Volume 15, Issue 6 (September 2021)
Qom Univ Med Sci J 2021, 15(6): 394-403 |
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Pasyar N, Gholamzadeh S. The Role of Self-esteem and Field of Study in Predicting Mental Health of Undergraduate Health-professional Students. Qom Univ Med Sci J 2021; 15 (6) :394-403
URL: http://journal.muq.ac.ir/article-1-3186-en.html
URL: http://journal.muq.ac.ir/article-1-3186-en.html
1- Department of Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
2- Department of Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. ,gholamzadeh.med@gmail.com
2- Department of Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. ,
Abstract: (1737 Views)
Background and Objectives: Self-esteem is an important psychological factor affecting the health and quality of life of students. This study was an attempt to investigate the predictive role of self-esteem and field of study determinants of mental health status of undergraduate health-professional students in Shiraz University of Medical Sciences in Iran.
Methods: In this descriptive cross-sectional study, a represented sample of year 1-4 undergraduate students (N=184) were invited to participate in the study students (Nursing, Midwifery, Operating room and Emergency medical students). Psychological health was measured using a standard instrument GHQ-28. CSEI also was applied to measure the students’ self-esteem
Results: A bout 44% of the students had GHQ scores of 23 and above, indicating an increased likelihood of psychological distress. Depression had the lowest Mean±SD score (3.92±4.2), while social dysfunction had the highest Mean±SD score (8.06±3.9) among the subscales. There was a significantly negative correlation between GHQ score and students’ self-esteem (P= 0.000, r= -0.556). The students with higher self-esteem experienced lower level of psychological distress. According to the regression analysis, 30.9% of the variance in students’ mental health is predicted by self-esteem.
Conclusion: A high prevalence of emotional disturbance among health care practitioners is likely to compound the existing problems of health care provision and that counseling and other support services should be made available to them.
Methods: In this descriptive cross-sectional study, a represented sample of year 1-4 undergraduate students (N=184) were invited to participate in the study students (Nursing, Midwifery, Operating room and Emergency medical students). Psychological health was measured using a standard instrument GHQ-28. CSEI also was applied to measure the students’ self-esteem
Results: A bout 44% of the students had GHQ scores of 23 and above, indicating an increased likelihood of psychological distress. Depression had the lowest Mean±SD score (3.92±4.2), while social dysfunction had the highest Mean±SD score (8.06±3.9) among the subscales. There was a significantly negative correlation between GHQ score and students’ self-esteem (P= 0.000, r= -0.556). The students with higher self-esteem experienced lower level of psychological distress. According to the regression analysis, 30.9% of the variance in students’ mental health is predicted by self-esteem.
Conclusion: A high prevalence of emotional disturbance among health care practitioners is likely to compound the existing problems of health care provision and that counseling and other support services should be made available to them.
Type of Study: Original Article |
Subject:
پرستاری-جراحی-ویژه-کودکان
Received: 2021/07/6 | Accepted: 2021/09/13 | Published: 2021/09/1
Received: 2021/07/6 | Accepted: 2021/09/13 | Published: 2021/09/1
References
1. Yang HH, Ward MP, Fawcett A. DVM students report higher psychological distress than the Australian public, medical students, junior medical officers and practicing veterinarians. Aust Vet J. 2019; 97(10):373-81. [DOI:10.1111/avj.12845] [PMID] [DOI:10.1111/avj.12845]
