Résumés
Résumé
L’objectif de cette étude est de documenter l’évolution de la santé psychologique d’étudiantes en psychoéducation durant la crise liée à la COVID-19. Cent cinquante-neuf étudiantes de psychoéducation (90 % de femmes), sélectionnées à partir d’un échantillon plus vaste de 876 étudiantes, ont rempli des questionnaires à deux temps de mesure : avant la COVID-19 en octobre 2019 (Temps 1) et durant la COVID-19 en janvier 2021 (Temps 2). Les questionnaires portaient notamment sur la dépression, l’anxiété, le stress, le soutien social, les stratégies d’adaptation, la connaissance et l’utilisation des services de soutien psychologique sur le campus et les événements de vie stressants. Les données montrent que la pandémie liée à la COVID-19 n’a pas affecté toutes les étudiantes de la même façon. Les étudiantes de premier cycle et celles qui utilisaient davantage des stratégies d’adaptation comme l’évitement ou les attributions auto-accusatrices avant cette crise ont vu une détérioration de leur santé psychologique pendant la crise. Les étudiantes de maîtrise, celles qui utilisaient des stratégies d’adaptation centrées sur le problème et celles qui bénéficiaient d’un bon soutien de la part des membres de leurs familles avant la crise ont plutôt vu une amélioration de leur santé psychologique. Des pistes de solution sont présentées pour améliorer le bien-être étudiant.
Mots-clés :
- santé psychologique,
- étudiants,
- université,
- psychoéducation,
- anxiété,
- dépression,
- soutien social,
- stratégies d’adaptation
Abstract
The aim of this study was to examine the evolution of psychological health among psychoeducation students during the crisis associated with COVID-19. One hundred and fifthy-nine students (90 % of women), selected from a sample of 876 students, completed a series of questionnaires at two times: before COVID-19 in October 2019 (Time 1), and during the COVID-19 in January 2021 (Time 2). Questionnaires assessed depression, anxiety, stress, social support, coping strategies, knowledge and use of psychological services on the campus, as well as stressful life events. The results showed that the crisis associated with COVID-19 pandemic did not affect all the students on de same way. Undergraduate students and students who used coping strategies such as avoidance and self-blame attributions before the pandemic showed a deterioration of their psychological well-being. On the other hand, graduate students, those who used coping strategies focused on the problem and those who benefit from a good social support from their families before the pandemic showed an improvement of their psychological well-being. The discussion presents solutions to improve psychological well-being among students.
Keywords:
- psychological health,
- students,
- university,
- psychoeducation,
- anxiety,
- depresion,
- social support,
- coping strategies
Parties annexes
Bibliographie
- Alsubaie, M. M., Stain, H. J., Webster, L. A. D. et Wadman, R. (2019). The role of sources of social support on depression and quality of life for university students. International Journal of Adolescence and Youth, 24(4), 484-496. https://doi.org/10.1080/02673843.2019.1568887
- American Psychological Association (2016). Professional health and well being for psychologists.https://www.apaservices.org/practice/ce/self-care/well-being
- Beck, A. T., Steer, R. A. et Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation.
- Beck, A. T., Steer, R. A. et Brown, G. K. (1998). Inventaire de dépression de Beck (BDI-II). French Version. Pearson.
- Benham, F. (2020). Stress and sleep in college students prior to and during the COVID-19 pandemic. Stress and Health, https://doi.org/10.1002/smi.3016
- Boisvert, C. (2018) Piste de prévention en santé mentale pour les étudiants en relation d’aide : Influence des facteurs de risque et de protection sur des indicateurs de santé mentale. (Mémoire de maîtrise). Université de Montréal.
- Byrd, D. R. et McKinney, K. J. (2012). Individual, interpersonal, and institutional level factors associated with the mental health of college students. Journal of American College Health, 60, 185-193.
- Canadian Association of College and University Student Services and Canadian Mental Health Association (2013). Post-Secondary Student Mental Health: Guide to a Systemic Approach.https://healthycampuses.ca/wp-content/uploads/2014/09/The-National-Guide.pdf
- Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J. et Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, Article 112934. https://doi.org/10.1016/j.psychr es.2020.112934
- Chen, R.-N., Liang, S.-W., Peng, Y., Li, X.-G., Chen, J.-B., Tang, S.-Y. et Zhao, J.-B. (2020). Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: A large-scale survey. Journal of Psychosomatic Research, 137, Article 110219. https://doi.org/10.1016/j.jpsychores.2020.110219
- Cohen, S., Kamarck, T. et Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 386-396.
