, 2020, 41(2): 258-260, 264. doi: 10.16835/j.cnki.1000-9817.2020.02.026
[15]	潘莉莉, 姚文兵, 孙燕, 等. 大学生手机依赖与抑郁症状及其社会支持效应修饰作用[J]. 中国公共卫生, 2019, 35(7): 857-860. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201907017.htm PAN L L, YAO W B, SUN Y, et al. Prevalence of and correlation between problematic mobile phone use and depressive symptoms and modification effect of social support on the correlation among college students[J]. Chin J Public Health, 2019, 35(7): 857-860. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW201907017.htm
[16]	纪可, 刘玲, 刘茹, 等. 基于结构方程模型探讨大学生阳虚体质睡眠质量和抑郁的关系[J]. 世界科学技术, 2021, 23(5): 1362-1367. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX202105008.htm JI K, LIU L, LIU R, et al. Study on the mediating effect of sleep quality between yang-deficiency constitution and depression in college students based on structural equation model[J]. World Sci Technol, 2021, 23(5): 1362-1367. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX202105008.htm
[17]	高蕾, 李方明, 高晓雷. 西藏高原地区大学生睡眠质量与抑郁焦虑症状的关系[J]. 中国学校卫生, 2021, 42(4): 593-596. doi: 10.16835/j.cnki.1000-9817.2021.04.026 GAO L, LI F M, GAO X L. Relationship between sleep quality with depression and anxiety symptoms in college students at Tibet Plateau areas[J]. Chin J Sch Health, 2021, 42(4): 593-596. doi: 10.16835/j.cnki.1000-9817.2021.04.026
[18]	杨晖, 任仲坤, 杨莉, 等. 医学院校大学生心理健康与不同因素之间的关系研究: 以昆明医科大学为例[J]. 科技资讯, 2020, 18(27): 190-192. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXLJ202027077.htm YANG H, REN Z S, YANG L, et al. The relationship research between mental health and different factors of students in medical college: taking Kunming Medical University as an example[J]. Technol Inform, 2020, 18(27): 190-192. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXLJ202027077.htm
[19]	侯玉琦, 胡爱民, 李数, 等. 民族地区高校学生抑郁及影响因素调查[J]. 吉首大学学报(自然科学版), 2020, 41(2): 85-89. https://www.cnki.com.cn/Article/CJFDTOTAL-JSDN202002019.htm HOU Y Q, HU A M, LI S, et al. Investigation on depression of undergraduates in ethnic areas and influencing factors[J]. J Univ Jishou(Natur Sci Ed), 2020, 41(2): 85-89. https://www.cnki.com.cn/Article/CJFDTOTAL-JSDN202002019.htm
[20]	高迪, 张红杰. 某高校在校大学生焦虑和抑郁现况分析[J]. 医学研究与教育, 2019, 36(4): 41-46. doi: 10.3969/j.issn.1674-490X.2019.04.008 GAO D, ZHANG H J. Analysis on the status of anxiety and depression of college students in a university[J]. Med Res Educ, 2019, 36(4): 41-46. doi: 10.3969/j.issn.1674-490X.2019.04.008
[21]	穆菁菁, 苏普玉, 李龙春, 等. 某高校大学生心理调适能力与焦虑、抑郁的相关性研究[J]. 蚌埠医学院学报, 2019, 44(6): 787-791. https://www.cnki.com.cn/Article/CJFDTOTAL-BANG201906027.htm MU Q Q, SU P Y, LI L C, et al. Study on the correlation of psychological adjustment ability with anxiety and depression in college students[J]. J Bengbu Med Coll, 2019, 44(6): 787-791. https://www.cnki.com.cn/Article/CJFDTOTAL-BANG201906027.htm
[22]	罗利芬. 大学生抑郁发生情况、健康知识认知情况调查及宣教[J]. 黑龙江中医药, 2019, 48(5): 148-149. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZY201905101.htm LUO L F. Investigation and education of depression and health knowledge among college students[J]. J Heilongjiang Tradit Chin Med, 2019, 48(5): 148-149. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZY201905101.htm
[23]	周文磊. 大学生抑郁焦虑的发生情况及其与自我心理调适能力相关性影响[J]. 中国保健营养, 2021, 31(4): 106-107. ZHOU W L. Occurrence of depression and anxiety and its correlation with self-psychological adjustment ability of college students[J]. Chin Health Care Nutr, 2021, 31(4): 106-107.
