Relationships between depression, perceived stress and anxiety and quality of life and characteristics of Nursing students
DOI:
https://doi.org/10.35699/reme.v26i.39449Keywords:
Depression, Stress, Psychological, Anxiety, Quality of Life, Students, NursingAbstract
Objective: to evaluate the relationships of anxiety, perceived stress and depression symptoms with quality of life and with sociodemographic, academic and clinical characteristics of Nursing students. Methods: this is a correlational cross-sectional study conducted with 173 undergraduate Nursing students enrolled in 2017 at the Federal University of São Paulo, Brazil. Anxiety, depression symptoms, stress and quality of life were evaluated by means of the Beck Anxiety Inventory, the Beck Depression Inventory, the Perceived Stress Scale and the Short-Form Health Survey, respectively. Results: 24.6%, 24.0% and 11.1% of the students presented mild, moderate and severe anxiety, respectively. Most of those diagnosed with depression had severe symptoms (47.4%), while most of those not diagnosed with depression presented no symptoms (67.1%). The mean stress level was 14.1 out of the maximum score of 40. The quality of life domain with the lowest score was vitality, while the one with the highest score was physical functioning. Conclusion: depression, anxiety and stress were related to different sociodemographic, academic and clinical characteristics, as well as to some quality of life domains, which should be targets of interventions.
References
Cohen BE, Edmondson D, Kronish IM. State of the art review: depression, stress, anxiety, and cardiovascular disease. Am J Hypertens. 2015[citado em 2021 jan. 22];28(11):1295-302. Disponível em: https://pubmed.ncbi.nlm.nih.gov/25911639/
World Health Organization. Transtornos mentais. Brasília: OPAS/OMS; 2019. Disponível em: https://www.paho.org/pt/topicos/transtornos-mentais
Associação Psiquiátrica Americana. Manual Diagnóstico e Estatístico de Transtornos Mentais. 5 ª ed. Arlington, VA: American Psychiatric Publishing; 2013.
Facioli AM, Barros AF, Melo MC, Ogliari ICM, Custódio RJM. Depressão entre estudantes de Enfermagem e sua associação com a vida acadêmica. Rev Bras Enferm. 2020[citado em 2021 fev. 11];73(1):e20180173. Disponível em: https://www.scielo.br/j/reben/a/jDrTW7bjTpG7vNYkxfZWq9C/?lang=pt
Wickert DC, Silva LMC, Munhoz OL, Schimith MD, Magnago TSBS, Silveira VDN. Fatores de risco cardiovascular e qualidade de vida de estudantes de Enfermagem. Rev Enferm UFSM. 2020[citado em 2021 jun. 09];11(e5):1-22. Disponível em: https://periodicos.ufsm.br/reufsm/article/view/43038/html
Albuquerque RN, Borges MS, SadiMonteiro P. Epidemiological profile of suicidal behavior among nursing students. Rev Enferm. 2019[citado em2021 mar. 18];27:1-9. Disponível em: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/45607
Aloufi MA, Jarden RJ, Gerdtz MF, Kapp S. Reducing stress, anxiety and depression in undergraduate nursing students: systematic review. Nurse Educ Today. 2021[citado em 2021 set. 15];102:104877. Disponível em: 10.1016/j.nedt.2021.104877
Cunha JA. Manual da versão em português das Escalas de Beck. São Paulo: Casa do Psicólogo; 2001. 256p.
Gorenstein C, Andrade L. Validation of a Portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects. Brazilian J Med Biol Res. 1996[citado em2021 jan. 22];29(4):453-7. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/8736107
Luft CDB, Sanches SO, Mazo GZ, Andrade A. Brazilian version of the Perceived Stress Scale: translation and validation for the elderly. Rev Saúde Pública. 2007[citado em 2021 fev. 13];41(4):606-15. Disponível em: https://www.scielo.br/j/rsp/a/bgpXDHZXQXNqVS8JLnLdLhr/?lang=pt&format=pdf
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999[citado em2021 jan. 10];39:143-50. Disponível em: http://www.scopus.com/inward/record.url?eid=2-s2.0-0032808921&partnerID=40&md5=8e372f8e7feece5ae4fc33228a55d3a8
McConville J, McAleer R, Hahne A. Mindfulness Training for Health Profession Students-The Effect of Mindfulness Training on Psychological Well-Being, Learning and Clinical Performance of Health Professional Students: A Systematic Review of Randomized and Non-randomized Controlled Trials. Explore (NY). 2017[citado em 2021 set. 15];13(1):26-45. Disponível em: 10.1016/j.explore.2016.10.002
Van der Riet P, Rossiter R, Kirby D, Dluzewska T, Harmon C. Piloting a stress management and mindfulness program for undergraduate nursing students: student feedback and lessons learned. Nurse Educ Today. 2015[citado em 2021 set. 15];35(1):44-9. Disponível em: 10.1016/j.nedt.2014.05.003.
