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Depression, Anxiety, Stress, and Associated Factors among Pharmacy Students Following the COVID-19 Pandemic

Year 2025, Volume: 16 Issue: 1, 112 - 125, 25.04.2025
https://doi.org/10.22312/sdusbed.1455975

Abstract

COVID-19, which initially originated in the city of Wuhan, China at the end of 2019, caused millions of cases and deaths worldwide. Considering the conditions that arose during the pandemic, the psychological well-being of the students was affected by many factors related to COVID-19. This study has aimed to investigate the prevalence of depression, anxiety, and stress related to the COVID-19 and possible factors affecting depression, anxiety, and stress among pharmacy students. The mental health status of participants was examined using the Depression, Anxiety, and Stress Scale (DASS-21). Association analysis using non-parametric tests was performed for categorical, ordered, and dichotomous predictors. Logistic regression analysis was applied to investigate the effects of explanatory variables on the mental health of the students. Based on the findings, the prevalences of severe/extremely severe depression, anxiety, and stress were found to be 16.6%, 28.2%, and 12.0%, respectively. We also found significant effects of investigated factors, e.g., having a psychiatric disease, relationship with the family or friends, having anyone in the family who lost his/her job during the pandemic, having a need for psychiatric support, having anyone in the family diagnosed with COVID-19, on the depression, anxiety, and stress levels of the students. Our findings showed that the factors related to COVID-19 might have led to an increase in depression, anxiety, and stress levels among the students. These parameters must be taken into consideration both for the protection of students' psychological well-being and for the guidance of their education and training activities.

