Journal of Public Health

, Volume 26, Issue 2, pp 211–217 | Cite as

Psychometric study of depression, anxiety and stress among university students

  • Muhammad Ahsan ul Haq
  • Irum Sajjad Dar
  • Muhammad Aslam
  • Qaisar Khalid Mahmood
Original Article
  • 757 Downloads

Abstract

Aim

Depression, anxiety and stress are phenomena observed across world, especially in developing countries. This research explores a relationship between depression, anxiety, and stress, and socio-demographic characteristics of university students.

Subject and methods

For this purpose, depression, anxiety and stress scale (DASS–21) was used for data collection along with socio-demographic variables. The data were collected from 361 students of various academic disciplines and degree programs through self-reported questionnaire.

Results

The findings reveal that male students had more depression, stress, and anxiety in comparison to female students. There were no significant differences in depression, anxiety and stress on the basis of family type. In addition, there was significant difference in the perception of depression, anxiety, and stress on the basis of their residential status and parents’ education.

Conclusions

This study concludes that male students were more depressed, stressed and anxious as compared to female students. Furthermore, symptoms of depression, anxiety and stress were the same among students with nuclear and joint family living systems. Parental education was associated with students’ depression, anxiety and stress. Students with educated parents had fewer symptoms of stress, anxiety and depression.

Keywords

Depression Stress Anxiety Socio-demographic University students 

Notes

Acknowledgements

The authors are grateful to the editor and reviewers for their constructive suggestions in improving this paper.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Competing interests

The authors declare that they have no competing interests.

Availability of data and materials

This research involved human participants.

Informed consent

Not applicable.