[24]	张全瑁, 李红. 兰州大学707名在校大学生抑郁和焦虑状况及其影响因素分析[J]. 东方药膳, 2019, 25(19): 38-39. ZHANG Q M, LI H. Analysis of depression and anxiety status and its influencing factors among 707 college students in Lanzhou University[J]. Orient Medicated Diet, 2019, 25(19): 38-39.
[25]	李海峰, 杨光, 夏德涛, 等. 医学院校大学生抑郁现状的Logistic回归分析[J]. 中国卫生统计, 2020, 37(6): 870-873. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202006018.htm LI H F, YANG G, XIA D D, et al. Logistic regression analysis of depression in medical college students[J]. Chin J Health Statis, 2020, 37(6): 870-873. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202006018.htm
[26]	蒋霞. 大学新生焦虑与抑郁状况调查分析: 以某市属高校为例[J]. 生活教育, 2019, 86(11): 117-120. https://www.cnki.com.cn/Article/CJFDTOTAL-JYSH201911037.htm JIANG X. A survey of anxiety and depression among freshmen in colleges and universities[J]. Life Educ, 2019, 86(11): 117-120. https://www.cnki.com.cn/Article/CJFDTOTAL-JYSH201911037.htm
[27]	汪大祝, 张婷, 唐礼庆. 大学生抑郁情绪与不同家庭相关因素之间的关系研究[J]. 皖南医学院学报, 2019, 38(5): 486-489. doi: 10.3969/j.issn.1002-0217.2019.05.022 WANG D Z, ZHANG T, TANG L Q. Stressful events and family factors in college students[J]. J Wannan Med Coll, 2019, 38(5): 486-489. doi: 10.3969/j.issn.1002-0217.2019.05.022
[28]	蔡啸镝, 刘跃峰. 乌鲁木齐市高职院校在校大学生抑郁状况与生活事件的相关分析[J]. 职业与健康, 2021, 37(16): 2247-2250. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202116020.htm CAI X D, LIU Y F. Correlation analysis on depression status and life events among students in higher vocational colleges in Urumqi[J]. Occup Health, 2021, 37(16): 2247-2250. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202116020.htm
[29]	乔瑞红, 苗秋香. 高校大学生手机成瘾变化趋势与不良心理问题的关联[J]. 中国学校卫生, 2021, 42(10): 1516-1519. doi: 10.16835/j.cnki.1000-9817.2021.10.017 QIAO R H, MIAO Q X. Analysis of the correlation between the changing trends of mobile phone addiction and unhealthy psychological problems of college students[J]. Chin J Sch Health, 2021, 42(10): 1516-1519. doi: 10.16835/j.cnki.1000-9817.2021.10.017
[30]	刘诗茗, 袁源, 罗斌. 新冠肺炎流行对大学生抑郁、焦虑情绪的影响及相关因素分析[J]. 医学临床研究, 2020, 37(6): 819-823. LIU S M, YUAN Y, LUO B. Influence of COVID-19 on depression and anxiety of college students and analysis of related factors[J]. J Clin Res, 2020, 37(6): 819-823.