Fernandes MA, Vieira FER, Silva JS, Avelino FVSD, Santos JDM. Prevalence of anxious and depressive symptoms in college students of a public institution. Rev Bras Enferm. 2018[citado em 2021 maio 28];71(5):2169-75. Disponível em: https://www.scielo.br/j/reben/a/JwkL4F3S5DQGkmvx5ZP7cYQ/?format=pdf&lang=en
Sawicki WC, Barbosa DA, Fram DS, Belasco AGS. Alcohol consumption, Quality of Life and Brief Intervention among Nursing university students. Rev Bras Enferm. 2018[citado em 2021 abr. 19];71(1):505-12. Disponível em: https://www.scielo.br/j/reben/a/cYGD3kXXxRmmny9gnhvyfQC/?format=pdf&lang=en
Tung YJ, Lo KKH, Ho RCM, Tam WSW. Prevalence of depression among nursing students: a systematic review and meta-analysis. Nurse Educ Today. 2018[citado em 2021 maio 23];63:119-29. Disponível em: https://doi.org/10.1016/j.nedt.2018.01.009
Labrague LJ, McEnroe-Petitte DM, Papathanasiou IV, Edet OB, Tsaras K, Christos KF, et al. A cross-country comparative study on stress and quality of life in nursing students. Perspect Psychiatr Care. 2018[citado em 2021 jan. 20];54(4):469-76. Disponível em: https://pubmed.ncbi.nlm.nih.gov/29078010/
Cestari VRF, Barbosa IV, Florêncio RS, Pessoa VLMP, Moreira TMM. Estresse em estudantes de Enfermagem: estudo sobre vulnerabilidades sociodemográficas e acadêmicas. Acta Paul Enferm. 2017[citado em 2021 maio 17];30(2):190-6. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002017000200190&lng=pt&tlng=pt
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005[citado em 2021 set. 15];39(6):594-604. Disponível em: 10.1111/j.1365-2929.2005.02176.x
Mirza AA, Milaat WA, Ramadan IK, Baig M, Elmorsy SA, Beyari GM, et al. Depression, anxiety and stress among medical and non-medical students in Saudi Arabia: an epidemiological comparative cross-sectional study. Neurosciences (Riyadh). 2021[citado em 2021 set. 12];26(2):141-51. Disponível em: 10.17712/nsj.2021.2.20200127
Warner A, Barrow J, Berken J, Williams A, Davis A, Hurst H, et al. The relationship among BSN students' employment, educational, and health-related characteristics and semester grades: a multi-site study. J Prof Nurs. 2020[citado em 2021 set. 15];36(5):308-16. Disponível em: 10.1016/j.profnurs.2020.01.005.
Karaoglu N, Şeker M. Anxiety and depression in medical students related to desire for and expectations from a medical career. West Indian Med J. 2010[citado em 2021 jun. 22];59:196-20. Disponível em: https://pubmed.ncbi.nlm.nih.gov/21275126/
Hirsch CD, Barlem ELD, Almeida LK, Tomaschewski-Barlem JG, Lunardi VL, Ramos AM. Fatores percebidos pelos acadêmicos de Enfermagem como desencadeadores do estresse no ambiente formativo. Texto Contexto Enferm. 2018[citado em 2021 jun. 22];27(1):e0370014. Disponível em: https://doi.org/10.1590/0104-07072018000370014
Zimmermann M, Chong AK, Vechiu C, Papa A. Modifiable risk and protective factors for anxiety disorders among adults: a systematic review. Psychiatry Res. 2020[citado em 2021 jun. 22];285:112705. Disponível em: 10.1016/j.psychres.2019.112705
França SP, Martino MM, Aniceto EV, Silva LL. Preditores da Síndrome de Burnout em enfermeiros de serviços de urgência pré-hospitalar. Acta Paul Enferm. 2012[citado em 2021 abr. 03];25(1):68-73. Disponível em: https://www.scielo.br/pdf/ape/v25n1/v25n1a12.pdf
Ribeiro FMSS, Mussi FC, Pires CGS, Silva RM, Macedo TTS, Santos CAST. Stress level among undergraduate nursing students related to the training phase and sociodemographic factors. Rev Latinoam Enferm. 2020[citado em 2021 abr. 03];28:e3209. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692020000100316&tlng=en
Graner KM, Cerqueira ATAR. Revisão integrativa: sofrimento psíquico em estudantes universitários e fatores associados. Ciênc Saúde Colet. 2019[citado em 2021 jun. 22];24(4) 1327-46. Disponível em: https://doi.org/10.1590/1413-81232018244.09692017
Lawrence D, Hafekost J, Hull P, Mitrou F, Zubrick SR. Smoking, mental illness and socioeconomic disadvantage: analysis of the Australian National Survey of Mental Health and Wellbeing. BMC Public Health. 2013[citado em 2021 ago. 15];11(13):462. Disponível em: https://pubmed.ncbi.nlm.nih.gov/23663362/
Gan GG, Ling HY. Anxiety, depression and quality of life of medical students in Malaysia. Med J Malaysia. 2019[citado em 2021 abr. 22];74(1):57-61. Disponível em: http://www.e-mjm.org/2019/v74n1/anxiety-and-depression.pdf
Alkatheri AM, Bustami RT, Albekairy AM, Alanizi AH, Alnafesah R, Almodaimegh H, et al. Quality of Life and Stress Level Among Health Professions Students. Health Professions Education. 2020[citado em 2021 jan. 10];6(2):201-10. Disponível em: https://www.sciencedirect.com/science/article/pii/S245230111930094X
Oztasan N, Ozyrek P, Kilic I. Factors Associated With Health-Related Quality of Life Among University Students in Turkey. Mater Sociomed. 2016[citado em 2021 mar. 18];28(3):210-4. Disponível em: http://www.scopemed.org/fulltextpdf.php?mno=230959
Additional Files
Published
Issue
Section
License
Copyright (c) 2022 REME-Revista Mineira de Enfermagem
This work is licensed under a Creative Commons Attribution 4.0 International License.
Links
Facebook
Instagram
Twitter
