Factors related to mental health problems in nursing students: a multicenter study

Authors

  • Diana Carolina Tiga-Loza Universidad de Santander, Bucaramanga, Colombia. Universidad Manuela Beltrán Bucaramanga, Colombia
  • Ligia Betty Arboleda de Pérez Universidad de Santander, Bucaramanga, Colombia.
  • María Ángela Ramírez-Cruz SENA, Seccional Bucaramanga, Colombia.
  • Rocío de Diego Cordero Universidad de Sevilla, España. https://orcid.org/0000-0002-3453-003X

DOI:

https://doi.org/10.15649/cuidarte.3296

Keywords:

Mental Health, Students, Nursing, COVID-19, Patient Health Questionnaire, Mental Disorders

Abstract

Highlights

  • Students and teachers faced personal, family, and work situations due to the pandemic that had a profound impact on physical and mental health.
  • The objective was to identify the factors related to mental health disturbances in university students from three nursing programs in Colombia and Spain during the COVID-19 pandemic.
  • It was found that 61.92% of the nursing students manifested symptoms of mental disturbances, 61.58% manifested some degree of family dysfunction, and 44.40% manifested symptoms of posttraumatic stress during the pandemic.
  • Some students may be more likely to have mental health disturbances, such as those with family dysfunction, difficulty paying for food, a breakup with a partner, or symptoms of posttraumatic stress disorder.

Introduction: The COVID-19 pandemic has brought consequences to the mental health of the undergraduate population of nursing programs. Objective: To identify the factors associated with mental health disturbances among university students in nursing programs during the COVID-19 pandemic. Materials and Methods: A multicenter, cross-sectional study was conducted during the COVID-19 pandemic among students enrolled in nursing programs at two Colombian universities and one Spanish university. An online sociodemographic, economic, and personal survey was administered along with the GHQ-12, the Family APGAR, the MOS Social Support Survey, and the IES-R for posttraumatic stress. The prevalence of mental health disturbances and their differences according to the characteristics of the students were estimated; prevalence ratios were also obtained. Results: Of the 302 students, a prevalence of clinically significant mental was found in 61.92%, family dysfunction in 61.58%, and low social support in 9.33%. In addition, 44.46% had posttraumatic stress symptoms, 52.65% had economic difficulties, 54.61% had academic difficulties, and 69.87% had personal difficulties. These mental disturbances were frequent in the presence of moderate family dysfunction (PR=1.77 CI95%=1.15;2.73), difficulty in paying for food (PR=1.35 CI95%=1.09;1.67), a breakup with a partner (PR=1.27 CI95%=1.02;1.59) and clinically relevant posttraumatic stress symptoms (PR=1.69 CI95%=1.28;2.24).  Discussion: Psychological distress and its related factors found in nursing students agree with other findings in the literature. Conclusion: A significant proportion of nursing students were affected in their mental health during the pandemic, demonstrating the need for systematic, continuous, and comprehensive strategies by educational institutions.

How to cite this article: Tiga-Loza Diana Carolina, Arboleda de Pérez Ligia Betty, Ramírez-Cruz María Ángela, Cordero Rocío de Diego. Factors related to mental health problems in nursing students: a multicenter study. Revista Cuidarte. 2024;15(2):e3296.  https://doi.org/10.15649/cuidarte.3296

Author Biographies

Diana Carolina Tiga-Loza, Universidad de Santander, Bucaramanga, Colombia. Universidad Manuela Beltrán Bucaramanga, Colombia

Universidad de Santander, Bucaramanga, Colombia. Universidad Manuela Beltrán Bucaramanga, Colombia

Ligia Betty Arboleda de Pérez, Universidad de Santander, Bucaramanga, Colombia.

Programa de enfermería, Universidad de Santander, Bucaramanga, Colombia.

María Ángela Ramírez-Cruz, SENA, Seccional Bucaramanga, Colombia.

SENA, Seccional Bucaramanga, Colombia.

Rocío de Diego Cordero, Universidad de Sevilla, España.

Departamento de Enfermería. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla, España.

References

Beaglehole B, Mulder RT, Frampton CM, Boden JM, Newton-Howes G, Bell CJ. Psychological distress and psychiatric disorder after natural disasters: Systematic review and meta-analysis. British Journal of Psychiatry. 2018;213(6):716-722. https://doi.org/10.1192/bjp.2018.210

World Health Organization. Mental disorders. Fact sheets. [Internet] 2022 [Cited: 2023 April 28]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders

Li D, Zou L, Zhang Z, Zhang P, Chang J, Fu W, et al. The Psychological Effect of COVID-19 on Home-Quarantined Nursing Students in China. Front Psychiatry. 2021;12:112983.https://doi.org/10.3389/fpsyt.2021.652296

Nania T, Caruso R, Morais CA, Dellafiore F. What is the level of post-traumatic stress disorder experienced by Italian University students during the COVID-19 pandemic? Result of an online survey. Brazilian Journal of Global Health. 2021;1(2):72-77. Accessed July 4, 2022. https://doi.org/10.56242/globalhealth;2021;1;2;72-77

