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Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study
BACKGROUND: The effect of the prolonged coronavirus disease (COVID-19) pandemic on the mental health of nursing students is unclear. This study assesses the prevalence of anxiety, depression, and insomnia among nursing students in Japan during the pandemic and determines the risk factors associated...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japanese Society for Hygiene
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9640737/ https://www.ncbi.nlm.nih.gov/pubmed/36244760 http://dx.doi.org/10.1265/ehpm.22-00128 |
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author | Ito, Yoshiyasu Kako, Jun Kajiwara, Kohei Kimura, Yasutaka Kakeda, Takahiro Hamanishi, Seiji Sasaki, Shinsuke Yamanaka, Makoto Kiyohara, Hana Wakiguchi, Yuki Endo, Yoji Harada, Kimie Koga, Yuji Ishida, Michiko Nishida, Yoko Kobayashi, Masamitsu Tsubaki, Michihiro |
author_facet | Ito, Yoshiyasu Kako, Jun Kajiwara, Kohei Kimura, Yasutaka Kakeda, Takahiro Hamanishi, Seiji Sasaki, Shinsuke Yamanaka, Makoto Kiyohara, Hana Wakiguchi, Yuki Endo, Yoji Harada, Kimie Koga, Yuji Ishida, Michiko Nishida, Yoko Kobayashi, Masamitsu Tsubaki, Michihiro |
author_sort | Ito, Yoshiyasu |
collection | PubMed |
description | BACKGROUND: The effect of the prolonged coronavirus disease (COVID-19) pandemic on the mental health of nursing students is unclear. This study assesses the prevalence of anxiety, depression, and insomnia among nursing students in Japan during the pandemic and determines the risk factors associated with such symptoms. METHODS: An online survey-based cross-sectional study was conducted from August 16 to October 16, 2021. Participants were first- to fourth-year nursing students enrolled in undergraduate programs at the eight universities in Japan. Anxiety, depression, and insomnia were assessed using the Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index-7, respectively. We calculated descriptive statistics for each measurement item and performed univariate and logistic regression analyses to evaluate the potential risk factors. RESULTS: We received responses from 1,222 of 3,056 nursing students (response rate: 40.0%). After 25 participants were excluded due to missing outcome values, 1,197 students (valid response rate: 98.0%) were included in the analysis. The prevalence of anxiety, depression, and insomnia was 4.8%, 12.4%, and 18.0%, respectively. The risk of anxiety was lower among participants who did not have any relatives or friends who had been infected with SARS-CoV-2 than among those who did (aOR 0.36, 95% CI 0.14–0.94). The risk of depression was higher among participants whose financial status had worsened during the pandemic than among those whose financial status had not changed (aOR 3.44; 95% CI 1.98–5.96). Common factors that increased the risk of anxiety, depression, and insomnia were life satisfaction and fear of COVID-19. CONCLUSION: Mental health-related symptoms among nursing students in Japan have not necessarily worsened with the spread of COVID-19 but were exacerbated by the intensity of changes in daily living and fear, which are psychosocial effects associated with the pandemic. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1265/ehpm.22-00128. |
format | Online Article Text |
id | pubmed-9640737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Japanese Society for Hygiene |
record_format | MEDLINE/PubMed |
spelling | pubmed-96407372022-11-17 Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study Ito, Yoshiyasu Kako, Jun Kajiwara, Kohei Kimura, Yasutaka Kakeda, Takahiro Hamanishi, Seiji Sasaki, Shinsuke Yamanaka, Makoto Kiyohara, Hana Wakiguchi, Yuki Endo, Yoji Harada, Kimie Koga, Yuji Ishida, Michiko Nishida, Yoko Kobayashi, Masamitsu Tsubaki, Michihiro Environ Health Prev Med Research Article BACKGROUND: The effect of the prolonged coronavirus disease (COVID-19) pandemic on the mental health of nursing students is unclear. This study assesses the prevalence of anxiety, depression, and insomnia among nursing students in Japan during the pandemic and determines the risk factors associated with such symptoms. METHODS: An online survey-based cross-sectional study was conducted from August 16 to October 16, 2021. Participants were first- to fourth-year nursing students enrolled in undergraduate programs at the eight universities in Japan. Anxiety, depression, and insomnia were assessed using the Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index-7, respectively. We calculated descriptive statistics for each measurement item and performed univariate and logistic regression analyses to evaluate the potential risk factors. RESULTS: We received responses from 1,222 of 3,056 nursing students (response rate: 40.0%). After 25 participants were excluded due to missing outcome values, 1,197 students (valid response rate: 98.0%) were included in the analysis. The prevalence of anxiety, depression, and insomnia was 4.8%, 12.4%, and 18.0%, respectively. The risk of anxiety was lower among participants who did not have any relatives or friends who had been infected with SARS-CoV-2 than among those who did (aOR 0.36, 95% CI 0.14–0.94). The risk of depression was higher among participants whose financial status had worsened during the pandemic than among those whose financial status had not changed (aOR 3.44; 95% CI 1.98–5.96). Common factors that increased the risk of anxiety, depression, and insomnia were life satisfaction and fear of COVID-19. CONCLUSION: Mental health-related symptoms among nursing students in Japan have not necessarily worsened with the spread of COVID-19 but were exacerbated by the intensity of changes in daily living and fear, which are psychosocial effects associated with the pandemic. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at https://doi.org/10.1265/ehpm.22-00128. Japanese Society for Hygiene 2022-10-15 /pmc/articles/PMC9640737/ /pubmed/36244760 http://dx.doi.org/10.1265/ehpm.22-00128 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Ito, Yoshiyasu Kako, Jun Kajiwara, Kohei Kimura, Yasutaka Kakeda, Takahiro Hamanishi, Seiji Sasaki, Shinsuke Yamanaka, Makoto Kiyohara, Hana Wakiguchi, Yuki Endo, Yoji Harada, Kimie Koga, Yuji Ishida, Michiko Nishida, Yoko Kobayashi, Masamitsu Tsubaki, Michihiro Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study |
title | Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study |
title_full | Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study |
title_fullStr | Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study |
title_full_unstemmed | Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study |
title_short | Impact of the COVID-19 pandemic on the mental health of nursing students in Japan: a cross-sectional study |
title_sort | impact of the covid-19 pandemic on the mental health of nursing students in japan: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9640737/ https://www.ncbi.nlm.nih.gov/pubmed/36244760 http://dx.doi.org/10.1265/ehpm.22-00128 |
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