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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

Open Access
|Oct 2017

Figures & Tables

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)

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

Perceived stress score

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

Depression

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

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

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

Perceived stress score

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

Depression

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

Health-related quality of life

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

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

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)
DOI: https://doi.org/10.1515/sjph-2017-0034 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 251 - 259
Submitted on: Apr 20, 2017
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Accepted on: Aug 11, 2017
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Published on: Oct 9, 2017
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 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.