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Opinion Review
Copyright: ©Author(s) 2026.
World J Psychiatry. Sep 19, 2026; 16(9): 115802
Published online Sep 19, 2026. doi: 10.5498/wjp.115802
Table 1 Synthesis of mental health outcomes among college students during coronavirus disease 2019 lockdowns (expanded)
Ref.
Country/region
Sample size
Key findings (prevalence/predictors)
Notable ER/coping factors examined
Zhao et al[4]China494Depression: 65.0%; anxiety: 69.4%; stress: 50.8%Compensatory spending (β = 0.13-0.19), binge eating (β = 0.14-0.19), recreational activities (β = -0.25 to -0.30) as key ER habits
Cao et al[2]China7143Anxiety: 24.9% (mild: 21.3%; moderate: 2.7%; severe: 0.9%)Family instability and economic concerns as major stressors
Liu et al[11]United States898Depression: 43.5%; anxiety: 45.4%COVID-19 exposure, financial stress, weak social support
Browning et al[13]United States1621Significant increases in depression/anxiety from pre-pandemic baselineLoneliness was the strongest predictor; coping through substance use was a risk factor
Li et al[14]China746217Approximately 35% experienced psychological distressPoor sleep quality and family relationships were major correlates
Pfefferbaum and North[15]ReviewN/ASummarized acute and chronic stress responses in youthHighlighted disruption of routines and uncertainty as key mediators
Aristovnik et al[16]62 countries31212 studentsHigh levels of anxiety (37.5%) and depression (33.6%)Academic stress, isolation, and concerns about academic future were top stressors


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