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 Table of Contents  
SHORT COMMUNICATION
Year : 2021  |  Volume : 35  |  Issue : 1  |  Page : 22-25

MS-speech-language pathology student mental health: Establishing a virtual safety net during COVID-19


Department of Communication Sciences and Disorders, Florida International University, Miami, Florida, USA

Date of Submission22-Mar-2021
Date of Decision10-Apr-2021
Date of Acceptance15-Apr-2021
Date of Web Publication28-Jun-2021

Correspondence Address:
Angela Marie Medina
Department of Communication Sciences and Disorders, Florida International University, 11200 SW 8th Street, AHC3-441, Miami, Florida 33199
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisha.jisha_7_21

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  Abstract 


The purpose of this paper is to describe the implementation of a remote mindfulness program designed to serve as a mental health resource for MS-speech-language pathology students coping with the initial restrictions related to COVID-19. A cursory review of the literature outlining the negative social, emotional, and psychological impact COVID-19 has had on graduate students is presented. The benefits of mindfulness practice are well-documented, therefore, making it an appropriate mental health resource for minimizing the loneliness, stress, anxiety, and uncertainty experienced by students. Elements of a remote mindfulness program implemented within days of the stay-at-home order are described including the theoretical framework, session content, as well as strategies, techniques, and resources for independent practice.

Keywords: COVID-19, mental health, mindfulness, speech-language pathology students


How to cite this article:
Medina AM, Mead JS. MS-speech-language pathology student mental health: Establishing a virtual safety net during COVID-19. J Indian Speech Language Hearing Assoc 2021;35:22-5

How to cite this URL:
Medina AM, Mead JS. MS-speech-language pathology student mental health: Establishing a virtual safety net during COVID-19. J Indian Speech Language Hearing Assoc [serial online] 2021 [cited 2021 Dec 2];35:22-5. Available from: https://www.jisha.org/text.asp?2021/35/1/22/319603




  Introduction Top


COVID-19 has changed the world as we know it. The latest research has shown that this pandemic has had a negative impact on the mental health of adults with increases in panic disorders,[1] anxiety,[1],[2],[3],[4],[5],[6],[7],[8] fear,[5],[6],[9],[10],[11] depression,[1],[2],[4],[5],[7],[8],[9],[12] suicide rates,[5],[13] self-harm,[5] psychological distress,[1],[8] domestic violence,[3],[5],[6],[13] posttraumatic stress disorder symptoms,[12],[14] and impaired sleep.[2],[4],[5],[7],[9] Graduate students are no exception. The unexpected changes and uncertainty brought on by the pandemic have had a critically adverse impact on the mental health of students including symptoms of anxiety,[15],[16],[17],[18],[19],[20],[21],[22],[23],[24],[25],[26],[27],[28],[29] stress and psychological distress;[15],[16],[20],[22],[23],[26],[27],[30],[31],[32],[33] depression or depressive thoughts[15],[18],[19],[21],[22],[23],[24],[25],[26],[27],[34] obsessive–compulsive behaviors,[34],[35] worsening of sleep quality;[25] and in severe cases, suicidal thoughts.[27]

The dramatic and sudden shift in learning modes from the traditional face-to-face format to the virtual modality has been shown to play a role in this mental health crisis in academia.[30],[32] With this new mode of learning, some students had to cope with challenges such as poor or nonexistent Internet connectivity and unfavorable home conditions for studying.[21] With widespread lockdown orders, these students could not go to campus, or anywhere else, for Internet access and quiet study spaces. Lockdowns also caused disruption of internship placements,[36],[37] uncertainty about graduation dates,[32],[36] as well as an overwhelming sense of loneliness.[15],[16],[34],[38]

Faculty involved with students during this time were confronted with the heaviness their students were feeling. In response to these unprecedented circumstances, the authors implemented a remote mindfulness program for graduate speech-language pathology (SLP) students. The intention of this initiative was to provide students with a space to reconnect with their peers, share their thoughts, and also to learn strategies to mitigate the isolation, stress, anxiety, uncertainty, and other negative feelings they were coping with due to the sudden changes brought on by COVID-19 restrictions. The authors chose mindfulness as the foundation of this program given the scientific evidence that stress and anxiety can be significantly reduced through the practice of mindfulness.[39],[40],[41],[42],[43],[44] Practicing being in the present moment facilitates stress reduction and can help individuals cope with challenges in a calmer way. The benefits of practicing mindfulness can be noted immediately as well as across the long term. Immediate benefits are typically reported as feeling more peaceful, calm, and relaxed,[40],[45] while long-term benefits include positive changes in brain structure and function (e.g.,[46]). Prior to COVID-19, research has shown that mindfulness practices have been beneficial for SLP students.[47],[48],[49],[50] Therefore, the purpose of this paper is to describe the implementation of a remote self-care resource that was designed to address the critical issue of student mental health related to COVID-19.


