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Self- perceived stress in relation to anxiety, depression and health-related quality of life among health professions students: A cross-sectional study from Bosnia and Herzegovina Cover

Self- perceived stress in relation to anxiety, depression and health-related quality of life among health professions students: A cross-sectional study from Bosnia and Herzegovina

Slovenian Journal of Public Health
Volume 56 (2017): Issue 4 (December 2017)
By: ,  ,  ,  ,   and    
Open Access
|Oct 2017
Figures & tables

Figures & Tables

Table 1

Degree of perceived stress assessed by 14-item Perceived Stress Scale, depending on different characteristics of examined students.

Perceived stress degree
VariableLow n (%)Moderate n (%)High n (%)P-value
Gender
   Male46 (39.3)84 (28.8)1 (14.3)0.046
   Female71 (60.7)218 (71.2 )6 (85.7)
Study program
   Medicine29 (27.8)114 (37.7)4 (51.1)0.035
   Dentistry46 (39.3)73 (24.2)2 (28.6)
   Speech therapy23 (19.7)68 (22.5)1(14.3)
   Nursing19 (16.2 )47 (15.6)0
Year of study
   Y141 (35.0)120 (39.7)1 (14.3)0.313
   Y224 (20.5)78 (25.8)3 (42.9)
   Y321 (17.9)39 (12.9)0
   Y411 (9.4)21 (7.0)0
   Y510 (8.5)23 (7.6)2 (28.6)
   Y610 (8.5)21 (7.0 )1(14.3)
Place of birth
   Urban91 (77.8)226 (74.8)6 (85.7)0.892
   Rural26 (22.2)75 (24.8)1 (14.1)
Financial status
   Good107 (91.5)258 (85.4)5 (71.4)0.125
   Poor10 (8.5)44 (14.6)2 (28.6)
Social support
   Good116 (99.1)292 (96.7)6 (85.7)0.071
   Poor1(0.9)10 (3.3)1 (14.3)
Table 2

Perceived stress degree of examined students depending on quality of life, depression and anxiety symptoms.

Perceived stress degree
VariableLow n (%)Moderate n (%)High n (%)P-value
EQ-5D
   no problem99 (34.3)190 (44.6)3 (0.7)0.001
   light difficulties14(3.3)59 (13.8)3 (0.7)
   moderate difficulties2 (0.5)25 (5.9)0
   severe difficulties2 (0.5)15 (3.5)0
   extreme difficulties013 (3)5 (1.1)
EQ-5D VAS
   0-402 (0.5)8 (1.9)00.161
   41-706 (1.4)38 (8.9)0
   71-100109 (25.6)256 (60.1)7(1.6)
Depression
   no problem117 (20.5)287 (67.4)6 (1.4)0.019
   mild015 (3.5)1 (0.2)
Trait anxiety
   no problem10 (2.3)1 (0.2)00.001
   mild97 (22.8)116 (27.2)0
   moderate10(2.3)149 (35)3 (0.7)
   severe036 (8.5)4 (0.9)
State anxiety
   no problem117(27.5)290 (68.1)5(1.2)0.001
   mild012 (1.8)1(0.2)
   moderate001(0.2)

Table 3

Factors associated with perceived stress, depression, and HRQoL score (Multivariate linear regression analysis).

Perceived stress score*Depression+Health-related quality of lifeo
FactorOR (95% CI)POR (95% CI)POR (95% CI)P-value
Gender0.076 (-0.012-0.165)0.0910.033 (-0.007-0.072)0.102-0.150 (-0.035-0.059)0.160
Age0.019 (-0.098-0.192)0.5240.05 (-0.10-0.21)0.515-0.315 (-0.654-0.025)0.069
Study program0.019 (-0.021-0.59)0.352-0.002 (-0.20-0.015)0.803-0.014 (-0.108-0.079)0.764
Study year-0.017 (-0.065-0.032)0.507-0003 (-0.024-0.019)0.8030.042 (-0.073-0.157)0.475
Place of birth0.002 (-0.36-0.40)0.920-0.004 (0.092-0.021)0.6170.023 (-0.67-0.112)0.618
Financial status0.012 (-0.116-0.139)0.858-0.035 (-0.21-0.12)0.2150.226 (-0.075-0.525)0.139
Social support0.054 (-0.201-0.309)0.678-0.023 (-0.089-0.136)0.6860.067 (-0.533-0.668)0.826
Perceived stress--0.015 (-0.058-0.027)0.4810.243 (0.16-0.467)0.036
Depression-0.078 (-0.297-0.140)0.481--0.218 (-0.297-0.734)0.405
Trait anxiety0.339 (0.276-0.403)0.0000.85 ( 0.054-0.1150.0000.220 (0.053-0.386).010
EQ-5D score0.044 (0.033-0.085)0.0360.008 (-0.010-0.026)0.405--
EQ-5D VAS score0.87 (-0.013-0.187)0.089-0.36 (-0.88-0.009)0.115-0.604 (-0.833-0.374).000

P-value <0.05 is considered significant and bolded.

* Wald Chi-square=71.546, p<0.001; based on n=393 observations; SE (0.242)

+ Wald Chi-square=19.606, p<0.001; based on n=225 observations; SE (0.334)

o Wald Chi-square=128.627, p<0.001; based on n=426 observations; SE (0.135)

Table 4

Factors associated with trait and state anxiety score (Multivariate linear regression analysis).

Perceived stress score*Depression+
FactorOR (95% CI)POR (95% CI)P
Gender0.56 (-0.065-0.176)0.3650.061(-0.032-0.003)0.171
Age-0.003 (-0.051-0.045)0.822-0.015 (-0.026-0.148)0.103
Study program0.039 (-0.093-0.015)0.1570.022 (-0.108-0.079)0.256
Perceived stress0.624 (0.507-0.740)0.0000.696 (0.579-0.812)0.000
Depression0.800 (0.513-1.087)0.000-0.081 (-0.298- 0.137)0.466
Trait Anxiety---0.351 (-0.546--0. 157)0.002
State Anxiety-0.046 (-0.084-0.007)0.020--
EQ-5D score-0.240 (-0.375-0.106)0.000-0.018 (-0.009-0.046)0.187

P-value <0.05 is considered significant and bolded

* Wald Chi-square=256.76, p=0.006; SE (0.175)

+ Wald Chi-square=392.26, p<0.001; SE (0.133)

DOI: https://doi.org/10.1515/sjph-2017-0034 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
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Language: English, Slovenian
Page range: 251 - 259
Submitted on: Apr 20, 2017
Accepted on: Aug 11, 2017
Published on: Oct 9, 2017
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Keywords:
assessment,
stress,
anxiety,
students,
quality of life
Related subjects:
Medicine,
Clinical medicine,
Hygiene and environmental medicine

© 2017 Maja Racic, Radica Todorovic, Nedeljka Ivkovic, Srdjan Masic, Bojan Joksimovic, Milan Kulic, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Volume 56 (2017): Issue 4 (December 2017)
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