Rosenthal L, Lee S, Jenkins P, Arbel J, Carrington S, Hoon S. et al. A Survey of Mental Health in Graduate Nursing Students during the COVID-19 Pandemic. Nurse Educ. 2021;46(4):215-220. https://doi.org/10.1097/NNE.0000000000001013

Oliveira G, Grenha Teixeira J, Torres A, Morais C. An exploratory study on the emergency remote education experience of higher education students and teachers during the COVID-19 pandemic. British Journal of Educational Technology. 2021;52(4):1357-1376. https://doi.org/10.1111/bjet.13112

Hardy GE, Woods D, Wall TD. The impact of psychological distress on absence from work. Journal of Applied Psychology. 2003;88(2):306-314. https://doi.org/10.1037/0021-9010.88.2.306

Ruiz FJ, García-Beltrán DM, Suárez-Falcón JC. General Health Questionnaire-12 validity in Colombia and factorial equivalence between clinical and nonclinical participants. Psychiatry Res. 2017;256:53-58. http://dx.doi.org/10.1016/j.psychres.2017.06.020

Rocha KB, Pérez K, Rodríguez-Sanz M, Borrell C, Obiols JE. Propiedades Psicométricas y Valores Normativos Del General Health Questionnaire (GHQ-12) En Población General Española. International journal of clinical and health psychology 2011:11(1):125-139. https://www.redalyc.org/pdf/337/33715423008.pdf

Smilkstein G. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract. 1978;6(6):1231-1239.https://cdn.mdedge.com/files/s3fs-public/jfp-archived-issues/1978-volume_6-7/JFP_1978-06_v6_i6_the-family-apgar-a-proposal-for-a-family.pdf

Campo-Arias A, Caballero-Domínguez CC. Confirmatory factor analysis of the family APGAR questionnaire. Rev Colomb Psiquiatr. 2021;50(4):234-237. https://doi.org/10.1016/j.rcp.2020.01.003

Souza Júnior EV de, Silva Filho BF da, Cruz DP, Rosa RS, Cairo GM, Silva C dos S, et al. Effects of Sexuality on Family Functionality and Quality of Life of Elderly People: Cross-Sectional Study. Revista Cuidarte. 2021;13(1): e2296. https://doi.org/10.15649/cuidarte.2296

Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705-714. https://doi.org/10.1016/0277-9536(91)90150-B

Londoño NE, Rogers H, Castilla JF, Posada S, Ochoa N, Jaramillo MA, et al. Validation of the Colombian MOS social support survey. Int J Psychol Res (Medellin). 2012;5(1):142-150.https://revistas.usb.edu.co/index.php/IJPR/article/view/770/559

Castro MC, Sosa JC, Huaman AC, Ninahuanca AC. Social support and self-care in patients with pulmonary tuberculosis Lima Este Hospital, 2020, Peru. Revista Cuidarte. 2022;13(2):e2083. https://doi.org/10.15649/cuidarte.2083

Rivera Cuadros DI. Validación de La Escala Revisada de Impacto Del Estresor En Estudiantes de Universidades Públicas de Medellín-Colombia, En El Contexto de La Pandemia Del COVID-19. Trabajo de grado. Universidad de Antioquia; 2022. Consulta: Enero 9, 2023. Disponible en : https://bibliotecadigital.udea.edu.co/bitstream/10495/29561/1/RiveraDayanna_2022_%20VALIDACIONEIE-R.pdf

Báguena MJV, Villarroya E, Beleña Á, Díaz A, Roldán C, Reig R. Propiedades psicométricas de la versión española de la Escala Revisada de Impacto del Estresor (EIE-R). Análisis y modificación de conducta. 2001;27(114):581-604. https://www.uv.es/baguena/art-IES-R.pdf

Weiss DS. The Impact of Event Scale: Revised. In: Wilson JP, Tang CS kum, eds. Cross-Cultural Assessment of Psychological Trauma and PTSD. Springer US; 2007:219-238. https://doi.org/10.1007/978-0-387-70990-1_10

Urzúa A, Samaniego A, Caqueo-Urízar A, Zapata Pizarro A, Irarrázaval Domínguez M. Salud mental en trabajadores de la salud durante la pandemia por COVID-19 en Chile. Rev Med Chil. 2020;148(8):1121-1127. https://doi.org/10.4067/S0034-98872020000801121

Barros AJ, Hirakata VN. Alternatives for Logistic Regression in Cross-Sectional Studies: An Empirical Comparison of Models That Directly Estimate the Prevalence Ratio. BCM Medical Research Methodology; 2003;3:1-13. https://doi.org/10.1186/1471-2288-3-21

Tiga-Loza, DC, Arboleda LB. Mental health disorders in nursing students. Mendeley Data; 2024:V1 https://doi.org/10.17632/csvfysgspd.1

