Levels of stress, anxiety and depression in nursing students: a cross-sectional study
Abstract
Introduction. Some of the common problems that nursing and university students in general tend to present are stress, anxiety and depression that can impact their well-being and academic performance. Jobs carried out in private nursing schools are scarce in northern Mexico.
Objective. Determine the association of stress, anxiety and depression levels in first semester students of the Bachelor's Degree in Nursing and Technical Professional in General Nursing (PTEG) at a private school. Methodology. A descriptive, associative and cross-sectional study was carried out in a private Nursing school in Torreón, Coahuila, with 111 first semester students, applying the Beck and DASS-21 questionnaires to evaluate the levels of depression, anxiety and stress.
Results. Positive associations were found between anxiety (p=.008), stress (p=.001) and depression (p=.006) in the students evaluated. It was observed that 23.8% of PTEG face severe anxiety, compared to 2.2% in Bachelor of Nursing. In PTEG there was a moderate to mild level of 14.3% in stress compared to 4.4% in the Bachelor of Nursing. Regarding depression, in PTEG there was a 23.8% moderate level, in contrast to the Bachelor's Degree in Nursing, with 11.1% mild and 4.4% moderate.
Conclusion. This study indicates the significant presence of anxiety, stress and depression in first-semester PTEG and Bachelor of Nursing students, with notable differences between both majors. These findings highlight the need to implement psychological and emotional support strategies for each group, in order to improve the well-being and academic performance of students.
References
Cahuas, A., He, Z., Zhang, Z. & Chen, W. (2020). Relationship of physical activity and sleep with depression in college students. Journal of American College Health, 68(5), 557–564. https://doi.org/10.1080/07448481.2019.1583653
Chow, M. S. C., Poon, S. H. L., Lui, K. L., Chan, C. C. Y. & Lam, W. W. T. (2021). Alcohol Consumption and Depression Among University Students and Their Perception of Alcohol Use. East Asian Archives of Psychiatry : Official Journal of the Hong Kong College of Psychiatrists Dong Ya Jing Shen Ke Xue Zhi : Xianggang Jing Shen Ke Yi Xue Yuan Qi Kan, 31(4), 87–96. https://doi.org/10.12809/eaap20108
Coelho, L. da S., Tony, A. C. C., Laguardia, G. C. de A., Dos Santos, K. B., Friedrich, D. B. de C., Cavalcante, R. B. & Carbogim, F. da C. (2021). Are symptoms of depression and anxiety in nursing students associated with their sociodemographic characteristics? Revista Brasileira de Enfermagem, 74(Suppl 3), e20200503, 1–7. https://doi.org/10.1590/0034-7167-2020-0503
Conceição, V., Rothes, I. & Gusmão, R. (2022). The association between stigmatizing attitudes towards depression and help seeking attitudes in college students. PLoS ONE, 17(2), e0263622, 1–14. https://doi.org/10.1371/journal.pone.0263622
da Silva, R. M., Costa, A. L. S., Mussi, F. C., Lopes, V. C., de Melo Batista, K. & dos Santos, O. P. (2019). Health alterations in nursing students after a year from admission to the undergraduate course. Revista Da Escola de Enfermagem, 53, e03450, 1-9. https://doi.org/10.1590/S1980-220X2018008103450
Garzón Morales, L., Bautista Martínez, V., Torres Olarte, E. G. & Carvajal, D. (2021). Prácticas y estrategias didácticas en el modelo pedagógico constructivista en enfermería. Revista Repertorio de Medicina y Cirugía, 31(1), 30–35. https://doi.org/10.31260/RepertMedCir.01217372.1097
Glei, D. A. & Weinstein, M. (2020). Mental health, pain, and risk of drug misuse: A nationwide cohort study. Addictive Behaviors, 109, 106467. https://doi.org/10.1016/j.addbeh.2020.106467
González, D. A., Reséndiz, A. & Reyes, I. (2015). Adaptation of the BDI–II in Mexico. Salud Mental, 38(4), 237–244. https://doi.org/10.17711/SM.0185-3325.2015.033
Jenkins, P. E., Ducker, I., Gooding, R., James, M. & Rutter-Eley, E. (2021). Anxiety and depression in a sample of UK college students: a study of prevalence, comorbidity, and quality of life. Journal of American College Health, 69(8), 813–819. https://doi.org/10.1080/07448481.2019.1709474
Lebel, S., Mutsaers, B., Tomei, C., Leclair, C. S., Jones, G., Petricone-Westwood, D., Rutkowski, N., Ta, V., Trudel, G., Laflamme, S. Z., Lavigne, A.-A. & Dinkel, A. (2020). Health anxiety and illness-related fears across diverse chronic illnesses: A systematic review on conceptualization, measurement, prevalence, course, and correlates. PLOS ONE, 15(7), e0234124, 1-48. https://doi.org/10.1371/journal.pone.0234124
