Prevalence, severity and factors associated with depression in university students
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2021.167804Keywords:
Depression, Students, Universities, Mental healthAbstract
Descritores: to identify the prevalence, severity and factors associated with depression among university students in the Federal District. Method: a cross-sectional study carried out with 521 university students, aged between 18 and 60 years old. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) scale. Descriptive statistics and the chi-square test were used. Results: among the 521 individuals studied, there was predominance of females. The prevalence of depressive symptoms was 521 (96.6%) university students; 31.3% with mild depression; 23.4%, minimal depression, 13.1%, moderately severe depression; 9.6%, severe depression; and 9.2%, moderate depression. Family income and the semester attended are associated factors for the severity of depression. Conclusion: the prevalence of depression in the university environment is common, being at a high and worrying proportion. It is crucial to track depression, its severity and its associated factors, in order to stimulate reflection on the theme and to think of intervention strategies for the prevention and promotion of mental health.
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Organização Pan- Americana de Saúde/ Organização Mundial de Saúde. Com depressão no topo da lista de causas de problemas de saúde, OMS lança a campanha “Vamos conversar”. [Internet]. 2017. [Acesso 30 out 2018]. Disponível em: <https://www.paho.org/bra/index.php?option=com_content&view=article&id=5385:com-depressao-no-topo-da-lista-de-causas-de-problemas-de-saude-oms-lanca-a-campanha-vamos-conversar&Itemid=839>.
Mao Y, Zhang N, Liu J, Zhu B, He R, Wang X. A systematic review of depression and anxiety in medical students in China. BMC Med Educ . 2019. Available from: <https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-019-1744-2>. doi: https://doi.org/10.1186/s12909-019-1744-2
Muniz FWMG, Maurique LS, Toniazzo MP, Rösing CK, Casarin M. Female undergraduate dental students may present higher depressive symptoms: A systematic review. Oral Dis. 2019. Available from: <https://www.researchgate.net/publication/330094828_Female_undergraduate_dental_students_may_present_higher_depressive_symptoms_A_systematic_review>. doi: 10.1111 / odi.13029
Tam W, Lo K, Pacheco J. Prevalence of depressive symptoms among medical students: overview of systematic reviews. Med Educ. 2019. Available from: < https://pubmed.ncbi.nlm.nih.gov/30474128/>. doi: 10.1111 / medu.13770
Tung YJ, Lo KKH, Ho RCM, Tam WSW. Prevalence of depression among nursing students: A systematic review and meta-analysis. Nurse Educ Today. 2018. Available from: <https://pubmed.ncbi.nlm.nih.gov/29432998/>. doi: 10.1016 / j.nedt.2018.01.009
Rotenstein LS, Ramos MA , Torre M , Segal JB, Peluso MJ, Guille C et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613659/#:~:text=In%20this%20meta%2Danalysis%2C%20the,%2C%2015.7%25%20sought%20psychiatric%20treatment.> doi: 10.1001/jama.2016.17324
Lei XY, Xiao LM, Liu YN, Li YM. Prevalence of Depression among Chinese University Students: A Meta-Analysis. PLoS One. 2016. Available from: <https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0153454#:~:text=The%20results%20of%20this%20meta,depression%20in%20university%20students%20worldwide%2C>. doi: https://doi.org/10.1371/journal.pone.0153454
Samaranayake CB, Arroll B, Fernando AT. Sleep disorders, depression, anxiety and satisfaction with life among young adults: a survey of university students in Auckland, New Zealand. N Z Med J . [Internet]. 2014. [cited June 5 2020]. Available from: < https://pubmed.ncbi.nlm.nih.gov/25145302/>.
Shamsuddin K, Fadzil F, Ismail WSW, Shah AS, Omar K, Muhammad NA et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatry. 2013. Available from:< https://www.sciencedirect.com/science/article/abs/pii/S1876201813000592?via%3Dihub>. doi: https://doi.org/10.1016/j.ajp.2013.01.014.
Fernandes MA, Vieira FE , Silva JS, Avelino FVSD, Santos JDM. Prevalence of anxious and depressive symptoms in university students from a public institution. Rev Bras Enferm. 2018. Available from: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018001102169&lng=pt. >. doi: http://dx.doi.org/10.1590/0034-7167-2017-0752
Coryell W, Winokur G. Depressive disorders. Merck Manual - Diagnosis and treatment (MSD) - Version for healthcare professionals. [Internet]. 2016. [cited May 23 2019]. Available from: <https://www.msdmanuals.com/pt-br/profissional/transtornos-psiqui%C3%A1tricos/transtornos-do-humor/transtornos-depressivos>.