References

  1. Abdallah AR, Gabr HM (2014) Depression, anxiety and stress among first year medical students in an Egyptian public university. Int Res J Med Med Sci 2:11–19Google Scholar
  2. Adewuya AO, Ola BA, Afolabi OO (2006) Validity of the patient health questionnaire (PHQ-9) as a screening tool for depression amongst Nigerian university students. J Affect Disord 96:89–93CrossRefPubMedGoogle Scholar
  3. Ali BS, Rahbar MH, Naeem S, Tareen AL, Gul A, Samad L (2002) Prevalence of and factors associated with anxiety and depression among women in a lower middle class semi-urban community of Karachi, Pakistan. J Pak Med Assoc 52:513–517PubMedGoogle Scholar
  4. Altaf A, Khan M, Shah SR, Fatima K, Tunio SA, Hussain M, Khan MA, Shaikh MA, Arshad MH (2015) Sociodemographic pattern of depression in urban settlement of Karachi, Pakistan. J Clin Diagn Res 9:9–13Google Scholar
  5. Alvi T, Assad F, Ramzan M, Khan FA (2010) Depression, anxiety and their associated factors among medical students. J Coll Physicians Surg Pak 20:122–126PubMedGoogle Scholar
  6. Andrews B, Wilding JM (2004) The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol 95:509–521.  https://doi.org/10.1348/0007126042369802 CrossRefPubMedGoogle Scholar
  7. Anson O, Bernstein J, Hobfoll SE (1984) Anxiety and performance in two ego threatening situations. J Pers Assess 48:168–172.  https://doi.org/10.1207/s15327752jpa4802_11 CrossRefPubMedGoogle Scholar
  8. Bayram N, Bilgel N (2008) The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 43:667–672.  https://doi.org/10.1007/s00127-008-0345-x CrossRefPubMedGoogle Scholar
  9. Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M, Sammut S (2015) The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord 173:90–96.  https://doi.org/10.1016/j.jad.2014.10.054 CrossRefPubMedGoogle Scholar
  10. Bhasin SK, Sharma R, Saini NK (2010) Depression, anxiety and stress among adolescent students belonging to affluent families: a school-based study. Indian J Pediatr 77:161–165.  https://doi.org/10.1007/s12098-009-0260-5 CrossRefPubMedGoogle Scholar
  11. Buchanan JL (2012) Prevention of depression in the college student population: a review of the literature. Arch Psychiatr Nurs 26:21–42.  https://doi.org/10.1016/j.apnu.2011.03.003 CrossRefPubMedGoogle Scholar
  12. Chow HP (2005) Life satisfaction among university students in a Canadian prairie city: a multivariate analysis. Soc Indic Res 70:139–150.  https://doi.org/10.1007/s11205-004-7526-0 CrossRefGoogle Scholar
  13. Christie H, Munro M, Rettig H (2002) Accommodating students. J Youth Stud 5:209–235.  https://doi.org/10.1080/13676260220134458 CrossRefGoogle Scholar
  14. Crawford JR, Henry JD (2003) The depression anxiety stress scales (DASS): normative data and latent structure in a large non-clinical sample. Br J Clin Psychol 42:111–131.  https://doi.org/10.1348/014466503321903544 CrossRefPubMedGoogle Scholar
  15. Dahlin M, Joneborg N, Runeson B (2005) Stress and depression among medical students: a cross-sectional study. Med Educ 39:594–604.  https://doi.org/10.1111/j.1365-2929.2005.02176.x CrossRefPubMedGoogle Scholar
  16. Daniel K (2013) Loneliness and depression among university students in Kenya. Glob J Hum-Soc Sci Res 13.  10.17406/GJHSS
  17. Dusselier L, Dunn B, Wang Y, Shelley II MC, Whalen DF (2005) Personal, health, academic, and environmental predictors of stress for residence hall students. J Am Coll Heal 54:15–24.  https://doi.org/10.3200/JACH.54.1.15-24
  18. Dyrbye LN, Thomas MR, Shanafelt TD (2006) Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med 81:354–373CrossRefPubMedGoogle Scholar
  19. Gillman JL, Kim HS, Alder SC, Durrant LH (2006) Assessing the risk factors for suicidal thoughts at a nontraditional commuter school. J Am Coll Heal 55:17–26.  https://doi.org/10.3200/JACH.55.1.17-26 CrossRefGoogle Scholar
  20. Haq MA (2016) Association between socio-demographic background and self-esteem of university students. Psychiatry Q 87:755–762.  https://doi.org/10.1007/s11126-016-9423-5 CrossRefGoogle Scholar
  21. Hojat M (1998) Satisfaction with early relationships with parents and psychosocial attributes in adulthood: which parent contributes more? J Genet Psychol 159:203–220.  https://doi.org/10.1080/00221329809596146 CrossRefPubMedGoogle Scholar
  22. Inam SN, Saqib A, Alam E (2003) Prevalence of anxiety and depression among medical students of private university. J-Pak Med Assoc 53:44–46PubMedGoogle Scholar
  23. Inglés CJ, Gonzálvez-Maciá C, García-Fernández JM, Vicent M, Martínez-Monteagudo MC (2015) Current status of research on school refusal. Eur J Educ Psychol 8:37–52CrossRefGoogle Scholar
