Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

The association between stressful life events and depressive symptoms among Cypriot university students: a cross-sectional descriptive correlational study

Authors: Sokratis Sokratous, Anastasios Merkouris, Nicos Middleton, Maria Karanikola

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Previous findings suggest that stressful life events have a causal relationship with depressive symptoms. However, to date little is known concerning the contribution of the number and severity of recent stressful life events on the prevalence of depressive symptoms among university students. The aim of this study was to investigate the prevalence of depressive symptoms and its association with the number and the severity of self-reported stressful life events among university students in Cyprus.

Methods

A descriptive correlational design with cross sectional comparison was used. The CES-D scale was applied for the assessment of depressive symptoms and the LESS instrument for stressful life events. Both scales were completed anonymously and voluntarily by 1.500 students (response rate 85%).

Results

The prevalence of mild to moderate depressive symptoms [CES-D score between 16 and 21] and of clinically significant depressive symptoms [CES-D score ≥ 22] were 18.8% and 25.3% respectively. There were statistically significant differences in clinically significant depressive symptoms by gender, with higher rates among women (x2 = 8.53, df = 1, p = 0.003). Higher scores on the LESS scale were associated with more frequent reports of clinical depressive symptoms (x2 = 70.63, df = 4, p < 0.001). Similarly, an association was found between the number of life events and clinical depressive symptoms (x2 = 40.06, df = 4, p < 0.001). Logistic regression analysis after adjusting for socio-demographic characteristics confirmed that the responders who reported a high number (n = 12–21) of stressful life events during the previous year (OR = 2.64 95% CI: 1.02, 6.83) and a severe degree of stress due to these events (total LESS score > 351, OR = 3.03 95% CI: 1.66, 5.39) were more likely to manifest clinical depressive symptoms.

