<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0874-0283</journal-id>
<journal-title><![CDATA[Revista de Enfermagem Referência]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Enf. Ref.]]></abbrev-journal-title>
<issn>0874-0283</issn>
<publisher>
<publisher-name><![CDATA[Escola Superior de Enfermagem de Coimbra - Unidade de Investigação em Ciências da Saúde - Enfermagem]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0874-02832022000100218</article-id>
<article-id pub-id-type="doi">10.12707/rv21109</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Saúde mental em estudantes do ensino superior politécnico na pandemia COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[The mental health of polytechnic higher education students in the COVID-19 pandemic]]></article-title>
<article-title xml:lang="es"><![CDATA[Salud mental de los estudiantes de educación superior politécnica en la pandemia COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[Lia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amante]]></surname>
<given-names><![CDATA[Maria João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Xavier]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordeiro]]></surname>
<given-names><![CDATA[Leandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[Cátia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A5"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Politécnico de Viseu Escola Superior de Educação ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Investigação em Tecnologias e Serviços de Saúde  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Estudos em Educação e Inovação  ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Politécnico de Viseu Escola Superior de Tecnologia e Gestão ]]></institution>
<addr-line><![CDATA[Viseu ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto de Saúde Ambiental  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>serVI</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0874-02832022000100218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0874-02832022000100218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0874-02832022000100218&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Enquadramento:  A pandemia mudou significativamente as rotinas sociais e académicas dos estudantes do ensino superior.  Objetivo:  Identificar os níveis de saúde mental de estudantes do ensino superior e fatores associados.  Metodologia:  Estudo transversal com amostra de conveniência de 567 estudantes (idade média 23,92, ± 8,36; 63,8% feminino), que responderam a um questionário online no início do segundo confinamento, que incluiu o General Health Questionnaire (GHQ-28), aspetos sociodemográficos, académicos e as principais mudanças ocorridas durante a pandemia.  Resultados:  A pontuação média do GHQ foi 29,18 (± 12,99) e as menores e as maiores pontuações médias foram obtidas nas subescalas depressão grave (3,55 ± 4,46) e disfunção social (11,44 ± 3,81), respetivamente. 60,5% registou risco para problemas mentais. Os participantes que identificam alterações laborais têm melhor saúde mental. Quem identifica alterações nas rotinas familiares tem maior sintomatologia depressiva e quem identifica alterações nas relações familiares maior sintomatologia ansiógena e insónia.  Conclusão:  Urge considerar a saúde mental dos estudantes, promovendo estratégias para minimizar o impacto da pandemia, nomeadamente na disfunção social.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  The pandemic significantly changed social and academic routines of higher education students.  Objective:  Identify the mental health levels of higher education students and the associated factors.  Methods:  Cross-sectional study with a convenience sample of 567 students (mean age 23.92, ± 8.36; 63.8% female), that answered an online survey at the beginning of the second lockdown, which included the General Health Questionnaire (GHQ-28), sociodemographic and academic aspects, and main changes that occurred during the pandemic.  Results:  The mean score of the GHQ was 29.18 (±12.99) and the lowest and highest scores were obtained in severe depression (3.55±4.46) and social dysfunction (11.44±3.81). 60.5% indicated risk for mental problems. Participants identifying changes at labor level had better mental health. The ones identifying changes at familiar routines had higher depressive symptomatology and changes in familiar relationships had higher anxiety symptomatology and insomnia.  Conclusion:  It is urgent to consider the mental health of students, promoting strategies to minimize the impact of the pandemic, namely in social dysfunction.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Marco contextual:  La pandemia ha cambiado significativamente las rutinas sociales y académicas de los estudiantes de educación superior.  Objetivo:  Identificar los niveles de salud mental de los estudiantes de educación superior y los factores asociados.  Metodología:  Estudio transversal con una muestra de conveniencia de 567 estudiantes (edad media de 23,92, ± 8,36; 63,8% mujeres), que completaron un cuestionario en línea al inicio del segundo confinamiento, que incluía el Cuestionario de Salud General (GHQ-28), aspectos sociodemográficos y académicos, y los principales cambios ocurridos durante la pandemia.  Resultados:  La puntuación media del GHQ fue de 29,18 (± 12,99) y las puntuaciones medias más bajas y más altas se obtuvieron en las subescalas depresión grave (3,55 ± 4,46) y disfunción social (11,44 ± 3,81), respectivamente. El 60,5% registró riesgo de problemas mentales. Los participantes que identifican cambios en el trabajo tienen una mejor salud mental. Los que identifican cambios en las rutinas familiares tienen más síntomas depresivos y los que identifican cambios en las relaciones familiares tienen más síntomas de ansiedad e insomnio.  Conclusión:  Se debe considerar urgentemente la salud mental de los estudiantes, así como promover estrategias para minimizar el impacto de la pandemia, especialmente en la disfunción social.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[saúde mental]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[ensino superior]]></kwd>
<kwd lng="pt"><![CDATA[estudantes]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[higher education]]></kwd>
<kwd lng="en"><![CDATA[students]]></kwd>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[educación superior]]></kwd>
<kwd lng="es"><![CDATA[estudantes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="">
<collab>American College Health</collab>
<collab>Association National college health assessment III</collab>
<source><![CDATA[Undergraduate student reference group executive summary: Executive summary: Spring 2020]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cao]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Fang]]></surname>
<given-names><![CDATA[Z.]]></given-names>
</name>
<name>
<surname><![CDATA[Hou]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Han]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[X.]]></given-names>
</name>
<name>