2. Gorczynski P, Sims-Schouten W, Hill D, Wilson JC. Examining mental health literacy, help seeking behaviours, and mental health outcomes in UK university students. J Ment Health Train Educ Pract. 2017. [DOI:10.1108/JMHTEP-05-2016-0027] [DOI:10.1108/JMHTEP-05-2016-0027]
3. Hill MR, Goicochea S, Merlo LJ. In their own words: Stressors facing medical students in the millennial generation. Med Educ Online. 2018; 23(1):1530558. [PMID] [PMCID] [DOI:10.1080/10872981.2018.1530558]
4. Rezaei B, Falahati J, Beheshtizadeh R. Stress, stressors and related factors in clinical learning of midwifery students in Iran: A cross sectional study. BMC Med Educ. 2020; 20(1):78. [DOI:10.1186/s12909-020-1970-7] [PMID] [PMCID] [DOI:10.1186/s12909-020-1970-7]
5. Ahmed WAM, Mohammed BMA. Nursing students' stress and coping strategies during clinical training in KSA. J Taibah Univ Med Sci. 2019; 14(2):116-22. [PMID] [PMCID] [DOI:10.1016/j.jtumed.2019.02.002]
6. Halliburton AE, Hill MB, Dawson BL, Hightower JM, Rueden H. Increased Stress, Declining Mental Health: Emerging Adults' Experiences in College During COVID-19. EmergAdulthood. 2021; 9(5):433-48. [DOI:10.1177/21676968211025348] [DOI:10.1177/21676968211025348]
7. Nodine PM, Arbet J, Jenkins PA, Rosenthal L, Carrington S, Purcell SK, et al. Graduate nursing student stressors during the COVID-19 pandemic. J Prof Nurs. 2021; 37(4):721-8. [PMID] [DOI:10.1016/j.profnurs.2021.04.008]
8. Rafati F, Nouhi E, Sabzehvari S, Dehghan-Nayyeri N. Iranian nursing students' experience of stressors in their first clinical experience. J Prof Nurs. 2017; 33(3):250-7. [PMID] [DOI:10.1016/j.profnurs.2016.09.003]
9. Yasmin S, Hussain M, Parveen K, Gilani SA. Coping strategies of nursing student against academic and clinical stress at public sector Lahore. Int J Soc Sci Manag. 2018; 5(3):209-18. [DOI:10.3126/ijssm.v5i3.20613] [DOI:10.3126/ijssm.v5i3.20613]
10. Lamis DA, Ballard ED, May AM, Dvorak RD. Depressive symptoms and suicidal ideation in college students: The mediating and moderating roles of hopelessness, alcohol problems, and social support. J Clin Psychol. 2016; 72(9):919-32. [DOI:10.1002/jclp.22295] [PMID] [DOI:10.1002/jclp.22295]
11. Karaca A, Yildirim N, Cangur S, Acikgoz F, Akkus D. Relationship between mental health of nursing students and coping, self-esteem and social support. Nurse Educ Today. 2019; 76:44-50. [PMID] [DOI:10.1016/j.nedt.2019.01.029]
12. Al‐Gamal E, Alhosain A, Alsunaye K. Stress and coping strategies among Saudi nursing students during clinical education. Perspect Psychiatr Care. 2018; 54(2):198-205. [DOI:10.1111/ppc.12223] [PMID] [DOI:10.1111/ppc.12223]
13. Graham MM, Lindo J, Bryan VD, Weaver S. Factors associated with stress among second year student nurses during clinical training in Jamaica. J Prof Nurs. 2016; 32(5):383-91. [PMID] [DOI:10.1016/j.profnurs.2016.01.004]
14. Üzen Cura Ş, Kocatepe V, Yıldırım D, Küçükakgün H, Atay S, Ünver V. Examining knowledge, skill, stress, satisfaction, and self-confidence levels of nursing students in three different simulation modalities. Asian Nurs Res (Korean Soc Nurs Sci). 2020; 14(3):158-64. [DOI:10.1016/j.anr.2020.07.001] [PMID] [DOI:10.1016/j.anr.2020.07.001]
15. Melaku L, Mossie A, Negash A. Stress among medical students and its association with substance use and academic performance. J Biomed Educ. 2015; 2015:149509. [DOI:10.1155/2015/149509] [DOI:10.1155/2015/149509]
16. Lee MH, Holzemer WL, Faucett J. Psychometric evaluation of the Nursing Stress Scale (NSS) among Chinese nurses in Taiwan. J Nurs Meas. 2007; 15(2):133-44. [DOI:10.1891/106137407782156381] [PMID] [DOI:10.1891/106137407782156381]
17. Xiang M, Gu X, Jackson A, Zhang T, Wang X, Guo Q. Understanding adolescents' mental health and academic achievement: Does physical fitness matter? Sch Psychol Int. 2017; 38(6):647-63. [DOI:10.1177/0143034317717582] [DOI:10.1177/0143034317717582]
18. Sasso L, Bagnasco A, Bianchi M, Bressan V, Carnevale F. Moral distress in undergraduate nursing students: A systematic review. Nurs Ethics. 2016; 23(5):523-34. [DOI:10.1177/0969733015574926] [PMID] [DOI:10.1177/0969733015574926]
