scholarly journals Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey

2021 ◽  
Vol 11 (1) ◽  
pp. 36-44
Author(s):  
Son Chae Kim ◽  
Christine Sloan ◽  
Anna Montejano ◽  
Carlota Quiban
Keyword(s):  
Mental Health ◽  
Nursing Students ◽  
High Stress ◽  
Severe Depression ◽  
Coping Mechanisms ◽  
Anxiety And Depression ◽  
Spiritual Support ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Severe Anxiety

The COVID-19 pandemic and consequent lockdown have precipitated significant disruption in the educational system. Nursing students are known to have higher levels of stress and anxiety than other non-nursing students, but there is a dearth of evidence regarding the impacts of the COVID-19 lockdown on their mental health and coping mechanisms. Purpose: The aim of this study was to explore the influence of coping mechanisms as predictors of stress, anxiety, and depression among nursing students during the COVID-19 lockdown. Methods: A cross-sectional online survey was conducted from 20 April to 10 May 2020 among 173 nursing students at a private university in Southern California, USA. Results: Self-reported stress, anxiety, and depression were significantly higher during the lockdown compared to the pre-lockdown period (p < 0.001). Almost a quarter of participants reported high stress, while more than half reported moderate-to-severe symptoms of anxiety and depression. High resilience was negatively associated with high stress (Odds Ratio (OR) = 0.46; 95% Confidence Interval (CI) = 0.22–0.98; p = 0.045), moderate-to-severe anxiety (OR = 0.47; 95%CI = 0.25–0.90; p = 0.022), and moderate-to-severe depression (OR = 0.50; 95%CI = 0.26–0.95; p = 0.036). Similarly, high family functioning was negatively associated with high stress (OR = 0.41; 95%CI = 0.20–0.86; p = 0.018), moderate-to-severe anxiety (OR = 0.41; 95%CI = 0.21–0.80; p = 0.009), and moderate-to-severe depression (OR = 0.41; 95%CI = 0.20–0.81; p = 0.011). High spiritual support was negatively associated with moderate-to-severe depression (OR = 0.48; 95%CI = 0.24–0.95; p = 0.035). Conclusions: During the COVID-19 lockdown, nursing students experienced remarkable levels of poor mental health. High levels of resilience and family functioning were associated with 2- to 2.4-fold lower risk of stress, anxiety, and depression, whereas high spiritual support was associated with 2-fold lower risk of depression. As the pandemic evolves, fostering these coping mechanisms may help students to maintain their psychological wellbeing.

scholarly journals Mental Health, Potential Minority Stressors And Resilience: Evidence From A Cross-Sectional Survey Of Gay, Bisexual And Other Men Who Have Sex With Men Within The Celtic Nations

2020 ◽  
Author(s):  
Arlene McGarty ◽  
Lisa McDaid ◽  
Paul Flowers ◽  
Julie Riddell ◽  
John Pachankis ◽  
...  
Keyword(s):  
Mental Health ◽  
Protective Effect ◽  
Severe Depression ◽  
Anxiety And Depression ◽  
Future Research ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sex With Men ◽  
Severe Anxiety

Abstract Background: Gay, bisexual and other men who have sex with men (GBMSM) are at a greater risk of mental health problems, such as anxiety and depression, than heterosexual adults. Numerous factors and stressors have been reported to impact men’s mental health, although it has been suggested that resilience could have a protective effect. The aim of this study is to explore mental health, minority stressors, and resilience among a large online cross-sectional survey of GBMSM in the Celtic nations. Methods: Data for this cross-sectional study were collected from the Social Media, GBMSM and Sexual and Holistic Health (SMMASH2) self-report online survey. Participants (n=3077) were recruited via gay sociosexual media in Scotland, Wales, Northern Ireland, and the Republic of Ireland. Binary logistic regression analyses were conducted to identify factors that increased the odds of moderate-to-severe anxiety and depression. Potentially relevant variables (p<0.05) were carried forward in hierarchal logistic regression analyses. Results: The prevalence of moderate-to-severe anxiety and depression was 19.9% and 14.4%, respectively. Having a disability (OR = 1.73) and having financial worries sometimes/all of the time (OR = 1.93) increased the odds of having moderate-to-severe depression and anxiety, respectively. No minority stressors were associated with depression, whereas experiencing any form of relationship abuse in the last 12 months significantly increased the odds of anxiety (OR = 1.50). Resilience, namely a sense of coherence, had a protective effect and significantly reduced the odds of moderate-to-severe depression (OR = 0.85) and anxiety (OR = 0.89). Discussion: Disability and financial worries were associated with increased depression and anxiety, respectively, while resilience had a protective effect for GBMSM in the SMMASH2 study. Future research is needed to better understand the role of resilience and the challenges and stresses of everyday life and intersecting health problems. Future research is also needed that incorporates the perspectives of those most affected by mental ill-health to co-develop effective solutions that respond to their contextual surroundings.

