Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey Study — TEI-tagged view

Changwon Son, Sudeep Hegde, Alec Smith, Xiaomei Wang, Farzan Sasangohar · 2020 · health-psychology · doi:10.2196/21279 · TEI xml · tagged edition · index · concepts · authors
Where this record's text came from. 2026-08-21 schema-0.3 pass: every quote verified as an exact substring of the staged text and anchored at merge time; concept terms verified present; every edge endpoint an existing node.
This record’s own method is survey, and the tags below follow from that. A review’s findings, quantities and statistics are things stated IN this paper, and some of them report results obtained elsewhere. No tag on this page names a different author. Measured across every review in this corpus, 81% of a review’s tags carry no citation at all — most of them are the review speaking. The corpus does not adjudicate the rest: read an unmarked tag as a claim this paper makes, not necessarily one it made first.
Other fields define these differently the same word, defined another way in another discipline
saturation 4 fields · categories 3 fields
Tags on this paper every tag the record carries, whether or not the words occur in the text below — a number is how many papers in the corpus carry that tag; a tag with no number is unique to this paper
open coding a priori codes categories5 stressors3 PSS single coder interview survey survey-only studies counseling service saturation8 survey70
Method, as described: semistructured Zoom interviews by 20 trained undergraduate researchers, transcribed by an AI service and manually verified, with PSS-10 scores, a four-point severity rating over twelve categories, and open thematic coding by a single coder reviewed by two others

Our tag layer for this paper

Cross-disciplinary analysis
content-tags & facets: phenomenon · claim-type · cross-domain-transfer · mechanism · claim-relation · replication-status · limitation — grounded in the full text
phenomenonstudent distress during a pandemic, recorded through two instruments at once - one whose categories were fixed by earlier papers and one with no categories at all— “We then elicited pandemic-specific stressors and their manifestations across 12 academic-, health-, and lifestyle-related categories of outcomes such as effects on own or loved ones’ health, sleeping habits, eating habits, financial situation, changes to their living environment, academic workload, and social relations. Students were also…
claim-typeexistence— “We then elicited pandemic-specific stressors and their manifestations across 12 academic-, health-, and lifestyle-related categories of outcomes such as effects on own or loved ones’ health, sleeping habits, eating habits, financial situation, changes to their living environment, academic workload, and social relations. Students were also…
method — evidence— “The interviews were conducted by 20 undergraduate researchers trained in qualitative methods and the use of the interview survey guide described above. None of the authors conducted the interviews. All interviews were conducted via Zoom [22] and were audio recorded. The recordings were later transcribed using Otter.ai [23], an artificial…
object of study — evidence— “We then elicited pandemic-specific stressors and their manifestations across 12 academic-, health-, and lifestyle-related categories of outcomes such as effects on own or loved ones’ health, sleeping habits, eating habits, financial situation, changes to their living environment, academic workload, and social relations. Students were also…
research question — evidence— “Third, although a vast majority of participants answered that they have not used the university counseling service during the pandemic, only a few of them provided reasons.”
contribution — evidence— “A single coder (CS), trained in qualitative analysis methods, analyzed the transcripts and identified themes using an open coding process, which does not use a priori codes or codes created prior to the analysis and places an emphasis on information that can be extracted directly from the data.”