  Elements of the Remote Mindfulness Program Top


Within days of the stay at home order being issued in South Florida, two graduate SLP faculty members (one who has been practicing mindfulness, meditation, and yoga for over 35 years and the other who has expertise in the areas of counseling, group therapy, and wellness-based approaches) initiated the program described below. The first- and second-year graduate SLP cohorts (n = 90) were sent an open invitation to join once a week via Zoom. Since this was an extracurricular resource, students were not required to commit to attending all sessions; rather, they were invited to come when they could and as they saw fit. Sessions were offered remotely via Zoom for 30 min once a week for 5 weeks. Students had the option of participating synchronously or asynchronously. The synchronous sessions were recorded and made available for those who could not attend live.


  Theoretical Orientation Top


Mindfulness is defined by Kabat-Zinn as the state of being fully aware, moment by moment, on purpose, without judgment, in an accepting way.[51] Mindfulness can be practised throughout the day by being aware of routine activities. For example, while gardening, one may notice the scent and feel of the soil, the feeling of the sun on their skin, or the colors they observe in their surroundings. Paying attention to the sounds in the immediate or distant environment will anchor one into the present moment. Formal meditation and practicing breathing techniques are also ways to foster mindfulness.


  Session Content Top


Each session consisted of a combination of various components of mindfulness instruction such as centering, guided meditation, exploration of a theme, breath work, gentle stretches, and group reflection. Sessions started with centering, which included an invitation to sit comfortably, calm the busy mind, and relax. The facilitator then guided the students in short meditation practice which included body scan, sensory perception, breath awareness, and focus on natural elements [Table 1]. Following a guided meditation, the session topic was introduced. The exploration of the session topics was a means to familiarize students with concepts and philosophies of mindfulness practice. The mindfulness facilitator then described the benefits, mechanics, and applicability of the session's selected breathing technique. This was followed by group practice of the technique guided by the facilitator. Techniques included alternate nostril breathing, diaphragmatic breathing, and counting the duration of inhaling and exhaling breaths. Occasionally, students were guided in yoga postures and Tai Chi movements; however, they were not essential elements of each session. These sessions also provided students an opportunity to engage in a group conversation to share their feelings, perceptions, and to reconnect.
Table 1: Key session elements

Click here to view



  Strategies, Techniques, and Resources for Independent Practice Top


Students were encouraged to continue their meditation and mindfulness practice on a daily basis. They were provided with recommendations for smartphone meditation applications that would provide them with guidance through daily meditations and breathing techniques. In addition, students were reminded during each session on ways to be mindful throughout the day by focusing on the senses during daily activities. Examples of this included noticing the texture of their shoelaces while they tie their shoes; feeling the bristles of a toothbrush against their gums while brushing their teeth; tuning into each of the ambient noises in their homes, or focusing on their breathing before getting out of their cars. To facilitate frequent reminders and dissemination of ideas for independent mindfulness practice, a closed Facebook group was developed for the students. While the facilitator was the primary contributor to the group message board, the students were invited to post and share their own resources such as inspirational memes and pictures, quotes, YouTube videos, and articles about mindfulness and meditation.


  Conclusion Top


Even though the full extent of lasting psychosocial consequences due to the pandemic is not known, the current literature shows enough evidence that action needs to be taken. Therefore, the purpose of this paper was to describe an extracurricular resource used to address the critical issue of COVID-19's adverse impact on graduate SLP student mental health. Before the pandemic, graduate school was already stressful and with the added variables related to COVID-19, research shows that stress levels continue to rise. Offerings such as mindfulness training may prove to be instrumental in helping students navigate the uncertainty they continue to face.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen Psychiatr 2020;33:e100213.  Back to cited text no. 1
    
2.
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients 2020:12;1583.  Back to cited text no. 2
    
3.
Galea S, Merchant RM, Lurie N. The mental health consequences of COVID-19 and physical distancing: The need for prevention and early intervention. JAMA Intern Med 2020;180:817-8.  Back to cited text no. 3
    
4.
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.  Back to cited text no. 4
    
5.
Kumar A, Nayar, KR. COVID 19 and its mental health consequences. Journal of Mental Health 180.6 (2020): 817-8.  Back to cited text no. 5
    
6.
Lee SA. Coronavirus anxiety scale: A brief mental health screener for COVID-19 related anxiety. Death Stud 2020;44:393-401.  Back to cited text no. 6
    
7.
Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr 2020;52:102066.  Back to cited text no. 7
    