References

  • 1. Mishra NP, Das SS, Yadav S, Khan W, Afzal M, Alarifi A, et al. Global impacts of pre-and post-COVID-19 pandemic: Focus on socio-economic consequences. Sens Int. 2020;1:100042. doi:10.1016/j.sintl.2020.100042.
  • 2. Wilke J, et al. Drastic reductions in mental well-being observed globally during the COVID-19 pandemic: results from the ASAP survey. Front Med. 2021;8:578959. doi: 10.3389/fmed.2021.578959.
  • 3. Hamaideh SH, Al-Modallal H, Tanash MA, Hamdan-Mansour A. Depression, anxiety and stress among undergraduate students during COVID-19 outbreak and "home-quarantine". Nurs Open. 2022;9(2):1423–31. doi: 10.1002/nop2.918.
  • 4. Kara Y. Students’ experiences in the pandemic duration: the case of Bakırköy district. ASEAD. 2020;7(7):165–76.
  • 5. World Health Organization. COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide [Internet]. 2022 [cited 2023 Mar 15]. Available from: https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide.
  • 6. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi: 10.1016/j.psychres.2020.112934.
  • 7. Hettinger KN, Baker CM, Brelage ME, Smith HM, Woodyard JL. The impact of COVID-19 on pharmacy student stress during high-stakes, performance-based assessments in skills-based courses. Am J Pharm Educ. 2023;87(1):51–6. doi: 10.5688/ajpe8874.
  • 8. Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020;277:55–64. doi: 10.1016/j.jad.2020.08.001.
  • 9. Asad M, Alenezi A, Alsalowly MN, Basheeruddin SM, Alrashed IN, Almutairi MF, et al. Self-reported anxiety and coping: a cross-sectional study among Saudi nursing students during COVID-19 pandemic using gad-7 and briefcope. Indian J Pharm Educ Res. 2021;55(3):637–45. doi: 10.5530/ijper.55.3s.170.
  • 10. Marques G, Drissi N, Díez IT, de Abajo BS, Ouhbi S. Impact of COVID-19 on the psychological health of university students in Spain and their attitudes toward mobile mental health solutions. Int J Med Inform. 2021;147:104369. doi: 10.1016/j.ijmedinf.2020.104369
  • 11. Alateeq DA, Aljhani S, Althiyabi I, Majzoub S. Mental health among healthcare providers during coronavirus disease (Covid-19) outbreak in Saudi Arabia. J Infect Public Health. 2020;13(10):1432–7. doi: 10.1016/j.jiph.2020.08.013.
  • 12. Hewitt R. Students’ views on the impact of Coronavirus on their higher education experience in 2020/21. Available from: HEPI-Policy-Note-27-Students-views-on-the-impact-of-Coronavirus-on-their-higher-education-experience-in-2020-21-FINAL.pdf.
  • 13. Husky MM, Kovess-Masfety V, Swendsen JD. Stress and anxiety among university students in France during Covid-19 mandatory confinement. Compr Psychiatry. 2020;102:1–12. doi: 10.1016/j.comppsych.2020.152191.
  • 14. Karing C. Prevalence and predictors of anxiety, depression and stress among university students during the period of the first lockdown in Germany. J Affect Disord Rep. 2021;5:100174. doi:10.1016/j.jadr.2021.100174.
  • 15. Rogowska A, Kusnierz C, Boksczanin A. Examining anxiety, life satisfaction, general health, stress and coping styles during Covid-19 pandemic in Polish sample of university students. Psychol Res Behav Manag. 2020;13:797–811. doi: 10.2147/PRBM.S266511.
  • 16. Şahin CU, Aydın M, Kulakaç N. Anxiety, motivation, stress levels and associated factors among university students in the Covid-19 pandemic. Cyprus J Med Sci. 2022;7(1):94–101. doi: 10.4274/cjms.2020.2685.
  • 17. Cihan E, Pirinççi ÇŞ, Gerçek H, Ünüvar BS, Demirdel E. The knowledge levels, preventive behavior and risk perception on COVID-19 of the healthcare students in Turkey. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2020;11(3):342–7. doi : 10.22312/sdusbed.765212.
  • 18. Li N, Li S, Fan L. Risk factors of psychological disorders after the COVID-19 outbreak: The mediating role of social support and emotional intelligence. J Adolesc Health. 2021;69(5):696–704. doi:10.1016/j.jadohealth.2021.07.018.
  • 19. Wathelet M, Duhem S, Vaiva G, Baubet T, Habran E, Veerapa E, et al. Factors associated with mental health disorders among university students in France confined during the COVID-19 pandemic. JAMA Netw Open. 2020;3(10):e2025591. doi:10.1001/jamanetworkopen.2020.25591.
  • 20. Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of Covid-19 on college students’ mental health in the United States: Interview survey study. J Med Internet Res. 2020;22(9):1–13. doi: 10.2196/21279.
  • 21. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety & Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995. doi:10.1037/t39835-000.
