Evidence map›Paper›PMID 38218757›Full record

ArticleBMC psychiatry2024

Levels of depression, anxiety and subjective happiness among health sciences students in Croatia: a multi-centric cross-sectional study.

Jakov Milić, Nataša Skitarelić, Dijana Majstorović, Sanja Zoranić, Marta Čivljak, Kata Ivanišević, Mario Marendić, Jasna Mesarić, Zrinka Puharić, Marijana Neuberg and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 1 country.

Jakov MilićCroatian Carmelite Province of St. Joseph, Zagreb, Croatia.ORCID 0000-0003-2543-2857
Nataša SkitarelićDepartment of Health Studies, University of Zadar, Zadar, Croatia.ORCID 0000-0002-7155-8648
Dijana MajstorovićMedical School, Juraj Dobrila University of Pula, Pula, Croatia.ORCID 0000-0002-2933-7497
Sanja ZoranićDepartment of Nursing, University of Dubrovnik, Dubrovnik, Croatia.ORCID 0000-0002-3686-2353
Marta ČivljakCentre for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, 10000, Zagreb, Croatia.ORCID 0000-0001-6211-0174
Kata IvaniševićFaculty of Health Studies, University of Rijeka, Rijeka, Croatia.ORCID 0000-0001-5830-2640
Mario MarendićUniversity Department of Health Studies, University of Split, Split, Croatia.ORCID 0000-0002-2968-1175
Jasna MesarićLibertas International University, Zagreb, Croatia.ORCID 0000-0003-3710-8931
Zrinka PuharićDepartment of Nursing, Bjelovar University of Applied Sciences, Bjelovar, Croatia.ORCID 0000-0002-2274-8293
Marijana NeubergDepartment of Nursing, University North, Varaždin, Croatia.ORCID 0000-0002-1850-3808
Snježana ČukljekFaculty of Health Studies, University of Rijeka, Rijeka, Croatia.ORCID 0000-0002-6435-5818
Aleksandar RaczFaculty of Health Studies, University of Rijeka, Rijeka, Croatia.ORCID 0000-0002-3118-2623
Livia PuljakCentre for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Ilica 242, 10000, Zagreb, Croatia. livia.puljak@gmail.com.ORCID 0000-0002-8467-6061
University of Rijeka · HRCatholic University of Croatia · HRJuraj Dobrila University of Pula · HRLibertas International University · HRUniversity North · HRUniversity of Dubrovnik · HRUniversity of Osijek · HRUniversity of Split · HRUniversity of Zadar · HRUniversity of Zagreb · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have shown that symptoms of depression and anxiety were highly prevalent among health sciences students. This may lead to other professional and personal difficulties and a decrease in individuals' well-being. This study aimed to analyze levels of depression, anxiety and subjective happiness among health sciences students in Croatia.

methodsWe conducted a cross-sectional study in 10 higher education institutions in Croatia during March 2023. Eligible participants were health sciences students. Participants filled out an online survey consisting of sociodemographic questions and validated scales for determining the levels of depression (9-question Patient Health Questionnaire, PHQ-9), anxiety (General Anxiety Disorder 7-item scale, GAD-7), and happiness (Subjective Happiness Scale, SHS).

resultsOf 7460 invited students, 2137 students participated in the study (29% response rate). There were 41.4% of students that exhibited at least mild depressive symptoms, with 8% of students exhibiting moderately severe symptoms and 1.8% severe depressive symptoms. Mild anxiety was found in 36.8%, moderate anxiety in 23.9% and severe anxiety in 15.8% of students. The median SHS score was 19 (15.25-22). Women students had significantly higher levels of depression (p < 0.001) and anxiety (p < 0.001) than their men peers. Students in earlier study years showed higher levels of depression, anxiety and lower levels of subjective happiness compared to those in later study years. Students with lower self-assessed financial status had higher levels of depression (p < 0.001) and anxiety (p < 0.001). Students that failed an academic year had higher levels of depression (p < 0.001), but lower levels of anxiety (p = 0.005).

conclusionIn this study, we have shown that health sciences students exhibit high levels of depression and anxiety, at rates exceeding those in the general population reported in other studies. Our results may help educational institutions to put greater effort into the battle against mental health stigma, foster acceptance of mental health issues and encourage students to seek help when needed. Adequate mental health services are needed at universities to promote timely diagnosis and treatment of mental health problems.

Indexed as

Anxiety DisordersDepressionHappinessAnxietyCroatiaCross-Sectional StudiesFemaleGeneralized Anxiety DisorderHumansMaleStudentsUniversitiesAnxietyDepressionHealthcareMental healthNursingUniversity students

Identifiers

PMID38218757
PMCPMC10787412
OpenAlexW4390840958

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.