- Commission de la santé mentale du Canada (2017). Document d’information : Projet de recherche pilote sur L’esprit curieux. https://www.mentalhealthcommission.ca/wp-content/uploads/drupal/2017-09/MHFA_TIM_Research_Pilot_Back grounder_2017-09-07_FINAL-FR_0.pdf
- Connolly, S. L. et Alloy, L. B. (2017). Rumination interacts with life stress to predict depressive symptoms: An ecological momentary assessment study. Behaviour Research and Therapy, 97, 86-95. https://doi.org/10.1016/j.brat.2017.07.006
- Cousson-Gelié, F., Cosnefroy, O., Christophe, C., Segrestant-Crouzet, C., Merckaert, I., Fournir, E., Libert, Y., Lafaye, A. et Razavi, D. (1996). The Ways of Coping Checklist (WCC). Validation in French-speaking cancer patients. Journal of Health Psychology, 15(8), 1246-1256.
- Cvetkovski, S., Reavley, N. J. et Jorm, A. F. (2012). The prevalence and correlates of psychological distress in Australian tertiary students compared to their community peers. Australian and New Zealand Journal of Psychiatry, 46(5), 457-467.
- Dadonna, M. F. (2011). Peer educators responding to students with mental health issues. New Directions for Student Services, 133, 29-39. https://doi.org/10.1002/ss.382
- Deasy, C., Coughlan, B., Pironom, J., Jourdan, D. et Mannix-McNamara, P. (2014). Psychological distress and coping amongst higher education students: A mixed method enquiry. PLoS One, 9(12), Article e115193. https://doi.org/10.1371/journal.pone.0115193
- Debowska, A., Horeczy, B., Boduszek, D. et Dolinski, D. (2020). A repeated cross-sectional survey assessing university students’ stress, depression, anxiety, and suicidality in the early stages of the COVID-19 pandemic in Poland. Psychological Medicine, 1-4. https://doi.org/10.1017/S003329172000392X
- Dennhardt, A. A. et Murphy, J. G. (2011). Associations between depression, distress tolerance, delay discounting, and alcohol-related problems in European American and African American college students. Psychology of Addictive Behaviors, 25(4), 595-604. https://doi.org/10.1037/a0025807
- Dodd, R. H., Dadaczynski, K., Okan, O., McCaffery, K. J. et Pickles, K. (2021). Psychological wellbeing and academic experience of university students in Australia during COVID-19. 18(3), 866. https://www.mdpi.com/1660-4601/ 18/3/866
- Dozois, D. J. A., Dobson, K. S. et Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory–II. Psychological Assessment, 10(2), 83-89. https://doi.org/10.1037/1040-3590.10.2.83
- Dyrbye, L. N., Thomas, M. R. et Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Academic Medicine, 81(4), 354-373. https://doi.org/10.1097/00001888-200604000-00009
- D’Zurilla, T.J. et Nezu, A.M. (1999). Problem-solving Therapy. Springer.
- Eisenberg, D., Golberstein, E. et Hunt, J. B. (2009). Mental health and academic success in college. The B.E. Journal of Economic Analysis and Policy, 9(1). https://doi.org/10.2202/1935-1682.2191
- Eisenberg, D., Gollust, S. E., Golberstein, E. et Hefner, J. L. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534-542. https://doi.org/10.1037/0002-9432.77.4.534
- Eisenberg, D., Hunt, J. et Speer, N. (2013). Mental health in American colleges and universities: variation across student subgroups and across campuses. The Journal of Nervous and Mental Disease, 201(1), 60-67. https://doi.org/10.1097/NMD.0b013e31827ab077
- Essadek, A. et Rabeyron, T. (2020). Mental health of French students during the Covid-19 pandemic. Journal of Affective Disorders, 277, 392-393. https://doi.org/10.1016/j.jad.2020.08.042
- Farrer, L. M., Gulliver, A., Bennett, K., Fassnacht, D. B. et Griffiths, K. M. (2016). Demographic and psychosocial predictors of major depression and generalised anxiety disorder in Australian university students. BMC psychiatry, 16(1), 241. https://bmcpsychiatry.biomed central.com/articles/10.1186/s12888-016-0961-z
- Fédération des associations étudiantes du campus de l’Université de Montréal (2016). Enquête sur la santé psychologique étudiante. http://https://www.faecum.qc.ca/ressources/documentation/avis-memoires-recherches-et-positions-1/enquete-sur-la-sante-psychologique-etudiante
- Fédération des associations étudiantes du campus de l’Université de Montréal (2019). Bilan de la santé psychologique étudiante – AGÉPUM
- Folkman, S. et Lazarus, R.S. (1980). An analysis of coping in middle-aged community sample. Journal of Health and Social Behavior, 21(3), 219-239.
