Frequency of Depression, Anxiety and Stress Among University Students

Overview

Journal Pak J Med Sci

Specialty General Medicine

Date 2020 Jul 25

PMID 32704273

Citations 29

Authors

Saba Asif

Azka Mudassar

Talala Zainab Shahzad

Mobeen Raouf

Tehmina Pervaiz

Affiliations

Soon will be listed here.

Abstract

Objective: The main objective of the present study was to explore the frequency of Depression, anxiety and stress among university students in Sialkot, Pakistan.

Method: Survey research method was used to collect data from three universities of Sialkot by using simple random sampling technique from 500 university students. The study was conducted at GC Women University, Sialkot in total duration of five months from February 2019 to June 2019. A demographic sheet and DASS-21 (Depression, Anxiety Stress Scale) were used to measure the level of depression, anxiety and stress. Data was scored according to the standard scoring procedure for each subscale and for further analysis frequency distribution method was applied through statistical package for social sciences (SPSS. 21).

Results: The means of Depression, Anxiety and stress are M=15.08, M=18.24 and M=19.02 respectively. The frequency of depression, anxiety and stress among university students was found 75%, 88.4% and 84.4% respectively. The findings of the study showed the prevalence of Depression within the range of normal (25%), mild (16%), moderate (35.8%), severe (14.6%) and extremely severe (8.6%). The prevalence of anxiety was found to be in the range of normal (11.6%), mild (4.4%), moderate (19.4%), severe (17.8%) and extremely severe (46.8%). Stress was normal (15.6%), mild (33.8%), moderate (35.4%), severe (13.2%) and extremely severe (2.8%).

Conclusion: It is concluded that symptoms of anxiety and stress are more prevalent with moderate to extremely severe range than depression in the current sample. These findings suggest urgent need of some preventive measures and interventions to improve the mental health of students.

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References

Buchanan J . Prevention of depression in the college student population: a review of the literature. Arch Psychiatr Nurs. 2012; 26(1):21-42. DOI: 10.1016/j.apnu.2011.03.003. View

Masri R, Kadhum M, Farrell S, Khamees A, Al-Taiar H, Molodynski A . Wellbeing and mental health amongst medical students in Jordan: a descriptive study. Int Rev Psychiatry. 2019; 31(7-8):619-625. DOI: 10.1080/09540261.2019.1670402. View

Lovibond P, LOVIBOND S . The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3):335-43. DOI: 10.1016/0005-7967(94)00075-u. View

Iqbal S, Gupta S, Venkatarao E . Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015; 141(3):354-7. PMC: 4442334. DOI: 10.4103/0971-5916.156571. View

Alvi T, Assad F, Ramzan M, Khan F . Depression, anxiety and their associated factors among medical students. J Coll Physicians Surg Pak. 2010; 20(2):122-6. DOI: 02.2010/JCPSP.122126. View

Stallman H . Prevalence of psychological distress in university students--implications for service delivery. Aust Fam Physician. 2008; 37(8):673-7. View

Cohen S, Gianaros P, Manuck S . A Stage Model of Stress and Disease. Perspect Psychol Sci. 2016; 11(4):456-63. PMC: 5647867. DOI: 10.1177/1745691616646305. View

Ali M, Asim H, Edhi A, Hashmi M, Khan M, Naz F . Does academic assessment system type affect levels of academic stress in medical students? A cross-sectional study from Pakistan. Med Educ Online. 2015; 20:27706. PMC: 4481047. DOI: 10.3402/meo.v20.27706. View

Azim S, 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):840-845. View

10.

Adlaf E, Gliksman L, Demers A . The prevalence of elevated psychological distress among Canadian undergraduates: findings from the 1998 Canadian Campus Survey. J Am Coll Health. 2001; 50(2):67-72. DOI: 10.1080/07448480109596009. View

11.

Jadoon N, Yaqoob R, Raza A, Shehzad M, Zeshan S . Anxiety and depression among medical students: a cross-sectional study. J Pak Med Assoc. 2010; 60(8):699-702. View

12.

Kumar B, Shah M, Kumari R, Kumar A, Kumar J, Tahir A . Depression, Anxiety, and Stress Among Final-year Medical Students. Cureus. 2019; 11(3):e4257. PMC: 6519980. DOI: 10.7759/cureus.4257. View

13.

Bayram N, Bilgel N . The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008; 43(8):667-72. DOI: 10.1007/s00127-008-0345-x. View

14.

Sohail N . Stress and academic performance among medical students. J Coll Physicians Surg Pak. 2013; 23(1):67-71. DOI: 01.2013/JCPSP.6771. View

15.

Syed A, Ali S, Khan M . Frequency of depression, anxiety and stress among the undergraduate physiotherapy students. Pak J Med Sci. 2018; 34(2):468-471. PMC: 5954399. DOI: 10.12669/pjms.342.12298. View

16.

Hysenbegasi A, Hass S, Rowland C . The impact of depression on the academic productivity of university students. J Ment Health Policy Econ. 2005; 8(3):145-51. View