  • 22. Boehm MA, Lei QM, Lloyd RM, Prichard JR. Depression, anxiety, and tobacco use: Overlapping impediments to sleep in a national sample of college students. J Am Coll Health. 2016;64(7):565–74. doi: 10.1080/07448481.2016.1205073.
  • 23. Stunkard AJ, Faith MS, Allison KC. Depression and obesity. Biol Psychiatry. 2003;54(3):330–7. doi: 10.1016/S0006-3223(03)00608-
  • 24. Martinsen EW. Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry. 2008;62(S47):25–9. doi:10.1080/08039480802315640.
  • 25. Clarke DM, Currie KC. Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence. Med J Aust. 2009;190:S54–60. doi:10.5694/j.1326-5377.2009.tb02471.x.
  • 26. Lakhan R, Agrawal A, Sharma M. Prevalence of depression, anxiety, and stress during COVID-19 pandemic. J Neurosci Rural Pract. 2020;11(4):519–25. doi: 10.1055/s-0040-1716442.
  • 27. Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, et al. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020;89:594–600. doi: 10.1016/j.bbi.2020.07.037
  • 28. Menard S. Applied logistic regression analysis. Sage Publications; 2001.
  • 29. Hammoudi Halat D, Younes S, Safwan J, Akiki Z, Akel M, Rahal M. Pharmacy students’ mental health and resilience in COVID-19: an assessment after one year of online education. Eur J Investig Health Psychol Educ. 2022;12(8):1082–107. doi: 10.3390/ejihpe12080077.
  • 30. Aylie NS, Mekonen MA, Mekuria RM. The psychological impacts of COVID-19 pandemic among university students in Bench-Sheko Zone, Southwest Ethiopia: a community-based cross-sectional study. Psychol Res Behav Manag. 2020;13:813–21. doi: 10.2147/PRBM.S275593
  • 31. Misra R, McKean M, West S, Russo T. Academic stress of college students: comparison of student and faculty perceptions. Coll Stud J. 2000;34(2).
  • 32. Gellert C, Schöttker B, Brenner H. Smoking and all-cause mortality in older people: systematic review and meta-analysis. Arch Intern Med. 2012;172(11):837–44. doi:10.1001/archinternmed.2012.1397.
  • 33. Dome P, Lazary J, Kalapos MP, Rihmer Z. Smoking, nicotine and neuropsychiatric disorders. Neurosci Biobehav Rev. 2010;34(3):295–342. doi:10.1016/j.neubiorev.2009.07.013.
  • 34. Moylan S, Jacka FN, Pasco JA, Berk M. Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies. BMC Med. 2012;10(1):1–14.
  • 35. Hao F, Tan W, Jiang LI, Zhang L, Zhao X, Zou Y, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun. 2020;87:100–6. oi:10.1016/j.bbi.2020.04.069.
  • 36. Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in COVID-19 pandemics. Psychiatry Res. 2020;290:113130.
  • 37. Lee J, Solomon M, Stead T, Kwon B, Ganti L. Impact of COVID-19 on the mental health of US college students. BMC Psychol. 2021;9(1):95. doi: 10.1016/j.psychres.2020.113130.
  • 38. Blustein DL, Duffy R, Ferreira JA, Cohen-Scali V, Cinamon RG, Allan BA. Unemployment in the time of COVID-19: A research agenda. J Vocat Behav. 2020;119:103436. doi: 10.1016/j.jvb.2020.103436.
  • 39. Guan WJ, Ni Z, Yu Hu W, Liang W., Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708–20. doi: 10.1056/NEJMoa2002032.
  • 40. Mehra MR, Desai SS, Kuy S, Henry TD, Patel AN. Cardiovascular disease, drug therapy, and mortality in COVID-19. N Engl J Med. 2020;382(25):e102. doi: 10.1056/NEJMoa2007621.
  • 41. Földi M, Farkas N, Kiss S, Zádori N, Váncsa S, Szakó L, et al. Obesity is a risk factor for developing critical condition in COVID-19 patients: a systematic review and meta-analysis. Obes Rev. 2020;21(10):e13095. doi: 10.1111/obr.13095.
  • 42. Simonnet A, Chetboun M, Poissy J, Raverdy V, Noulette J, Duhamel A, et al. High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation. Obesity. 2020;21(10):1–9. doi: 10.1002/oby.2283.
  • 43. Farhat T. Stigma, obesity and adolescent risk behaviors: current research and future directions. Curr Opin Psychol. 2015;5:56–66.
  • 44. Kosovali BD, Tezcan B, Aytaç I, Peker TT, Soyal OB, Mutlu NM, et al. Anxiety and depression in the relatives of COVID-19 and non-COVID-19 intensive care patients during the pandemic. Cureus. 2021;13(12):1–11. doi: 10.1016/j.copsyc.2015.03.021.
  • 45. Yaghoubi T, Jannati Y, Moosazadeh M, Hosseinnataj A, Mojarad FA. Assessment of grief reactions following the death of first-degree relatives due to COVID-19. Iran Red Crescent Med J. 2021;23(12):e1034. doi: 10.32592/ircmj.2021.23.12.1034
  • 46. Çalıkuşu M, Özçelikay G. The effects of the COVID-19 pandemic on the psychology of the pharmacy school stakeholders in Türkiye. Turk J Pharm Sci. 2022;19(6):657. doi: 10.4274/tjps.galenos.2021.68726

