Anxiety and depression: prevalence and correlates among undergraduate students of a government nursing college of Murshidabad District, West Bengal

Authors

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20262279

Keywords:

Anxiety, Correlates, Depression, GAD-7, Mental health, Nursing students, PHQ-9

Abstract

Background: Mental health issues, particularly anxiety and depression, have become significant concerns among college and university students worldwide. Nursing students, due to their unique academic and clinical training stressors, are particularly vulnerable. The present study aimed to estimate the prevalence and correlates of anxiety and depression among undergraduate nursing students of a Government Nursing College in Murshidabad, West Bengal.

Methods: An institution based descriptive cross-sectional study was conducted during August-November 2024 among a calculated sample of 160 nursing students selected through stratified random sampling. A pre-designed and pre-tested schedule; validated tools- patient health questionnaire-9 (PHQ-9) for depression and generalized anxiety disorder-7 (GAD-7) for anxiety were used for data collection. Descriptive statistics were used to estimate the prevalence, while bi-variate and multivariable logistic regression was performed to identify significant correlates.

Results: The mean (±SD) age of participants was 20.82 (±1.41) years. The prevalence of depression (PHQ-9≥10) and anxiety (GAD-7≥10) was 48.8%, and 40.6% respectively. Perceived academic workload, conflict with friends/roommates, perceived adequacy of sleep and familial financial vulnerability were significantly associated with both depression and anxiety. Only familial financial crisis/vulnerability appeared as significant predictor for both depression (aOR 2.652; CI: 1.252-5.618) and anxiety (aOR 2.657; CI: 1.254-5.631).

Conclusions: Depression and anxiety are quite prevalent among nursing students with some of the familial and personal attributes emerging as significant correlates. These findings highlight the need for targeted mental health interventions, including stress management, peer support systems and institutional strategies to enhance student well-being.

 

References

WHO. Mental disorders. Available from: https://www.who.Int/news-room/fact-sheets/detail/mental-disorders. Accessed on 5 June 2024.

GBD 2019 Disease and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1204-22.

Bruha L, Spyridou V, Forth G, Ougrin D. Global child and adolescent mental health: challenges and advances. London J Prim Care. 2018;10(4):108-9.

Government of India. National Health Mission, India. Adolescent health. Available from: https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=818&lid=221. Accessed on 5 November 2025.

Ga L, Xie Jia C, Wang W. Prevalence of depression among Chinese university students: a systematic review and meta-analysis. Sci Rep. 2020;10:15897.

Nway NC, Phetrasuwan S, Putdivarnichapong W, Vongsirimas N. Factors contributing to depressive symptoms among undergraduate nursing students: a cross-sectional study. Nurse Educ Pract. 2023;68:103587.

Sahoo S, Khess CR. Prevalence of depression, anxiety, and stress among young male adults in India: a dimensional and categorical diagnoses-based study. J Nervous Mental Dis. 2010;198(12):901-4.

Njim T, Mbanga C, Mouemba D, Makebe H, Toukam L, Kika B, et al. Determinants of depression among nursing students in Cameroon: a cross-sectional analysis. BMC Nurs. 2020;19(1):26.

Basu M, Sinha D, Ahamed A, Chatterjee S, Misra R, Depression, anxiety, stress among nursing students of Kolkata: a cross sectional study. J Prev Med Holist Health. 2016;2(2):54-60.

Chernomas WM, Shapiro C. Stress, depression, and anxiety among undergraduate nursing students. Int J Nurs Educ Scholarsh. 2013;10(1):255-66.

Priano SM, Hong OS, Chen JL. Lifestyles and health-related outcomes of US hospital nurses: a systematic review. Nurs Outlook. 2017;6(1):66-76.

Garrouste-Orgeas M, Flaatten H, and Moreno R. Understanding medical errors and adverse events in ICU patients. Intens Care Med. 2016;42(1):107-9.

Onieva-Zafra M, Fernández-Muñoz JJ, Fernández-Martínez E, García-Sánchez F, Abreu-Sánchez A, Parra-Fernández ML. Anxiety, perceived stress and coping strategies in nursing students: a cross-sectional, correlational, descriptive study. BMC Med Educ. 2020;20:370.

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;55:87-90.

Tung YJ, Lo KKH, Ho RCM, Tam WSW. Prevalence of depression among nursing students: A systematic review and meta-analysis. Nurse Educ Today. 2018;63:119-29.

Aloufi MA, Jarden RJ, Gerdtz MF, Kapp S. Reducing stress, anxiety and depression in undergraduate nursing students: systematic review. Nurse Educ Today. 2021;102:104877.

Demi RS, Ercan F, Erdo˘gan E. Depression-related factors in nursing students: a path analysis. Perspect Psychiatr Care, 2022;58:2646-52.

Chatterjee S, Saha I, Mukhopadhyay S, Misra R, Chakraborty A, Bhattacharya A. Depression among nursing students in an Indian government college. Br J Nurs. 2014;23(6):316-20.

Periasamy P, Vajiravelu S, Chandrabose A, Sasikala G, Manivannan J, Umashankar A. Depression, anxiety, and stress among undergraduate mbbs and nursing students in Erode, Tamil Nadu. Indian J Psychiatr Nurs. 2023;20(1):36-43.

Baruah C, Saikia H, Gupta K, Ohri P. Prevalence and correlates of depression, anxiety and stress among nursing students. Indian J Community Health. 2022;34(2):259-64.

Nair RK, Mansoor Ahmed M. Stress, anxiety and depression among nursing students. J Clin Diagn Res. 2023;17(10):LC23-7.

Helenpuii KC. Depression, anxiety and stress among nursing students in selected colleges of eastern India: a descriptive study. Int J Nurs Educ. 2024;16(1):22-6.

Naher R, Rabby RA, Sharif F. Validation of Patient Health Questionnaire-9 for assessing depression of adults in Bangladesh. Dhaka Univ J Biol Sci. 2021;30(2):275-81.

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-13.

Dhira TA, Rahman MA, Sarker AR, Mehareen J. Validity and reliability of the generalized anxiety disorder-7 (GAD-7) among university students of Bangladesh. PLoS One. 2021;16(12):e0261590.

Das BN, Mohandas A, Syed S. Study of stress, anxiety, depression and coping strategies among nursing students in a tertiary care teaching hospital, South India. Int J Community Med Public Health. 2021;8(7):3400-5.

Abu Ruz ME, Al-Akash HY, Jarrah S. Persistent anxiety and depression affected academic achievement and Absenteeism in Nursing Students. Open Nurs J. 2018;12:171-9.

Amadu PM, Hoedoafia RE, Dassah G, Cletus LK, Kpebu SE, Aarah-Bapuah M, et al. The prevalence of depression, anxiety, and stress among undergraduate nursing students in the University for Development Studies, Tamale. Fortune J Health Sci. 2024;7(02):178-91.

Mi Y, Ahn S, Ren L. Exploring the interconnections of loneliness, anxiety and depression among nursing students: a network analysis approach. Front Psychiatr. 2025;16:1537935.

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Published

2026-06-30

How to Cite

Mukherjee, O., Das, D. K., Ghosh, R., & Das, M. (2026). Anxiety and depression: prevalence and correlates among undergraduate students of a government nursing college of Murshidabad District, West Bengal. International Journal Of Community Medicine And Public Health, 13(7), 3749–3756. https://doi.org/10.18203/2394-6040.ijcmph20262279

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Original Research Articles