Prevalence and correlates of depression, anxiety and symptoms of stress in vocational college nursing students from Sichuan, China: a cross-sectional study
Abstract
Nursing students from vocational college programs contribute to over 60% of the nursing student population in China. However, there remains a lack of systematic, quantitative studies examining the prevalence of mental health problems in this population. The purpose of this study was to explore the prevalence of depression, anxiety and stress symptoms and associated factors in vocational college nursing students in Sichuan, China. A total of 554 nursing students from vocational colleges participated in this cross-sectional study. Outcomes were measured with the Depression, Anxiety and Stress Scale 21 (DASS 21). Logistic regressions analysis was performed to examine correlates of mental health problems. The prevalence rates of depression, anxiety and stress symptoms among vocational college nursing students in China were 28.7% (95% CI 24.9%–32.5%), 41.7% (95% CI 37.6%–45.9%) and 20.2% (95% CI 16.8%–23.6%). Mental health problems were elevated as compared to a reference population of Chinese college students of all majors. However, only two percent indicated to seek treatment. The most consistent correlates of mental health problems were reduced engagement in physical and other leisure activities, poor sleep quality, experience of negative life events and poor self-perceived mental health.
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The rates of depression, anxiety, and stress among undergraduates in this study were all higher than the results of cross-sectional studies conducted among vocational nursing students in Henan and Sichuan, China during and before the COVID-19 pandemic, respectively.
“In this study, the rates of depression, anxiety, and stress among undergraduates were 24.1, 23.1, and 11.1%, respectively, all higher than the results of cross-sectional studies conducted among vocational nursing students in Henan and Sichuan, China during and before COVID-19 pandemic, respectively (46, 47).”
Depression levels among students, reported in several recent studies, have varied between 29% and 38%, with the exception of high-burnout categories.
“with the exception of high-burnout categories, depression levels among students, reported in several recent studies [33-35], have varied between 29% and 38%”
From Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey Study (2020) · cites this paper as [33]
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- Authors
- Zeng, Y., Wang, G., Xie, C., Hu, X., & Reinhardt, J. D.
- Affiliations
- Sichuan University (CN)
- Chengdu Fifth People's Hospital (CN)
- University of Electronic Science and Technology of China (CN)
- University of Lucerne (CH)
- Corresponding author
- Hu, Xiuying
- Reinhardt, Jan D.
- Venue
- Psychology, Health & Medicine
- Publisher
- Informa UK Limited
- Published
- 2019-02-04
- Volume
- 24
- Issue
- 7
- Pages
- 798-811
- ISSN
- 1354-8506 (ISSN-L)
- 1465-3966
- OpenAlex
- W2912487028
- Cited by
- 161
- References
- 34
- Citations by year
- 2026: 12 · 2025: 18 · 2024: 32 · 2023: 30 · 2022: 37 · 2021: 20 · 2020: 10 · 2019: 2
- FWCI
- 31.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology Health & Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- received no specific funding
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Keywords
- depression, anxiety, stress symptoms, nursing students, vocational college students, mental health prevalence, risk factors, sleep quality, leisure activity, negative life events, help-seeking, perceived mental health, DASS-21, Sichuan
- MeSH terms
- Correlation of Data, Adolescent, Adult, Anxiety Disorders, China, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Male, Surveys and Questionnaires, Students, Nursing, Vocational Education, Prevalence, Young Adult
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