COVID-19 Salgını Sonrası Eczacılık Öğrencilerinde Depresyon, Kaygı, Stres ve İlişkili Faktörler

Year 2025, Volume: 16 Issue: 1, 112 - 125, 25.04.2025
https://doi.org/10.22312/sdusbed.1455975

Abstract

İlk olarak 2019 yılı sonunda Çin'in Wuhan şehrinde ortaya çıkan COVİD-19, dünya çapında milyonlarca vakaya ve ölüme neden oldu. Pandemi sürecinde ortaya çıkan koşullar göz önüne alındığında öğrencilerin psikolojik iyilik hallerinin Covid-19 ile ilgili birçok faktörden etkilendiği görülmüştür. Bu çalışma, eczacılık öğrencileri arasında COVID-19'a bağlı depresyon, anksiyete ve stresin yaygınlığını ve depresyon, anksiyete ve stresi etkileyen olası faktörleri araştırmayı amaçlamıştır. Katılımcıların ruh sağlığı durumları Depresyon, Kaygı ve Stres Ölçeği (DASS-21) kullanılarak incelendi. Kategorik, sıralı ve ikili değişkenler arasındaki anlamlılık ilişkisi parametrik olmayan testler kullanılarak analiz edişmiştir. Açıklayıcı değişkenlerin öğrencilerin ruh sağlığı üzerindeki etkilerini araştırmak amacıyla lojistik regresyon analizi uygulanmıştır. Bulgulara göre şiddetli/aşırı şiddetli depresyon, anksiyete ve stres yaygınlıkları sırasıyla %16,6, %28,2 ve %12,0 olarak bulunmuştur. Psikiyatrik bir hastalığın olması, aile veya arkadaşlarla ilişki, ailede pandemi sırasında işini kaybeden birinin olması, psikiyatrik desteğe ihtiyaç duyulması, ailede herhangi birinin salgın sırasında işini kaybetmesi gibi faktörler ile anlamlı ilişki bulunmuştur. Bulgularımız, COVID-19 ile ilgili faktörlerin öğrencilerde depresyon, kaygı ve stres düzeylerinde artışa yol açmış olabileceğini göstermiştir. Hem öğrencilerin psikolojik iyiliklerinin korunması hem de eğitim-öğretim faaliyetlerinin yönlendirilmesi açısından bu parametrelerin dikkate alınması gerekmektedir.