Ebert DD, Buntrock C , Mortier P , Auerbach R , Weisel KK , Kessler RC et al. Prediction of major depressive disorder onset in college students. Depression and Anxiety. 2019. Available from: <https://onlinelibrary.wiley.com/doi/epdf/10.1002/da.22867>. doi: 10.1002/da.22867
Liu CH, Stevens C, Wong SHM, Yasui M, Chen JA. The prevalence and predictors of mental health diagnoses and suicide among U.S. college students: Implications for addressing disparities in service use. Depression Anxiety. 2018. Available from: <https://onlinelibrary.wiley.com/doi/abs/10.1002/da.22830>. doi: https://doi.org/10.1002/da.22830
Leão AM, Gomes IP, Ferreira MJM, Cavalcanti LPG. Prevalence and Factors Associated with Depression and Anxiety among University Students in the Field of Health in a Large Urban Center in the Northeast of Brazil. Rev Bras Educ Med. 2018. Available from: <http://www.scielo.br/pdf/rbem/v42n4/1981-5271-rbem-42-4-0055.pdf>.doi: https://doi.org/10.1590/1981-52712015v42n4rb20180092
Flesch BD, Houvèssou GM, Munhoz TN, Fassa AG. Major depressive episode among university students in Southern Brazil. Rev Saúde Pública. 2020. Available from:< https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100210>. doi: https://doi.org/10.11606/s1518-8787.2020054001540
Pasqualucci PL, Damaso LLM, Danila AH, Fatori D, Lotufo Neto F, Koch VHK. Prevalence and correlates of depression, anxiety, and stress in medical residents of a Brazilian academic health system. BCM Med. Educ. 2018. Available from: <https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-019-1621-z>. doi: https://doi.org/10.1186/s12909-019-1621-z
Barbosa JG, Filho NA. Miranda IMO, Rezende LF , Tank K, Zeuri E. Characterization of suicide idea in university students. Rev UNINCOR. Universidade Vale do Rio Verde. 2018. Available from:< http://periodicos.unincor.br/index.php/revistaunincor/article/view/3731/pdf_788>.
doi: http://dx.doi.org/10.5892/ruvrd.v16i1.3731.g3426
Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: validity of a brief depression severity measure. Patient Health Questionnaire (PHQ) Screeners. JGIM. J Gen Internal Med. 2001. Available from: <https://onlinelibrary.wiley.com/doi/full/10.1046/j.1525-1497.2001.016009606.x>. doi: https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Ang AL, Wahab S, Abd Rahman FN, Hazmi H, Md Yusoff R. Depressive symptoms in adolescents in Kuching, Malaysia: Prevalence and associated factors. Pediatr Int. 2019. Available from: <https://onlinelibrary.wiley.com/doi/abs/10.1111/ped.13778>. doi: https://doi.org/10.1111/ped.13778
Andreas JB, Brunborg GS. Depressive Symptomatology among Norwegian Adolescent Boys and Girls: The Patient Health Questionnaire-9 (PHQ-9) Psychometric Properties and Correlates. Front Psychol., Department of Substance Use, Norwegian Institute of Public Health. [Internet]. 2017. [cited May 5 2019]. Available from: <https://www.frontiersin.org/articles/10.3389/fpsyg.2017.00887/full>. doi: https://doi.org/10.3389/fpsyg.2017.00887
Andrade LR, Barbosa L, Dias BRT, Melo GF, Souza E, Vasconcelos TC. Prevalence of Anxiety and Depression Symptoms among Medicine Students. Rev Bras Educ Med. 2015;39(1):135-42. Available from: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022015000100135>. doi: https://doi.org/10.1590/1981-52712015v39n1e00042014
Ferreira FMPB, Brito IM, Santos MR. Health promotion programs in higher education: integrative literature review. Rev Bras Enferm. 2018. Avalaible from:< https://www.scielo.br/pdf/reben/v71s4/pt_0034-7167-reben-71-s4-1714.pdf>. doi: http://dx.doi.org/10.1590/0034-7167-2016-0693
Braga ALS, Cavalcanti TVC, Cortez EA, Dutra VFD, Marinho TG, Mattos MMGR, et al. Promotion of Mental Health for University Students. Rev Pró UniverSUS. [Internet]. 2017. [cited April 25 2020]. Avalaible from:< http://editora.universidadedevassouras.edu.br/index.php/RPU/article/view/896<.
