FACTORS ASSOCIATED WITH DEPRESSION AMONG NURSING STUDENTS DURING THE COVID-19 PANDEMIC
Keywords:
depression, perceived social support, resilience, hope, perceived stressAbstract
This descriptive correlational research aimed to investigate: 1) the level of depression among nursing students; and 2) the relationships between perceived social support, resilience, hope, perceived stress, and COVID-19 exposure with depression among nursing students during the COVID-19 pandemic. The participants were 225 nursing students studying at a nursing college in Bangkok from October to November 2022. Data collection instruments included a demographic questionnaire, the Multidimensional Scale of Perceived Social Support (Thai-MSPSS), the Resilience Inventory, the Herth Hope Index, the Perceived Stress Scale, the COVID-19 Exposure Questionnaire, and the Center for Epidemiologic Studies Depression Scale. Data were analyzed using descriptive statistics, Pearson product-moment correlation, and Spearman’s rank correlation coefficient.
The findings revealed that the mean depression score was 15.18 (SD = 7.85), and 19.1% of participants reported experiencing depression. Perceived social support, resilience, and hope were negatively and significantly associated with depression (r = -.560, -.569, and -.609, respectively; p = .000). In contrast, perceived stress and COVID-19 exposure were positively and significantly related to depression (r =.732, p = .000; r = .139, p = .038).
The results of this study provide important information that can be used in planning care and developing programs to prevent and reduce depression among nursing students during the COVID-19 outbreak.
Downloads
References
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.
Cohen, S., & Wiliamson, G. (1988). Perceived stress in a probability sample of the United States. The Social Psychology of Health, 3(1), 31-63.
Dafogianni, C., Pappa, D., Mangoulia, P., Kourti, F. E., Koutelekos, I., Dousis, E., . . . Zartaloudi, A. (2022). Anxiety, stress and the resilience of university students during the first wave of the COVID-19 pandemic. Healthcare, 10, 1-12.
Department of Diseases Control. (2021). Coronavirus disease 2019 (COVID-19) situation report. Retrieved from https://www.ddc.moph.go.th/uploads/files/2017420210820025238.pdf
Department of Diseases Control. (2021). Summary of reports of important epidemiological events. Retrieved from https://ddc.moph.go.th/uploads/publish/1489220231025030405.pdf
Department of Mental Health. (2003). Guide to promoting mental health in secondary school students for teachers (6th ed). Retrieved from https://dmh.go.th/download/ebooks/MEH7.pdf
Grotberg, E. H. (1995). A guide to promoting resilience in children: Strengthening the human spirit. The Hague: The Bernard van Leer Foundation.
Grotberg, E. H. (1997). The international resilience project: Findings from the research and the effectiveness of interventions. Retrieved from http://www.resilnet.uiue.edulibrary/grotb97a.html
Grubic, N., Badovinac, S., & Johri, A. M. (2020). Student mental health in the midst of the COVID-19 pandemic: A call for further research and immediate solutions. International Journal of Social Psychiatry, 66(5), 517-518. https://doi.org/10.1177/0020764020925108
Guo, K., Zhang, X., Bai, S., Minhat, H. S., Nazan, A. I. N. M., Feng, J., . . . Feng, J. (2021). Assessing social support impact on depression, anxiety, and stress among undergraduate students in Shaanxi province during the COVID-19 pandemic of China. Public Library of Science, 16(7), 1-10.
Haliwa, I., Spalding, R., Smith, K., Chappell, A., & Strough, J. (2022). Risk and protective factors for college students’ psychological health during the COVID-19 pandemic. Journal of American College Health, 70(8), 2257-2261.
Herth, K. A. (1990). Fostering hope in terminally-ill people. Journal of Advanced Nursing, 15(1), 1250-1259.
Herth, K. A. (1992). Abbreviated instrument measure hope: Development and psychometric evaluation. Journal of Advancing Nursing, 17(1), 1251-1259.
Kalkan Uğurlu, Y., Mataracı Değirmenci, D., Durgun, H., & Gök Uğur, H. (2021). The examination of the relationship between nursing students' depression, anxiety and stress levels and restrictive, emotional, and external eating behaviors in COVID-19 social isolation process. Perspectives in Psychiatric Care, 57(2), 507-516.
Karaşar, B., & Canlı, D. (2020). Psychological resilience and depression during the COVID-19 pandemic in Turkey. Psychiatria Danubina, 32(2), 273-279.
Kerdcharoen, N., Kolkijkovin, V., & Thaworn, J. (2021). Resilience, mental health impact and COVID-19 related mental health determinants among medical students during COVID-19 epidemic. Vajira Medical Journal: Journal of Urban Medicine, 65(Suppl), 103-116.
Keykha, R., Rezaee, N., Navidian, A., & Moshtaghi, E. (2020). The effect of regular family appointments on hope of hospitalized depressed patients: A randomized clinical trial. Journal of Caring Sciences, 9(1), 27-32.
Khakuen, K. (2024). Factors associated with anxiety among village health volunteersin a province in the northeastern region of Thailand during the third year of COVID-19 pandemic (Master’s thesis). Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok.
Kim, S. C., Sloan, C., Montejano, A., & Quiban, C. (2021). Impacts of coping mechanisms on nursing students’ mental health during COVID-19 lockdown: A cross-sectional survey. Nursing Reports, 11(1), 36-44.
Klongdee, K., & Chaniang, S. (2021). Factors predicting depression in nursing students at Boromarajonani College of Nursing Nakhonphanom, Nakhonphanom University. Journal of The Police Nurses, 13(1), 148-157.