Maza Ramon, E. L. & Carrión Cabrera, M. S. (2023). Nivel de estrés, ansiedad y depresión en estudiantes de enfermería de la Universidad Nacional de Loja. Enfermería Investiga, 8(3), 11–16. https://doi.org/10.31243/ei.uta.v8i3.2107.2023
McVeigh, C., Ace, L., Ski, C. F., Carswell, C., Burton, S., Rej, S. & Noble, H. (2021). Mindfulness-based interventions for undergraduate nursing students in a university setting: A narrative review. Healthcare (Switzerland), 9(11), 1493, 1–10. https://doi.org/10.3390/healthcare9111493
Onieva-Zafra, M. D., Fernández-Muñoz, J. J., Fernández-Martínez, E., García-Sánchez, F. J., Abreu-Sánchez, A. & Parra-Fernández, M. L. (2020a). Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC Medical Education, 20, 370, 1-9. https://doi.org/10.1186/s12909-020-02294-z
Ramón-Arbués, E., Gea-Caballero, V., Granada-López, J. M., Juárez-Vela, R., Pellicer-García, B. & Antón-Solanas, I. (2020). The prevalence of depression, anxiety and stress and their associated factors in college students. International Journal of Environmental Research and Public Health, 17(19), 7001, 1–15. https://doi.org/10.3390/ijerph17197001
Román, F., Santibáñez, P. & Vinet, E. V. (2016). Uso de las Escalas de Depresión Ansiedad Estrés (DASS-21) como Instrumento de Tamizaje en Jóvenes con Problemas Clínicos. Acta de Investigación Psicológica, 6(1), 2325–2336. https://doi.org/10.1016/S2007-4719(16)30053-9
Romo-Barrientos, C., Criado-Álvarez, J. J., Martínez-Lorca, A., Viñuela, A., Martin-Conty, J. L., Saiz-Sanchez, D., Flores-Cuadrado, A., Ubeda-Bañon, I., Rodriguez-Martín, B., Martinez-Marcos, A. & Mohedano-Moriano, A. (2020). Anxiety among nursing students during their first human prosection. Nurse Education Today, 85, 104269, 1–5. https://doi.org/10.1016/j.nedt.2019.104269
Ruvalcaba Palacios, G., Galván Guerra, A., Ávila Sansores, G. M. & Gómez Aguila, P. I. S. (2020). Ansiedad, depresión y actividad autónoma en estudiantes de enfermería, en el estado de Guanajuato, México. Revista Digital Internacional de Psicología y Ciencia Social, 6(1), 81–102. https://doi.org/10.22402/j.rdipycs.unam.6.1.2020.212.81-103
San Lucas Marcillo, M., Azua Menéndez, M. & Tigua Anzules, J. (2017). El Idioma Inglés como segunda lengua en los profesionales de la carrera de enfermería. Sinapsis, 1(6). https://doi.org/10.37117/s.v1i6.60
See, E. C. W., Koh, S. S. L., Baladram, S. & Shorey, S. (2023). Role transition of newly graduated nurses from nursing students to registered nurses: A qualitative systematic review. Nurse Education Today, 121, 105702, 1-11. https://doi.org/10.1016/j.nedt.2022.105702
Shahwan, S., Lau, J. H., Goh, C. M. J., Ong, W. J., Tan, G. T. H., Kwok, K. W., Samari, E., Lee, Y. Y., Teh, W. L., Seet, V., Chang, S., Chong, S. A. & Subramaniam, M. (2020). The potential impact of an anti-stigma intervention on mental health help-seeking attitudes among university students. BMC Psychiatry, 20, 562, 1-14. https://doi.org/10.1186/s12888-020-02960-y
Sharififard, F., Asayesh, H., Haji Mohammad Hosseini, M. & Sepahvandi, M. (2020). Motivation, self-efficacy, stress, and academic performance correlation with academic burnout among nursing students. Journal of Nursing and Midwifery Sciences, 7(2), 88-93. https://www.proquest.com/scholarly-journals/motivation-self-efficacy-stress-academic/docview/2391277309/se-2?accountid=134081
Sonmez, Y., Akdemir, M., Meydanlioglu, A. & Aktekin, M. R. (2023). Psychological Distress, Depression, and Anxiety in Nursing Students: A Longitudinal Study. Healthcare, 11(5), 636, 1-11. https://doi.org/10.3390/healthcare11050636
Tapasco, O. A. & Giraldo, J. A. (2017). Estudio Comparativo sobre Percepción y uso de las TIC entre Profesores de Universidades Públicas y Privadas. Formación Universitaria, 10(2), 3–12. https://doi.org/10.4067/S0718-50062017000200002
Trunce, S., Villarroel, G. P., Arntz, J., Muñoz, S. & Werner, K. (2020). Niveles de depresión, ansiedad, estrés y su relación con el rendimiento académico en estudiantes universitarios. Investigación en Educación Médica, 9(36), 8–16. https://doi.org/10.22201/fm.20075057e.2020.36.20229
Tung, Y. J., Lo, K. K. H., Ho, R. C. M. & Tam, W. S. W. (2018). Prevalence of depression among nursing students: A systematic review and meta-analysis. Nurse Education Today, 63, 119–129. https://doi.org/10.1016/j.nedt.2018.01.009
Uribe, M. Á. & Illesca, M. (2017). Burnout en estudiantes de enfermería de una universidad privada. Investigación en Educación Médica, 6(24), 234–241. https://doi.org/10.1016/j.riem.2016.11.005
Copyright (c) 2024 Moral rights belong to the author. The patrimonial rights belong to the Benemérita Universidad Autónoma de Puebla.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