[31]	董浩, 王婷, 魏文革, 等. 新冠肺炎疫情下医学研究生心理状态调查与分析[J]. 临床和实验医学杂志, 2020, 19(12): 1247-1249. doi: 10.3969/j.issn.1671-4695.2020.12.005 DONG H, WANG T, WEI W G, et al. Investigation and analysis of psychological state of medical postgraduates[J]. J Clin Experim Med, 2020, 19(12): 1247-1249. doi: 10.3969/j.issn.1671-4695.2020.12.005
[32]	李娟娟, 杨国愉. 艺术类专业大学生焦虑及抑郁状况的影响因素分析[J]. 校园心理, 2021, 19(6): 494-498. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXL202106008.htm LI J J, YANG G Y. Influential factors of anxiety and depression in art majors[J]. Campus Life Ment Health, 2021, 19(6): 494-498. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXL202106008.htm
[33]	邵倩倩, 程浩宇, 刘浩网, 等. 网络教学时期地方普通高校学生心理健康状况调查[J]. 淮海医药, 2021, 39(4): 421-424. https://www.cnki.com.cn/Article/CJFDTOTAL-HHYY202104030.htm SAO Q Q, CHENG H Y, LIU H W, et al. Investigation on mental health status of local college students during online teaching[J]. J Huaihai Med, 2021, 39(4): 421-424. https://www.cnki.com.cn/Article/CJFDTOTAL-HHYY202104030.htm
[34]	任帅, 王帆, 李广霞, 等. 新冠肺炎疫情流行期间内蒙古地区大学生抑郁及情感现状影响因素分析[J]. 包头医学院学报, 2020, 36(8): 70-74. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX202008020.htm REN S, WANG F, LI G X, et al. Investigation on the status of influencing factors for depression and negative emotions of college students in Inner Mongolia during the prevalence of novel coronavirus pneumonia[J]. J Med Coll Baotou, 2020, 36(8): 70-74. https://www.cnki.com.cn/Article/CJFDTOTAL-BTYX202008020.htm
[35]	尤嘉诚, 项明强, 谭先明, 等. 大学生手机依赖与抑郁的关系: 夜间熄灯后使用手机行为的效应修饰作用[J]. 中国健康心理学杂志, 2021, 29(5): 734-739. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202105020.htm YOU J C, XIANG M Q, TAN X M, et al. Relationship between mobile phone addiction and depression in college students: the role of modification effect of the behavior of using mobile phones after lights out at night[J]. Chin J Health Psychol, 2021, 29(5): 734-739. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202105020.htm
[36]	郑书深, 王永红, 陈立花, 等. 疫情防控背景下高职高专院校学生心理状况影响因素分析[J]. 河北北方学院学报, 2020, 36(6): 91-94, 97. doi: 10.3969/j.issn.2095-462X.2020.06.021 ZHENG S S, WANG Y H, CHEN L H, et al. Analysis of the psychological status and Its influencing factors of vocational college students in the background of epidemic prevention and control[J]. J Hebei North Univ, 2020, 36(6): 91-94, 97. doi: 10.3969/j.issn.2095-462X.2020.06.021
[37]	门延艳, 王保珍, 侯青芝, 等. 2020年1-3月大学生居家期间抑郁状况及影响因素分析[J]. 中国保健营养, 2019, 29(11): 1-3. MEN Y Y, WANG B Z, HOU Q Z, et al. Analysis of depression and its influencing factors among college students during their home stay from Jan. to Mar. 2020[J]. China Health Care Nutr, 2019, 29(11): 1-3.
[38]	易海, 彭宙, 张理强, 等. 新型冠状病毒肺炎暴发流行期间岭南师范学院艺术系大学生心理健康状况[J]. 中国健康心理学杂志, 2020, 28(10): 1491-1495. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202010013.htm YI H, PAN Z, ZHANG L Q, et al. Mental health of art students in Lingnan Normal University during the period of COVID-19 outbreak[J]. Chin J Health Psychol, 2020, 28(10): 1491-1495. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202010013.htm
[39]	YU M L, TIAN F Q, CUI Q, et al. Prevalence and its associated factors of depressive symptoms among Chinese college students during the COVID-19 pandemic[J]. BMC Psychiatry, 2021, 21(1): 66. doi: 10.1186/s12888-021-03066-9
[40]	ZHANG Y, WU X, TAO S, LI S, et al. between screen time, physical activity, and depressive symptoms during the 2019 coronavirus disease (COVID-19) outbreak among Chinese college[J]. Environ Health Prev Med, 2021, 26(1): 107. doi: 10.1186/s12199-021-01025-0
[41]	ZHANG X D, SHI X, WANG Y, et al. Risk factors of psychological responses of Chinese university students during the COVID-19 outbreak[J]. J Med Int Res, 2021, 23(7): e29312.