8.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020;17:1729.  Back to cited text no. 8
    
9.
Pfefferbaum B, North CS. Mental health and the Covid-19 pandemic. N Engl J Med 2020;383:510-2.  Back to cited text no. 9
    
10.
Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry Clin Neurosci 2020;74:281-2.  Back to cited text no. 10
    
11.
Usher K, Durkin J, Bhullar N. The COVID-19 pandemic and mental health impacts. Int J Ment Health Nurs 2020;29:315-8.  Back to cited text no. 11
    
12.
Torales J, O'Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry 2020;66:317-20.  Back to cited text no. 12
    
13.
Gunnell D, Appleby L, Arensman E, Hawton K, John A, Kapur N, et al. Suicide risk and prevention during the COVID-19 pandemic. Lancet Psychiatry 2020;7:468-71.  Back to cited text no. 13
    
14.
Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C, et al. The effect of COVID-19 on youth mental health. Psychiatr Q 2020;91:841-52.  Back to cited text no. 14
    
15.
Araújo FJ, de Lima LS, Cidade PI, Nobre CB, Neto ML. Impact of sars-cov-2 and its reverberation in global higher education and mental health. Psychiatry Res 2020;288:112977.  Back to cited text no. 15
    
16.
Arslan G, Yıldırım M, Aytaç M. Subjective vitality and loneliness explain how coronavirus anxiety increases rumination among college students. Death studies 2020: 1-10.  Back to cited text no. 16
    
17.
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.  Back to cited text no. 17
    
18.
Feng Y, Zong M, Yang Z, Gu W, Dong D, Qiao Z. When altruists cannot help: The influence of altruism on the mental health of university students during the COVID-19 pandemic. Global Health 2020;16:61.  Back to cited text no. 18
    
19.
Huckins JF, daSilva AW, Wang W, Hedlund E, Rogers C, Nepal SK, et al. Mental health and behavior of college students during the early phases of the COVID-19 pandemic: Longitudinal smartphone and ecological momentary assessment study. J Med Internet Res 2020;22:e20185.  Back to cited text no. 19
    
20.
Husky MM, Kovess-Masfety V, Swendsen JD. Stress and anxiety among university students in France during Covid-19 mandatory confinement. Compr Psychiatry 2020;102:152191.  Back to cited text no. 20
    
21.
Kapasia N, Paul P, Roy A, Saha J, Zaveri A, Mallick R, et al. Impact of lockdown on learning status of undergraduate and postgraduate students during COVID-19 pandemic in West Bengal, India. Child Youth Serv Rev 2020;116:105194.  Back to cited text no. 21
    
22.
Kecojevic A, Basch CH, Sullivan M, Davi NK. The impact of the COVID-19 epidemic on mental health of undergraduate students in New Jersey, cross-sectional study. PLoS One 2020;15:e0239696.  Back to cited text no. 22
    
23.
Khan AH, Sultana MS, Hossain S, Hasan MT, Ahmed HU, Sikder MT. The impact of COVID-19 pandemic on mental health and amp; wellbeing among home-quarantined Bangladeshi students: A cross-sectional pilot study. J Affect Disord 2020;277:121-8.  Back to cited text no. 23
    
24.
Liu X, Liu J, Zhong X. Psychological state of college students during COVID-19 epidemic. Lancet Glob Health 2020. [doi.org/10.2139/ssrn. 3552814].  Back to cited text no. 24
    
25.
Marelli S, Castelnuovo A, Somma A, Castronovo V, Mombelli S, Bottoni D, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staff. J Neurol 2021;268:8-15.  Back to cited text no. 25
    
26.
Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students' mental health in the United States: Interview survey study. J Med Internet Res 2020;22:e21279.  Back to cited text no. 26
    
27.
Patsali ME, Mousa DV, Papadopoulou EV, Papadopoulou KK, Kaparounaki CK, Diakogiannis I, et al. University students' changes in mental health status and determinants of behavior during the COVID-19 lockdown in Greece. Psychiatry Res 2020;292:113298.  Back to cited text no. 27
    
28.
Sallam M, Dababseh D, Yaseen A, Al-Haidar A, Ababneh NA, Bakri FG, et al. Conspiracy beliefs are associated with lower knowledge and higher anxiety levels regarding COVID-19 among students at the university of Jordan. Int J Environ Res Public Health 2020;17:4915.  Back to cited text no. 28
    
29.
Wang C, Zhao H. The impact of COVID-19 on anxiety in Chinese university students. Front Psychol 2020;11:1168.  Back to cited text no. 29
    
30.
Ravi RC. Lockdown of colleges and universities due to COVID-19: Any impact on the educational system in India? J Educ Health Promot 2020;9:209.  Back to cited text no. 30
    
