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Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey

The COVID-19 pandemic and consequent lockdown have precipitated significant disruption in the educational system. Nursing students are known to have higher levels of stress and anxiety than other non-nursing students, but there is a dearth of evidence regarding the impacts of the COVID-19 lockdown o...

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Autores principales: Kim, Son Chae, Sloan, Christine, Montejano, Anna, Quiban, Carlota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608075/
https://www.ncbi.nlm.nih.gov/pubmed/34968310
http://dx.doi.org/10.3390/nursrep11010004
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author Kim, Son Chae
Sloan, Christine
Montejano, Anna
Quiban, Carlota
author_facet Kim, Son Chae
Sloan, Christine
Montejano, Anna
Quiban, Carlota
author_sort Kim, Son Chae
collection PubMed
description The COVID-19 pandemic and consequent lockdown have precipitated significant disruption in the educational system. Nursing students are known to have higher levels of stress and anxiety than other non-nursing students, but there is a dearth of evidence regarding the impacts of the COVID-19 lockdown on their mental health and coping mechanisms. Purpose: The aim of this study was to explore the influence of coping mechanisms as predictors of stress, anxiety, and depression among nursing students during the COVID-19 lockdown. Methods: A cross-sectional online survey was conducted from 20 April to 10 May 2020 among 173 nursing students at a private university in Southern California, USA. Results: Self-reported stress, anxiety, and depression were significantly higher during the lockdown compared to the pre-lockdown period (p < 0.001). Almost a quarter of participants reported high stress, while more than half reported moderate-to-severe symptoms of anxiety and depression. High resilience was negatively associated with high stress (Odds Ratio (OR) = 0.46; 95% Confidence Interval (CI) = 0.22–0.98; p = 0.045), moderate-to-severe anxiety (OR = 0.47; 95%CI = 0.25–0.90; p = 0.022), and moderate-to-severe depression (OR = 0.50; 95%CI = 0.26–0.95; p = 0.036). Similarly, high family functioning was negatively associated with high stress (OR = 0.41; 95%CI = 0.20–0.86; p = 0.018), moderate-to-severe anxiety (OR = 0.41; 95%CI = 0.21–0.80; p = 0.009), and moderate-to-severe depression (OR = 0.41; 95%CI = 0.20–0.81; p = 0.011). High spiritual support was negatively associated with moderate-to-severe depression (OR = 0.48; 95%CI = 0.24–0.95; p = 0.035). Conclusions: During the COVID-19 lockdown, nursing students experienced remarkable levels of poor mental health. High levels of resilience and family functioning were associated with 2- to 2.4-fold lower risk of stress, anxiety, and depression, whereas high spiritual support was associated with 2-fold lower risk of depression. As the pandemic evolves, fostering these coping mechanisms may help students to maintain their psychological wellbeing.
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spelling pubmed-86080752021-12-28 Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey Kim, Son Chae Sloan, Christine Montejano, Anna Quiban, Carlota Nurs Rep Article The COVID-19 pandemic and consequent lockdown have precipitated significant disruption in the educational system. Nursing students are known to have higher levels of stress and anxiety than other non-nursing students, but there is a dearth of evidence regarding the impacts of the COVID-19 lockdown on their mental health and coping mechanisms. Purpose: The aim of this study was to explore the influence of coping mechanisms as predictors of stress, anxiety, and depression among nursing students during the COVID-19 lockdown. Methods: A cross-sectional online survey was conducted from 20 April to 10 May 2020 among 173 nursing students at a private university in Southern California, USA. Results: Self-reported stress, anxiety, and depression were significantly higher during the lockdown compared to the pre-lockdown period (p < 0.001). Almost a quarter of participants reported high stress, while more than half reported moderate-to-severe symptoms of anxiety and depression. High resilience was negatively associated with high stress (Odds Ratio (OR) = 0.46; 95% Confidence Interval (CI) = 0.22–0.98; p = 0.045), moderate-to-severe anxiety (OR = 0.47; 95%CI = 0.25–0.90; p = 0.022), and moderate-to-severe depression (OR = 0.50; 95%CI = 0.26–0.95; p = 0.036). Similarly, high family functioning was negatively associated with high stress (OR = 0.41; 95%CI = 0.20–0.86; p = 0.018), moderate-to-severe anxiety (OR = 0.41; 95%CI = 0.21–0.80; p = 0.009), and moderate-to-severe depression (OR = 0.41; 95%CI = 0.20–0.81; p = 0.011). High spiritual support was negatively associated with moderate-to-severe depression (OR = 0.48; 95%CI = 0.24–0.95; p = 0.035). Conclusions: During the COVID-19 lockdown, nursing students experienced remarkable levels of poor mental health. High levels of resilience and family functioning were associated with 2- to 2.4-fold lower risk of stress, anxiety, and depression, whereas high spiritual support was associated with 2-fold lower risk of depression. As the pandemic evolves, fostering these coping mechanisms may help students to maintain their psychological wellbeing. MDPI 2021-01-12 /pmc/articles/PMC8608075/ /pubmed/34968310 http://dx.doi.org/10.3390/nursrep11010004 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Kim, Son Chae
Sloan, Christine
Montejano, Anna
Quiban, Carlota
Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey
title Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey
title_full Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey
title_fullStr Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey
title_full_unstemmed Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey
title_short Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey
title_sort impacts of coping mechanisms on nursing students’ mental health during covid-19 lockdown: a cross-sectional survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608075/
https://www.ncbi.nlm.nih.gov/pubmed/34968310
http://dx.doi.org/10.3390/nursrep11010004
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