Impact of Levels of Education on Depression and Anxiety in Iranian Students
Keywords:Depression, anxiety, Iranian students
Depression and anxiety had been among the most common mental health concerns reported in students across academic levels. With increased globalization, the influx of international students pursuing various professional courses in different countries has increased manifold in recent years. A bulk of research investigating the factors that affect health and adjustment of international students describe the unique challenges faced by them in adapting to new cultural environment and making successful transition. The present research focused on examining depression and anxiety among male and female Iranian students in India. The study sample consisted 300 male and 300 female students totaling to 600 students who were pursuing graduate, post graduate, doctoral, and post-doctoral degrees. Beck Depression Inventory (Beck et al., 2001) and IPAT Anxiety scale (Cattel, Krug, & Scheier, 1976) were used to assess depression and anxiety; respectively. Results indicated that education level did not have a significant impact on depression and anxiety implying that Iranian students in India experience similar levels of depression and anxiety irrespective of their varied educational background. However, gender-wise comparison reveals a statistically significant difference, with female students reporting higher rates of depression and anxiety than their male counterparts. Therefore, it is necessary to address depression and anxiety at the earliest during college years so as to arrest their negative impact on academic outcomes.
American College Health Association. (2013). National college health assessment II: Reference group executive summary. Journal of American Health College, 56(5), 469-479. doi:10.3200/JACH.56. 5.469-480
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. Arlington, VA: American Psychiatric Publishing.
Andrews, B., & Wilding, J. M. (2010). The relation of depression and anxiety to life-stress and achievement in students. The British Journal of Psychology, 94(4), 509-521. doi:10.1348/00 07126042369802
Arslan, G., Ayranci, U., Unsal, A., & Arslantas, D. (2009). Prevalence of depression, its correlates among students, and its effect on health-related quality of life in a Turkish university. Upsala Journal of Medical Sciences, 114(3), 170-177.
Baklashovaa, T. A., & Kazakovb A. V. (2016). Challenges of international students’ adjustment to a higher education institution. International Journal of Environmental & Science Education, 11(8), 1821-1832. doi:10.12973/ijese.2016.557a
Bangasser, D. A., Curtis, A., Reyes, B. A. S. Bethea, T. T., Parastatidis, I., Ischiropoulos, H., Van Bockstaele, E. J., & Valentino, R. J. (2010). Sex differences in corticotrophin-releasing factor receptor signaling and trafficking: Potential role in female vulnerability to stress-related psychopathology. Molecular Psychiatry, 15(9), 877-904. doi.10.1038/ mp.2010.66
Beck, R., Perkins, T. S., Holder, R., Robbins, M., Gray, M., & Allison, S. (2001). The cognitive and emotional phenomenology of depression and anxiety: Are worry and hopelessness the cognitive correlates of NA and PA? Cognitive Therapy and Research, 25(8), 829-838
Bruffaerts, R., Mortier, P., Kiekens, G., Auerbach, R. P., Cuijpers, P., Demyttenaere, K., Green, J.G., Nock, M. K., Kessler, R. C. (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of Affective Disorders, 225(1), 97-103.
Castaldelli-Maia, J. M., Martins, S. S., Bhugra, D., Machado, M. P., Andrade, A. G., Alexandrino-Silva, C., Baldassin, S., & de Toledo, T. C. (2012). Does ragging play a role in medical student depression - cause or effect? Journal of Affective Disorders, 139(3), 291-297. doi:10.1016/j.jad.2012. 02.003
Cattell, R. B., Krug, S. E., & Scheier, I. H. (1976). Handbook for the IPAT Anxiety Scale Questionnaire: Self-analysis form. Champaign: Institute for Personality & Ability Testing.
Chen, L., Wang, L., Qiu, X. H., Yang, X. X., Qiao, Z. X., Yang, Y. J., & Liang, Y. (2013). Depression among Chinese university students: Prevalence and socio-demographic correlates. PloS One, 8(3), e58379.
Chopra, R. M. (2004). Indo-Iranian cultural relations in the 20th century. Indo-Iranica, 57(1), 1-4.
Dahlin, M., Joneborg, N., & Runeson, B. (2005). Stress and depression among medical students: A cross-sectional study. Medical Education, 39(6), 594-604.
Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety and other indicators of psychological distress among US and Canadian medical students. Academic Medicine, 81(4), 354-373.
Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. l. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534-542. doi:10.1037/0002-9432.77.4. 534
Green, J. L., Lowry, J. L., & Kopta, S. M. (2003). College students versus college severity of college students' psychological concerns: A comparison of clinical and nonclinical national samples. Professional Psychology: Research and Practice, 37(3), 317-325.