scholarly journals Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Arlene McGarty ◽  
Lisa McDaid ◽  
Paul Flowers ◽  
Julie Riddell ◽  
John Pachankis ◽  
...  
Keyword(s):  
Mental Health ◽  
Protective Effect ◽  
Severe Depression ◽  
Anxiety And Depression ◽  
Future Research ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sex With Men ◽  
Severe Anxiety

Abstract Background Gay, bisexual and other men who have sex with men (GBMSM) are at a greater risk of mental health problems, such as anxiety and depression, than heterosexual adults. Numerous factors and stressors have been reported to impact men’s mental health, although it has been suggested that resilience could have a protective effect. The aim of this study is to explore mental health, minority stressors, and resilience among a large online cross-sectional survey of GBMSM in the Celtic nations. Methods Data for this cross-sectional study were collected from the Social Media, GBMSM and Sexual and Holistic Health (SMMASH2) self-report online survey. Participants (n = 3077) were recruited via gay sociosexual media in Scotland, Wales, Northern Ireland, and the Republic of Ireland. Binary logistic regression analyses were conducted to identify factors that increased the odds of moderate-to-severe anxiety and depression. Potentially relevant variables (p < 0.05) were carried forward in hierarchal logistic regression analyses. Results The prevalence of moderate-to-severe anxiety and depression was 19.9 and 14.4%, respectively. Having a disability (OR = 1.73) and having financial worries sometimes/all of the time (OR = 1.93) increased the odds of having moderate-to-severe depression and anxiety, respectively. No minority stressors were associated with depression, whereas experiencing any form of relationship abuse in the last 12 months significantly increased the odds of anxiety (OR = 1.50). Resilience, namely a sense of coherence, had a protective effect and significantly reduced the odds of moderate-to-severe depression (OR = 0.85) and anxiety (OR = 0.89). Conclusions Disability and financial worries were associated with increased depression and anxiety, respectively, while resilience had a protective effect for GBMSM in the SMMASH2 study. Future research is needed to better understand the role of resilience and the challenges and stresses of everyday life and intersecting health problems. Future research is also needed that incorporates the perspectives of those most affected by mental ill-health to co-develop effective solutions that respond to their contextual surroundings.

scholarly journals REALITY OF STRESS, ANXIETY AND DEPRESSION AMONG FINAL-YEAR PHARMACY STUDENTS IN DONGNAI

2020 ◽  
Vol 10 (2) ◽  
pp. 32-37
Author(s):  
Thị Bich Tuyen Nguyen ◽  
Thanh Truc Nguyen ◽  
Kim Phung Le
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Severe Depression ◽  
Pharmacy Students ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Stress Scale ◽  
Academic Year ◽  
Severe Anxiety ◽  
Pharmaceutical Practice

Final-year Pharmacy students are assumed to be at high risk for mental health problems including stress, anxiety and depression, especially during the stage prior to graduation. This study is aimed at investigating the reality of stress, anxiety, and depression suffered by final-year Pharmacy students’ (in the academic year 2019-2020) at two universities in Dongnai via a cross-sectional description based on a Depression, Anxiety and Stress Scale (DASS21) survey questionnaire. The research results from 134 respondents showed that the proportions of students experiencing stress, anxiety, and depression were 16.4%, 29.8% and 38.8% respectively, of which severe anxiety accounted for 6%, and severe depression accounted for 0.7% analysis. There were also statistically significant differences among groups of students with different academic results. These findings contribute to the universities’construction of appropriate intervention strategies to improve students’ mental health with a view to eliminating their mistakes in clinical pharmaceutical practice in the future.

