Analysis of the Sense of Coherence, anxiety and depression in graduate students: Follow-up study
DOI:
https://doi.org/10.33448/rsd-v10i7.16473Keywords:
Anxiety; Depression; Resilience psychological.Abstract
Interest in research that measures anxiety, depression and resilience among graduate students in the health area during the course has increased in the last years. This follow-up analytical study evaluated the presence of anxiety, depression and a sense of coherence (resilience) in graduate students at UPE and UFPB in Dentistry and other courses (Nursing, Physical Education, Hebiatry, Forensic Skills). A socio-economic questionnaire was used, followed by the Sense of Coherence questionnaire (SOC) that measures the individual's ability to be adaptive to daily events. The State-Trait Anxiety Inventory (STAI) measured state-anxiety (about an event) and trait-anxiety (personal characteristic). The Beck Depression Inventory (BDI-II) was the fourth instrument in this research. The first data collection was performed in the inaugural classes of the 2019/2020 master classes, the second data collection was performed at the time of the students' qualification. Research participants showed an increase in the sense of coherence, an increase in anxiety-state levels from 14.6% to 36.7% (p <0.001) and trait-anxiety continued with high levels. In the second moment, 2 students presented severe depression and 72.5% minimal depression. It was concluded that there was an increase in the sense of coherence, the emergence of severe depression, trace-anxiety at a moderate level and an increase in state-anxiety (p <0.001) among the graduate students surveyed.
References
Almalik, M., Alnowaiser, A., El Meligy, O., Sallam, J., & Balkheyour, Y. (2018). Clinical Anxiety among Saudi Postgraduate Pediatric Dentistry Students in Jeddah City. International journal of dentistry, 2018, 5863869. 10.1155/2018/5863869
American Psychiatric Association – APA. (2014). Manual diagnóstico e estatístico de transtornos mentais: DSM-5 (5a ed.), Artmed.
Antonovsky A. (1993). The structure and properties of the sense of coherence scale. Social science & medicine (1982), 36(6), 725–733. 10.1016/0277-9536(93)90033-z.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of general psychiatry, 4, 561–571. 10.1001/archpsyc.1961.01710120031004
Costa, E. G., & Nebel, L. (2018) O quanto vale a dor? Estudo sobre a saúde mental de estudantes de pós-graduação no Brasil. Polis, 50, 207-227 http://journals.openedition.org/polis/15816
Costa G. (set, 2019). Capes anuncia corte de 5613 bolsas de pós-graduação para este ano. Agencia Brasil, Brasília, DF. https://agenciabrasil.ebc.com.br/educacao/noticia/2019-09/capes-anuncia-corte-de-5613-bolsas-de-pos-graduacao-para-este-ano.shtml
Cirani, C. B., Silva, Campanario, M. A. & Silva, H. H. M. (2015). A evolução do ensino da pós-graduação senso estrito no Brasil: análise exploratória e proposições para pesquisa. Avaliação: Revista da Avaliação da Educação Superior (Campinas), 20(1), 163-187. 10.590/S1414-40772015000500011
Garcia da Costa, E., & Nebel, L. (2018). O quanto vale a dor? Estudo sobre a saúde mental de estudantes de pós-graduação no Brasil. Polis (Santiago), 17(50), 207-227. 10.4067/S0718-65682018000200207
Evans, T. M., Bira, L., Gastelum, J. B., Weiss, L. T., & Vanderford, N. L. (2018). Evidence for a mental health crisis in graduate education. Nature biotechnology, 36(3), 282–284. 10.1038/nbt.4089
Faro, A. (2013). Estresse e estressores na pós-graduação: estudo com mestrandos e doutorandos no Brasil. Psicologia: Teoria e Pesquisa, 29(1), 51-60. 10.1590/S0102-37722013000100007
Freire, M. C., Sheiham, A., & Hardy, R. (2001). Adolescents' sense of coherence, oral health status, and oral health-related behaviours. Community dentistry and oral epidemiology, 29(3), 204–212. 10.1034/j.1600-0528.2001.290306.x
