Abstract: Objective To investigate the relationship of anxiety, stress and psychological distress with sleep quality in college students during COVID-19 outbreak, and provide basis for sleep and psychological guidance during public health emergencies. Methods The snowball sampling method was adopted and the “WeChat” APP was used as the media to conduct 72-hour online survey among college students across the country in February 9-11, 2020. T test, Pearson correlation and multiple linear regression analysis were used to analyze the relationship of anxiety, stress and psychological distress with sleep quality. Results A total of 1 865 college students were included in the study, with an average age of （20.70±1.48） years old, boy students accounted for 33.73%. The detection rates of poor sleep quality, anxiety, stress and psychological distress were 5.14%, 6.81%, 2.90% and 15.71%, respectively. Psychological health and its all dimension were positively correlated with sleep quality. The anxiety, stress and psychological distress were the influencing factors of sleep quality （R²=0.59）. Conclusion The anxiety, stress and psychological distress may aggravate the symptoms of poor sleep quality in college students. Reasonable adjustment of negative emotions in public health emergencies is conducive to improving the sleep quality of college students.

Key words: COVID-19, Sleep quality, Psychological distress, Anxiety, Stress