- Gauthier, J. et Bouchard, S. (1993). A French-canadian adaptation of the revised version of Spielberger’s State-Trait Anxiety Inventory. Canadian Journal of Behavioural Science, 25(4), 559-578. https://doi.org/10.1037/h0078881
- Grégoire, S., Lachance, L., Bouffard, T., Hontoy, L-M et DeMondehare, L. (2016). L’efficacité de l’approche d’acceptation et d’engagement en regard de la santé psychologique et de l’engagement scolaire des étudiants universitaires. Revue canadienne des sciences du comportement, 48 (3), 221-231. http://dx.doi.org/10.1037/cbs0000040
- Hamza, C. A., Ewing, L., Heath, N. L. et Goldstein, A. L. (2021). When social isolation is nothing new: A longitudinal study on psychological distress during COVID-19 among university students with and without preexisting mental health concerns. Canadian Psychology/Psychologie canadienne, 62(1), 20-30. https://doi.org/10.1037/cap0000255
- Hipkins, J., Whitworth, M., Tarrier, N. et Jayson, G. (2004). Social support, anxiety and depression after chemotherapy for ovarian cancer: A prospective study. British Journal of Health Psychology, 9, 569-581.
- Holt, M.K. et Espelage, D.L. (2005). Social support as a moderator between dating violence victimization and depression/anxiety among African American and Caucasian adolescents. School Psychology Review, 34, 309-328.
- Ibrahim, A. K., Kelly, S. J., Adams, C. E. et Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391-400. https://doi.org/https://doi.org/ 10.1016/j.jpsychires.2012.11.015
- Institut de la statistique du Québec (2020). Enquête sur la santé psychologique de la population. Gouvernement du Québec.
- Jogaratnam, G. et Buchanan, P. (2004). Balancing the demands of school and work: Stress and employed hospitality students. International Journal of Contemporary Hospitality Management, 16(4), 237-245. https://doi.org/10.1007/s00127-012-0574-x
- Kawachi, I. et Berkman, L. F. (2001). Social ties and mental health. Journal of UrbanHealth, 78(3), 458-467.
- Khan, A. H., Sultana, M. S., Hossain, S., Hasan, M. T., Ahmed, H. U. et Sikder, M. T. (2020). The impact of COVID-19 pandemic on mental health and wellbeing among home-quarantined Bangladeshi students: A cross-sectional pilot study. Journal of Affective Disorders, 277, 121-128. https://doi.org/10.31234/osf.io/97s5r
- Lee, H.-F., Kuo, C.-C., Chien, T.-W. et Wang, Y.-R. (2016). A meta-analysis of the effects of coping strategies on reducing nurse burnout. Applied Nursing Research, 100–110, https://doi.org/10.1016/j.apnr.2016.01.001
- Lesage, F.-X., Berjot, S. et Deschamps, F. (2012). Psychometric properties of the French versions of the Perceived Stress Scale. International Journal of Occupational Medical Environment, 25, 178–184 (2012).
- Lyons, Z., Wilcox, H., Leung, L., et Dearsley, O. (2020). COVID-19 and the mental well-being of Australian medical students: Impact, concerns and coping strategies used. Australas Psychiatry, 28(6), 649-652. https://doi.org/10.1177/1039856220947945
- Matthews, T., Danese, A., Wertz, J., Odgers, C. L., Ambler, A., Moffitt, T. E. et Arseneault, L. (2016). Social isolation, loneliness and depression in young adulthood: A behavioural genetic analysis. Social Psychiatry and Psychiatric Epidemiology, 51(3), 339- 348. https://doi.org/10.1007/s00127-016-1178-7
- McCarthy, E. Tarrier et Gregg, L. (2002). The nature and timing of seasonal affective symptoms and the influence of self-esteem and social support: A longitudinal prospective study. Psychological Medicine, 32, 1425-1434.
- Nicolas, M. (2009). Personality, social support and affective states during simulated microgravity in healthy women. Advances in Space Research, 22, 1470-1478.
- Odriozola-González, P., Planchuelo-Gómez, Á., Irurtia, M. J. et de Luis-García, R. (2020). Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Research, 290, Article 113108. https://doi.org/10.1016/j.psychres.2020.113108
- Paré, M. L. et Marcotte, D. (2014). La consultation de services psychologiques chez les jeunes adultes : enjeux et pistes de solution. Psychologie Québec, 31(4), 29-31.
