Silent struggles: ADHD and anxiety during campus isolation

Document Type

Journal Article

Publication Date

7-9-2025

Journal

Journal of American college health : J of ACH

DOI

10.1080/07448481.2025.2468836

Keywords

ADHD; academic stress; anxiety comorbidity; pandemic isolation; student mental health

Abstract

Building on Seddio et al.'s study of ADHD symptoms, anxiety, and internalizing behaviors among college students during COVID-19, we identify key methodological limitations and propose refinements. The study's cross-sectional design, small sample size (n=200) from a single northeastern institution, high ADHD prevalence (35%), gender imbalance (82.1% female), reliance on self-report measures, and lack of ADHD subtype differentiation limit its generalizability and clinical applicability. We recommend standardized mental health screenings for internalizing behaviors, integrated care pathways within student health services, and faculty training to recognize subtle signs of distress. Future research should adopt longitudinal designs with multi-institutional cohorts, control groups, and diverse demographics to better understand comorbid ADHD and anxiety during acute stress. These improvements would strengthen the evidence base for supporting collegiate mental health.

Department

School of Medicine and Health Sciences Student Works

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