scholarly journals Mexican pregnant women show higher depression and anxiety with rising age and in the case of being single

2020 ◽  
Vol 26 (4) ◽  
pp. 227-236
Author(s):  
Irma Visoso Salgado ◽  
Jayson Leonel Moncada Mendoza ◽  
Hugo Mendieta Zerón
Keyword(s):  
Pregnant Women ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Mild Depression ◽  
Cross Sectional ◽  
Psychology Service ◽  
First Time ◽  
Severe Anxiety

Background. Pregnancy is an important predisposition period to develop anxiety and depression, with a direct impact on the woman’s offspring. The aim of this study was to report the correlation between depression and anxiety in pregnant women and its association with the marital status and age. Materials. A descriptive, retrospective and cross-sectional study was conducted in the outpatient care of the Psychology Service at the “Mónica Pretelini Sáenz” Maternal Perinatal Hospital (HMPMPS), Toluca, Mexico, from June 2012 to March 2019. As routine, the Beck Depression Inventory (BDI-II) and the Beck Anxiety Inventory-Trait (BAIT), were applied to all women seeking attention at the HMPMPS. Only pregnant patients were selected for this study, with the women referred for the first time to the external Psychology Clinic as inclusion criteria. Pearson’s correlation coefficient and the frequency of cases for age, BDI-II, and BAIT were obtained using the IBM SPSS Statistics ® v.23 software. Results. The study included 2947 pregnant patients with a mean age of 28.6 ± 6.9 years. Of these, 2616 (88.8%) presented with mild anxiety, 269 (9.1%) with moderate, and 62 (2.1%) with severe anxiety. On the other hand, 2149 (72.9%) patients presented with minimal depression, 341 (11.6%) mild depression, 268 (9.1%) moderate depression, and 189 (6.4%) had severe depression. The correlations between age and BDI-II was –0.026 (P = 0.152), between age and BAI was –0.038 (P = 0.037), and between BAIT and BDI-II 0.650 (P ≤ 0.001). Conclusions. The age group with the highest frequency of depression and anxiety was from 20 to 29 years. The absence of a stable partner represented an important risk factor for anxiety and depression during pregnancy.

scholarly journals What symptoms best predict severe distress in an online survey of UK health and social care staff facing COVID-19: development of the two-item Tipping Point Index

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e047345
Author(s):  
Chris R Brewin ◽  
Michael A P Bloomfield ◽  
Jo Billings ◽  
Jasmine Harju-Seppänen ◽  
Talya Greene
Keyword(s):  
Predictive Value ◽  
Online Survey ◽  
Social Care ◽  
Severe Depression ◽  
Tipping Point ◽  
Care Staff ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Health And Social Care ◽  
Severe Anxiety

ObjectivesCOVID-19 has altered standard thresholds for identifying anxiety and depression. A brief questionnaire to determine when individuals are at a tipping point for severe anxiety or depression would greatly help decisions about when to seek assessment or treatment.DesignData were collected as part of the Frontline-COVID Study, a cross-sectional national online survey with good coverage of health and social care settings. New questionnaire items reflecting when coping was actually breaking down were compared with standard measures of severe anxiety and depression. Data were collected between 27 May and 23 July 2020.SettingThe majority of participants worked in hospitals (53%), in nursing or care homes (15%), or in other community settings (30%).ParticipantsOf 1194 qualifying respondents, 1038 completed the six tipping point items. Respondents included nurses, midwives, doctors, care workers, healthcare assistants, allied healthcare professionals and other non-medical staff. Over 90% were white and female.Main outcome measuresThreshold for severe anxiety according to the Generalised Anxiety Disorder Scale-7 or moderately severe depression according to the Patient Health Questionnaire-9.ResultsAnswering yes to one of two simple questions (‘Over the last week have you been often feeling panicky or on the point of losing control of your emotions?’, ‘Over the last week have you felt complete hopelessness about the future?’) demonstrated very high sensitivity (0.95, 95% CI 0.92 to 0.97) and negative predictive value (0.97, 95% CI 0.95 to 0.98). Answering yes to both questions yielded high specificity (0.90, 95% CI 0.87 to 0.92) and positive predictive value (0.72, 95% CI 0.67 to 0.77). Results were replicated in two random subsamples and were consistent across different genders, ethnic backgrounds, and health or social care settings.ConclusionsAnswering two simple yes/no questions can provide simple and immediate guidance to assist with decisions about whether to seek further assessment or treatment.