Patelarou, A, Mechili, EA, Galanis, P, Zografakis-Sfakianakis, M, Konstantinidis, T, Saliaj, A, et al. Nursing students, mental health status during COVID-19 quarantine: evidence from three European countries. Journal of Mental Health. 2021;30(2):164-169. https://doi.org/10.1080/09638237.2021.1875420

Alsolais A, Alquwez N, Alotaibi KA, Alqarni AS, Almalki M, Alsolami F, et al. Risk perceptions, fear, depression, anxiety, stress and coping among Saudi nursing students during the COVID-19 pandemic. Journal of Mental Health. 2021;30(2):194-201. https://doi.org/10.1080/09638237.2021.1922636

Mulyadi M, Tonapa SI, Luneto S, Lin WT, Lee BO. Prevalence of mental health problems and sleep disturbances in nursing students during the COVID-19 pandemic: A systematic review and meta-analysis. Nurse Educ Pract. 2021;57:e103228. https://doi.org/10.1016/j.nepr.2021.103228

Göl İ, Erkin Ö. Mental status of nursing students assessed using the general health questionnaire during the COVID-19 pandemic in Turkey. Perspect Psychiatr Care. 2021;57(4):1712-1718. https://doi.org/10.1111/ppc.12740

Giusti L, Mammarella S, Salza A, Del Vecchio S, Ussorio D, Casacchia M, et al. Predictors of academic performance during the covid-19 outbreak: impact of distance education on mental health, social cognition and memory abilities in an Italian university student sample. BMC Psychol. 2021;9:1-17.https://doi.org/10.1186/s40359-021-00649-9

Tee ML, Tee CA, Anlacan JP, Aligam KJG, Reyes PWC, Kuruchittham V, et al. Psychological impact of COVID-19 pandemic in the Philippines. J Affect Disord. 2020;277:379-391. https://doi.org/10.1016/j.jad.2020.08.043

Joseph RA, Turner T, Lee C, Akers SW, Whorley E, Goodrich C. Impact of COVID-19 on Nursing Students: Factors Associated with PTSD Risk. J Christ Nurs. 2022;39(4):250-257. https://doi.org/10.1097/CNJ.0000000000000951

Cobo-Cuenca AI, Fernández-Fernández B, Carmona-Torres JM, Pozuelo-Carrascosa DP, Laredo-Aguilera JA, Romero-Gómez B, et al. Longitudinal Study of the Mental Health, Resilience, and Post-Traumatic Stress of Senior Nursing Students to Nursing Graduates during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022;19(20). https://doi.org/10.3390/ijerph192013100

Xavier B, Camarneiro AP, Loureiro L, Menino E, Cunha-Oliveira A, Monteiro AP. Impact of covid-19 on the family, social, and academic dynamics of nursing students in Portugal. Revista de Enfermagem Referencia. 2020;2020(4):1-10. https://doi.org/10.12707/RV20104

da Silva MS, Marques GF, Reis AC, Lourenço T, Abreu-Figueiredo R, Gonçalves ML, et al. Nursing students’ psychological well-being and coping during the COVID-19 quarantine. Revista de Enfermagem Referencia. 2021;5(8):e20211. https://doi.org/10.12707/RV20211

Warshawski S. Academic self-efficacy, resilience and social support among first-year Israeli nursing students learning in online environments during COVID-19 pandemic. Nurse Educ Today. 2022;110:105267. https://doi.org/10.1016/j.nedt.2022.105267

Bravo-Gómez MA, Vargas-Rodríguez LY, Arenas-Cárdenas YM, López-Solano M, Rivera-Carvajal R. Validación de una Intervención para Fortalecer el Autocuidado en Estudiantes de Enfermería. Revista Cuidarte. 2023;14(2):e2540. https://doi.org/10.15649/cuidarte.2540

Yıldız E. Posttraumatic growth and positive determinants in nursing students after COVID-19 alarm status: A descriptive cross-sectional study. Perspect Psychiatr Care. 2021;57(4):1876-1887. https://doi.org/10.1111/ppc.12761

Betancurth Loaiza DP, Sánchez Palacio N, Vélez Álvarez C. Sentido de coherencia en universitarios: recurso para el cuidado en tiempos de pandemia. Revista Cuidarte. 2022;13(3):e2435. https://doi.org/10.15649/cuidarte.2435

Published

2024-05-16

How to Cite

1.
Tiga-Loza DC, Arboleda de Pérez LB, Ramírez-Cruz M Ángela, de Diego Cordero R. Factors related to mental health problems in nursing students: a multicenter study. Revista Cuidarte [Internet]. 2024 May 16 [cited 2024 Nov. 22];15(2). Available from: https://revistas.udes.edu.co/cuidarte/article/view/3296

Issue

Section

Investigation Article

Categories

Altmetrics

Downloads

Download data is not yet available.

Most read articles by the same author(s)