transferfrom qualitative sociology: grounded theory's open coding step, taken into a health-services interview study and run alongside a fixed rating scale on the same transcripts— “A single coder (CS), trained in qualitative analysis methods, analyzed the transcripts and identified themes using an open coding process, which does not use a priori codes or codes created prior to the analysis and places an emphasis on information that can be extracted directly from the data.”transfers[0]
transferfrom speech technology: automatic speech transcription, used as the route from recording to analysable text with a manual verification pass— “The interviews were conducted by 20 undergraduate researchers trained in qualitative methods and the use of the interview survey guide described above. None of the authors conducted the interviews. All interviews were conducted via Zoom [22] and were audio recorded. The recordings were later transcribed using Otter.ai [23], an artificial…transfers[1]
mechanismtwo apertures on one set of transcripts the same interviews are read twice - once against twelve categories written by earlier papers and rated 0 to 3, once with no categories at all. Whatever the open coding surfaces that the twelve do not contain is a direct measurement of what the literature's vocabulary could not see. THE COMPARISON IS AVAILABLE IN THIS PAPER AND IS NOT DRAWN— “We then elicited pandemic-specific stressors and their manifestations across 12 academic-, health-, and lifestyle-related categories of outcomes such as effects on own or loved ones’ health, sleeping habits, eating habits, financial situation, changes to their living environment, academic workload, and social relations. Students were also…mechanisms[0]
mechanismthe coder is the instrument, and there was one open coding without a priori codes means the themes are whatever a trained reader sees. One person did all of it; two others were brought in afterwards to resolve discrepancies and discuss saturation. That is a review, not an independent coding, and no agreement statistic is available because none could be computed— “A single coder (CS), trained in qualitative analysis methods, analyzed the transcripts and identified themes using an open coding process, which does not use a priori codes or codes created prior to the analysis and places an emphasis on information that can be extracted directly from the data.”mechanisms[1]
mechanismtwenty interviewers, none of them the authors the interviews were run by 20 trained undergraduate researchers and none of the authors conducted one. That removes the authors' expectations from the elicitation and introduces twenty different interviewing styles into it - a trade the design makes deliberately and the paper reports plainly— “The interviews were conducted by 20 undergraduate researchers trained in qualitative methods and the use of the interview survey guide described above. None of the authors conducted the interviews. All interviews were conducted via Zoom [22] and were audio recorded. The recordings were later transcribed using Otter.ai [23], an artificial…mechanisms[2]
mechanisma transcript produced by a machine and checked by hand recordings were transcribed by an AI service and verified for accuracy manually. The qualitative data is therefore a machine's reading of speech, corrected - and what a correction pass catches is a different set from what it misses— “The interviews were conducted by 20 undergraduate researchers trained in qualitative methods and the use of the interview survey guide described above. None of the authors conducted the interviews. All interviews were conducted via Zoom [22] and were audio recorded. The recordings were later transcribed using Otter.ai [23], an artificial…mechanisms[3]
mechanisma non-pandemic comparison inside the same interview participants were also asked to describe stressors, coping strategies and barriers in a typical semester WITHOUT associating them with the pandemic. The within-person baseline is collected from the same person in the same sitting, which controls for who is answering and not for when they are answering— “Third, participants were guided to describe stressors, coping strategies, and barriers to mental health treatment during a typical semester without associating with the COVID-19 pandemic.”mechanisms[4]
builds-on existing literature identifying prominent factors affecting college students' mental health, from which the twelve rating categories were taken— “We then elicited pandemic-specific stressors and their manifestations across 12 academic-, health-, and lifestyle-related categories of outcomes such as effects on own or loved ones’ health, sleeping habits, eating habits, financial situation, changes to their living environment, academic workload, and social relations. Students were also…claim_relations[0]
extends survey-based studies of student mental health during the pandemic, by adding elaboration and clarifying detail at a smaller sample size— “First, the sample size for our interview survey was relatively small compared to typical survey-only studies; however, the survey interview approach affords the capture of elaboration and additional…claim_relations[1]
qualifies its own generalisability - one university, a majority of engineering majors, and no demographic breakdown
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claim_relations[2]
sensethe stressor set - AS FIXED IN ADVANCE: twelve academic-, health- and lifestyle-related categories derived from existing literature, rated 0 to 3
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senses[0]
sensethe stressor set - AS FOUND IN THE TRANSCRIPTS: themes from an open coding process that uses no a priori codes and takes what can be extracted directly from the data
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senses[1]
sensestress - AS SCORED: a PSS-10 total, a widely used instrument measuring overall stress in the past month
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senses[2]
sensestress - AS ELABORATED: whatever the participant said when asked to explain each severity rating
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senses[3]
sensethe comparison condition - AS DESIGNED: the same students describing stressors and barriers in a typical semester, asked without associating them with the pandemic
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senses[4]
controlthe same participants asked to describe stressors, coping strategies and barriers for a typical semester, explicitly without associating them with the pandemic — held
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— rules out pandemic-attribution of ordinary student stress - the baseline comes from the same person, so it cannot be a difference between populations
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controls[0]
controlinterviews conducted by 20 trained undergraduate researchers, with none of the authors conducting any — held
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— rules out the authors' own expectations shaping what participants said, at the cost of twenty interviewing styles