scholarly journals Associations Between Self-Reported Sleep, Wellbeing and Physical Activity in Irish Adolescents

2021 ◽  
Author(s):  
John Murphy ◽  
Mary Rose Sweeney ◽  
Anna Donnla O'Hagan ◽  
Bronagh McGrane
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Anxiety And Depression ◽  
Quality Of Sleep ◽  
Cross Sectional ◽  
Negatively Associated ◽  
The Relationship

Growing evidence suggests sleep plays an important role in the development of healthy adolescents, with increased interest in the associations between sleep and mental health. Higher duration and quality of sleep has been suggested as a mechanism for increased wellbeing in adolescents. Cross sectional data was collected from 5,661 Irish adolescents. 55% of Irish adolescents reported meeting the guidelines for adolescents of 8-10 hours per night. This was found to decrease with age. Higher duration and quality of sleep was positively associated with wellbeing and negatively associated with symptoms of anxiety and depression. A higher frequency of physical activity was associated with longer duration and higher quality of sleep. 9-10 hours of sleep was associated with the highest levels of wellbeing and lowest symptoms of anxiety and depression. The relationship between physical activity and increased wellbeing may be impacted by physical activity leading to higher durations and quality of sleep.

scholarly journals A Cross-Sectional Study on the Mental Health of Professionals Working from Home in Tamilnadu, India, during the Covid-19 Pandemic

2021 ◽  
Vol 10 (23) ◽  
pp. 1760-1765
Author(s):  
Bijulakshmi P.
Keyword(s):  
Mental Health ◽  
Experiential Avoidance ◽  
Online Survey ◽  
Severe Depression ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Work From Home ◽  
Working From Home ◽  
Acceptance And Action Questionnaire

BACKGROUND The Covid pandemic situation has brought drastic changes in workplace environments around the world with many organizations shifting to work from home (WFH) models. So, an online survey was conducted in India among professionals working from home to evaluate their mental health and determine as to how they were coping with working from home during this pandemic. METHODS An online survey was conducted with an invitation to professionals working from home to participate in the study. The survey questionnaire contained statements regarding their level of comfort in working from home and the statements from the Depression, Anxiety and Stress Scale (DASS - 21) and the acceptance and action questionnaire (AAQ - II). A total of 912 responses were statistically analysed. RESULTS Results showed that 63.9 % of the participants were experiencing various levels of stress, with 8.6 % having severe levels of stress; while 62.9 % had some level of anxiety, 6.9 % of the participants had severe levels of anxiety. 31 % of the respondents had some level of depression while 1.2 % had levels indicative of severe depression. Only 40.5 % of the respondents reported being comfortable working from home and 55 % of the people reported they could not work without disturbances at home. The nature of job, age, gender and parental status all influenced the levels of stress, anxiety and depression while WFH. CONCLUSIONS People who are working from home are stressed, anxious and have various levels of depression as clearly evidenced in this study. KEY WORDS Working from Home, Covid 19 Pandemic, Stress, Anxiety and Depression, Experiential Avoidance

DETERMINAN STRES, ANSIETAS, DAN DEPRESI PADA PASIEN PENYAKIT JANTUNG KORONER DI RSUD DR SAIFUL ANWAR MALANG

2020 ◽  
Vol 2 (2) ◽  
pp. 1-13
Author(s):  
Tika Dwi Tama ◽  
Mazidah Imanuna ◽  
Hartati Eko Wadhani
Keyword(s):  
Mental Health ◽  
Outpatient Care ◽  
Good Condition ◽  
Severe Depression ◽  
Information Support ◽  
Health Conditions ◽  
Anxiety And Depression ◽  
P Value ◽  
Cross Sectional ◽  
Mental Health Conditions

