Prevalence of depressive symptomatology among nursing students during the COVID-19 pandemic

Prevalence of depressive symptomatology among nursing students during the COVID-19 pandemic

Authors

  • O. E. Santangelo
  • S. Provenzano
  • F. Armetta
  • G. Pesco
  • A. Allegro
  • M. Lampasona
  • L. Pantaleo
  • A. Terranova
  • G. D'Anna
  • A. Firenze

Keywords:

COVID-19, Nursing Students, University, Depression, Mental health, Pandemic

Abstract

Background. COVID-19 and the policies to contain it have been a social problem and public health emergency for people in Italy in 2020. The aim of the study is assessing the prevalence of depression symptoms among nursing students from the University of Palermo during the COVID-19 pandemic.

Materials and methods. The study employed a cross-sectional study design. On April 2020, a survey was performed including all the nursing students of the University of Palermo. The survey was structured into two parts. The first part consisted in the collection of socio-demographic information, the second in the administration of the QIDS-SR16 questionnaire. A multivariable logistic regression model was used to elaborate the results and adjusted Odds Ratios are presented.

Results. The sample consisted of 525 students (70.3% female). The probability to have a moderate/severe/ very severe depressive symptomatology is significantly associated with the following variables: “Female gender” (aOR 1.96), “Low perceived economic status” (aOR 2.32), “Low perceived health status” (aOR 2.30) and “To be a smoker” (aOR 2.24).

Conclusions. The global pandemic and the efforts to contain it represent a unique event and offer the opportunity to advance our understanding of how to provide mental health care focused on online psychoeducation and psychotherapy programs for young students.

References

1. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020 Feb

15; 395(10223): 507-513. doi: 10.1016/S01406736(20)30211-7. Epub 2020 Jan 30. PMID: 32007143; PMCID: PMC7135076.

2. Yin Y, Wunderink RG. MERS, SARS and other coronaviruses as causes of pneumonia. Respirology. 2018 Feb; 23(2): 130-7. doi: 10.1111/resp.13196. Epub 2017 Oct 20. PMID: 29052924; PMCID: PMC7169239.

3. Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. J Med Virol.

2020 Apr; 92(4): 441-7. doi: 10.1002/jmv.25689. Epub 2020 Feb 12. PMID: 31994742; PMCID: PMC7167192.

4. Epicentro-Istituto Superiore di Sanità. COVID19 epidemic. 19th May 2021 national update. Available on: https://www.epicentro.iss.it/ coronavirus/bollettino/Bollettino-sorveglianzaintegrata-COVID-19_19-maggio-2021.pdf [Last accessed: 2021 May 25].

5. Perrin PC, McCabe OL, Everly GS Jr, Links JM. Preparing for an influenza pandemic: mental health considerations. Prehosp Disaster Med. 2009 May-Jun; 24(3): 223-30. doi: 10.1017/ s1049023x00006853. PMID: 19618359.

6. Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020 Mar 14; 395(10227): 912-20. doi: 10.1016/

S0140-6736(20)30460-8. Epub 2020 Feb 26. PMID: 32112714; PMCID: PMC7158942.

7. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. QJM. 2020;

113(5): 311-2. https://doi.org/10.1093/ qjmed/ hcaa110.

8. Açıksöz S, Uzun S, Arslan F. Relationship between perceptions of health status and health promotion behaviors in nursing students. Gulhane Med J 2013; 55(3): 181-7. https://doi. org/10.5455/ gulhane.15228.

9. Elrggal ME, Karami NA, Rafea B, et al. Evaluation of preparedness of healthcare student volunteers against Middle East respiratory syndrome coronavirus (MERS- CoV) in Makkah, Saudi Arabia: a cross-sectional study. J Public Health. 2018; 26(6): 607-12.

10. Vitale E, Moretti B, Noternicola A, Covelli I. How the Italian Nursing students deal the pandemic Covid-19 condition. Acta Biomed. 2020 Nov 30; 91(12-S): e2020007. doi: 10.23750/ abm.v91i12-S.9860. PMID: 33263339.

11. Santangelo OE, Provenzano S, Giordano D, et al. Nursing students and depressive symptomatology: an observational study in University of Palermo. Ment Illn. 2019; 11(2): 25-31. doi: 10.1108/MIJ-10-2019-0006. Epub 2019 Nov

4.

12. Santangelo OE, Provenzano S, Armetta F, Giordano D, Alagna E, Firenze A. Is there a link between BMI and depressive symptomatology, risky consumption of alcohol and anxious symptomatology? Study in a sample of university students. Minerva Psichiatr. 2019 Jun; 60(2): 69-74. doi: 10.23736/S0391-1772.19.02011-9.

13. Rush AJ, Trivedi MH, Ibrahim HM, et al. The 16-Item Quick Inventory of Depressive Symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): a psychometric evaluation in patients with chronic major depression. Biol Psychiatry. 2003 Sep 1; 54(5): 573-83. doi: 10.1016/s0006-3223(02)01866-8. Erratum in: Biol Psychiatry. 2003 Sep 1; 54(5): 585. PMID: 12946886.