<surname><![CDATA[Dong]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The psychological impact of the COVID-19 epidemic on college students in China]]></article-title>
<source><![CDATA[Psychiatry Research]]></source>
<year>2020</year>
<numero>287</numero>
<issue>287</issue>
<page-range>112984</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="">
<collab>European Agency for Safety and Health at Work</collab>
<source><![CDATA[Telework and health risks in the context of the COVID-19 pandemic: Evidence from the field and policy implications]]></source>
<year>2021</year>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Farnell]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Matijevi&#262;]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Schmidt]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<source><![CDATA[The impact of COVID-19 on higher education: A review of emerging evidence]]></source>
<year>2021</year>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goldberg]]></surname>
<given-names><![CDATA[D. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Hillier]]></surname>
<given-names><![CDATA[V. F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A scaled version of the General Health Questionnaire]]></article-title>
<source><![CDATA[Psychological Medicine]]></source>
<year>1979</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>139-45</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hashemian]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Direkvand-Moghadam]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Direkvand-Moghadam]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictive factors for general health status in Iranian university students an univariate and multivariate logistic regression analysis]]></article-title>
<source><![CDATA[International Electronic Journal of Medicine]]></source>
<year>2015</year>
<numero>4</numero>
<issue>4</issue>
<page-range>6-10</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<collab>Instituto Nacional de Saúde Doutor Ricardo Jorge</collab>
<source><![CDATA[Saúde mental em tempos de pandemia COVID-1: Dashboard]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kitzrow]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The mental health needs of today&#8217;s college students: Challenges and recommendations]]></article-title>
<source><![CDATA[NASPA Journal]]></source>
<year>2003</year>
<volume>41</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>165-79</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Jeong]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stress, anxiety, and depression among undergraduate students during the COVID-19 pandemic and their use of mental health services]]></article-title>
<source><![CDATA[Innovative Higher Education]]></source>
<year>2021</year>
<numero>46</numero>
<issue>46</issue>
<page-range>519-38</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence and predictors of general psychiatric disorders and loneliness T during COVID-19 in the United Kingdom]]></article-title>
<source><![CDATA[Psychiatry Research]]></source>
<year>2020</year>
<numero>291</numero>
<issue>291</issue>
<page-range>113267</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maia]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Dias]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ansiedade, depressa&#771;o e estresse em estudantes universita&#769;rios: O impacto da COVID-19]]></article-title>
<source><![CDATA[Estudos de Psicologia]]></source>
<year>2020</year>
<numero>37</numero>
<issue>37</issue>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Sequeira]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Preditores de bem-estar psicolo&#769;gico em estudantes do ensino superior]]></article-title>
<source><![CDATA[Revista ROL de Enfermaria]]></source>
<year>2020</year>
<volume>43</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>356-63</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nogueira]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Sequeira]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A saúde mental em estudantes do ensino superior: Relação com o género, nível socioeconómico e os comportamentos de saúde]]></article-title>
<source><![CDATA[Revista Portuguesa de Enfermagem de Sau&#769;de Mental]]></source>
<year>2017</year>
<volume>5</volume>
<numero>Spe.</numero>
<issue>Spe.</issue>
<page-range>51-6</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pais-Ribeiro]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Abrantes]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Coelho]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ulterior validac&#807;ão do questiona&#769;rio de sau&#769;de geral de Goldberg de 28 itens]]></article-title>
<source><![CDATA[Psicologia, Sau&#769;de &amp; Doenc&#807;as]]></source>
<year>2015</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>278-85</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pires]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[João]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[COVID-19, confinamento e teletrabalho: Estudo qualitativo do impacto e adaptação psicológica em dois estados de emergência]]></article-title>
<source><![CDATA[Investigação Qualitativa em Saúde: Avanços e Desafios]]></source>
<year>2021</year>
<numero>8</numero>
<issue>8</issue>
<page-range>26-34</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Romeo]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Benfante]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Castelli]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Di Tella]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychological distress among Italian University students compared to general workers during the COVID-19 pandemic]]></article-title>
<source><![CDATA[International Journal of Environmental Research and Public Health]]></source>
<year>2021</year>
<volume>18</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>2503</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ware]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Manning]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Wells]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Duan]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Newhouse]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Health status and the use of outpatient mental health services]]></article-title>
<source><![CDATA[American Psychologist]]></source>
<year>1984</year>
<volume>39</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1090-100</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Investing in mental health]]></source>
<year>2003</year>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="">
<collab>World Health Organization</collab>
<source><![CDATA[Risks to mental health: An overview of vulnerabilities and risk factors: Background paper by WHO Secretariat for the development of a comprehensive mental health action]]></source>
<year>2012</year>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="">
<collab>YoungMinds</collab>
<source><![CDATA[Coronavirus: Impact on young people with mental health needs]]></source>
<year>2020</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
