Investigating stress, depression, and anxiety levels in students at medical universities in southeastern Iran during the covid-19 epidemic in 2020 10.55131/jphd/2022/200315
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Abstract
Psychological problems in the general public and among students become common following the epidemic of infectious diseases such as Covid-19. This study investigated the rates of stress, anxiety, and depression and the factors affecting them during the epidemic of Covid-19 disease in students at medical universities in southeastern Iran.
This cross-sectional study was conducted in 2020. A total of 390 students were selected through convenience sampling from medical universities in south-eastern Iran (Kerman, Bandar Abbas, Zahedan, and Birjand) as a sample size. The instrument used in this study was a DASS-21 questionnaire to measure depression, anxiety, and stress. Data were analyzed using SPSS16 software. The mean age of participants was 21.73±4.03. The mean scores for depression, anxiety, and stress were 13.95 ± 10.23, 11.38 ± 08.92, and 19.15 ± 09.67, respectively. Overall, 62.56% of students suffered from depression, 62.82% from anxiety, and 62.56% from stress. Among the demographic variables, age and education had a significant relationship with all three subscales (p <0.001), and marital status had a significant relationship with the levels of anxiety and stress.
The Covid-19 epidemic was recognized as a reason for higher rates of depression, stress, and anxiety in students at medical universities in southeastern Iran. Appropriate planning during an epidemic of infectious diseases for prevention and treatment interventions in the field of mental health promotion for medical students seems necessary.
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References
Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, et al. Progression of Mental Health Services during the COVID-19 Outbreak in China. Int J Biol Sci. 2020;16(10):1732-8. doi: 10.7150/ijbs. 45120.
Brown SM, Doom JR, Lechuga-Peña S, Watamura SE, Koppels T. Stress and parenting during the global COVID-19 pandemic. Child Abuse Negl. 2020;110(Pt 2):104699. doi: 10.1016/j.chiabu.2020.104699.
Lima CKT, Carvalho PMM, Lima I, Nunes J, Saraiva JS, de Souza RI, et al. The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry Res. 2020;287:112915. doi: 10.1016/j.psychres.2020.112915.
Hellewell J, Abbott S, Gimma A, Bosse NI, Jarvis CI, Russell TW, et al. Feasibility of controlling COVID-19 outbreaks by isolation of cases and contacts. Lancet Glob Health. 2020;8(4):e488-e96. doi: 10.1016/ S2214-109X(20)30074-7.
Ramón-Arbués E, Gea-Caballero V, Granada-López JM, Juárez-Vela R, Pellicer-García B, Antón-Solanas I. The Prevalence of Depression, Anxiety and Stress and Their Associated Factors in College Students. Int J Environ Res Public Health. 2020;17(19):7001. doi: 10.3390/ ijerph17197001.
Dong XY, Wang L, Tao YX, Suo XL, Li YC, Liu F, et al. Psychometric properties of the Anxiety Inventory for Respiratory Disease in patients with COPD in China. Int J Chron Obstruct Pulmon Dis. 2016;12:49-58. doi: 10.2147/COPD. S117626.
Saif J, Rohail DI, Aqeel M. Quality of Life, Coping Strategies, and Psychological Distress in Women with Primary and Secondary Infertility; A Mediating Model. NNJP. 2021;1:8-17. doi: 10.53107/nnjp. v1i1.6.
Haljin P, Vitborn S. Psychopathology: Clinical viewpoints about psychological disorders. Translated by: Yahya Seyyed Mohammadi 1st ed Tehran: Nashre Ravan; 2004.
Rashid A, Aqeel M, Malik DB, Salim S. The Prevalence of Psychiatric Disorders in Breast Cancer Patients; A Cross-Sectional Study of Breast Cancer Patients Experience in Pakistan. NNJP. 2021;1:1-7. doi: 10.53107/nnjp.v1i1.1.
Hafsa S, Aqeel M, Shuja KH. The Moderating Role of Emotional Intelligence between Inter-Parental Conflicts and Loneliness in Male and Female Adolescents. NNJP 2021;1:38-48. doi: 10.53107/nnjp.v1i1.5.
Zandifar A, Karim H, Qorbani M, Badrfam R. Mental Health Care for Medical Staff in Iran during the COVID-19 Pandemic; Different Performance in Alborz Province. Iran J Psychiatry. 2020;15(3):243-7. doi: 10.18502/ijps.v15i3.3817.
López-Bueno R, Calatayud J, Casaña J, Casajús JA, Smith L, Tully MA, et al. COVID-19 Confinement and Health Risk Behaviors in Spain. Front Psychol. 2020;11:1426. doi: 10.3389/fpsyg.2020. 01426.
Ghafari R, Mirghafourvand M, Rouhi M, Osouli Tabrizi S. Mental health and its relationship with social support in Iranian students during the COVID-19 pandemic. BMC Psychol. 2021;9(1):81. doi: 10.1186/ s40359-021-00589-4.
Moayed MS, Vahedian-Azimi A, Mirmomeni G, Rahimi-Bashar F, Goharimoghadam K, Pourhoseingholi MA, et al. Coronavirus (COVID-19)-Associated Psychological Distress Among Medical Students in Iran. In: Guest PC, editor. Clinical, Biological and Molecular Aspects of COVID-19. Cham: Springer International Publishing; 2021. p. 245-51.