Garista, P., Pocetta, G., & Lindström, B. (2019). Picturing academic learning: salutogenic and health promoting perspectives on drawings. Health promotion international, 34(4), 859–868. 10.1093/heapro/day027
Greimel, E., Kato, Y., Müller-Gartner, M., Salchinger, B., Roth, R., & Freidl, W. (2016). Internal and External Resources as Determinants of Health and Quality of Life. PloS one, 11(5), e0153232. 10.1371/journal.pone.0153232
Hoying, J., Melnyk, B. M., Hutson, E., & Tan, A. (2020). Prevalence and Correlates of Depression, Anxiety, Stress, Healthy Beliefs, and Lifestyle Behaviors in First-Year Graduate Health Sciences Students. Worldviews on evidence-based nursing, 17(1), 49–59. 10.1111/wvn.12415
Iriart, Jorge Alberto Bernstein, & Trad, Leny Alves Bomfim. (2020). Perfil da produção bibliográfica em Ciências Sociais e Humanas em Saúde e a percepção de pesquisadores: avanços, limites e desafios. Cadernos de Saúde Pública, 36(5), e00085019. 10.1590/0102-311x00085019
Ito, M., Seo, E., Maeno, T., Ogawa, R., & Maeno, T. (2018). Relationship Between Depression and Stress Coping Ability Among Residents in Japan: A Two-Year Longitudinal Study. Journal of clinical medicine research, 10(9), 715–721. 10.14740/jocmr3512w
Jeong, Y. J., & Koh, C. K. (2021). Female nursing graduate students' stress and health: the mediating effects of sense of coherence and social support. BMC nursing, 20(1), 40. 10.1186/s12912-021-00562-x
Kamat, C. A., Todakar, M., Rangalakshmi, S., & Pawan (2015). Awareness about scope of anaesthesiology, attitudes towards the speciality and stress levels amongst postgraduate students in anaesthesiology: A cross-sectional study. Indian journal of anaesthesia, 59(2), 110–117. 10.4103/0019-5049.151375
Klawonn, A., Kernan, D., & Lynskey, J. (2019). A 5-Week Seminar on the Biopsychosocial-Spiritual Model of Self-Care Improves Anxiety, Self-Compassion, Mindfulness, Depression, and Stress in Graduate Healthcare Students. International journal of yoga therapy, 29(1), 81–89. 10.17761/D-18-2019-00026
Komarov, O., Ko, L. W., & Jung, T. P. (2020). Associations Among Emotional State, Sleep Quality, and Resting-State EEG Spectra: A Longitudinal Study in Graduate Students. IEEE transactions on neural systems and rehabilitation engineering: a publication of the IEEE Engineering in Medicine and Biology Society, 28(4), 795–804. 10.1109/TNSRE.2020.2972812
Levecque, K., Anssel, F., De Beuckelaer, A., Van der Heyden, J., Gisle, L. (2017). Work organization and mental health problems in PhD students. Res Policy,46, 868-879. 10.1016/j.respol.2017.02.008
Lindmark, U., Ahlstrand, I., Ekman, A., Berg, L., Hedén, L., Källstrand, J., Larsson, M., Nunstedt, H., Oxelmark, L., Pennbrant, S., Sundler, A., Larsson, I., & Impact within the Swedish framework for “Health Research in Collaboration” (2020). Health-promoting factors in higher education for a sustainable working life - protocol for a multicenter longitudinal study. BMC public health, 20(1), 233. 10.1186/s12889-020-8181-3
Lindström, B., & Eriksson, M. (2011). From health education to healthy learning: implementing salutogenesis in educational science. Scandinavian journal of public health, 39(6 Suppl), 85–92. 10.1177/1403494810393560
Liu, C., Wang, L., Qi, R., Wang, W., Jia, S., Shang, D., Shao, Y., Yu, M., Zhu, X., Yan, S., Chang, Q., & Zhao, Y. (2019). Prevalence and associated factors of depression and anxiety among doctoral students: the mediating effect of mentoring relationships on the association between research self-efficacy and depression/anxiety. Psychology research and behavior management, 12, 195–208. 10.2147/PRBM.S195131
Mazurek Melnyk, B., Slevin, C., Militello, L., Hoying, J., Teall, A., & McGovern, C. (2016). Physical health, lifestyle beliefs and behaviors, and mental health of entering graduate health professional students: Evidence to support screening and early intervention. Journal of the American Association of Nurse Practitioners, 28(4), 204–211. 10.1002/2327-6924.12350