Conclusions

The high frequency of occurrence of depressive symptoms among Cypriot university students, as well as the strong association with stressful life events, highlights the need for psychological empowerment strategies towards students by institutional counseling services.
Literature
1.
go back to reference Andrews B, Wilding JM: The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol. 2004, 95 (4): 509-521. 10.1348/0007126042369802.CrossRefPubMed Andrews B, Wilding JM: The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol. 2004, 95 (4): 509-521. 10.1348/0007126042369802.CrossRefPubMed
2.
go back to reference Christensson A, Vaez M, Dickman P, Runeson B: Self-reported depression in first-year nursing students in relation to socio-demographic and educational factors: a nationwide cross-sectional study in Sweden. Soc Psychiatric Epidemiology. 2011, 46 (4): 299-310. 10.1007/s00127-010-0198-y.CrossRef Christensson A, Vaez M, Dickman P, Runeson B: Self-reported depression in first-year nursing students in relation to socio-demographic and educational factors: a nationwide cross-sectional study in Sweden. Soc Psychiatric Epidemiology. 2011, 46 (4): 299-310. 10.1007/s00127-010-0198-y.CrossRef
3.
go back to reference Kumar GS, Jain A, Hegde S: Prevalence of depression and its associated factors using beck depression inventory among students of a medical college in Karnataka. Indian J Psychiatry. 2012, 54 (3): 223-226. 10.4103/0019-5545.102412.CrossRefPubMedPubMedCentral Kumar GS, Jain A, Hegde S: Prevalence of depression and its associated factors using beck depression inventory among students of a medical college in Karnataka. Indian J Psychiatry. 2012, 54 (3): 223-226. 10.4103/0019-5545.102412.CrossRefPubMedPubMedCentral
4.
go back to reference Baldasin S, Alves T, De Andrade A, Martins L: The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ. 2008, 8: 60-10.1186/1472-6920-8-60.CrossRef Baldasin S, Alves T, De Andrade A, Martins L: The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ. 2008, 8: 60-10.1186/1472-6920-8-60.CrossRef
5.
go back to reference Al-Faris EA, Irfan F, Van der Vleuten CPM, Naeem N, Alsalem A, Alamiri N, Alraiyes T, Alfowzan M, Alabdulsalam A, Ababtain A, Aljabab S, Bukhari M, Alsinaidi O, Alofaisan Y: The prevalence and correlates of depressive symptoms from an Arabian setting: a wake up calls. Med Teach. 2012, 34: 32-36. 10.3109/0142159X.2012.656755.CrossRef Al-Faris EA, Irfan F, Van der Vleuten CPM, Naeem N, Alsalem A, Alamiri N, Alraiyes T, Alfowzan M, Alabdulsalam A, Ababtain A, Aljabab S, Bukhari M, Alsinaidi O, Alofaisan Y: The prevalence and correlates of depressive symptoms from an Arabian setting: a wake up calls. Med Teach. 2012, 34: 32-36. 10.3109/0142159X.2012.656755.CrossRef
6.
go back to reference Puig-Antich J, Perel JM, Lupatkin W, Chambers WJ, Tabrizi MA, King J, Goetz R, Davies M, Stiller RL: Imipramine in prepubertal major depressive disorders. Arch Gen Psychiatry. 1987, 44 (1): 81-89. 10.1001/archpsyc.1987.01800130093012.CrossRefPubMed Puig-Antich J, Perel JM, Lupatkin W, Chambers WJ, Tabrizi MA, King J, Goetz R, Davies M, Stiller RL: Imipramine in prepubertal major depressive disorders. Arch Gen Psychiatry. 1987, 44 (1): 81-89. 10.1001/archpsyc.1987.01800130093012.CrossRefPubMed
7.
go back to reference Puig-Antich J, Dahl R, Ryan N, Novacenko H, Goetz D, Goetz R, Twomey J, Klepper T: Cortisol secretion in prepubertal children with major depressive disorder. Arch Gen Psychiatry. 1989, 46 (9): 801-809.CrossRefPubMed Puig-Antich J, Dahl R, Ryan N, Novacenko H, Goetz D, Goetz R, Twomey J, Klepper T: Cortisol secretion in prepubertal children with major depressive disorder. Arch Gen Psychiatry. 1989, 46 (9): 801-809.CrossRefPubMed
8.
go back to reference Sidana M, Kishore J, Gulati D, Jiloha R, Arand T: Prevalence of depression in students of a medical college in New Delhi: a cross-sectional study. Australian Medical Journal. 2012, 5 (5): 247-250. 10.4066/AMJ.2012.750.CrossRef Sidana M, Kishore J, Gulati D, Jiloha R, Arand T: Prevalence of depression in students of a medical college in New Delhi: a cross-sectional study. Australian Medical Journal. 2012, 5 (5): 247-250. 10.4066/AMJ.2012.750.CrossRef
