A Cross-Sectional Study of Anxiety and Depression in a Cohort of Nigerian Undergraduates
DOI:
https://doi.org/10.30442/ahr.1101-03-267Keywords:
Anxiety, Depression, Hospital Anxiety Depression Scale, Undergraduates, Mental HealthAbstract
Background: Globally, there is a rising concern regarding the increased prevalence of mental disorders among university students, as studies have demonstrated a significant clinical measure of psychiatric morbidities among undergraduates worldwide. Sadly, there is a paucity of data on the burden of mental illness among undergraduates in Nigeria, and undergraduate students' mental health problems have not received the requisite public attention in Nigeria and many other countries.
Objectives: To determine the prevalence of anxiety and depressive symptoms and the correlation between anxiety and depression in a cohort of Nigerian undergraduate students.
Methods: We conducted a cross-sectional study of 877 undergraduates at Bowen University Hospital in Iwo Osun State, Nigeria, between October 2022 and May 2023.
Results: 14.9%, 10.4%, and 1.9% of undergraduate students had mild, moderate, and severe anxiety disorders, respectively. Similarly, 11.2%, 5.1%, and 0.5% of students had mild, moderate, and severe depression, respectively. The study showed a strong positive correlation between anxiety disorders and depression among undergraduate students.
Conclusion: This study revealed a high prevalence of anxiety and depressive symptoms. There is a need for concerned authorities to have a blueprint for an efficient mental health support structure and ensure adequate training of personnel at university health centres.
References
1. Salleh MR. The burden of mental illness: An emerging global disaster. Journal of Clinical and Health Sciences. 2018;3(1):1-8. DOI:10.24191/jchs.v3i1.6150
2. Ibrahim MB, Abdelreheem MH. Prevalence of anxiety and depression among medical and pharmaceutical students in Alexandria University. Alexandria J Med 2015;51:167–173. https://doi.org/10.1016/j.ajme.2014.06.002
3. Bertuccio P, Amerio A, Grande E, La Vecchia C, Costanza A, Aguglia A, et al. Global trends in youth suicide from 1990 to 2020: an analysis of data from the WHO mortality database. EClinicalMedicine. 2024;70. https://doi.org/10.1016/j.eclinm.2024.102506.
4. Walkman S, Walker MEP, Rossebham EF. Abnorma Psychology. 4th Edition. New York.: W.W Norton & Company. 2020.
5. Bernard JE. Depression: A review of its definition. MOJ Addict Med Ther. 2018;5:6-7. https://doi.org/10.15406/mojamt.2018.05.00082.
6. Buchanan JL. Prevention of Depression in the College Student Population: A Review of the literature. Arch Psychiatric Nurs. 2012;26:21–42. https://doi.org/10.1016/j.apnu.2011.03.003.
7. Medforth N, Boyle C. Challenges, Complexity, and Developments in Transition Services for Young People with Disabilities, Mental Health, and Long-Term Conditions: An Integrative Review. Comprehensive Child Adolesc Nurs 2023;46:180–200. https://doi.org/10.1080/24694193.2023.2245473.
8. Spiessl H, Hübner-Liebermann B, Hajak G. Depression, a widespread disease. Epidemiology, care situation, diagnosis, therapy and prevention]. Dutsch Med Wochenschr 2006;131:35-40. https://doi.org/10.1055/s-2006-924919.
9. Amin WM, Sankar R, Rakshantha P, Nivatha ALS, Sowparnika CE, Marak LDB. "Stress anxiety and depression among science and art students." Int J Educ Psychol 2016;5:48-51. https://doi.org/ 10.3617/2567498.
10. Chen L, Wang L, Qiu XH, Yang XX, Qiao ZX, Yang YJ. Depression among Chinese University Students: Prevalence and Sociodemographic Correlates. PLoSOne 2013;8:1–6. https://doi.org/10.1371/journal.pone.0058379.
11. Zhang H, Wang D. Commentary: The global prevalence of depression and anxiety symptoms among college students and its influencing factors. J Child Psychol Psychiatry Allied Discip 2022;63:1231–1233. https://doi.org/10.1111/jcpp.13660.
12. Paula W de, Breguez GS, Machado EL, Meireles AL. Prevalence of anxiety, depression, and suicidal ideation symptoms among university students: a systematic review. Brazilian J Health Rev. 2020;3:8739–8756. https://doi.org/10.34119/bjhrv3n4-119
13. Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord. 2015;173:90–96. https://doi.org/10.1016/j.jad.2014.10.054.
