Depression, anxiety and stress and their associated social determinants in the Saudi college students

Shamim Mohammad, Ibrahim Waleed Almakran, Ahmad Saleh Al-Montashri, Ammar Mohammed Mursi, Saleh Mohammed Alharbi, Tariq Sultan Pasha, Ismail Khalid, Shamim Mohammad, Ibrahim Waleed Almakran, Ahmad Saleh Al-Montashri, Ammar Mohammed Mursi, Saleh Mohammed Alharbi, Tariq Sultan Pasha, Ismail Khalid

Abstract

Globally, students suffer from stress, anxiety, and depression in higher education and seek counselling since education process has negative impacts on mental health of some students. This study was aimed at measuring the depression, stress, and anxiety and their associated social determinants like (income, education, residence, marital status, and educational difficulties) in undergraduate students of Umm Al-Qura University (UQU). Arabic version of the Depression, Anxiety, and Stress Scale (DASS-21) validated from the original English version instrument by Lovibond and Lovibond (1995) was used; A sample of 373 respondents through clustered sampling was drawn from the five randomly chosen faculties of the University. Data was analyzed by running ANOVA and t-test procedures in SPSS software. The study found that the prevalence of stress, anxiety, and depression in the students was 30%, 60%, and 50% respectively. A statistically significant difference was found in the stress levels of students of different colleges (p=0.000). Students' stress levels were significantly higher (p=0.000) in the Applied Medical Sciences and in the final year students (p=0.015). Significantly high levels of depression (p=0.000), anxiety (p=0.000), and stress (p=0.000) were found in the students belonging to the poor economic strata. Depression (p=0.038), Anxiety (p=0.022), and stress (p=0.001) were statistically high in the students whose father had a low level of education. Statistically high level (p=0.028) of stress was also found in the students whose mothers had a low level of education. Students who reported educational difficulties had significantly (p=0.001) high levels depression. However, the results of stress, anxiety, and depression in married students and the location of the students' variables were not found statistically significant. The findings may be useful for informed policymaking in the higher learning institutions and initiation of counseling provisions in the concerned faculties for the distressed students with a view to enhancing their educational outcomes.

Keywords: Stress; anxiety; depression; mental health; students.

Conflict of interest statement

Conflict of interest: The authors declare that there is no conflict of interest in relation to this study.

©Copyright: the Author(s).

Figures

Figure 1.
Figure 1.
Comparative means of subjects' scores of different Colleges on DASS-21.