9.
go back to reference Verger P, Combes JB, Kovess-Masfety V, Choquet M, Guagliardo V, Rouillon F, Peretti-Wattel P: Psychological distress in first year university students: socioeconomic and academic stressors, mastery and social support in young men and women. Soc Psychiatry Psychiatr Epidemiol. 2009, 44 (8): 643-665. 10.1007/s00127-008-0486-y.CrossRefPubMed Verger P, Combes JB, Kovess-Masfety V, Choquet M, Guagliardo V, Rouillon F, Peretti-Wattel P: Psychological distress in first year university students: socioeconomic and academic stressors, mastery and social support in young men and women. Soc Psychiatry Psychiatr Epidemiol. 2009, 44 (8): 643-665. 10.1007/s00127-008-0486-y.CrossRefPubMed
10.
go back to reference Khan MS, Mahmood S, Badshah A, Ali SU, Jamal Y: Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan. J Pak Med Assoc. 2006, 12: 583-586. Khan MS, Mahmood S, Badshah A, Ali SU, Jamal Y: Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan. J Pak Med Assoc. 2006, 12: 583-586.
11.
go back to reference Talaei A, Ardani A, Saghebi A: A survey of depression among Iranian medical students and its correlation with social support and satisfaction. J Pak Psychiatr Soc. 2008, 5 (2): 90-99. Talaei A, Ardani A, Saghebi A: A survey of depression among Iranian medical students and its correlation with social support and satisfaction. J Pak Psychiatr Soc. 2008, 5 (2): 90-99.
12.
go back to reference Mikolajczyk RT, Maxwell AE, Naydenova V, Meier S, Ansari WEI: Depressive symptoms and perceived burdens related to being a student: survey in three European countries. Clin Pract Epidemiol Ment Health. 2008, 4: 191-199.CrossRef Mikolajczyk RT, Maxwell AE, Naydenova V, Meier S, Ansari WEI: Depressive symptoms and perceived burdens related to being a student: survey in three European countries. Clin Pract Epidemiol Ment Health. 2008, 4: 191-199.CrossRef
13.
go back to reference Laurence B, Williams C, Eiland D: Depressive symptoms, stress, and social support among dental students at a historically black college and university. J Am Coll Health. 2009, 58 (1): 56-63. 10.3200/JACH.58.1.56-63.CrossRefPubMed Laurence B, Williams C, Eiland D: Depressive symptoms, stress, and social support among dental students at a historically black college and university. J Am Coll Health. 2009, 58 (1): 56-63. 10.3200/JACH.58.1.56-63.CrossRefPubMed
14.
go back to reference Kaya M, Genc M, Kaya B, Pehlivan E: Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk J Psychiatr. 2007, 18 (2): 137-146. Kaya M, Genc M, Kaya B, Pehlivan E: Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk J Psychiatr. 2007, 18 (2): 137-146.
15.
go back to reference Kessler RC: The effects of stressful life events on depression. Annu Rev Psychol. 1997, 48: 191-214. 10.1146/annurev.psych.48.1.191.CrossRefPubMed Kessler RC: The effects of stressful life events on depression. Annu Rev Psychol. 1997, 48: 191-214. 10.1146/annurev.psych.48.1.191.CrossRefPubMed
16.
go back to reference Dyson R, Renk K: Freshmen adaptation to university life: depressive symptoms, stress, and coping. J Clin Psychol. 2006, 62: 1231-1244. 10.1002/jclp.20295.CrossRefPubMed Dyson R, Renk K: Freshmen adaptation to university life: depressive symptoms, stress, and coping. J Clin Psychol. 2006, 62: 1231-1244. 10.1002/jclp.20295.CrossRefPubMed
17.
go back to reference Kendler KS, Karkowski LM, Prescott CA: Stressful life events and major depression: risk period, long-term contextual threat and diagnostic specificity. J Nerv Ment Dis. 1998, 186 (11): 661-669. 10.1097/00005053-199811000-00001.CrossRefPubMed Kendler KS, Karkowski LM, Prescott CA: Stressful life events and major depression: risk period, long-term contextual threat and diagnostic specificity. J Nerv Ment Dis. 1998, 186 (11): 661-669. 10.1097/00005053-199811000-00001.CrossRefPubMed
18.
go back to reference Kendler KS, Karkowski LM, Prescott CA: Causal relationship between stressful life events and the onset of major depression. Am J Psychiatry. 1999, 156: 837-841.CrossRefPubMed Kendler KS, Karkowski LM, Prescott CA: Causal relationship between stressful life events and the onset of major depression. Am J Psychiatry. 1999, 156: 837-841.CrossRefPubMed