19. Weston JF, Gardner D, Yeung P. Stressors and protective factors among veterinary students in New Zealand. J Vet Med Educ. 2017; 44(1):22-8. [DOI:10.3138/jvme.0116-014R1] [PMID] [DOI:10.3138/jvme.0116-014R1]
20. Brajsa-Zganec A, Lipovcan LK, Ivanovic D, Larsen ZP. Well-being of nursing students: Role of affect regulation, self-esteem, family cohesion and social support. Open Public Health J. 2017; 10(1):69-79. [DOI:10.2174/1874944501710010069] [DOI:10.2174/1874944501710010069]
21. Rosenberg M. The measurment of self-esteem. In: Rosenberg M, editor. Society and the adolescent self-image. New Jersey: Princeton University Press; 2015. p. 16-36. https://www.google.com/books/edition/Society_and_the_Adolescent_Self_Image/YR3WCgAAQBAJ?hl=en&gbpv=0
22. Hosseini MA, Dejkam M, Mirlashari J. [Correlation between academic achievement and self-esteem in rehabilitation students in Tehran University of Social Welfare & Rehabilitation (Persian)]. Iran J Med Educ. 2007; 7(1):137-42. http://ijme.mui.ac.ir/article-1-637-en.html
23. Fernández González L, González Hernández A, Trianes Torres MV. [Relationships between academic stress, social support, optimism-pessimism and self-esteem in college students (Spanish)]. Electron J Res Educ Psychol. 2015; 13(1):111-30. [DOI:10.14204/ejrep.35.14053] [DOI:10.14204/ejrep.35.14053]
24. So Young K, Sun Young L, Hye mi C. [The relationship among stress in clinical practice, depression and self-esteem in nursing college students (Korean)]. J Convergence Cult Technol. 2015; 1(4):59-64. [DOI:10.17703/JCCT.2015.1.4.59] [DOI:10.17703/JCCT.2015.1.4.59]
25. Negovan V, Bagana E. A comparison of relationship between self esteem and vulnerability to depression among high school and freshmen university students. Procedia-Soc Behav Sci. 2011; 30:1324-30. [DOI:10.1016/j.sbspro.2011.10.257] [DOI:10.1016/j.sbspro.2011.10.257]
26. Rezaei T, Bayani AA, Shariatnia K. [The prediction of mental health based on variables of Self-esteem, life satisfaction and hope among College students (Persian)]. Iran J Health Educ Health Promot. 2015; 3(3):242-52. http://journal.ihepsa.ir/article-1-253-en.html
27. Sakellari E, Psychogiou M, Georgiou A, Papanidi M, Vlachou V, Sapountzi-Krepia D. Exploring religiosity, self-esteem, stress, and depression among students of a Cypriot University. J Relig Health. 2018; 57(1):136-45. [DOI:10.1007/s10943-017-0410-4] [PMID] [DOI:10.1007/s10943-017-0410-4]
28. Yıldırım N, Karaca A, Cangur S, Acıkgoz F, Akkus D. The relationship between educational stress, stress coping, self-esteem, social support, and health status among nursing students in Turkey: A structural equation modeling approach. Nurse Educ Today. 2017; 48:33-9. [DOI:10.1016/j.nedt.2016.09.014] [PMID] [DOI:10.1016/j.nedt.2016.09.014]
29. Bartlett ML, Taylor H, Nelson JD. Comparison of mental health characteristics and stress between baccalaureate nursing students and non-nursing students. J Nurs Educ. 2016; 55(2):87-90. [DOI:10.3928/01484834-20160114-05] [PMID] [DOI:10.3928/01484834-20160114-05]
30. Kupcewicz E, Grochans E, Mikla M, Kadučáková H, Jóźwik M. Role of global self-esteem in predicting life satisfaction of nursing students in Poland, Spain and Slovakia. Int J Environ Res Public Health. 2020; 17(15):5392. [DOI:10.3390/ijerph17155392] [PMID] [PMCID] [DOI:10.3390/ijerph17155392]
31. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med. 1979; 9(1):139-45. [DOI:10.1017/S0033291700021644] [PMID] [DOI:10.1017/S0033291700021644]
32. Goldberg D, Williams P. General health questionnaire (GHQ). Swindon, Wiltshire, UK: NferNelson; 2000. https://bsw.ugent.be/VVGP/structuurfiche_GHQ.pdf
33. Taghavi SMR. [The normalization of General Health Questionnaire for Shiraz University Students (GHQ-28) (Persian)]. Daneshvar Raftar. 2008; 15(28):1-12. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=257832
34. Coopersmith S. The antecedents of self-esteem. New York: W. H. Freeman and Company; 1967. https://www.google.com/books/edition/The_Antecedents_of_Self_esteem/4dHvwQEACAAJ?hl=en