[42]	潘苗, 张三强, 周升生, 等. 应激状态下大学生心理健康相关影响因素及应对方式[J]. 中国健康心理学杂志, 2021, 29(2): 309-313. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202102032.htm PAN M, ZHANG S Q, ZHOU S S, et al. Analysis of related factors and coping styles of college students' mental health under stress[J]. Chin J Health Psychol, 2021, 29(2): 309-313. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL202102032.htm
[43]	吴楠, 张婉君, 笃梦雪, 等. 新冠肺炎疫情期间某高校返校大学生抑郁焦虑现况及影响因素[J]. 中国学校卫生, 2021, 42(4): 602-606. doi: 10.16835/j.cnki.1000-9817.2021.04.028 WU N, ZHANG W J, JIA M X, et al. Depression and anxiety and assciated factors among college students returned to campus during the outbreak of COVID-19[J]. Chin J Sch Health, 2021, 42(4): 602-606. doi: 10.16835/j.cnki.1000-9817.2021.04.028
[44]	毛森林, 罗莎, 李峰, 等. 疫情后期医学研究生焦虑抑郁状态的研究[J]. 哈尔滨医科大学学报, 2020, 54(5): 560-563. doi: 10.3969/j.issn.1000-1905.2020.05.026 MAO S L, LUO S, LI F, et al. Research on the anxiety and depression status of medical postgraduates in the late epidemic[J]. J Harbin Med Univ, 2020, 54(5): 560-563. doi: 10.3969/j.issn.1000-1905.2020.05.026
[45]	纪小琴, 余蓉, 牟敏, 等. 新型冠状病毒肺炎疫情期间四川地区护理本科生的心理状况分析[J]. 医学教育研究与实践, 2020, 28(2): 225-228. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYX202002013.htm JI X Q, YU R, MU M, et al. Analysis of psychological state in Sichuan area nursing undergraduate's during the epidemic of COVID-19[J]. Med Edu Res Pract, 2020, 28(2): 225-228. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYX202002013.htm
[46]	JING Y R, HAN W T, WANG Y L, et al. Network-based online survey exploring self-reported depression among university and college students during the early days of the COVID-19 outbreak[J]. Fron Psychiatry, 2021, 12(5): 658388.
[47]	REN Z Y, XIN Y D, GE J P, et al. Psychological impact of COVID-19 on college students after school reopening: a cross-sectional study based on machine learning[J]. Front Psychol, 2021, 29(12): 641806.
[48]	WANG Y, XIAO H, ZHANG X, et al. The role of active coping in the relationship between learning burnout and sleep quality among college students in China[J]. Front Psychol, 2020, 11: 647. doi: 10.3389/fpsyg.2020.00647
[49]	朱潇旭, 杨芙蓉, 邹小娟, 等. COVID-19疫情期间抑郁症与睡眠障碍的相关性研究[J]. 湖北中医药大学学报, 2020, 22(6): 50-54. doi: 10.3969/j.issn.1008-987x.2020.06.13 ZHU X X, YANG F R, ZOU X J, et al. Study on the correlation of depression and sleep disorders during COVID-19 outbreaks[J]. J Chin Med Univ, 2020, 22(6): 50-54. doi: 10.3969/j.issn.1008-987x.2020.06.13
[50]	JAHANFAR A, FEREIDOUNI Z, BEHNAMMOGHADAM M, et al. Efficacy of eye movement desensitization and reprocessing on the quality of life in patients with major depressive disorder: a randomized clinical trial[J]. Psychol Res Behav Manag, 2020, 13: 11-17. doi: 10.2147/PRBM.S232589
[51]	PENGPID S, PELTZER K. Skipping breakfast and its association with health risk behaviour and mental health among university students in 28 countries[J]. Diabetes Metab Syndr Obes, 2020, 13: 2889-2897. doi: 10.2147/DMSO.S241670