19.
go back to reference Dixon WA, Reid JK: Positive life events as a moderator of stress-related depressive symptoms. J Couns Dev. 2000, 78: 343-347. 10.1002/j.1556-6676.2000.tb01916.x.CrossRef Dixon WA, Reid JK: Positive life events as a moderator of stress-related depressive symptoms. J Couns Dev. 2000, 78: 343-347. 10.1002/j.1556-6676.2000.tb01916.x.CrossRef
20.
go back to reference Dutton GR: Major and minor life events as predictors of medical utilization, Master degree thesis. 2003, Baton Rouge, LA: Louisiana State University and Agricultural and Mechanical College. Psychology science Department Dutton GR: Major and minor life events as predictors of medical utilization, Master degree thesis. 2003, Baton Rouge, LA: Louisiana State University and Agricultural and Mechanical College. Psychology science Department
21.
go back to reference Gillespie NA, Whitfield JB, Williams B, Heath AC, Martin NG: The relationship between stressful life events, the serotonin transporter (5-HTTLPR) genotype and major depression. Psychol Med. 2005, 35 (1): 101-111. 10.1017/S0033291704002727.CrossRefPubMed Gillespie NA, Whitfield JB, Williams B, Heath AC, Martin NG: The relationship between stressful life events, the serotonin transporter (5-HTTLPR) genotype and major depression. Psychol Med. 2005, 35 (1): 101-111. 10.1017/S0033291704002727.CrossRefPubMed
22.
go back to reference Zaid ZA, Chan SC, Ho JJ: Emotional disorders among medical students in a Malaysian private medical school. Singapore Med J. 2007, 48 (10): 895-899.PubMed Zaid ZA, Chan SC, Ho JJ: Emotional disorders among medical students in a Malaysian private medical school. Singapore Med J. 2007, 48 (10): 895-899.PubMed
23.
go back to reference Reyes-Rodríguez ML, Rivera-Medina C, Cámara-Fuentes L, Suárez-Torres A, Bernal G: Depression symptomatology and stressful life events among college students in Puerto Rico. J Affect Disord. 2013, 145: 324-330. 10.1016/j.jad.2012.08.010.CrossRefPubMed Reyes-Rodríguez ML, Rivera-Medina C, Cámara-Fuentes L, Suárez-Torres A, Bernal G: Depression symptomatology and stressful life events among college students in Puerto Rico. J Affect Disord. 2013, 145: 324-330. 10.1016/j.jad.2012.08.010.CrossRefPubMed
24.
go back to reference Zong J, Cao X, Cao Y, Shi Y, Wang Y, Yan C, Abela JRZ, Gan Y, Gong Q, Chan RCK: Coping flexibility in college students with depressive symptoms. Health Qual Life Outcomes. 2010, 13 (8): 66-71.CrossRef Zong J, Cao X, Cao Y, Shi Y, Wang Y, Yan C, Abela JRZ, Gan Y, Gong Q, Chan RCK: Coping flexibility in college students with depressive symptoms. Health Qual Life Outcomes. 2010, 13 (8): 66-71.CrossRef
25.
go back to reference Wagner BM, Compas BE, Howell DC: Daily and major life events: a test of an integrative model of psychosocial stress. Am J Community Psychol. 1988, 16 (2): 189-205. 10.1007/BF00912522.CrossRefPubMed Wagner BM, Compas BE, Howell DC: Daily and major life events: a test of an integrative model of psychosocial stress. Am J Community Psychol. 1988, 16 (2): 189-205. 10.1007/BF00912522.CrossRefPubMed
26.
go back to reference Hammen C: Stress and depression. Annu Rev Clin Psychol. 2005, 1: 293-318. 10.1146/annurev.clinpsy.1.102803.143938.CrossRefPubMed Hammen C: Stress and depression. Annu Rev Clin Psychol. 2005, 1: 293-318. 10.1146/annurev.clinpsy.1.102803.143938.CrossRefPubMed
27.
go back to reference Allam Z: Stressful life events, vulnerable to stress and depression among Eritrean high schools students. Ife PsychologIA. 2011, 19 (2): 380-393.CrossRef Allam Z: Stressful life events, vulnerable to stress and depression among Eritrean high schools students. Ife PsychologIA. 2011, 19 (2): 380-393.CrossRef
28.
go back to reference Tosevski DL, Milovancevic MP, Gajic SD: Personality and psychopathology of university students. Curr Opin Psychiatry. 2010, 23: 48-52. 10.1097/YCO.0b013e328333d625.CrossRefPubMed Tosevski DL, Milovancevic MP, Gajic SD: Personality and psychopathology of university students. Curr Opin Psychiatry. 2010, 23: 48-52. 10.1097/YCO.0b013e328333d625.CrossRefPubMed
29.
