Article Text

Download PDFPDF
Original research
Mental health among UK university staff and postgraduate students in the early stages of the COVID-19 pandemic
  1. Ewan Carr1,
  2. Katrina Davis2,3,
  3. Gabriella Bergin-Cartwright2,
  4. Grace Lavelle2,
  5. Daniel Leightley2,4,
  6. Carolin Oetzmann2,
  7. Catherine Polling2,3,
  8. Sharon A M Stevelink2,4,
  9. Alice Wickersham2,
  10. Reza Razavi5,
  11. Matthew Hotopf2,3
  1. 1 Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
  2. 2 Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
  3. 3 South London and Maudsley NHS Foundation Trust, London, UK
  4. 4 King's Centre for Military Health Research and Academic Department of Military Mental Health, King's College London, London, UK
  5. 5 King’s College London School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK
  1. Correspondence to Dr Ewan Carr, Department of Biostatistics and Health Informatics, King's College London, London SE5 8AF, UK; ewan.carr{at}kcl.ac.uk

Abstract

Objectives To characterise the baseline King’s College London Coronavirus Health and Experiences of Colleagues at King’s cohort and describe patterns of probable depression and anxiety among staff and postgraduate research students at a large UK university in April/May 2020.

Methods An online survey was sent to current staff and postgraduate research students via email in April 2020 (n=2590). Primary outcomes were probable depression and anxiety, measured with the Patient Health Questionnaire-9 and Generalised Anxiety Disorder-7, respectively. Secondary outcomes were alcohol use and perceived change in mental health. Outcomes were described using summary statistics and multivariable Poisson regression was used to explore associations with six groups of predictors: demographics and prior mental health, living arrangements, caring roles, healthcare, occupational factors and COVID-19 infection. All analyses were weighted to account for differences between the sample and target population in terms of age, gender, and ethnicity.

Results Around 20% of staff members and 30% of postgraduate research students met thresholds for probable depression or anxiety on the questionnaires. This doubled to around 40% among younger respondents aged <25. Other factors associated with probable depression and anxiety included female gender, belonging to an ethnic minority group, caregiving responsibilities and shielding or isolating. Around 20% of participants were found to reach cut-off for hazardous drinking on Alcohol Use Disorders Identification Test, while 30% were drinking more than before the pandemic.

Conclusions Our study shows worrying levels of symptoms of depression, anxiety and alcohol use disorder in an occupational sample from a large UK university in the months following the outbreak of the COVID-19 pandemic.

  • COVID-19
  • mental health
  • occupational health

Data availability statement

De-identified participant data are available for research purposes on request to the study authors, subject to approval.

This article is made freely available for personal use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Data availability statement

De-identified participant data are available for research purposes on request to the study authors, subject to approval.

View Full Text

Footnotes

  • EC and KD contributed equally.

  • Contributors All authors contributed to the design of the study. EC carried out the data analysis. EC and KD wrote the manuscript. All authors made substantive revisions to and approved the final manuscript. KD, GB-C, GL, DL, CO, CP and AW carried out the data collection. SAMS, RR and MH supervised the project. EC is the guarantor of the study.

  • Funding This paper represents independent research part-funded by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London.

  • Disclaimer The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.

  • Competing interests MH receives funding from Janssen as part of the RADAR-CNS consortium, which includes a project on depression. He is a principal investigator of RADAR-CNS, a precompetitive public private partnership co-funded by Innovative Medicines Initiative (European Commission) and European Federation of Pharmaceutical Industries and Associations (EFPIA). He has also been an independent expert witness in group litigations instructed by claimants against pharmaceutical companies for alleged harmful effects of their products.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.