References

  • 1. Mishra NP, Das SS, Yadav S, Khan W, Afzal M, Alarifi A, et al. Global impacts of pre-and post-COVID-19 pandemic: Focus on socio-economic consequences. Sens Int. 2020;1:100042. doi:10.1016/j.sintl.2020.100042.
  • 2. Wilke J, et al. Drastic reductions in mental well-being observed globally during the COVID-19 pandemic: results from the ASAP survey. Front Med. 2021;8:578959. doi: 10.3389/fmed.2021.578959.
  • 3. Hamaideh SH, Al-Modallal H, Tanash MA, Hamdan-Mansour A. Depression, anxiety and stress among undergraduate students during COVID-19 outbreak and "home-quarantine". Nurs Open. 2022;9(2):1423–31. doi: 10.1002/nop2.918.
  • 4. Kara Y. Students’ experiences in the pandemic duration: the case of Bakırköy district. ASEAD. 2020;7(7):165–76.
  • 5. World Health Organization. COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide [Internet]. 2022 [cited 2023 Mar 15]. Available from: https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide.
  • 6. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. doi: 10.1016/j.psychres.2020.112934.
  • 7. Hettinger KN, Baker CM, Brelage ME, Smith HM, Woodyard JL. The impact of COVID-19 on pharmacy student stress during high-stakes, performance-based assessments in skills-based courses. Am J Pharm Educ. 2023;87(1):51–6. doi: 10.5688/ajpe8874.
  • 8. Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020;277:55–64. doi: 10.1016/j.jad.2020.08.001.
  • 9. Asad M, Alenezi A, Alsalowly MN, Basheeruddin SM, Alrashed IN, Almutairi MF, et al. Self-reported anxiety and coping: a cross-sectional study among Saudi nursing students during COVID-19 pandemic using gad-7 and briefcope. Indian J Pharm Educ Res. 2021;55(3):637–45. doi: 10.5530/ijper.55.3s.170.
  • 10. Marques G, Drissi N, Díez IT, de Abajo BS, Ouhbi S. Impact of COVID-19 on the psychological health of university students in Spain and their attitudes toward mobile mental health solutions. Int J Med Inform. 2021;147:104369. doi: 10.1016/j.ijmedinf.2020.104369
  • 11. Alateeq DA, Aljhani S, Althiyabi I, Majzoub S. Mental health among healthcare providers during coronavirus disease (Covid-19) outbreak in Saudi Arabia. J Infect Public Health. 2020;13(10):1432–7. doi: 10.1016/j.jiph.2020.08.013.
  • 12. Hewitt R. Students’ views on the impact of Coronavirus on their higher education experience in 2020/21. Available from: HEPI-Policy-Note-27-Students-views-on-the-impact-of-Coronavirus-on-their-higher-education-experience-in-2020-21-FINAL.pdf.
  • 13. Husky MM, Kovess-Masfety V, Swendsen JD. Stress and anxiety among university students in France during Covid-19 mandatory confinement. Compr Psychiatry. 2020;102:1–12. doi: 10.1016/j.comppsych.2020.152191.
  • 14. Karing C. Prevalence and predictors of anxiety, depression and stress among university students during the period of the first lockdown in Germany. J Affect Disord Rep. 2021;5:100174. doi:10.1016/j.jadr.2021.100174.
  • 15. Rogowska A, Kusnierz C, Boksczanin A. Examining anxiety, life satisfaction, general health, stress and coping styles during Covid-19 pandemic in Polish sample of university students. Psychol Res Behav Manag. 2020;13:797–811. doi: 10.2147/PRBM.S266511.
  • 16. Şahin CU, Aydın M, Kulakaç N. Anxiety, motivation, stress levels and associated factors among university students in the Covid-19 pandemic. Cyprus J Med Sci. 2022;7(1):94–101. doi: 10.4274/cjms.2020.2685.
  • 17. Cihan E, Pirinççi ÇŞ, Gerçek H, Ünüvar BS, Demirdel E. The knowledge levels, preventive behavior and risk perception on COVID-19 of the healthcare students in Turkey. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2020;11(3):342–7. doi : 10.22312/sdusbed.765212.
  • 18. Li N, Li S, Fan L. Risk factors of psychological disorders after the COVID-19 outbreak: The mediating role of social support and emotional intelligence. J Adolesc Health. 2021;69(5):696–704. doi:10.1016/j.jadohealth.2021.07.018.
  • 19. Wathelet M, Duhem S, Vaiva G, Baubet T, Habran E, Veerapa E, et al. Factors associated with mental health disorders among university students in France confined during the COVID-19 pandemic. JAMA Netw Open. 2020;3(10):e2025591. doi:10.1001/jamanetworkopen.2020.25591.
  • 20. Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of Covid-19 on college students’ mental health in the United States: Interview survey study. J Med Internet Res. 2020;22(9):1–13. doi: 10.2196/21279.
  • 21. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety & Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995. doi:10.1037/t39835-000.
  • 22. Boehm MA, Lei QM, Lloyd RM, Prichard JR. Depression, anxiety, and tobacco use: Overlapping impediments to sleep in a national sample of college students. J Am Coll Health. 2016;64(7):565–74. doi: 10.1080/07448481.2016.1205073.
  • 23. Stunkard AJ, Faith MS, Allison KC. Depression and obesity. Biol Psychiatry. 2003;54(3):330–7. doi: 10.1016/S0006-3223(03)00608-
