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The prevalence of psychological stress in student populations during the COVID-19 epidemic: a systematic review and meta-analysis.

Scientific reports·July 2022·Yang Fang, Bo Ji, Yitian Liu et al.
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Key Finding

A meta-analysis of over 2 million students found that approximately one in three experienced depression, stress, or fear symptoms during the COVID-19 pandemic, with prevalence rates exceeding pre-pandemic global baselines.

What This Means For You

The COVID-19 pandemic was hard on everyone, but students faced a unique set of pressures — sudden isolation at home, switching to online learning, uncertainty about graduation, and worries about finding work. Researchers wanted to understand just how widespread the mental health impact was on this group, so they conducted a large review combining data from over 100 studies involving more than 2 million students worldwide.

What they found was striking. During the pandemic, roughly one in three students experienced symptoms of depression (32%), stress (31%), or fear (33%), while more than one in four struggled with anxiety (28%). These rates appear higher than the general global levels of psychological stress seen before the pandemic. The researchers also found that how severely students were affected depended on several factors, including gender, where they lived, what stage of the pandemic they were in, their level of education, and their field of study.

For students dealing with these kinds of lingering stress, anxiety, or low mood, it is worth knowing that acupuncture and Traditional Chinese Medicine (TCM) offer time-tested, drug-free approaches to supporting mental and emotional wellbeing. Acupuncture has been studied for its ability to help regulate the nervous system, reduce the body's stress response, and support better sleep — all of which are relevant to the symptoms this study highlights. Practices like acupuncture, herbal medicine, and mind-body techniques such as qigong may help students build resilience and find relief from pandemic-related psychological strain.

If you or a student you know is struggling with stress, anxiety, or depression, consider speaking with a licensed acupuncturist or TCM practitioner to explore a personalized plan for support.

Clinical Notes for Practitioners

This systematic review and meta-analysis pooled data from 104 cross-sectional studies (n = 2,088,032 students) across English and Chinese databases through March 2022 to estimate the prevalence of COVID-19-related psychological stress in student populations. Using a random-effects model, the authors found prevalence rates of depressive symptoms at 32.0% (95% CI: 28.0–37.0%), anxiety at 28.0% (95% CI: 24.0–32.0%), stress at 31.0% (95% CI: 23.0–39.0%), and fear at 33.0% (95% CI: 20.0–49.0%). Subgroup analyses revealed significant variation by gender, geographic region, epidemic stage, educational level, student major, and assessment instrument. Study quality was rated moderate overall. These findings suggest that pandemic-era psychological burden in students substantially exceeds pre-pandemic global baselines. Clinically, this reinforces the need for targeted mental health interventions in student populations. TCM practitioners should consider screening young adult patients for residual pandemic-related psychological symptoms and tailoring treatment protocols — including acupuncture, herbal medicine, and mind-body practices — to address depression, anxiety, and chronic stress presentations in this demographic.

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