Krachodnok, P., Boonchan, F., & Thongnopakun, S. (2022). Mental health literacy and factors related to depression in the situation of coronavirus disease 2019 (COVID-19) among undergraduate students in one university of Chonburi Province. Journal of Medicine and Public Health, Ubon Ratchathani University, 5(2), 125-135.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.
Liu, Z., Liu, R., Zhang, Y., Zhang, R., Liang, L., Wang, Y., Wei, Y., Zhu, R., & Wang, F. (2021). Association between perceived stress and depression among medical students during the outbreak of COVID-19: The mediating role of insomnia. Journal of Affective Disorders, 292, 89-94.
Liu, Q., & Wang, Z. (2021). Perceived stress of the COVID-19 pandemic and adolescents' depression symptoms: The moderating role of character strengths. Personality and Individual Differences, 182, 2-6.
Nimit-Arnun, M., & Jangharn, T. (2012). The influenzing factors of professional commitment amongst nurse students of college of health science and nursing Christian University of Thailand. Journal of The Royal Thai Army Nurses, 13(2), 60-71.
Nintachan, P. (2015). Resilience: concept, assessment, and application. Bangkok: Quality Thai Trading.
Nintachan, P., Sangon, S., Sumdaengrit, B., Deesamer, S., Kulvirogesopon, V., Boonchuay, N., . . . Gumphun, S. (2023). The mediating effect of resilience in the relationships between psychosocial factors and mental health problems of village health volunteers in Thailand during the Third year of COVID-19 pandemic. Research Report, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.
Qi, M., Zhou, S-J., Guo, Z-C., Zhang, L-G., Min, H-J., Li, X-M., & Chen, J-X. (2020). The effect of social support on mental health in Chinese adolescents during the outbreak of COVID-19. Journal of Adolescent Health, 67(4), 514-518.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401.
Santrock, J. W. (2014). Adolescence (14th ed.). New York, NY: McGraw-Hill Education.
Srioad, P., Thoin, P., & Khoyun, S. (2023). Depression among nursing students and related factors in the situation of the COVID-19 pandemic. Journal of Sakon Nakhon Hospital, 26(2), 91-102.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2013). Results from the 2013 national survey on drug use and health: Summary of national findings. Retrieved from https://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.pdf
Sun, Y., Lin, S. Y., & Chung, K. K. H. (2020). University students' perceived peer support and experienced depressive symptoms during the COVID-19 pandemic: The mediating role of emotional well-being. International Journal of Environmental Research and Public Health, 17(24), 1-13.
Supaeng, N., Wangnan, N., Chaiwisit, J., & Chanakarn, M. (2021). Factors associated with depression of nursing students in the online teaching situations. College of Asian Scholar Journal, 11(2), 48-57.
Thanoi, W., Phancharoenworakul, K., Thompson, E. A., Panitrat, R., & Nityasuddhi, D. (2010). Thai adolescent suicide risk behaviors: Testing a model of negative life events, rumination, emotional distress, resilience and social support. Pacific Rim International Journal of Nursing Research, 14(3), 187–202.
The Ministry of Education of Thailand. (2020). The closure of educational institutions affiliated with and under the supervision of the Ministry of Education due to Special Circumstances. Retrieved from https://www.moe.go.th
Trangkasombat, U., Larpboonsarp, V., & Havanond, P. (1997). CES-D as a screen for depression in adolescents. Journal of the Psychiatric Association of Thailand, 42(1), 2–13.
United Nations Educational, Scientific and Cultural Organization. (2023). UNESCO’s education response to COVID-19. Retrieved from https://www.unesco.org/en/covid-19/education-response/initiatives
Wattanabenjasopa, S. (2000). Effects of supportive psychotherapy group on hope of cervical cancer patients receiving radiotherapy (Master’s thesis). Chiang Mai University, Chiang Mai.
Wongpakaran, N., & Wongpakaran, T. (2010). The Thai version of the PSS-10: An investigation of its psychometric properties. BioPsychoSocial Medicine, 4, 1-6.
Wongpakaran, N., & Wongpakaran, T. (2012). A revised Thai multi-dimensional scale of perceived social support. The Spanish Journal of Psychology, 15(3), 1503-1509.
World Economic Forum. (2020). COVID-19's staggering impact on global education. Retrieved from https://www.weforum.org/agenda/2020/03/infographic-covid19-coronavirus-impact-global-education-health-schools/
Yin, Y., Yang, X., Gao, L., Zhang, S., Qi, M., Zhang, L., . . . Chen, J. (2021). The association between social support, COVID-19 exposure, and medical students' mental health. Frontiers in Psychiatry, 12, 555893.
Yu, Y., She, R., Luo, S., Xin, M., Li, L., Wang, S., . . . Lau, J. (2021). Factors influencing depression and mental distress related to COVID-19 among university students in China: Online cross-sectional mediation study. JMIR Mental Health, 8(2), e22705.
Yu, M., Tian, F., Cui, Q., & Wu, H. (2021). Prevalence and its associated factors of depressive symptoms among Chinese college students during the COVID-19 pandemic. BMC Psychiatry, 21, 1-8.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41.

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 JOURNAL OF THE POLICE NURSES AND HEALTH SCIENCE

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
ผลงานที่ได้ตีพิมพ์แล้วจะเป็นลิขสิทธิ์ของวารสารพยาบาลตำรวจ