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How did the COVID-19 pandemic affect psychological distress among sub-Saharan African university students?

moderate confidence  ·  Last reviewed May 20, 2026

University students in sub-Saharan Africa faced significant mental health challenges during the COVID-19 pandemic. Research indicates that the virus outbreak led to unprecedented hazards for mental health globally, affecting students specifically due to their young age and student status. These students experienced higher rates of anxiety, depression, and general psychological distress compared to the general population in some regions.

What the research says

A scoping review of mental health in sub-Saharan Africa identified that student mental health patterns intersected heavily with social determinants of health. During the pandemic, these factors included structural issues like socioeconomic and political contexts, as well as intermediary factors such as academic stress and limited access to services. The review noted that while many studies focused on depression and anxiety, fewer explored how students sought help for these issues 2.

Globally, the pandemic created a psychosocial environment defined by isolation and economic blackout, which transformed the lives of students. Systematic reviews found that student status was a specific risk factor for psychological distress. In the general population during this time, rates of psychological distress ranged from 34% to 38%, with students falling into the younger age group identified as being at higher risk for these symptoms 6.

The specific conditions faced by students included isolation and contact boundaries imposed by quarantine measures. These factors, combined with economic difficulties, imposed a complete transformation on the psychosocial environment. Consequently, students reported significant psychological impairments, with high levels of acute stress reactions and psychological distress becoming common outcomes for this demographic during the crisis 5.

What to ask your doctor

  • What specific risk factors for psychological distress apply to my situation as a student?
  • How can I address academic stress and isolation to improve my mental health?
  • What resources are available for students in my region to seek help for anxiety or depression?
  • Are there support groups or counseling services specifically for university students during the pandemic?

This question is drawn from common patient questions about Psychiatry and answered using cited medical research. We do not provide individualized advice.