Determination of anxiety levels of Turkish University students and affecting factors in COVID-19 pandemic: sample of a private university

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Ayla Tisinli
Şeyda Saydamlı
Cüneyt Ulutin
Kübra Ersoy
Zeliha Kalın


Introduction: The Coronavirus disease 2019 (COVID-19) pandemic and its consequences have created anxiety in various segments of society. In particular, the transition to online education brought by this process has made the education process of university students difficult. Therefore, in the COVID-19 pandemic, it is important to examine the anxiety levels of university students and their relationship with somatic symptoms. Objective: To examine the level of generalised anxiety disorder and to reveal the relationship between somatic symptoms and the generalised anxiety disorder level of Turkish university students. Methods: Empirical research. Participants in the research constituted a total of 605 students studying at a private university in İstanbul. The Generalised Anxiety Disorder Scale (GAD-7) was used to collect data. Data were analysed using the chi-square test and Pearson correlation analysis. Results: It was found that, among the participants, 193 (31.90%) of the students had mild anxiety, 149 (24.63%) had moderate anxiety and 121 (20.00%) had severe anxiety. The study revealed that there is a significant positive relationship between the number of somatic symptoms and generalised anxiety disorder scores of university students. Conclusion: Most of the university students are affected by anxiety during the COVID-19 pandemic and this effect is correlated with the frequency of somatic symptoms. In this context, it would be beneficial for universities to plan for acute and long-term psychological services and to cooperate with the government to provide timely crisis-oriented psychological services.


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Tisinli, A., Saydamlı, Şeyda, Ulutin, C., Ersoy, K., & Kalın, Z. (2021). Determination of anxiety levels of Turkish University students and affecting factors in COVID-19 pandemic: sample of a private university. ABCS Health Sciences, 46, e021229.
Original Articles


1. Phua J, Weng L, Ling L, Egi M, Lim CM, Divatia JV, et al. Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. Lancet Resp Med. 2020;8(5):506-17.

2. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatr. 2020;7(3):228-9.

3. Liu J, Zhu Q, Fan W, Makamure J, Zheng C, Wang J. Online mental health survey in a medical college in China during the COVID-19 outbreak. Front Psychiatry. 2020;11:459.

4. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934.

5. Huang Y, Zhao, N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.

6. Odriozola-González P, Planchuelo-Gómez A, Irurtia MJ, Luis-García R. Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Res. 2020;290:113108.

7. Li S, Wang Y, Xue J, Zhao N, Zhu T. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int J Environ Res Public Health. 2020;17(6):2032.

8. Restian A. Freedom of learning in the" elementary arts and culture" subject the character-based covid-19 pandemic. J Interdiscipl Art Educ. 2020;1(1):57-64.

9. Sahu P. Closure of universities due to Coronavirus Disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus. 2020;12(4):e7541.

10. Serin EK, Doğan R. The Relationship Between Anxiety and Hopelessness Levels Among Nursing Students During the COVID-19 Pandemic and related factors. OMEGA J Death Dying. 2021;00302228211029144.

11. Demir H, Örgev C, Biçer İ, Demir H, Aydın OA, Şen E, Özyaral O. The Psychological Impact of the COVID-19 Pandemic on University Students in Turkey: A Foundation University Case. J Int Health Sci Management. 2020;6(12):25-33.

12. Gunduz A, Gundogmus I, Engin BH, Isler A, Sertcelik S, Yasar AB. Effects of adverse childhood events over metacognitions, rumination, depression and worry in healthy university students. Annals Med Res. 2019;26(7):1394-401.

13. Etikan I, Musa AS, Alkassim RS. Comparison of convenience sampling and purposive sampling. Am J Theor Appl Statist. 2016;5(1):1-4.

14. Yazıcıoğlu Y, Erdoğan S. SPSS applied scientific research methods. Ankara: Detay Publishing. 2004.15. Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7.

16 Konkan R, Şenormancı O, Güçlü O, Aydin E, Sungur MZ. Validity and reliability study for the Turkish adaptation of the Generalized Anxiety Disorder-7 (GAD-7) scale. Arch Neuropsychiatr. 2013;50(1):53-8.

17. Lin LY, Wang J, Ou-Yang XY, Miao Q, Chen R, Liang FX, et al. The immediate impact of the 2019 novel coronavirus (COVID-19) outbreak on subjective sleep status. Sleep Med. 2021;7:348-54.

18. Perz CA, Lang BA, Harrington R. Validation of the Fear of COVID-19 Scale in a US college sample. Int J Ment Health Addict. 2020;1-11.

19. Bilgi K, Aytaş G, Karatoprak U, Kazancıoǧlu R, Özçelik S. The effects of Coronavirus disease 2019 outbreak on medical students. Front Psychiatry. 2021;12:637946.

20. Wang C, Zhao H. The impact of COVID-19 on anxiety in Chinese university students. Front Psychol. 2020;11:1168.

21. Yuan S, Liao Z, Huang H, Jiang B, Zhang X, Wang Y, et al. Comparison of the indicators of psychological stress in the population of Hubei Province and non-endemic provinces in China during two weeks during the coronavirus disease 2019 (COVID-19) outbreak in February 2020. Med Sci Monit. 2020;26:e923767.

22. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.

23. Rakhmanov O, Dane S. Knowledge and anxiety levels of African university students against COVID-19 during the pandemic outbreak by an online survey. J Res Med Dental Sci. 2020;8(3):53-6.

24. Özdede M, Sahin S. Views and anxiety levels of Turkish dental students during the COVID-19 pandemic. J Stomatol. 2020;73(3):123-8.

25. Ahmed H, Allaf M, Elghazaly H. COVID-19 and medical education. Lancet Infectious Dis. 2020;20(7):777-8.

26. Husky MM, Kovess-Masfety V, Swendsen JD. Stress and anxiety among university students in France during COVID-19 mandatory confinement. Comprehensive Psychiatry. 2020;102:112191.

27. Rubin GJ, Amlôt R, Page L, Wessely S. Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ. 2009;339:b2651.

28. Sintema EJ. Effect of COVID-19 on the performance of grade 12 students: Implications for STEM education. Eurasia J Math Sci Technol Educ. 2020;16(7):em1851.

29. Gao W, Ping S, Liu X. Gender differences in depression, anxiety, and stress among college students: a longitudinal study from China. J Affective Disorders. 2020;263:292-300.

30. Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, Hasan GM, Al-Zamil F, Al-Subaie S, et al. Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infec Public Health. 2020;13(5):687-91.

31. Hu Y, Chen Y, Zheng Y, You C, Tan J, Hu L, et al. Factors related to mental health of inpatients with COVID-19 in Wuhan, China. Brain Behav Immunity. 2020;89:587-93.

32. Chang J, Yuan Y, Wang D. Mental health status and its influencing factors among college students during the epidemic of COVID-19. Nan Fang Yi Ke Da Xue Xue Bao. 2020;40(2):171-6.

33. Shevlin M, McBride O, Murphy J, Miller-Gibson J, Hartman T, Levita L, et al. Anxiety, depression, traumatic stress, and COVID-19 related Anxiety in the UK general population during the COVID-19 pandemic. BJPsych Open. 2020;6(6):e125.

34. Verdery AM, Smith-Greenaway E, Margolis R, Daw J. Tracking the reach of COVID-19 kin loss with a bereavement multiplier applied to the United States. Proceedings Natl Acad Sci. 2020;117(30):17695-701.