  24. Kaur S, Deepti SS, Lal M (2014) Prevalence and correlates of depression among college going students of district Amritsar, India. Int Res J Medical Sci 2:5–9Google Scholar
  25. Kaya M, Genc M, Kaya B, Pehlivan E (2007) Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher Educaon students. Turkish J Psychiatry 18:1–9Google Scholar
  26. Kessler RC, Berglund P, Demler O, Jin R, Koretz D, Merikangas KR, Rush AJ, Walters EE, Wang PS (2003) The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA 289:3095–3105CrossRefPubMedGoogle Scholar
  27. Khan MS, Mahmood S, Badshah A, Ali SU, Jamal Y (2006) Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan. J-Pak Med Assoc 56:583–586PubMedGoogle Scholar
  28. Khanam SJ, Bukhari SR (2015) Depression as a predictor of academic performance in male and female university students. J Pak Psychiatr Soc 12:15–17Google Scholar
  29. Kumaraswamy N (2013) Academic stress, anxiety and depression among college students-a brief review. Int Rev Soc Sci Humanit 5:135–143Google Scholar
  30. Lester D (2013) Depression and suicidal ideation in college students: a preliminary study of campus variables. Psychol Rep 112:106–108.  https://doi.org/10.2466/12.02.10.PR0.112.1.106-108 CrossRefPubMedGoogle Scholar
  31. McDowell I (2006) Measuring health: a guide to rating scales and questionnaires. Oxford University Press, OxfordCrossRefGoogle Scholar
  32. Omokhodion FO, Gureje O (2003) Psychosocial problems of clinical students in the University of Ibadan Medical School. Afr J Med Med Sci 32:55–58PubMedGoogle Scholar
  33. Riaz A, Kamal S, Butt NS (2013) Psychometric analysis of depression, anxiety and stress among women of Wazirabad City. Caspian J Soc Sci 2:61–68Google Scholar
  34. Rosenthal JM, Okie S (2005) White coat, mood indigo: depression in medical school. N Engl J Med 353:1085–1088CrossRefPubMedGoogle Scholar
  35. Sarokhani D, Delpisheh A, Veisani Y, Sarokhani MT, Manesh RE, Sayehmiri K (2013) Prevalence of depression among university students: a systematic review and meta-analysis study. Depress Res Treat 2013:373857Google Scholar
  36. Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, Jaffar A, Ismail A, Mahadevan R (2013) Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr 6:318–323.  https://doi.org/10.1016/j.ajp.2013.01.014 CrossRefPubMedGoogle Scholar
  37. Sreeramareddy CT, Shankar PR, Binu VS, Mukhopadhyay C, Ray B, Menezes RG (2007) Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ 7:26CrossRefPubMedPubMedCentralGoogle Scholar
  38. Stanley P (2013) Risk factors for depressive illness among elderly Gopd attendees at Upth. IOSR J Dent Med Sci 5:77–86CrossRefGoogle Scholar
  39. Stark KD, Brookman CS (1994) Theory and family-school intervention. In: The handbook of family–school intervention: a system perspective. Allyn and Bacon, BostonGoogle Scholar
  40. Stewart-Brown S, Evans J, Patterson J, Petersen S, Doll H, Balding J, Regis D (2000) The health of students in institutes of higher education: an important and neglected public health problem? J Public Health 22:492–499CrossRefGoogle Scholar
  41. Uehara T, Takeuchi K, Kubota F, Oshima K, Ishikawa O (2010) Annual transition of major depressive episode in university students using a structured self-rating questionnaire. Asia Pac Psychiatry 2:99–104.  https://doi.org/10.1111/j.1758-5872.2010.00063.x CrossRefGoogle Scholar
  42. Verma N, Jain M, Roy P (2014) Assessment of magnitude and grades of depression among adolescents in Raipur City. India Int Res J Medical Sci 2:10–13CrossRefGoogle Scholar
  43. Wadsworth ME, Berger LE (2006) Adolescents coping with poverty-related family stress: prospective predictors of coping and psychological symptoms. J Youth Adolesc 35:54–67CrossRefGoogle Scholar
  44. Yusoff MS, Rahim AF, Yaacob MJ (2011) The prevalence of final year medical students with depressive symptoms and its contributing factors. Int Med J 18:305–309Google Scholar
  45. Yusoff MS, Rahim AF, Baba AA, Ismail SB, Pa MN (2013) Prevalence and associated factors of stress, anxiety and depression among prospective medical students. Asian J Psychiatr 6:128–133.  https://doi.org/10.1016/j.ajp.2012.09.012 CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany 2017
corrected publication January/2018

Authors and Affiliations

  1. 1.Quality Enhancement Cell (QEC)National College of Arts LahoreLahorePakistan
  2. 2.College of Statistical & Actuarial SciencesUniversity of the PunjabLahorePakistan
  3. 3.Department of Statistics, Faculty of ScienceKing Abdul Aziz UniversityJeddahSaudi Arabia
  4. 4.Department of SociologyInternational Islamic University IslamabadIslamabadPakistan

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