  • 24. Martinsen EW. Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry. 2008;62(S47):25–9. doi:10.1080/08039480802315640.
  • 25. Clarke DM, Currie KC. Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence. Med J Aust. 2009;190:S54–60. doi:10.5694/j.1326-5377.2009.tb02471.x.
  • 26. Lakhan R, Agrawal A, Sharma M. Prevalence of depression, anxiety, and stress during COVID-19 pandemic. J Neurosci Rural Pract. 2020;11(4):519–25. doi: 10.1055/s-0040-1716442.
  • 27. Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, et al. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020;89:594–600. doi: 10.1016/j.bbi.2020.07.037
  • 28. Menard S. Applied logistic regression analysis. Sage Publications; 2001.
  • 29. Hammoudi Halat D, Younes S, Safwan J, Akiki Z, Akel M, Rahal M. Pharmacy students’ mental health and resilience in COVID-19: an assessment after one year of online education. Eur J Investig Health Psychol Educ. 2022;12(8):1082–107. doi: 10.3390/ejihpe12080077.
  • 30. Aylie NS, Mekonen MA, Mekuria RM. The psychological impacts of COVID-19 pandemic among university students in Bench-Sheko Zone, Southwest Ethiopia: a community-based cross-sectional study. Psychol Res Behav Manag. 2020;13:813–21. doi: 10.2147/PRBM.S275593
  • 31. Misra R, McKean M, West S, Russo T. Academic stress of college students: comparison of student and faculty perceptions. Coll Stud J. 2000;34(2).
  • 32. Gellert C, Schöttker B, Brenner H. Smoking and all-cause mortality in older people: systematic review and meta-analysis. Arch Intern Med. 2012;172(11):837–44. doi:10.1001/archinternmed.2012.1397.
  • 33. Dome P, Lazary J, Kalapos MP, Rihmer Z. Smoking, nicotine and neuropsychiatric disorders. Neurosci Biobehav Rev. 2010;34(3):295–342. doi:10.1016/j.neubiorev.2009.07.013.
  • 34. Moylan S, Jacka FN, Pasco JA, Berk M. Cigarette smoking, nicotine dependence and anxiety disorders: a systematic review of population-based, epidemiological studies. BMC Med. 2012;10(1):1–14.
  • 35. Hao F, Tan W, Jiang LI, Zhang L, Zhao X, Zou Y, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun. 2020;87:100–6. oi:10.1016/j.bbi.2020.04.069.
  • 36. Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in COVID-19 pandemics. Psychiatry Res. 2020;290:113130.
  • 37. Lee J, Solomon M, Stead T, Kwon B, Ganti L. Impact of COVID-19 on the mental health of US college students. BMC Psychol. 2021;9(1):95. doi: 10.1016/j.psychres.2020.113130.
  • 38. Blustein DL, Duffy R, Ferreira JA, Cohen-Scali V, Cinamon RG, Allan BA. Unemployment in the time of COVID-19: A research agenda. J Vocat Behav. 2020;119:103436. doi: 10.1016/j.jvb.2020.103436.
  • 39. Guan WJ, Ni Z, Yu Hu W, Liang W., Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708–20. doi: 10.1056/NEJMoa2002032.
  • 40. Mehra MR, Desai SS, Kuy S, Henry TD, Patel AN. Cardiovascular disease, drug therapy, and mortality in COVID-19. N Engl J Med. 2020;382(25):e102. doi: 10.1056/NEJMoa2007621.
  • 41. Földi M, Farkas N, Kiss S, Zádori N, Váncsa S, Szakó L, et al. Obesity is a risk factor for developing critical condition in COVID-19 patients: a systematic review and meta-analysis. Obes Rev. 2020;21(10):e13095. doi: 10.1111/obr.13095.
  • 42. Simonnet A, Chetboun M, Poissy J, Raverdy V, Noulette J, Duhamel A, et al. High prevalence of obesity in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) requiring invasive mechanical ventilation. Obesity. 2020;21(10):1–9. doi: 10.1002/oby.2283.
  • 43. Farhat T. Stigma, obesity and adolescent risk behaviors: current research and future directions. Curr Opin Psychol. 2015;5:56–66.
  • 44. Kosovali BD, Tezcan B, Aytaç I, Peker TT, Soyal OB, Mutlu NM, et al. Anxiety and depression in the relatives of COVID-19 and non-COVID-19 intensive care patients during the pandemic. Cureus. 2021;13(12):1–11. doi: 10.1016/j.copsyc.2015.03.021.
  • 45. Yaghoubi T, Jannati Y, Moosazadeh M, Hosseinnataj A, Mojarad FA. Assessment of grief reactions following the death of first-degree relatives due to COVID-19. Iran Red Crescent Med J. 2021;23(12):e1034. doi: 10.32592/ircmj.2021.23.12.1034
  • 46. Çalıkuşu M, Özçelikay G. The effects of the COVID-19 pandemic on the psychology of the pharmacy school stakeholders in Türkiye. Turk J Pharm Sci. 2022;19(6):657. doi: 10.4274/tjps.galenos.2021.68726
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Details

Primary Language English
Subjects Pharmacy Management
Journal Section Araştırma Articlesi
Authors

Canan Gulcan 0000-0002-2251-3750

Nurgül Karaozan 0009-0008-2895-7847

Publication Date April 25, 2025
Submission Date March 20, 2024
Acceptance Date July 26, 2024
Published in Issue Year 2025 Volume: 16 Issue: 1

Cite

Vancouver Gulcan C, Karaozan N. Depression, Anxiety, Stress, and Associated Factors among Pharmacy Students Following the COVID-19 Pandemic. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2025;16(1):112-25.

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