14. Shamsuddin K, Fadzil F, Ismail WSW, Shah SA, Omar K, Muhammad NA. Correlates of depression, anxiety, and stress among Malaysian university students. Asian J Psychiatry 2013;6:318–323. https://doi.org/10.1016/j.ajp.2013.01.014
15. Abdel Wahed WY, Hassan SK. Prevalence and associated factors of stress, anxiety, and depression among medical Fayoum University students. Alexandria J Med.2017;53:77–84. https://doi.org/10.1016/j.ajme.2016.01.005
16. Seun-Fadipe CT, Mosaku KS. Sleep quality and psychological distress among undergraduate students of a Nigerian university. Sleep Health 2017;3:190–194. https://doi.org/10.1016/j.sleh.2017.02.004
17. James BO, Thomas IF, Omoaregba JO, Okogbenin EO, Okonoda KM, Ibrahim AW, et al. Psychosocial correlates of perceived stress among undergraduate medical students in Nigeria. Int J Med Educ 2017;8:382–388. https://doi.org/10.5116/ijme.59c6.3075.
18. Brennan C, Worrall-Davies A, McMillan D, Gilbody S, House A. The Hospital Anxiety and Depression Scale: a diagnostic meta-analysis of case-finding ability. J Psychosom Res 2010;69:371-378. https://doi.org/10.1016/j.jpsychores.2010.04.006.
19. Vodermaier A, Millman RD. Accuracy of the Hospital Anxiety and Depression Scale as a screening tool in cancer patients: a systematic review and meta-analysis. Support Care 2011;19:1899-1908. https://doi.org/10.1007/s00520-011-1251-4.
20. Mitchell AJ, Meader N, Symonds P. Diagnostic validity of the Hospital Anxiety and Depression Scale (HADS) in cancer and palliative settings: a meta-analysis. J Affect Disord 2010;126:335-348. https://doi.org/10.1016/j.jad.2010.01.067.
21. Sale S, Gadanya M. Prevalence and factors associated with depression in HIV/AIDS patients aged 15-25 years at Aminu Kano Teaching Hospital, Nigeria. J Child Adolesc Ment Health 2008;20:95-99. https://doi.org/10.2989/JCAMH.2008.20.2.5.688.
22. American College Health Association. American College Health Association, National College Health Assessment II Reference Group Executive Summary Spring 2018. Silver Spring, MD American College Health Association.2018. https://doi.org/10.3200/JACH.57.5.477-488.
23. Auerbach RP, Alonso J, Axinn WG, Cuijpers P, Ebert DD, Green JG, et al. Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychol Med 2016;46:2955–2970. https://doi.org/10.1017/S0033291716001665.
24. Gao W, Ping S, Liu X. Gender differences in depression, anxiety, and stress among college students: A longitudinal study from China. J Affect Disord. 2020;15:263:292-300. https://doi.org/10.1016/j.jad.2019.11.121.
25. Franko DL, Striegel-Moore RH, Bean J, Barton BA, Biro F, Kraemer HC, et al. Self-reported symptoms of depression in late adolescence to early adulthood: a comparison of African-American and Caucasian females. J Adolesc Health 2005;37(6):526–529. https://doi.org/ 10.1016/j.jadohealth.2004.08.028.
26. Wade TJ, Cairney J, Pevalin DJ. The emergence of gender differences in depression during adolescence: national panel results from three countries. J Am Acad Child Adolesc Psychiatry 2002;41:190–198. https://doi.org/10.1037/0033-2909.115.3.424.
27. Axelson DA, Birmaher B. Relation between anxiety and depressive disorders in childhood and adolescence. Depression Anxiety 2001;14:67-78. https://doi.org/10.1002/da.1048.
28. Kessler RC, Sampson NA, Berglund P, Gruber MJ, Al-Hamzawi A, Andrade L, et al. Anxious and non-anxious major depressive disorder in the World Health Organization World Mental Health Surveys. Epidemiol Psychiatr Sci 2015;24:210–226. https://doi.org/10.1017/S2045796015000189.
29. Groen RN, Ryan O, Wigman JTW, Riese H, Penninx BWJH, Giltay EJ, et al. Comorbidity between depression and anxiety: Assessing the role of bridge mental states in dynamic psychological networks. BMC Med 2020 29;18:308. https://doi.org/10.1186/s12916-020-01738-z.
30. Dou H, Lei Y, Cheng X, Wang J, Leppänen P. Social exclusion influences conditioned fear acquisition and generalization: A mediating effect from the medial prefrontal cortex. Neuroimage 2020;218:116735. https://doi.org/10.1016/j.neuroimage.2020.116735.
31. Chaplin TM, Gillham JE, Seligman ME. Gender, Anxiety, and Depressive Symptoms: Longitudinal Study of Early Adolescents. J Early Adolesc 2009;29:307-327. https://doi.org/10.1177/0272431608320125.
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