Examining Anxiety and Depression among Undergraduate Nursing Students: A Cross-Sectional Study

Tazveen Fariha; Jalal Uddin; Jason D. Flatt

doi:10.59786/bmtj.227

Authors

Tazveen Fariha Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, 89557, USA https://orcid.org/0009-0006-7766-5088
Jalal Uddin Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, 89557, USA https://orcid.org/0000-0001-5807-9813
Jason D. Flatt Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, 89557, USA https://orcid.org/0000-0003-1244-738X

DOI:

https://doi.org/10.59786/bmtj.227

Keywords:

Depression anxiety, Nursing Students, Mental Health

Abstract

Background: Mental health is a crucial aspect of well-being, especially among undergraduate nursing students. Nursing students face unique stressors that can impact their mental health. This study aimed to determine the anxiety and depression level among undergraduate nursing students at Chattogram, Bangladesh.

Methods: A cross-sectional study design was employed, and data were collected using an online questionnaire (google form) that included the Hospital Anxiety and Depression Scale (HADS). Convenience sampling was used to select 124 BSc Nursing students aged over 18 years. Data analysis was conducted using SPSS version 28.

Results: The majority of participants were female (88.3%), and the mean age was 20.58 years, range 18 to 23. The prevalence of anxiety was 66.0%, with 28.0% scoring in the borderline abnormal range and 38.0% in the abnormal range. For depression, 22.4% were in the borderline abnormal range, and 18.4% in the abnormal range. Pearson correlation test showed gender was significantly associated with anxiety (p = 0.004), while no significant associations were found between depression and gender, depression and (academic qualifications, contagious disease status, or close family members' infection status). The logistic regression analysis, revealing that age is significantly associated with depression among nursing students; older students have higher odds of experiencing depression (OR = 1.384, p = 0.037).

Conclusion: This study highlights a significant burden of anxiety among undergraduate nursing students at CINC, with a substantial proportion experiencing abnormal levels of anxiety. The findings underscore the importance of addressing mental health issues among nursing students and implementing strategies to promote their mental well-being.

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References

World Health Organization. Mental Health Action Plan 2013–2020. Geneva, Switzerland; 2013. Available online: https://apps.who.int/iris/bitstream/handle/10665/89966/9789241506021_eng.pdf?sequence=1 (accessed on 24 September 2020).

Wainberg ML, Scorza P, Shultz JM, Helpman L, Mootz JJ, Johnson KA, et al. Challenges and Opportunities in Global Mental Health: A Research-to-Practice Perspective. Curr Psychiatry Rep. 2017;19:28. https://doi.org/10.1007/s11920-017-0774-0

GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7

Teh CK, Ngo CW, Zulkifli RAB, Vellasamy R, Suresh K. Depression, Anxiety and Stress among Undergraduate Students: A Cross Sectional Study. Open J Epidemiol. 2015;5:260–268. https://doi.org/10.4236/ojepi.2015.54031

Al-Naggar RA, Al-Naggar DH. Prevalence and Associated Factors of Emotional Disorder among Malaysian University Students. Public Health. 2012;4:11.

Chand SP, Arif H. Depression. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430847/

Bruffaerts R, Mortier P, Kiekens G, Auerbach RP, Cuijpers P, Demyttenaere K, et al. Mental health problems in college freshmen: Prevalence and academic functioning. J Affect Disord. 2018;225:97–103. https://doi.org/10.1016/j.jad.2017.07.044

Kumaraswamy N. Academic stress, anxiety and depression among college students—A brief review. Int Rev Soc Sci Humanit. 2013;5:135–143.

Bangasser DA, Curtis A, Reyes BAS, Bethea TT, Parastatidis I, Ischiropoulos H, et al. Sex differences in corticotropin-releasing factor receptor signaling and trafficking: Potential role in female vulnerability to stress-related psychopathology. Mol Psychiatry. 2010;15:877–896. https://doi.org/10.1038/mp.2009.123

Kruisselbrink Flatt A. A Suffering Generation: Six Factors Contributing to the Mental Health Crisis in North American Higher Education. Coll Q. 2013;16(1).

Samson P. Role of Coping in Stress, Anxiety, Depression among Nursing Students of Purbanchal University in Kathmandu. J Nepal Health Res Counc. 2019;17(3):325–330. https://doi.org/10.33314/jnhrc.v17i3.1843

Moreira DP, Furegato AR. Stress and depression among students of the last semester in two nursing courses. Rev Latino-Am Enfermagem. 2013;21(SPE):155–162. https://doi.org/10.1590/S0104-11692013000700020

Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: A meta-analysis. Med Educ. 2016;50(4):456–468. https://doi.org/10.1111/medu.12962

Janatolmakan M, Andaieshgar B, Aryan A, Jafari F, Khatony A. Comparison of Depression Rate Between the First- and Final-Year Nursing Students in Kermanshah, Iran. Psychol Res Behav Manag. 2019;12:1147-1153. https://doi.org/10.2147/PRBM.S238873

Scott KM, Lim C, Al-Hamzawi A, Alonso J, Bruffaerts R, Caldas-de-Almeida JM, et al. Association of mental disorders with subsequent chronic physical conditions: World Mental Health Surveys from 17 countries. JAMA Psychiatry. 2016;73:150–158. https://doi.org/10.1001/jamapsychiatry.2015.2688

Michopoulos I, Douzenis A, Kalkavoura C, Christodoulou C, Michalopoulou P, Kalemi G, et al. Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample. Ann Gen Psychiatry. 2008;7:4. https://doi.org/10.1186/1744-859X-7-4

Asif S, Mudassar A, Shahzad TZ, Raouf M, Pervaiz T. Frequency of depression, anxiety and stress among university students. Pak J Med Sci. 2020;36(5):971-976. https://doi.org/10.12669/pjms.36.5.1873

Sakai M, Nakanishi M, Yu Z, Takagi G, Toshi K, Wakashima K, et al. Depression and anxiety among nursing students during the COVID-19 pandemic in Tohoku region, Japan: A cross-sectional survey. Jpn J Nurs Sci. 2022;19(3). https://doi.org/10.1111/jjns.12483

Cheung T, Wong SY, Wong KY, Law LY, Ng K, Tong MT, et al. Depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong: A cross-sectional study. Int J Environ Res Public Health. 2016;13:779. https://doi.org/10.3390/ijerph13080779

Syed A, Ali SS, Khan M. Frequency of depression, anxiety and stress among the undergraduate physiotherapy students. Pak J Med Sci. 2018;34(2):468–471. https://doi.org/10.12669/pjms.342.12298

Nagaraja GM, Reddy M, Ravishankar S, Jagadisha D, Muninarayana D. Study the prevalence of depression among nursing college students of Kolar District, Karnataka State. IOSR J Humanit Soc Sci. 2015;20(5):135-139. https://doi.org/10.9790/0837-2052135139

Jovanovic V, Djonovic N, Dutina A. Factors associated with the depression, anxiety and stress among High Medical School of Professional Studies students. Med Cas. 2017;51:7-14. https://doi.org/10.5937/mckg51-14379

Zaher JS, Vafaei M, Abianch EE. Comparing depression, anxiety, and stress among the nurses in the critical care and internal surgical units at the selected hospitals of the social security organization of Tehran. Int J Med Res Health Sci. 2016;5:254-261.