Unpacking the impact of the COVID-19 pandemic: identifying structural domains

• Published in: European journal of psychotraumatology Vol. 12; no. 1; p. 1932296
• Main Authors: Bountress, Kaitlin E., Cusack, Shannon E., Conley, Abigail H., Aggen, Steven H., Vassileva, Jasmin, Dick, Danielle M., Amstadter, Ananda B.
• Format: Journal Article
• Language: English
• Published: United States Taylor & Francis 01.01.2021; Taylor & Francis Ltd; Taylor & Francis Group
• Subjects: Clinical; college students; Coronaviruses; COVID-19; diferencias de raza y sexo; estrés traumático; estudiantes universitarios; pandemia; pandemic; Pandemics; race and sex differences; traumatic stress; 创伤应激; 大学生; 种族和性别差异; COVID-19; traumatic stress; race and sex differences; pandemic; college students
• ISSN: 2000-8066; 2000-8198; 2000-8066
• DOI: 10.1080/20008198.2021.1932296

Background: The novel coronavirus-19 (COVID-19) pandemic is a collective crisis that imposed an abrupt and unprecedented impact on college students, as universities were closed with little warning. Paired with the challenges associated with physical distancing (e.g. economic stress, job loss, food insecurity, housing challenges) and the simultaneous need to balance continued and new academic demands, impact will be wide-ranging. It is critical to determine the structure of the impact of this heterogeneous stressor (e.g. health concerns, pandemic worry, financial concerns) for prevention and intervention planning. Objective: Through an existing recruitment pipeline we were in a unique position to study the wide-ranging reach of this pandemic in a cohort of students for whom their university experiences were like no other cohort in history. Method: Data were collected from students who were in their third year of college during the onset of the pandemic; of the N = 1,899 in the cohort who were invited to participate in this COVID-related survey, 897 (47.2%) completed measures of impact between May and July of 2020. Results: A series of confirmatory and exploratory models were fit to examine the structure of the pandemic-related domains. Following estimation of a single-factor model, a correlated five factors model, as well as two second-order factor structures, the five correlated factors (exposure, worry, housing/food instability, social media, substance use) model was found to represent the data most appropriately, while producing an interpretable solution. Conclusions: These measurement model analyses set the stage for future research to examine how these correlated factors impact psychiatric, substance, and academic outcomes in this vulnerable population. Confirmatory/exploratory models were used to determine COVID-19 domain structure, with a five-correlated factor model provided the most interpretable solution; these factors were exposure, worry, housing/food instability, social media use, and change in substance use.