31.
Cohen AK, Hoyt LT, Dull B. A descriptive study of COVID-19-related experiences and perspectives of a national sample of college students in spring 2020. J Adolesc Health 2020;67:369-75.  Back to cited text no. 31
    
32.
Hasan N, Bao Y. Impact of “e-Learning crack-up” perception on psychological distress among college students during COVID-19 pandemic: A mediating role of “fear of academic year loss”. Child Youth Serv Rev 2020;118:105355.  Back to cited text no. 32
    
33.
Perz CA, Lang BA, Harrington R. Validation of the Fear of COVID-19 Scale in a US College Sample. International journal of mental health and addiction 2020:1-11.  Back to cited text no. 33
    
34.
Chen B, Sun J, Feng Y. How have COVID-19 isolation policies affected young people's mental health?-Evidence from Chinese college students. Front Psychol 2020;11:1529.  Back to cited text no. 34
    
35.
Schousboe I. Characterization of an agglutinin from human serum. Biochim Biophys Acta 1978;543:373-82.  Back to cited text no. 35
    
36.
Aucejo EM, French J, Ugalde Araya MP, Zafar B. The impact of COVID-19 on student experiences and expectations: Evidence from a survey. J Public Econ 2020;191:104271.  Back to cited text no. 36
    
37.
Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: A national survey. BMC Med Educ 2020;20:206.  Back to cited text no. 37
    
38.
Rzymski P, Nowicki M. COVID-19-related prejudice toward Asian medical students: A consequence of SARS-CoV-2 fears in Poland. J Infect Public Health 2020;13:873-6.  Back to cited text no. 38
    
39.
Campos D, Cebolla A, Quero S, Bretón-López J, Botella C, Soler J, et al. Meditation and happiness: Mindfulness and self-compassion may mediate the meditation–happiness relationship. Personal Individ Diff 2016;93:80-5.  Back to cited text no. 39
    
40.
Carmody J, Baer RA. Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J Behav Med 2008;31:23-33.  Back to cited text no. 40
    
41.
Howell AJ, Digdon NL, Buro K. Mindfulness predicts sleep-related self-regulation and well-being. Pers Individ Dif 2010;48:419-24.  Back to cited text no. 41
    
42.
Marlatt GA, Kristeller JL. Mindfulness and meditation. In: Miller WR, editor. Integrating Spirituality into Treatment: Resources for Practitioners. American Psychological Association; 1999. p. 67-84.  Back to cited text no. 42
    
43.
Roberts KC, Danoff-Burg S. Mindfulness and health behaviors: Is paying attention good for you? J Am Coll Health 2010;59:165-73.  Back to cited text no. 43
    
44.
Smith BW, Shelley BM, Dalen J, Wiggins K, Tooley E, Bernard J. A pilot study comparing the effects of mindfulness-based and cognitive-behavioral stress reduction. J Altern Complement Med 2010;14:251-8.  Back to cited text no. 44
    
45.
Singh Y, Sharma R, Talwar A. Immediate and long-term effects of meditation on acute stress reactivity, cognitive functions, and intelligence. Altern Ther Health Med 2012;18:46-53.  Back to cited text no. 45
    
46.
Gotink RA, Meijboom R, Vernooij MW, Smits M, Hunink MG. 8-Week mindfulness based stress reduction induces brain changes similar to traditional long-term meditation practice – A systematic review. Brain Cogn 2016;108:32-41.  Back to cited text no. 46
    
47.
Beck AR, Verticchio H. Counseling and mindfulness practice with graduate students in communication sciences and disorders. Contemp Issu Commun Sci Dis 2014a; 41:133-48.  Back to cited text no. 47
    
48.
Beck AR, Verticchio H. Facilitating speech-language pathology graduate students' ability to manage stress: A pilot study. Contemp Issu Commun Sci Dis 2014b; 41:24-38.  Back to cited text no. 48
    
49.
Beck AR, Seeman S, Verticchio H, Rice J. Yoga as a technique to reduce stress experienced by CSD graduate students. Contemp Issu Communn Sci Dis 2015;42:1-15.  Back to cited text no. 49
    
50.
Beck AR, Verticchio H, Seeman S, Milliken E, Schaab H. A mindfulness practice for communication sciences and disorders undergraduate and speech-language pathology graduate students: Effects on stress, self-compassion, and perfectionism. Am J Speech Lang Pathol 2017;26:893-907.  Back to cited text no. 50
    
51.
Kabat-Zinn J. Mindfulness Meditation. New York, NY: Nightingale-Conant Corporation; 1995.  Back to cited text no. 51
    



 
 
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