Sokratous Sokratis, Alexandrou Giorgos, Zavrou Rafailia, Karanikola Maria
Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
Mental health Services, Nicosia, Cyprus.
BMC Nurs. 2023 Aug 30;22(1):294. doi: 10.1186/s12912-023-01463-x.
Despite prior evidence supporting the association between stressful life events and mental health status, there are limited data on the number and severity of stressful life events and their effects on university students' mental health status. Therefore, the present study aimed to: (a) examine mental health status and subsequent predictors of clinically significant mental distress symptoms, (b) estimate the number and severity of stressful life events, and (c) explore the associations between mental health status, stressful life events (number and severity) and sociodemographic characteristics.
This study was descriptive, cross-sectional, and correlational with internal comparisons. A convenience sample of 90 Master of Science in nursing and midwifery students, participated in the study. Participants with a General Health Questionnaire-28 (GHQ-28) total score ≥ 24 were considered to have clinically significant mental distress symptoms. Descriptive and inferential statistics were evaluated, and Pearson's chi-square test for group differences was used to analyse the data. Analysis of variance and t-tests were used for comparisons between two or more groups, and regression analyses were employed to identify the predictors of GHQ-28 scores and clinical mental distress symptoms.
The final sample comprised 90 students (response rate: 97.8%), 33 (36.7%) of whom reported clinically significant symptoms of mental distress. Students with divorced parents [29.92 (± 10.62), p < .05] scored high on the GHQ-28. Participants who had low/no satisfaction with the education system posted higher scores than participants who had high/very high satisfaction [24.82 (± 11.68) vs. 17.93 (± 9.78), p < .05]. In the subscale measuring depressive symptoms, there was a statistically significant gender difference, with men reporting higher scores than females. [3.0± (3.69) vs. 1.60 (± 2.42), p = .034]. In multiple analyses of sociodemographic characteristics and those who scored higher on the Life Events Scale for Students (LESS) scale (≥ 340), the loss of parent/s was associated with the total GHQ-28 score (B=-17.046, p < .001). In multiple analyses, chronic physical disorders or disabilities and numerous stressful life events among students (≥ 8 events) were correlated with higher overall GHQ-28 scores (B = 15.232, p < .005).
The high frequency of clinical symptoms of mental distress among postgraduate university nursing students and their correlation with stressful life events highlights the need for university counselling services to provide psychological support strategies to students.
尽管先前有证据支持应激性生活事件与心理健康状况之间的关联，但关于应激性生活事件的数量和严重程度及其对大学生心理健康状况影响的数据有限。因此，本研究旨在：(a) 检查心理健康状况及具有临床意义的精神痛苦症状的后续预测因素；(b) 估计应激性生活事件的数量和严重程度；(c) 探讨心理健康状况、应激性生活事件（数量和严重程度）与社会人口学特征之间的关联。
本研究为描述性、横断面研究，并进行内部比较的相关性研究。便利抽样选取了90名护理学和助产学硕士研究生参与研究。一般健康问卷-28（GHQ-28）总分≥24分的参与者被认为具有临床意义的精神痛苦症状。对描述性和推断性统计进行了评估，并使用Pearson卡方检验分析组间差异。方差分析和t检验用于两组或多组之间的比较，回归分析用于确定GHQ-28得分和临床精神痛苦症状的预测因素。
最终样本包括90名学生（回复率：97.8%），其中33名（36.7%）报告有临床意义的精神痛苦症状。父母离异的学生在GHQ-28上得分较高[29.92（±10.62），p<.05]。对教育系统满意度低/无满意度的参与者得分高于高/非常高满意度的参与者[24.82（±11.68）对17.93（±9.78），p<.05]。在测量抑郁症状的子量表中，存在统计学上显著的性别差异，男性得分高于女性。[3.0±（3.69）对1.60（±2.42），p=.034]。在对社会人口学特征和学生生活事件量表（LESS）得分较高（≥340）者的多元分析中，父母一方或双方的丧失与GHQ-28总分相关（B=-17.046，p<.001）。在多元分析中，慢性身体疾病或残疾以及学生中大量的应激性生活事件（≥8起事件）与较高的GHQ-28总分相关（B=15.232，p<.005）。
研究生护理专业学生中精神痛苦临床症状的高发生率及其与应激性生活事件的相关性凸显了大学咨询服务为学生提供心理支持策略的必要性。
