ADHD symptoms in relation to depressive and sleep-related symptoms among university students during the COVID-19 outbreak in Japan

DOI: https://doi.org/10.21203/rs.3.rs-323970/v1

Abstract

Background: The COVID-19 pandemic and its associated societal response are anticipated to have wide-ranging effects on youth development and mental health. The three most common mental health problems among university students are depression, anxiety, and attention-deficit hyperactivity disorder (ADHD). Many factors that can threaten the mental health during the outbreak affect these three conditions as well as the sleep conditions of the undergraduate students. Thus, determining how these abrupt changes in students’ circumstances will impact their mental health is very important from a public health perspective.

Objective: We investigated both usual conditions and changes during the outbreak in sleep, depression, and ADHD symptoms among undergraduate students.

Methods: A total of 252 students, primarily juniors answered the online survey.

Results: As a result, 12% of the students exceeded the cutoff score of the ADHD questionnaire before the pandemic and approximately 6-21 % of the students especially with ADHD traits rated their ADHD behaviors as worse during the outbreak. Additionally, changes in circadian rhythm, depression, and ADHD symptoms are intertwined and often create a vicious cycle.

Conclusion: This study suggested that students with ADHD-trait is more susceptible to further deterioration in their daily lives during the pandemic. In case it is difficult to intervene with ADHD symptoms, approaching circadian rhythm or depression will be of clinical use.

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