Nursing students, mental health status during COVID-19 quarantine: evidence from three European countries.

Patelarou, Athina; Mechili, Enkeleint A; Galanis, Petros; Zografakis-Sfakianakis, Michail; Konstantinidis, Theocharis; Saliaj, Aurela; Bucaj, Jorgjia; Alushi, Evis; Carmona-Torres, Juan Manuel; Cobo-Cuenca, Ana Isabel; Laredo-Aguilera, José Alberto; Patelarou, Evridiki

BACKGROUND The SARS-CoV2 pandemic obligated most of the European countries to implement strict measures and lockdowns to minimize the spread of the virus. Universities closed and on-line classes started. However, COVID-19 epidemic has significant impact on mental health of population. AIM To assess depression level of nursing students (undergraduate and master) in Greece, Spain and Albania during COVID-19 pandemic as well as to identify possible determinants of depression level. METHODS A multicenter cross-sectional study was conducted between April and May 2020. An on-line questionnaire was used to collect the data. The Patient Health Questionnaire-9 was used to evaluate the depression levels of nursing students. RESULTS Seven hundred and eighty-seven nursing students participated in the study out of which 83.9% were of female gender, 92.9% single and 94.7% lived with others. One third of the nursing student population experienced mild depression, with higher depression levels noted for Spanish students (59.1%) followed by Albanian (34.5%) and Greek (21.8%) students. Multivariate linear regression analysis identified that Spanish students experienced more depression than Greek and Albanian (p < 0.001). Also, decreased age was associated with increased depression. CONCLUSION The impact of lockdown and quarantine on nursing students mental health is clear. Provision of university based mental health interventions should be a priority.