35. Mousavi Gilani SR, Dashipour AR. The effects of physical activity on self-esteem: A comparative study. Int J High Risk Behav Addict. 2017 ; 6(1):e35955. [DOI:10.5812/ijhrba.35955] [DOI:10.5812/ijhrba.35955]
36. Duruk N, Kurban NK, Kurban O. An example of nursing students' self-esteem: Does university education make a difference? Int J Caring Sci. 2017; 10(3):1577. http://www.internationaljournalofcaringsciences.org/docs/52_duruk_original_10_3.pdf
37. Hosseini M, Basiri-Moghadam M, Graminejad N, SoleimaniMoghaddam R. [Studying the self-esteem of Gonabad University of Medical Sciences Students participating in the I'tikaf Ceremony in 2015: A descriptive study (Persian)]. J Rafsanjan Univ Med Sci. 2019; 17(10):901-12. http://journal.rums.ac.ir/article-1-4084-en.html
38. Salvarani V, Ardenghi S, Rampoldi G, Bani M, Cannata P, Ausili D, et al. Predictors of psychological distress amongst nursing students: A multicenter cross-sectional study. Nurse Educ Pract. 2020; 44:102758. [DOI:10.1016/j.nepr.2020.102758] [PMID] [DOI:10.1016/j.nepr.2020.102758]
39. Wu CS, Rong JR, Huang MZ. Factors associated with perceived stress of clinical practice among associate degree nursing students in Taiwan. BMC Nurs. 2021; 20(1):89. [DOI:10.1186/s12912-021-00602-6] [PMID] [PMCID] [DOI:10.1186/s12912-021-00602-6]
40. Talkhi N, Ghavami V, Jamali MR, Jamali H, Jamali J. Relationship between minor psychiatric disorders and health literacy among students: A latent class regression. J Health Lit. 2020; 5(2):11-20. [DOI:10.22038/JHL.2020.49782.1118]
41. Shahhosseini Z, Hamzehgardeshi Z, Marzband R, Azizi M. Meaning in life as a predictor of the general health among medical sciences students: A cross‐sectional study. Nurs Open. 2021; 8(3):1175-82. [DOI:10.1002/nop2.731] [PMID] [PMCID] [DOI:10.1002/nop2.731]
42. Aynaci G. Investigation of the stress index, general health and affecting parameters of student nurses in Turkey. Acıbadem Üniv Sağlık Bilimleri Derg. 2021; 12(1):100-7. [DOI:10.31067/acusaglik.831865] [DOI:10.31067/acusaglik.831865]
43. Yousefi F, Mohamadkhani M. [Investigation of students' mental health at Kurdistan University of Medical Science and it related with age, gender and their academic courses (Persian)]. Med J Mashhad Univ Med Sci. 2014; 56(6):354-61. [DOI:10.22038/MJMS.2014.2173]
44. Hosseini SH, Mousavi MH. [The comparative study of health status of medical students and para-medical students trainee (Persian)]. Scientific J Gorgan Univ Med Sci. 2004; 6(1):101-7. http://goums.ac.ir/journal/article-1-156-en.html
45. Papazisis G, Tsiga E, Papanikolaou N, Vlasiadis I, Sapountzi-Krepia D. Psychological distress, anxiety and depression among nursing students in Greece. Int J Caring Sci. 2008; 1(1):42-6. https://www.proquest.com/openview/e49da0810a21a719fdf7193b39115605/1?pq-origsite=gscholar&cbl=1606338
46. Pryjmachuk S, Richards DA. Predicting stress in pre-registration midwifery students attending a university in Northern England. Midwifery. 2008; 24(1):108-22. [DOI:10.1016/j.midw.2006.07.006] [PMID] [DOI:10.1016/j.midw.2006.07.006]
47. Ni C, Liu X, Hua Q, Lv A, Wang B, Yan Y. Relationship between coping, self-esteem, individual factors and mental health among Chinese nursing students: A matched case-control study. Nurse Educ Today. 2010; 30(4):338-43. [DOI:10.1016/j.nedt.2009.09.003] [PMID] [DOI:10.1016/j.nedt.2009.09.003]
48. Pasyar N, Khayyer M. [Students' perception of nursing role function (SP-NRF): Development and psychometric testing (Persian)]. Sadra Med Sci J. 2019; 7(2):185-200. [DOI:10.30476/SMSJ.2019.81895.1011]
49. Sadeghi H, Abedini Z, Norouzi M. [Assessment of relationship between mental health and educational success in the students of Qom University of Medical Sciences (Persian)]. Qom Univ Med Sci J. 2013;7(S1):17-22. http://journal.muq.ac.ir/article-1-252-en.html
