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Title: Depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong : a cross-sectional study
Authors: Cheung, T 
Wong, SY 
Wong, KY 
Law, LY 
Ng, K 
Tong, MT 
Wong, KY 
Ng, MY 
Yip, PSF
Issue Date: 2016
Source: International journal of environmental research and public health, Aug. 2016, v. 13, no. 8, 779
Abstract: This study examines the prevalence of depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong. Recent epidemiological data suggest that the prevalence of mild to severe depression, anxiety and stress among qualified nurses in Hong Kong stands at 35.8%, 37.3% and 41.1%, respectively. A total of 661 nursing students were recruited to participate in our cross-sectional mental health survey using the Depression, Anxiety and Stress Scale 21. Multiple logistic regression was used to determine significant relationships between variables. Working in general medicine, being in financial difficulty, having sleep problems, not having leisure activity and perceiving oneself in poor mental health were significant correlates of past-week depression, anxiety and stress. Year of study, physical inactivity and family crisis in the past year correlated significantly with depression. Imbalanced diets significantly correlated withanxiety. Stress was significantly associated with a lack of alone time. This is the first study to confirm empirically that clinical specialty, financial difficulties and lifestyle factors can increase nursing students’ levels of depression and anxiety and symptoms of stress. Prevention, including the early detection and treatment of mental disorder, promises to reduce the prevalence of these indicators among this group.
Keywords: Anxiety
DASS 21
Depression
Epidemiology
Mental health education
Nursing students
Stress
Publisher: Molecular Diversity Preservation International (MDPI)
Journal: International journal of environmental research and public health 
ISSN: 1661-7827
EISSN: 1660-4601
DOI: 10.3390/ijerph13080779
Rights: © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
The following publication Cheung, T.; Wong, S.Y.; Wong, K.Y.; Law, L.Y.; Ng, K.; Tong, M.T.; Wong, K.Y.; Ng, M.Y.; Yip, P.S. Depression, Anxiety and Symptoms of Stress among Baccalaureate Nursing Students in Hong Kong: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2016, 13, 779, 1-25 is available at https://dx.doi.org/10.3390/ijerph13080779
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