Sahão FT. University student mental health: behaviors that favor adaptation to teaching higher. Universdade Estadual de Londrina. [Internet]. 2019. [cited May 25 2020]. Avalaible from:< http://www.uel.br/pos/pgac/wp-content/uploads/2019/08/Saude-mental-do-estudante-universitario-comportamentos-que-favorecem-a-adaptacao-ao-ensino-superior.pdf>.
Wondimagegnehu A, Abebe W, Abraha W, Teferra S. Depression and social support among breast cancer patients in Addis Ababa, Ethiopia. BMC Cancer. 2019. Avalaible from:< https://bmccancer.biomedcentral.com/articles/10.1186/s12885-019-6007-4>. doi: https://doi.org/10.1186/s12885-019-6007-4
Melo AK, Siebra AJ, Moreira V. Depression in Adolescents: Review of the Literature and the Place of Phenomenological Research. Psicol Cienc Prof. 2017. Available from:< http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-98932017000100018>. doi: http://dx.doi.org/10.1590/1982-37030001712014
Alharbi R, Alsuhaibani K, Almarshad A, Alyahia A. Depression and anxiety among high school student at Qassim Region. J Family Med Prim Care. 2019. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436297/>. doi: 10.4103 / jfmpc.jfmpc_383_18
Santos JC. Como enfrentar o adoecimento mental na universidade: conheça iniciativas de professores e alunos [Internet]. Rio Grande do Sul (RS): Universidade Federal do Rio Grande do Sul; 2019 [Acesso 8 nov 2019]. Disponível em: <https://www.ufrgs.br/humanista/2019/10/10/como-enfrentar-o-adoecimento-mental-na-universidade-conheca-iniciativas-de-professores-e-alunos/>.
Robaert DW, Schonardie EF. Education and practices for the promotion of mental health in. RC&E. 2017; 32(103):191-212. Available from: <http://dx.doi.org/10.21527/2179-1309.2017.103.191-212>. doi: https://doi.org/10.21527/2179-1309.2017.103.191-212
Morais A. PRAE desenvolve projetos voltados à saúde mental dos estudantes [Internet]. Rio Grande do Norte (RN): Universidade do Estado do Rio Grande do Norte; 2018 [Acesso 16 nov 2019]. Disponível em: <[http://portal.uern.br/blog/prae-desenvolve-projetos-voltados-a-saude-mental-dos-estudantes/>.
Victor JF, Lopes MVO, Ximenes LB. Analysis of diagram the health promotion model of Nola J. Pender. Acta Paul Enferm. 2005; 18(3):235-40. Available: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002005000300002&lng=en>. doi: https://doi.org/10.1590/S0103-21002005000300002
Tavares LM. Common mental disorders and subjective wellbeing in medical students: a preventive intervention based on positive psychology. [Internet]. Recife (PE): Universidade Federal de Pernambuco; 2017 [cited Nov 16 2019]. Available from: <https://repositorio.ufpe.br/handle/123456789/26477>.
Abrahão L, Ribeiro V. Campanha Janeiro Branco. Janeiro Branco: por uma cultura da Saúde Mental. [Internet]. Minas Gerais. 2020. [Acesso 25 jan 2020]. Disponível em: <http://janeirobranco.com.br/projeto-janeiro-branco/>.
Pureza JR, Kuhn CHC, Castro EK, Lisboa CSM. Positive psychology in Brazil: a systematic review. Rev Bras Ter Cogn. [Internet]. 2012. [cited Jan 6 2020]. Available from: <http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1808-56872012000200006&lng=pt&nrm=iso>.
Hailemichael Y, Hanlon C, Tirfessa K, Docrat S, Alem A, Medhin G et al. Mental health problems and socioeconomic disadvantage: a controlled household study in rural Ethiopia. Int J Equity Health. [Internet]. 2019. [cited June 1 2020]. Available from: <https://pesquisa.bvsalud.org/portal/resource/pt/mdl-31366362>.
Schlax J, Jünger C, Beutel ME, Münzel T, Pfeiffer N, Wild P, et al. Income and education predict elevated depressive symptoms in the general population: results from the Gutenberg health study. BMC Public Health. [Internet]. 2019. [cited June 1 2020]. Available from: <https://pesquisa.bvsalud.org/portal/resource/pt/mdl-31014301>.
