Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis
ABSTRACT Aims COVID‐19 disrupted education globally, resulting in the closure of schools and universities and the transition to distance learning. This shift heightened concerns about contracting the virus and increased insecurity in daily life and online education. The primary objective of this stu...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2025-07-01
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| Series: | Lifestyle Medicine |
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| Online Access: | https://doi.org/10.1002/lim2.70023 |
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| author | Peeradech Thichanpiang Anuchart Kaunnil Pornlada Nuchnoi Chutikorn Nopparat Khanokporn Donjdee Kannika Permpoonputtana |
| author_facet | Peeradech Thichanpiang Anuchart Kaunnil Pornlada Nuchnoi Chutikorn Nopparat Khanokporn Donjdee Kannika Permpoonputtana |
| author_sort | Peeradech Thichanpiang |
| collection | DOAJ |
| description | ABSTRACT Aims COVID‐19 disrupted education globally, resulting in the closure of schools and universities and the transition to distance learning. This shift heightened concerns about contracting the virus and increased insecurity in daily life and online education. The primary objective of this study is to investigate post‐traumatic stress, perceived stress, coping strategies, and quality of life (QOL) among Thai university students, while also examining the relationships among coping strategies, stress levels, mental illness history, and overall QOL. Methods This study utilized a cross‐sectional survey method, engaging 400 students through an online self‐reported survey. The survey instruments included the post‐traumatic stress disorder (PTSD) checklist for DSM‐5, the Thai Version of the Perceived Stress Scale, the Brief Coping Orientation to Problems Experienced Inventory, and the WHOQOL Instrument‐Short Form. Results The study found that 21.25% of Thai university students likely experienced PTSD during the pandemic, with 74% reporting moderate stress and 4.25% experiencing high stress. Common coping strategies included acceptance, planning, active coping, self‐distraction, and positive reframing, whereas self‐blame was more prevalent among students with higher stress levels. QOL assessments showed that 2.75% of students rated their QOL as poor, 55.75% as moderate, and 41.50% as good. A strong negative correlation was observed between QOL and stress levels, indicating that students with lower QOL experienced higher stress. Additionally, maladaptive coping strategies, such as self‐blame, denial, and behavioral disengagement, were positively associated with increased stress. Ordinal logistic regression analysis identified QOL as a significant predictor of perceived stress levels (odds ratios [OR] = 3.607), accounting for 31% of the variability in stress levels. Conclusions Students with poorer QOL experienced higher stress levels, underscoring the need for enhanced psychosocial services to support their mental health and overall well‐being. |
| format | Article |
| id | doaj-art-49e2a27b82b540fabb859cddc323fa03 |
| institution | Kabale University |
| issn | 2688-3740 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Lifestyle Medicine |
| spelling | doaj-art-49e2a27b82b540fabb859cddc323fa032025-08-20T03:32:20ZengWileyLifestyle Medicine2688-37402025-07-0163n/an/a10.1002/lim2.70023Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression AnalysisPeeradech Thichanpiang0Anuchart Kaunnil1Pornlada Nuchnoi2Chutikorn Nopparat3Khanokporn Donjdee4Kannika Permpoonputtana5Occupational Therapy Division Faculty of Physical Therapy Mahidol University Nakhon Pathom ThailandDepartment of Occupational Therapy Faculty of Associated Medical Sciences Chiang Mai University Chiang Mai ThailandCenter for Research and Innovation Faculty of Medical Technology Mahidol University Nakhnon Pathom ThailandInnovative Learning Center Srinakharinwirot University Bangkok ThailandNational Institute for Child and Family Development Mahidol University Nakhon Pathom ThailandNational Institute for Child and Family Development Mahidol University Nakhon Pathom ThailandABSTRACT Aims COVID‐19 disrupted education globally, resulting in the closure of schools and universities and the transition to distance learning. This shift heightened concerns about contracting the virus and increased insecurity in daily life and online education. The primary objective of this study is to investigate post‐traumatic stress, perceived stress, coping strategies, and quality of life (QOL) among Thai university students, while also examining the relationships among coping strategies, stress levels, mental illness history, and overall QOL. Methods This study utilized a cross‐sectional survey method, engaging 400 students through an online self‐reported survey. The survey instruments included the post‐traumatic stress disorder (PTSD) checklist for DSM‐5, the Thai Version of the Perceived Stress Scale, the Brief Coping Orientation to Problems Experienced Inventory, and the WHOQOL Instrument‐Short Form. Results The study found that 21.25% of Thai university students likely experienced PTSD during the pandemic, with 74% reporting moderate stress and 4.25% experiencing high stress. Common coping strategies included acceptance, planning, active coping, self‐distraction, and positive reframing, whereas self‐blame was more prevalent among students with higher stress levels. QOL assessments showed that 2.75% of students rated their QOL as poor, 55.75% as moderate, and 41.50% as good. A strong negative correlation was observed between QOL and stress levels, indicating that students with lower QOL experienced higher stress. Additionally, maladaptive coping strategies, such as self‐blame, denial, and behavioral disengagement, were positively associated with increased stress. Ordinal logistic regression analysis identified QOL as a significant predictor of perceived stress levels (odds ratios [OR] = 3.607), accounting for 31% of the variability in stress levels. Conclusions Students with poorer QOL experienced higher stress levels, underscoring the need for enhanced psychosocial services to support their mental health and overall well‐being.https://doi.org/10.1002/lim2.70023coping strategiesnovel coronavirus disease 2019 (COVID‐19)psychological stressquality of lifeThai university students |
| spellingShingle | Peeradech Thichanpiang Anuchart Kaunnil Pornlada Nuchnoi Chutikorn Nopparat Khanokporn Donjdee Kannika Permpoonputtana Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis Lifestyle Medicine coping strategies novel coronavirus disease 2019 (COVID‐19) psychological stress quality of life Thai university students |
| title | Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis |
| title_full | Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis |
| title_fullStr | Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis |
| title_full_unstemmed | Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis |
| title_short | Impact of COVID‐19 on Mental Health: Post‐Traumatic Stress and Coping Strategies Among Thai University Students Using Ordinal Logistic Regression Analysis |
| title_sort | impact of covid 19 on mental health post traumatic stress and coping strategies among thai university students using ordinal logistic regression analysis |
| topic | coping strategies novel coronavirus disease 2019 (COVID‐19) psychological stress quality of life Thai university students |
| url | https://doi.org/10.1002/lim2.70023 |
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