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controls[1]
controlmachine transcription verified for accuracy manually before coding — held
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— rules out transcription error being read as what the participant said - though the check is a human pass over a machine output, not two independent transcriptions
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controls[2]
controlthe single coder's themes discussed with two other trained coders to resolve discrepancies among related themes and discuss saturation — partial
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— rules out nothing that can be quantified - the second and third coders reviewed one person's coding rather than coding independently, so no agreement statistic exists to report
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controls[3]
controla standing instrument, the Perceived Stress Scale-10, carried in unchanged alongside the study's own questions — held
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— rules out the study's own severity ratings standing alone - PSS is comparable to every other study that uses it
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controls[4]
controlonly inclusion criterion recorded: enrolment as an undergraduate at the time of the interview, with recruitment by email, text and snowball sampling — held — rules out very little - snowball recruitment on a single stated criterion is a weak control, and recording it as held is recording how weak it is
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controls[5]
weightexisting literature identifying prominent factors affecting college students' mental health, from which the twelve rating categories were taken — 0.95
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claim_relations[0]
weightsurvey-based studies of student mental health during the pandemic, by adding elaboration and clarifying detail at a smaller sample size — 0.95
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claim_relations[1]
weightits own generalisability - one university, a majority of engineering majors, and no demographic breakdown — 0.95
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claim_relations[2]
differs in (stated by the tagger, no quotation)open coding —distinct-from→ a priori codes — whether the category existed before the data didconcept_edges[0]
relationopen coding —distinct-from→ a priori codes — the open coding process uses no codes created before the analysis and takes what can be extracted directly from the data - which is the opposite of the twelve literature-derived categories used on the same transcripts
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concept_edges[0]
weightopen coding —distinct-from→ a priori codes — 0.95
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concept_edges[0]
auditinterview survey —distinct-from→ survey-only studies — Audit 2026-09-28: DOUBTFUL - read against its full span and kept, but the span says the interview sample was small compared to survey-only studies; distinct-from is loose.
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concept_edges[1]
differs in (stated by the tagger, no quotation)interview survey —distinct-from→ survey-only studies — whether the participant can elaborate on an answerconcept_edges[1]
relationinterview survey —distinct-from→ survey-only studies — the interview design trades sample size for elaboration and clarifying detail, and the authors position it as complementing rather than replacing the larger survey studies
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concept_edges[1]
weightinterview survey —distinct-from→ survey-only studies — 0.95
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concept_edges[1]
outcomecontrol — held
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controls[0]
outcomecontrol — held
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controls[1]
outcomecontrol — held
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controls[2]
outcomecontrol — partial
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controls[3]
outcomecontrol — held
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controls[4]
outcome (stated by the tagger, no quotation)control — held
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controls[5]
limitationthe sample is small compared with survey-only studies, traded for elaboration and clarifying detail
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limitations[0]
limitationthe sample is from one large university and may not generalize to all college students
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limitations[1]
limitationa majority of participants were engineering majors; a stratified nationwide sample across wider disciplines is needed to verify and amend the findings
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limitations[2]
limitationalmost none of the participants who had not used the counselling service gave a reason, so the study's central practical question is left open
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limitations[3]
limitationmental health problems were not analysed by demographic characteristics or by personal and social context
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limitations[4]
limitationmultiple analyses of the collected data are still in progress; only the PSS results and COVID-19-related findings appear here
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limitations[5]
Content tags
content-observations: finding · quantity · variable · definition · key-term — grounded in the full text
finding
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content_tags.findings[0]
finding
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content_tags.findings[1]
finding
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content_tags.findings[2]
finding
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finding
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finding
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content_tags.findings[5]
finding
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content_tags.findings[6]
quantityacademic-, health- and lifestyle-related outcome categories, fixed from existing literature before any interview
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content_tags.quantities[0]
quantityundergraduate researchers conducted the interviews; none of the authors did
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content_tags.quantities[1]
variablestressors
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content_tags.variables[0]
variablecategories
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content_tags.variables[1]
definitionopen coding
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content_tags.definitions[0]
definitionPSS
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content_tags.definitions[1]
Concepts
terms this paper carries, each with the sentence it was cut from — the layer that joins one paper to another. Terms with no quote yet are on CONCEPTS.html.