Silva E, Ono B, Souza JC. Sleep and immunity in times of COVID-19. Rev Assoc Med Bras (1992). 2020;66Suppl 2 (Suppl 2):143-7. doi: 10.1590/1806-9282. 66.S2.143.
Khalil AI, Nasr RE, Enar RE. Relationship between stress, immune system, and pandemics of coronaviruses' Covid 19: Updates narrative review. Eur J Mol Clin Med. 2020;7:995-1008.
Deo PK, Budhathoki S, Raut J, Adhikari B, Shrestha J. Factors Associated with Perceived Stress, Anxiety, Depression, Insomnia during COVID-19 Outbreak among Nursing Students.IJSR. 2020;9(9): 23-39. doi: 10.21275/SR20826170002
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020;287:112934. doi: 10.1016/j.psychres. 2020.112934.
Naeem B, Aqeel M, Santos ZdA. Marital Conflict, Self-Silencing, Dissociation, and Depression in Married Madrassa and Non-Madrassa Women: A Multilevel Mediating Model. NNJP 2021;1:1-11. doi: 10.53107/ nnjp.v1i2.11.
Sahebi A, Asghari M, Salari R. Validation of depression anxiety and stress scale (DASS-1) for an Iranian population. Develomental Psychology. 2005;1:36-54.
Ramazani S, Aramjoo H, Ramazani A, Hajipoor R, Naseri M. Survey of Stress, Anxiety and Depression in Paramedical students of Birjand University of Medical Sciences, 2016. Horizons of Medical Education Development. 2020;11(1):5-14. doi: 10.22038/hmed.2020.47030.1018
Mirhosseini S, Grimwood S, Dadgari A, Basirinezhad MH, Montazeri R, Ebrahimi H. One-year changes in the prevalence and positive psychological correlates of depressive symptoms during the COVID-19 pandemic among medical science students in northeast of Iran. Health Sci Rep. 2022;5(1):e490. doi: 10.1002/hsr2. 490.
Moutinho IL, Maddalena NC, Roland RK, Lucchetti AL, Tibiriçá SH, Ezequiel OD, et al. Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Rev Assoc Med Bras (1992). 2017;63(1):21-8. doi: 10.1590/ 1806-9282.63.01.21.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20. doi: 10.1016/S0140-6736(20)30460-8.
Sorokin MY, Kasyanov ED, Rukavishnikov GV, Makarevich OV, Neznanov NG, Lutova NB, et al. Structure of anxiety associated with the COVID-19 pandemic in the Russian-speaking sample: results from on-line survey. medRxiv. 2020:2020.04.28.20074302. doi: https:// doi.org/10.1101/2020.04.28.20074302
Gritsenko V, Skugarevsky O, Konstantinov V, Khamenka N, Marinova T, Reznik A, et al. COVID 19 Fear, Stress, Anxiety, and Substance Use Among Russian and Belarusian University Students. Int J Ment Health Addict. 2021;19(6):2362-8. doi: 10.1007/s11469-020-00330-z.
Gan GG, Yuen Ling H. Anxiety, depression and quality of life of medical students in Malaysia. Med J Malaysia. 2019;74(1):57-61.
Azim SR, Baig M. Frequency and perceived causes of depression, anxiety and stress among medical students of a private medical institute in Karachi: a mixed method study. J Pak Med Assoc. 2019; 69(6):840-5.
Shadman N, Raoof M, Amanpour S, mahdian m, Haghani J, parizi m. Stress, Anxiety, and Depression and Their Related Factors Among Dental Students: A Cross-Sectional Study from Southeast of Iran. Strides in Development of Medical Education. 2019;16(1). doi: 10.5812/sdme. 74295.
Kumar B, Shah MAA, Kumari R, Kumar A, Kumar J, Tahir A. Depression, Anxiety, and Stress Among Final-year Medical Students. Cureus. 2019;11(3):e4257. doi: 10.7759/cureus.4257.
Mofatteh M. Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health. 2020;8(1):36-65. doi: 10.3934/publichealth.2021004.
Ishii T, Tachikawa H, Shiratori Y, Hori T, Aiba M, Kuga K, et al. What kinds of factors affect the academic outcomes of university students with mental disorders? A retrospective study based on medical records. Asian J Psychiatr. 2018;32:67-72. doi: 10.1016/j.ajp.2017.11.017.
Wahed WAY,Hassan SK. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. AJM. 2017;53(1):77-84.
Shete AN, Garkal K. A study of stress, anxiety, and depression among postgraduate medical students. CHRISMED Journal of Health and Research. 2015;2(2):119-23. doi: : 10.4103/2348-3334.153255
Usher W, Curran C. Predicting Australia's university students' mental health status. Health Promot Int. 2019;34(2):312-22. doi: 10.1093/heapro/dax091.
Chernomas WM, Shapiro C. Stress, depression, and anxiety among undergraduate nursing students. Int J Nurs Educ Scholarsh. 2013;10. doi: 10.1515/ijnes-2012-0032.