14. StataCorp 2015. Stata Statistical Software. Release 14. College Station, TX: StataCorp LP, 2015.

15. Provenzano S, Santangelo OE, Giordano D, et al. Severity of anxious symptoms in nursing students of the University of Palermo. Minerva Psichiatr. 2019; 60(3): 107-13. doi: 10.23736/ S0391-1772.19.02015-6.

16. Provenzano S, Santangelo OE, Firenze A. Factors associated with the anxious symptomatology in a sample of university students. Minerva Psichiatr. 2018 Dec; 58(4): 165-70. doi: 10.23736/S03911772.18.01975-1.

17. Santangelo OE, Provenzano S, Firenze A. Anxiety, depression and risk consumption of alcohol in a sample of university students. Riv Psichiatr. 2018 Mar-Apr; 53(2): 88-94. doi:10.1708/2891.29157. Italian. PubMed PMID: 29674776.

18. Adewuya AO, Ola BA, Aloba OO, Mapayi BM, Oginni OO. Depression amongst Nigerian university students. Prevalence and sociodemographic correlates. Soc Psychiatr Epidemiol. Aug 2008; 41(8): 674-8. doi: 10.1007/s00127006-0068-9. Epub 2006 May 5.

19. Fu W, Yan S, Zong Q, et al. Mental health of college students during the COVID-19 epidemic in China. J Affect Disord. 2021; 280(Pt A): 7-10. doi:10.1016/j.jad.2020.11.032.

20. Santos LMD. The Relationship between the COVID-19 Pandemic and Nursing Students’ Sense of Belonging: The Experiences and Nursing Education Management of Pre-Service Nursing Professionals. Int J Environ Res Public Health. 2020; 17(16): 5848. Published 2020 Aug 12. doi:10.3390/ijerph17165848.

21. Santangelo OE, Provenzano S, Piazza D, Firenze A. Onset of depressive symptomatology in a sample of university students. Ment Illn. 2018 Jun 14; 10(1): 7649. doi: 10.4081/mi.2018.7649. eCollection 2018 May 15. PMID: 30046407; PMCID: PMC6037098.

22. Cyranowski JM, Frank E, Young E, Shear MK. Adolescent onset of the gender difference in lifetime rates of major depression: a theoretical model. Arch Gen Psychiatry. 2000; 57(1): 21-7. doi:10.1001/archpsyc.57.1.21.

23. Freeman A, Tyrovolas S, Koyanagi A, et al. The role of socio-economic status in depression: results from the COURAGE (aging survey in Europe). BMC Public Health. 2016 Oct 19; 16(1): 1098. doi: 10.1186/s12889-016-3638-0.

PMID: 27760538; PMCID: PMC5069819.

24. Lorant V, Croux C, Weich S, Deliège D, Mackenbach J, Ansseau M. Depression and socio-economic risk factors: 7-year longitudinal population study. Br J Psychiatry. 2007; 190: 293-8. doi: 10.1192/bjp.bp.105.020040.

25. Knapen J, Vancampfort D, Moriën Y, Marchal Y. Exercise therapy improves both mental and physical health in patients with major depression. Disabil Rehabil. 2015; 37(16): 1490-5. doi: 10.3109/09638288.2014.972579.

26. Schuch FB, Stubbs B. The Role of Exercise in Preventing and Treating Depression. Curr Sports Med Rep. 2019; 18(8): 299-304. doi: 10.1249/ JSR.0000000000000620.

27. Chaiton MO, Cohen JE, O’Loughlin J, Rehm J. A systematic review of longitudinal studies on the association between depression and smoking in adolescents. BMC Public Health. 2009; 9: 356. doi:10.1186/1471-2458-9-356.

22. Taylor G, McNeill A, Girling A, Farley A, Lindson-Hawley N, Aveyard P. Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ. 2014; 348: g1151. doi:10.1136/bmj.g1151.

24. Provenzano S, Santangelo OE, Grigis D, Giordano D, Firenze A. Smoking behaviour among nursing students: attitudes toward smoking cessation. J Prev Med Hyg. 2019 Sep 30; 60(3): E203-E210. doi: 10.15167/2421-4248/ jpmh2019.60.3.1049.

25. Atkins RL. Outcomes of Depression in Black Single Mothers. Clin Nurs Res. 2017 Aug; 26(4): 464-83. doi: 10.1177/1054773816633440. Epub 2016 Feb 24.

Downloads

Published

2025-09-04

Issue

Section

Original research

How to Cite

1.
Santangelo OE, Provenzano S, Armetta F, et al. Prevalence of depressive symptomatology among nursing students during the COVID-19 pandemic. Ann Ig. 2025;34(3):227-235. doi:10.7416/ai.2021.2462