6.2.4. Psychological/Psychiatric Support before the Pandemic Broke-Out

Students who were using psychological and/or psychiatric help had the highest results in overall emotional distress (Me = 56.00 ± 29.53), depression (Me = 20.00 ± 10.43), anxiety (Me = 12.00 ± 10.43), and stress (Me = 24.00 ± 11.61). The use of the psychological and/or psychiatric support before the pandemic was associated with significantly higher levels of all the assessed variables of the DASS-21 (overall emotional distress (H = 102.21, *p* < 0.001); depression (H = 78.208, *p* < 0.001); anxiety (H = 92.198 *p* < 0.001); stress (H = 76.923, *p* < 0.001), and the total DASS scores were above the cut-off scores (Supplementary Tables S4, S4.2, S4.3, and S4.4). The respondents who had higher odds of emotional distress to the pandemic situation were those who used psychiatrist services before the outbreak of the pandemic (OR = 8.06, 95% CI: 2.79–23.28).