- Paulus, A. (2020). Le rôle modérateur de la congruence au travail dans le lien entre les difficultés de régulation émotionnelle et l’épuisement professionnel. Thèse de doctorat inédite. https://papyrus.bib.umontreal.ca/xmlui/handle/1866/25822
- Prince, J. P. (2015). University student counseling and mental health in the United States: Trends and challenges. Mental Health and Prevention, 3(1), 5-10. https://doi.org/10.1016/j.mhp.2015.03.001
- Ramesh Bhat M. S. M. et Ganaraja B. (2011). Eustress in education: Analysis of the perceived stress score (PSS) and blood pressure (BP) during examinations in medical students. 5(7), 1331-1335. https://manipal.pure.elsevier.com/en/publications/eustress-in-education-analysis-of-the-perceived-stress-score-pss-
- Roche, A. I., Holdefer, P.J. et Thomas, E.B.K. (2022). College students mental health: Understanding changes in the psychological symptoms in the context of the COVID-19 pandemic in the United States. Current Psychology. http://doi.org/10.1007/s12144-022-03193-w
- Roh, M.-S., Jeon, H. J., Kim, H., Han, S. K. et Hahm, B.-J. (2010). The prevalence and impact of depression among medical students: A nationwide cross-sectional study in South Korea. Academic Medicine, 85(8). http://doi.org/10.1097/ACM.0b013e3181df5e43
- Ross, S. E., Niebling, B. C. et Heckert, T. M. (1999). Sources of stress among college students. Social Psychology, 61(5), 841-846.
- Schmits, E., Dekeyser, S., Klein, O., Luminet, O., Yzerbyt, V. et Glowacz, F. (2021). Psychological distress among students in higher education: One year after the beginning of the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(14), 7445. https://doi.org/10.3390/ijerph1814 7445
- Shean, G. et Baldwin, G. (2008). Sensitivity and specificity of depression questionnaires in a college-age sample. The Journal of Genetic Psychology, 169(3), 281-292. https://doi.org/10.3200/GNTP.169.3.281-292
- Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R. et Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press.
- Stallman, H. M. (2010). Psychological distress in university students: A comparison with general population data. Australian Psychologist, 45(4), 249-257. https://doi.org/10.1080/00050067.2010.482109
- Storrie, K., Ahern, K. and Tuckett, A. (2010), A systematic review: Students with mental health problems. A growing problem. International Journal of Nursing Practice, 16(1-6. https://doi.org/10.1111/j.1440-172X.2009.01813.x
- Swaminathan, A., Viswanathan, S., Gnanadurai, T., Ayyavoo, S. et Manickam, T. (2015). Perceived stress and sources of stress among first-year medical undergraduate students in a private medical college - Tamil Nadu. National Journal of Physiology, Pharmacy and Pharmacology, 6(1), 9-14. https://doi.org/10.5455/njppp.2015.5.1909201574
- Thangaraj, S. et D’souza, L. (2014). Prevalence of stress levels among first year medical undergraduate students. International Journal of Interdisciplinary and Multidisciplinary Studies, 1(5), 176-181.
- Tso, G. et O’Callaghan, J., 2017. Emotional contagion in the consultation-liaison setting. Australian and New Zealand Journal of Psychiatry, 51, 1162. https://doi.org/10.1177/0004867417720519
- Turgeon, L., Thouin, É., Ayotte, E., Marion, É., Vaillancourt, J., Nault-Brière, F. et Plusquellec. F. (2023). Étude qualitative sur la santé psychologique des étudiantes et des étudiants en psychoéducation. Revue de psychoéducation, 52(1), 190-220.
- Union étudiante du Québec (2021). Enquête courte sur la santé psychologique étudiante au Québec en temps de pandémie de la COVID-19. Union étudiante du Québec.
- Vasegh, S. et Baradaran, N. (2014). Using the Persian-language version of the Beck Depression Inventory-II (BDI-II-Persian) for the screening of depression in students. The Journal of Nervous and Mental Disease, 202(10), 738-743. https://doi.org/10.1097/nmd.0000000000000183
- Verma, K. (2020). The mental health impact of the COVID-19 epidemic on college students in India. Asian Journal of Psychiatry, 53, Article 102398. https://doi.org/10.1016/j.ajp.2020.102398
- von Glischinski, M., von Brachel, R., et Hirschfeld, G. (2019). How depressed is «depressed»? A systematic review and diagnostic meta-analysis of optimal cut points for the Beck Depression Inventory revised (BDI-II). Quality of Life Research, 28(5), 1111-1118. https://doi.org/10.1007/s11136-018-2050-x
- Winter, R. I., Patel, R. et Norman, R. I. (2017). A qualitative exploration of the help-seeking behaviors of students who experience psychological distress around assessment at medical school. Academic Psychiatry, 41(4), 477-485. https://doi.org/10.1007/s40596-017-0701-9
- Zimet, G. D., Dahlem, N. W., Zimet, S. G. et Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2