conceptopen coding — not defined in this paper's own words; a coding process that uses no codes created prior to the analysis - the paper's own name for reading the transcripts without a vocabulary
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concepts[0]
concepta priori codes — not defined in this paper's own words; categories brought to the data rather than taken from it; explicitly excluded from the qualitative half and explicitly used in the quantitative half of the same interview
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concepts[1]
conceptcategories — not defined in this paper's own words; the twelve academic-, health- and lifestyle-related outcome categories, derived from existing literature before any interview took place
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concepts[2]
conceptstressors — not defined in this paper's own words; what the study elicits - and a set whose extension is decided twice over, once by the literature and once by the transcripts
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concepts[3]
conceptPSS — not defined in this paper's own words; the Perceived Stress Scale-10, a standing instrument measuring overall stress in the past month, carried in unchanged
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concepts[4]
conceptsingle coder — not defined in this paper's own words; the whole open coding was done by one person, with two others brought in afterwards to resolve discrepancies and discuss saturation - no agreement statistic is reported
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concepts[5]
conceptinterview survey — not defined in this paper's own words; the design, defended against survey-only studies on the grounds that it captures elaboration and clarifying detail at the cost of sample size
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concepts[6]
conceptsurvey-only studies — not defined in this paper's own words; the larger-sample alternative this design is explicitly compared with and positioned as complementing
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concepts[7]
conceptcounseling service — not defined in this paper's own words; the university support a vast majority reported not using - and on which only a few gave any reason, which the authors name as the key unanswered question
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concepts[8]
conceptsaturation — not defined in this paper's own words; the qualitative stopping criterion, discussed among the coders rather than demonstrated
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concepts[9]
Statistics — cross-field join keys
field-invariant statistical terms, used in their statistical sense (gated on a number / symbol / test). A p-value or a standard deviation means the SAME thing in physics, biology, psychology and sociology — so these are the strongest cross-field join keys. Grounded verbatim.
PSS
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content_tags.statistics[0]

When we have changed our mind. Some entries in the table begin with a word in capitals and the reason for it. EVIDENCE CORRECTED — the finding still stands, but we had quoted the wrong sentence from the paper, and the quotation has been replaced with the right one. RETRACTED — the entry itself was wrong; it stays on the page, marked, with the reason, rather than being deleted. WITHDRAWN AND REPLACED — the entry was wrong, and a corrected version of it appears in the entries below. Each mark carries its own reason, in brackets, because the reasons differ from one entry to the next. An entry we have WITHDRAWN is removed from this page and kept in the record, with its reason. A line reading Audit and a date is a later re-reading of the entry against its whole sentence: DOUBTFUL means it was kept, and the reason says what is loose about it. Quotation marks inside the tagger's sentence. Where a tag is the tagger's own sentence, a phrase in quotation marks inside it is borrowed from the paper — the tagger's wording around it is not. The paper's own sentence is the evidence quote for that row; on this page it is withheld with the article, and the article is at its publisher. Nothing inside quotation marks anywhere on this page is ours: if it is quoted, it is the paper's. Whose words a concept carries. A concept entry records a term the paper itself uses, so the term, the sense given for it, and its evidence are the paper's own words, quoted where the paper fixes them. This is the opposite of a sense entry in the tag table, which is the tagger's sentence about how the paper uses a term. Where a concept entry could not be grounded in the paper's words, the entry says so on its own row.

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