Grills-Taquechel, A. E., Fletcher, J. M., Vaughn, S. R., & Stuebing, K. K. (2012). Anxiety and reading difficulties in early elementary school: Evidence for unidirectional- or bi-directional relations? Child Psychiatry and Human Development, 43(1), 35-47. doi:10.1007/s105 78-011-0246-1.
Haldorsen, H., Bak, N. H., Dissing, A., & Petersson, B. (2014). Stress and symptoms of depression among medical students at the University of Copenhagen. Scandinavian Journal of Public Health, 42(1), 89-95. doi:10.1177/1403494813503055
Jafari, N., Loghmani, A., Montazeri, A. (2012). Mental health of medical students in different levels of training. International Journal of Preventive Medicine, 3(1), 107-112.
Kamble, R. J., & Minchekar, V. S. (2018). Academic stress and depression among college students. International Journal of Current Research, 10(12), 76429-76433.
Kessler, R. C. (2015). Anxious and non-anxious major depressive disorder in the World Health Organization and World Mental Health Surveys. Epidemiology Psychiatry Science, 24(3), 210-226.
Khafaie, M. A., Khafaie, B., Salmanzadeh, S., & Radkar, A. (2016). Health behavior of Iranian students in India: Impact from migration. Journal of Pharmaceutical Research and Allied Sciences, 5(2), 26-31.
Kruisselbrink, F. A. (2013). A suffering generation: Six factors contributing to the mental health crisis in North American higher education. College Quarterly, 16(1), 78-90.
Kumaraswamy, N. (2013). Academic stress, anxiety and depression among college students: A brief review. International Review of Social Sciences and Humanities, 5(1), 135-143.
Nail, J., Christofferson, J., Ginsburg, G., Drake, K., Kendall, P., McCracken, J., & Sakolsky, D. (2015). Academic impairment and impact of treatments among 56 youth with anxiety disorders. Child & Youth Care Forum, 44(3), 327-342. doi:10.1007/s10566-014-9290-x
Nelson, J. M., & Harwood, H. (2010). Learning disabilities and anxiety: A meta-analysis. Journal of Learning Disability, 44(1), 3-17. doi:10. 1177/0022219409359939.
Nooripour, R., Mohammadi, A. Z., & Sargolzaei, M. (2013). Self-efficacy and homesickness in Iranian students in India. Indian Journal of Health and Wellbeing, 4(5), 1054-1056.
Owens, M., Stevenson, J., Hadwin, J. A., & Norgate, R. (2008). Anxiety and depression in academic performance: An exploration of the mediating factors of worry and working memory. School Psychology International, 33(4), 433-449. doi:10.1177/01430343 11427433.
Ramón-Arbués, E., Gea-Caballero, V., Granada-López, J. M., Juárez-Vela, R., Pellicer-García, B., & Antón-Solanas, I. (2020). Prevalence of depression, anxiety and stress and their associated factors in college students. International Journal of Environmental Research and Public Health, 17(9), 7001. doi:10.3390/ijerph17197001
Santor, D. A., Ramsay, J. O., & Zuroff, D. C. (1994). Nonparametric item analyses of the Beck Depression Inventory: Evaluating gender item bias and response option weights. Psychological Assessment, 6(3), 255-270. doi:10.1037/1040-3522.214.171.124.
Sarokhani, D., Delpisheh, A., Veisani, Y., Sarokhani, M. T., Manesh, R. E., & Sayehmiri, K. (2013). Prevalence of depression among university students: A systematic review and meta-analysis study. Depression Research and Treatment, 37(2), 157-168. doi:10.1155/201 3/373857.
Sümer, S., Poyrazli, S., & Grahame, K. (2008). Predictors of depression and anxiety among international students. Journal of Counseling & Development, 86(4), 429-437.
Tanaka, J., & Huba, G. (1987). Assessing the stability of depression in college students. Multivariate Behavioral Research, 22(1), 5-19. doi:10 .1207/s15327906mbr2201_1
Torija, S. T. C., Pozo, M. D. R. H., Bravo, Y., Hurtado, A. C., & Romero, M. (2016). Prevalence of anxiety symptoms in a sample of college students at a faculty of health sciences in Mexico. Psychological Testing, 11(2), 12-22.
Vitasari, P., Abdul Wahab, M. N., Herawan, T., Othman, A., & Sinnadurai, S. K. (2011). Validating the instrument of study anxiety sources using factor analysis. Procedia - Social and Behavioral Sciences, 15, 3831-3836. doi:10.1016/j.sbspro.2011.04.381.
Wu, H., Garza, E., & Guzman, N. (2015). International student’s challenges and adjustment to college. Education Research International, 5(1), 2-10. doi:10.1155/2015/202753