The mental health and its associated factors in students in Kashan during the COVID-19 pandemic

Document Type : Original Article


1 Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran

2 Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran

3 Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran

4 Department of Clinical Psychology, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran



Aims: The aim of the present study was to determine the factors related to mental health among the students of Kashan City during the COVID-19 epidemic.
Material and methods: 194 students were recruited through convenient sampling. Data were collected using standardized questionnaires including the Quality and Sleep Habits Questionnaire, the Child Depression Scale, the Pennsylvania Child and Adolescent Anxiety Inventory, and the Problematic Online Gaming Addiction Questionnaire. Scores in each domain were reported in percentage.
Findings: The average score of sleep quality, anxiety, depression and internet gaming addiction among the participants was 48.75, 27.17, 39.79 and 35.19 out of 100 respectively. According to the multivariable analysis older age (B=-4.38; 95% CI=-8.79; 0.03) was associated with lower sleep quality. Students whose father's education was high school and above (B= 0.21; 95% CI= 0.11; 0.32) had worse sleep quality. Moreover, older age (B=6.76; 95% CI= 1.80; 11.72) and not having a sibling (B=10.83; 95% CI= 4.61; 17.04) were associated with higher anxiety. On the other hand, students whose parents worked in hospitals not taking care of COVID patients (B=-7.20; 95% CI=-13.88; -0.53), had lower depression. Female gender (B=16.03; 95% CI=9.56; 22.49) was associated with higher internet gaming addiction. Sleeping, depression, anxiety and internet gaming addiction scores were positively correlated.
Conclusion: This study showed that students whose parents worked in hospitals dedicated to COVID patients were more prone to depression, but sleep quality, anxiety, and addiction to internet games, was related to other factors. Depression may increase among the children of health care workers working in specialized centers in pandemics.


Main Subjects

Articles in Press, Accepted Manuscript
Available Online from 26 February 2024
  • Receive Date: 01 August 2023
  • Revise Date: 28 January 2024
  • Accept Date: 19 February 2024