References

    1. Al Bahhawi T., Albasheer O.B., Makeen A.M., Arishi A.M., Hakami O.M., Maashi S.M., Al-Khairat H.K., Alganmy O.M., Sahal Y.A., Sharif A.A., Mahfouz MS. (2018). Depression, anxiety, and stress and their association with khat use: a cross-sectional study among Jazan University students, Saudi Arabia. Neuropsychiatric Disease and Treatment, 14, 2755-2761.
    1. Ali A. M., Ahmed A., Sharaf A., Kawakami N., Abdeldayem S. M., Green J. (2017). The Arabic Version of The Depression Anxiety Stress Scale-21: Cumulative scaling and discriminantvalidation testing. Asian journal of psychiatry, 30, 56–58.
    1. Alsalhi A. H., Almigbal T.H., Alsalhi H. H., Batai M. A. (2018). The Relationship between Stress and Academic Achievement of Medical Students in King Saud University: A Cross- Sectional Study. Kuwait Medical Journal, 50(1):60–5.
    1. Altannir Y., Alnajjar W., Ahmad S. O., Altannir M., Yousuf F., Obeidad A., Al-Tannir M. 2019. Assessment of burnout in medical undergraduate students in Riyadh, Saudi Arabia. BMC Medical Education, 19(1), 2-8.
    1. Astutik E., Sebayang S. K., Puspikawati S. I., Tama T. D., Sintha D. M., Dewi K. (2020). Depression, Anxiety, and Stress among Students in Newly Established Remote University Campus in Indonesia. Malaysian Journal of Medicine and Health Sciences, 16(1), 270–277.
    1. 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. Journal of Affective Disorders, 173, 90–6.
    1. Childhood Depression Statistics, 2012. Teen Depression Statistics, Prevention, Facts On Teenage Depression. Available from: Accessed 15 July 2020.
    1. Cukrowicz K. C., Schlegel E. F., Smith P. N., Jacobs M. P., Van Orden K. A., Paukert A. L., Pettit J. W., Joiner T. E. (2011). Suicide ideation among college students evidencing subclinical Depression. Journal of American College Health, 59(7), 575–581.
    1. Gallego J., Aguilar-Parra J. M., Cangas A. J., Langer Á. I., Mañas I. (2015). Effect of a mindfulness program on stress, anxiety and depression in university students. The Spanish journal of psychology, 17, E109.
    1. Hamad R., Fernald L. C., Karlan D. S., Zinman J. (2008). Social and economic correlates of depressive symptoms and perceived stress in South African adults. Journal of epidemiology and community health, 62(6), 538–544.
    1. Ibrahim A. K., Kelly S. J., Adams C. E., Glazebrook C. (2013). A systematic review of studies of depression prevalence in university students. Journal of psychiatric research, 47(3), 391–400.
    1. Lawton G, 2019. Why are students at university so stressed? [Internet]. The Guardian. Guardian News and Media. Accessed 2020 Apr 3. Available from:
    1. Moussa M. T., Lovibond P., Laube R., Megahead H. A. (2016). Psychometric Properties of an Arabic Version of the Depression Anxiety Stress Scales (DASS). Research on Social Work Practice, 27(3), 375–386.
    1. Moutinho I., Lucchetti A., Ezequiel O., Lucchetti G. (2019). Mental health and quality of life of Brazilian medical students: Incidence, prevalence, and associated factors within two years of follow-up. Psychiatry research, 274, 306–312.
    1. Parvez M, Agrawal M, 2018. Anxiety, Depression and Stress Among Undergraduate Students: a Comparative Study of Mathematics and Engineering Students. Journal of Advances and Scholarly Researches in Allied Education, 15(7):192–7.
    1. , 2004. Sample Size Calculator By Raosoft, Inc.. [online] Available at: Accessed 15 July 2020.
    1. Rosenberg D., 2018. 1 In 5 College Students Have Anxiety Or Depression. Here’s Why. [online]. The Conversation. Available from: Accessed 15 July 2020.
    1. Saudi Gazette, 2017. 67% Saudi Medical Students Suffer Due To Stress. [online] Available from: Accessed 15 July 2020.
    1. Sawilowsky S., 2009. New Effect Size Rules Of Thumb. [online] DigitalCommons@WayneState Available from: Accessed 15 July 2020.
    1. Shamsuddin K., Fadzila F., Ismail W. S. W., Shah S. A., Omar K., Muhammad N. A., Jaffar A., Ismail A., Mahadevan R. (2013). Correlates of depression, anxiety and stress among Malaysian university students. Asian Journal of Psychiatry, 6(4), 318–323.
    1. Shim E-J, Jeon H. J., Kim H., Lee K-M., Jung D., Noh H-L., Roh M-S., Hahm B-J. (2016). Measuring stress in medical education: validation of the Korean version of the higher education stress inventory with medical students. BMC Medical Education, 16(1),302.
    1. Ruzhenkova V. V., Tarabaeva V. B., Ruzhenkov V. A., Lukyantseva I. S. (2018). Medical and psychological characteristics of the 1st year students of medical and pedagogical institutes and their features of educational adaptation. Drug Invention Today, 10(3), 3240–3246.
    1. Wafaa Y. W., Safaa H. K. (2017). Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria Journal of Medicine, 53, 77–84.
    1. WHO. 2017. Depression and other common mental disorders. Available from: Accessed 15 July 2020.
    1. Wong J. G., Cheung E. P., Chan K. K., Ma K. K., Tang S. W. (2006). Web-based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. The Australian and New Zealand journal of psychiatry, 40(9), 777–782.

Source: PubMed

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