50. Ahmadvand A, Sepehrmanesh Z, Ghoreyshi F, Assarian F, Moosavi G A, Saee R, et al. [Prevalence of mental disorders in general population of Kashan City (Persian)]. Iran J Epidemiol. 2008; 2:16-24. http://irje.tums.ac.ir/article-1-81-fa.html
51. Jamilian HR, Fathabadi J, Khansari MR. [The Prevalence of Behavioral and Mental Disorders among the Youth of Markazi Province (Persian)]. Iran J Psychiatry Clin Psychol. 2009; 14(4):454-8. http://ijpcp.iums.ac.ir/article-1-616-fa.html
52. Julae S, Mehrdad N, Bahrani N. [A survey on nursing student's opinions toward nursing and reasons for giving it up (Persian)]. Iran J Nurs Res. 2006; 1(1):21-8. http://ijnr.ir/article-1-5-fa.html
53. Pasyar N, Rambod M, Gholamzadeh S, Sharif F. [Correlation between nurse/manager professional collaborative behaviors and nurses' job satisfaction (Persian)]. Iran J Nurs. 2018; 31(112):32-43. [DOI:10.29252/ijn.31.112.32] [DOI:10.29252/ijn.31.112.32]
54. Pasyar N, Sharif F, Rambod M. [Nurses and physicians' collaborative behaviors in intensive care units (Persian)]. Sadra Med Sci J. 2017; 5(4):239-50. https://smsj.sums.ac.ir/article_43953.html?lang=en
55. Woo MWJ, Newman SA. The experience of transition from nursing students to newly graduated registered nurses in Singapore. Int J Nurs Sci. 2019; 7(1):81-90. [DOI:10.1016/j.ijnss.2019.11.002] [PMID] [PMCID] [DOI:10.1016/j.ijnss.2019.11.002]
56. Parsa P. [A study on the prevalence of stress and mental disorders in students of nursing and midwifery faculty (Persian)]. Q J Fundamentals Ment Health. 2000; 2(5-6):25-30. https://www.sid.ir/fa/Journal/ViewPaper.aspx?ID=72402
57. Dadkhah B, Mohammadi M, Mozaffari N. [Mental health status of the students in Ardabil university of medical sciences, 2004 (Persian)]. J Ardabil Univ Med Sci. 2006; 6(1):31-6. http://jarums.arums.ac.ir/article-1-475-en.html
58. Law W, Arthur D. What factors influence Hong Kong school students in their choice of a career in nursing? Int J Nurs Stud. 2003; 40(1):23-32. [DOI:10.1016/S0020-7489(02)00029-9] [DOI:10.1016/S0020-7489(02)00029-9]
59. Zhang MF, Petrini MA. Factors influencing Chinese undergraduate nursing students' perceptions of the nursing profession. Int Nurs Rev. 2008; 55(3):274-80. [DOI:10.1111/j.1466-7657.2008.00634.x] [PMID] [DOI:10.1111/j.1466-7657.2008.00634.x]
60. Chehri MS, Ebadi A, Mahmoudi H, Sepahvand MJ. A comparative study of the attitudes of freshman and senior nursing students towards nursing discipline. Iran J Nurse. 2014; 27(89):61-8. http://ijn.iums.ac.ir/article-1-1855-en.html [DOI:10.29252/ijn.27.89.61]
61. Zare N, Daneshpajooh F, Amini M, Razeghi M, Fallahzadeh MH. [The relationship between self-esteem, general health and academic achievement in students of Shiraz University of Medical Sciences (Persian)]. Iran J Med Educ. 2007; 7(1):59-67. http://ijme.mui.ac.ir/article-1-627-en.html
62. Ashouri Chamanabadi AA. Investigating the relationship between self-esteem and mental health of students of Payame Noor University of Torbat-e Heydarieh. Paper presented at: 2nd National Conference on Sustainable Development in Educational Sciences and Psychology, Social and Cultural Studies. Tehran; 2016. https://civilica.com/doc/394483/
63. Furegato AR, Santos JL, Silva EC. Depression among nursing students associated to their self-esteem, health perception and interest in mental health. Rev Lat Am Enfermagem. 2008; 16(2):198-204. [DOI:10.1590/S0104-11692008000200005] [PMID] [DOI:10.1590/S0104-11692008000200005]
64. Talaei A, Fayazi BM, Rezaei AA. Depression and its correlation with self-esteem and social support among Iranian university students. Iran J Psychiatry. 2009; 4(1):17-22. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=159957
65. Myoung-Sook K. [Moderating effects of self-esteem and self-efficacy in the relationship between professional self-concept and satisfaction in their major among nursing students (Korean). J Korean Acad Soc Nurs Educ. 2011; 17(2):159-67. [DOI:10.5977/JKASNE.2011.17.2.159] [DOI:10.5977/JKASNE.2011.17.2.159]
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