Stress, anxiety, and depression are known to worsen the quality of life of patiens with coronary heart disease (CHD). However, the detection of mental health conditions has not been carried out in an integrated way in the management of CHD patients. The purpose of this study was to assess the determinants of stress, anxiety, and depression in CHD patients at RSUD Dr. Saiful Anwar. This cross-sectional study was carried out from December 2019 to January 2020 in the cardiac polyclinic of RSUD Dr. Saiful Anwar, Malang. CHD patients who underwent outpatient care at the cardiac clinic in 2019 were the population in this study. A total of 90 CHD patients were selected purposively to be the study sample. Logistic regression was used to determine the predictors of stress, anxiety, and depression among CHD patients. The study found that as many as 17.8% of CHD patients experienced mild to very severe stress, 47.8% experienced mild to very severe anxiety, and 66.7% experienced mild to very severe depression. Sex, age, heart failure status, emotional support, instrumental support, and information support were not predictors of stress, anxiety, or depression (p-value> 0.05). Monitoring mental health conditions and providing psychoeducation should be done during the outpatient care. It is expected to ensure the mental health of CHD patients in good condition.

scholarly journals Mental Health of Muslim Nursing Students in Thailand

ISRN Nursing ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Paul Ratanasiripong
Keyword(s):  
Mental Health ◽  
Nursing Students ◽  
Undergraduate Students ◽  
Well Being ◽  
Self Esteem ◽  
Cross Sectional ◽  
Negatively Associated ◽  
Good Mental Health ◽  
Nursing College ◽  
Health And Well Being

The purpose of this research was to explore the mental health and well-being of Muslim nursing students in Thailand. Specifically, the study investigated the factors that impact anxiety and depression among Muslim nursing students. This cross-sectional research was conducted with a half sampling method of Muslim undergraduate students who were studying at a public nursing college in Thailand. From the 220 self-identified Muslim nursing students, 110 were sampled for this study, representing 14% of the total nursing students at this college. Results indicated a moderate prevalence of anxiety and high prevalence of depression among Muslim nursing students. Stress () was positively associated with anxiety, while self-esteem () was negatively associated with anxiety; together this model accounted for 46% of the variance in anxiety. Self-esteem () and social support () were negatively associated with depression, while stress () was positively correlated with depression; together this model accounted for 57% of the variance in depression. Recommendations were given to help train Muslim nursing students to be competent nurses with good mental health and well-being who will succeed and contribute to the nursing profession.

scholarly journals Impact of the COVID-19 Pandemic on the Mental Health of College Students in India: Cross-sectional Web-Based Study (Preprint)

2021 ◽  
Author(s):  
Amar Prashad Chaudhary ◽  
Narayan Sah Sonar ◽  
Jamuna TR ◽  
Moumita Banerjee ◽  
Shailesh Yadav
Keyword(s):  
Mental Health ◽  
College Students ◽  
Severe Depression ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Mental Health Crisis ◽  
Cross Sectional ◽  
Web Based ◽  
Health Crisis ◽  
Psychometric Scales

BACKGROUND The COVID-19 pandemic has created a mental health crisis among college students in India due to lockdown restrictions, overwhelming numbers of COVID-19 cases, financial difficulty, etc. This mental health crisis has led to high degrees of fear, anxiety, and depression among college students. OBJECTIVE The aim of this study is to investigate symptoms of fear, depression, and anxiety due to the COVID-19 pandemic among college students in India. METHODS This cross-sectional web-based study was conducted using a Google Forms questionnaire. The Google Form included a sociodemographic questionnaire and psychometric scales evaluating the psychological and behavioral impacts of the COVID-19 pandemic. Thus, both qualitative and quantitative analyses were performed in the study. RESULTS A total of 324 college students participated in this study, of whom 180 (55.6%) were male and 144 (44.4%) were female. After assessment of the psychometric scales, it was found that of the 324 students, 223 (68.8%) had high fear of COVID-19, 93 (28.7%) had moderate to severe depression, and 167 (51.5%) had mild to severe anxiety. Among the identified risk factors, having a family member who was infected with COVID-19 was significantly associated with anxiety and depression, with P values of .02 and .001, respectively. In addition, the correlations of the Fear of COVID-19 Scale with the Generalized Anxiety Disorder-7 scale and the Patient Health Questionnaire-9 were found to be 0.492 and 0.474, respectively. CONCLUSIONS This research concludes that there is a very high fear of COVID-19 among students, along with anxiety and depression symptoms. This study also concludes that the Fear of COVID-19 Scale has a moderate positive correlation with the anxiety and depression scales, respectively.

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