Macauley K, Plummer L, Bemis C, Brock G, Larson C, Spangler J. (2018). Prevalence and predictors of anxiety in health care professions students. Health Professions Education, 4, 176-185. 10.1016/j.hpe.2018.01.001
Mirza, W., Mirza, A. M., Saleem, M. S., Chacko, P. P., Ali, M., Tarar, M. N., Babar, A., Freiwald, J., & Talitskiy, K. (2018). Well-being Assessment of Medical Professionals in Progressive Levels of Training: Derived from the WHO-5 Well-being Index. Cureus, 10(12), e3790. 10.7759/cureus.3790
Monrouxe, L. V., Bullock, A., Tseng, H. M., & Wells, S. E. (2017). Association of professional identity, gender, team understanding, anxiety and workplace learning alignment with burnout in junior doctors: a longitudinal cohort study. BMJ open, 7(12), e017942. 10.1136/bmjopen-2017-017942
Nagy, G. A., Fang, C. M., Hish, A. J., Kelly, L., Nicchitta, C. V., Dzirasa, K., & Rosenthal, M. Z. (2019). Burnout and Mental Health Problems in Biomedical Doctoral Students. CBE life sciences education, 18(2), ar27. 10.1187/cbe.18-09-0198
Oliveira, H. A. L., Conceição, M. I. G. (2018). Sofrimento mental de pós-graduandos na UNB: Levantamento e propostas de solução. Anais do 6º Congresso Brasileiro de saúde mental: Agir e transformar: pessoas, afetos e conexões, Brasília - DF Anais (on-line). Brasília: http://www.congresso2018.abrasme.org.br/site/anaiscomplementares2?AREA=6#php2go_top
Puthran, R., Zhang, M. W., Tam, W. W., & Ho, R. C. (2016). Prevalence of depression amongst medical students: a meta-analysis. Medical education, 50(4), 456–468. 10.1111/medu.12962
Racic, M., Todorovic, R., Ivkovic, N., Masic, S., Joksimovic, B., & Kulic, M. (2017). 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. Zdravstveno varstvo, 56(4), 251–259. 10.1515/sjph-2017-0034
Smith, E., & Brooks, Z. (University of Arizona.). (2015). Graduate student mental health 2015. National Association of graduate-professional student and the graduate professional student council (GPSC). http://nagps.org/wordpress/wp-content/uploads/2015/06/NAGPS_Institute_mental_hea lth_survey_report_2015.pdf
Spielberger, C. D., Gorssuch, R. L., Lushene, P. R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press. https://www.researchgate.net/publication/235361542_Manual_for_the_State-Trait_Anxiety_Inventory_Form_Y1_-_Y2
UPE/Pós-graduação, Pesquisa e Inovação (2021). http://www.upe.br/pos-graduacao-e-pesquisa.html
UFPB/PRPG/Pró-reitoria de pós-graduaçao (2021). http://www.prpg.ufpb.br/prpg/contents/paginas/programas-de-pos-graduacao/lista-de-cursos-de-pos-graduacao
Wahab, S., Mordiffi, S. Z., Ang, E., & Lopez, V. (2017). Light at the end of the tunnel: New graduate nurses' accounts of resilience: A qualitative study using Photovoice. Nurse education today, 52, 43–49. 10.1016/j.nedt.2017.02.007
Wanderley, M. B. (2017). Dilemmas and challenges posed to Graduate Studies in Brazil. Revista Katálysis, 20(2), 142-144. 10.1590/1982-02592017v20n2p142
Woolston C. (2019). PhDs: the tortuous truth. Nature, 575(7782), 403–406. 10.1038/d41586-019-03459-7
World Health Organization. (2017). Depression and other common mental disorders: global health estimates. World Health Organization. Geneva: WHO 2017 24 p. https://apps.who.int/iris/handle/10665/254610
Zhang, Y., Liu, R., Li, G., Mao, S., & Yuan, Y. (2015). The reliability and validity of a Chinese-version Short Health Anxiety Inventory: an investigation of university students. Neuropsychiatric disease and treatment, 11, 1739–1747. 10.2147/NDT.S83501
World Health Organization. (2020a). Mental health and psychosocial considerations during the COVID-19 outbreak Geneva: Author. https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Priscila Florentino Silva; Arnaldo de França Caldas Júnior; Diana Santana Albuquerque
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.