go back to reference Hysenbegasi A, Hass SL, Rowland CR: The impact of depression on the academic productivity of university students. J Ment Health Policy Econ. 2005, 8 (3): 145-151.PubMed Hysenbegasi A, Hass SL, Rowland CR: The impact of depression on the academic productivity of university students. J Ment Health Policy Econ. 2005, 8 (3): 145-151.PubMed
30.
go back to reference Arria AM, O’Grady KE, Caldeira KM, Vincent KB, Wilcox HC, Wish ED: Suicide ideation among college students: a multivariate analysis. Arch Suicide Res. 2009, 13: 230-246. 10.1080/13811110903044351.CrossRefPubMedPubMedCentral Arria AM, O’Grady KE, Caldeira KM, Vincent KB, Wilcox HC, Wish ED: Suicide ideation among college students: a multivariate analysis. Arch Suicide Res. 2009, 13: 230-246. 10.1080/13811110903044351.CrossRefPubMedPubMedCentral
31.
go back to reference Chou PC, Chao YMY, Yang HJ, Yeh GL, Lee TH: Relationships between stress, coping and depressive symptoms among overseas university preparatory Chinese students: a cross-sectional study. BMC Public Health. 2011, 11: 352-10.1186/1471-2458-11-352.CrossRefPubMedPubMedCentral Chou PC, Chao YMY, Yang HJ, Yeh GL, Lee TH: Relationships between stress, coping and depressive symptoms among overseas university preparatory Chinese students: a cross-sectional study. BMC Public Health. 2011, 11: 352-10.1186/1471-2458-11-352.CrossRefPubMedPubMedCentral
32.
go back to reference Madianos MG, Vaidakis N, Tomaras B, Chortarea A: The investigation of the prevalence of depression in the general population with the used of CES-D scale: The validity and reliability of the CES-D scale. Encephalos. 1983, 20: 29-32. Madianos MG, Vaidakis N, Tomaras B, Chortarea A: The investigation of the prevalence of depression in the general population with the used of CES-D scale: The validity and reliability of the CES-D scale. Encephalos. 1983, 20: 29-32.
33.
go back to reference Dohrenwend BS, Krasnoff L, Askenasy AR, Dohrenwend BP: Exemplification of a method for scaling life events: the PER1 life events scale. J Health Soc Behav. 1978, 19 (2): 205-229. 10.2307/2136536.CrossRefPubMed Dohrenwend BS, Krasnoff L, Askenasy AR, Dohrenwend BP: Exemplification of a method for scaling life events: the PER1 life events scale. J Health Soc Behav. 1978, 19 (2): 205-229. 10.2307/2136536.CrossRefPubMed
34.
go back to reference Dohrenwend BP: Inventorying stressful life events as risk factors for psychopathology: Toward resolution of the problem of intracategory variability. Psychol Bull. 2006, 132 (3): 477-495.CrossRefPubMedPubMedCentral Dohrenwend BP: Inventorying stressful life events as risk factors for psychopathology: Toward resolution of the problem of intracategory variability. Psychol Bull. 2006, 132 (3): 477-495.CrossRefPubMedPubMedCentral
35.
go back to reference Beaton DE, Bombardier C, Guillemin F, Bosi-Ferraz M: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000, 25 (24): 3186-3191. 10.1097/00007632-200012150-00014.CrossRefPubMed Beaton DE, Bombardier C, Guillemin F, Bosi-Ferraz M: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000, 25 (24): 3186-3191. 10.1097/00007632-200012150-00014.CrossRefPubMed
36.
go back to reference Radloff LS: The center for epidemiologic studies depression scale (CES-D) scale: a self-report depression scale for research in general population. Appl Psychol Meas. 1977, 1: 385-401. 10.1177/014662167700100306.CrossRef Radloff LS: The center for epidemiologic studies depression scale (CES-D) scale: a self-report depression scale for research in general population. Appl Psychol Meas. 1977, 1: 385-401. 10.1177/014662167700100306.CrossRef
37.
go back to reference Roberts RE: Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Res. 1980, 2: 125-134. 10.1016/0165-1781(80)90069-4.CrossRefPubMed Roberts RE: Reliability of the CES-D Scale in different ethnic contexts. Psychiatry Res. 1980, 2: 125-134. 10.1016/0165-1781(80)90069-4.CrossRefPubMed
38.
go back to reference Zich JM, Attkisson CC, Greenfield TK: Screening for depression in primary care clinics: the CES-D and the BDI. Int J Psychiatry Med. 1990, 20: 259-277. 10.2190/LYKR-7VHP-YJEM-MKM2.CrossRefPubMed Zich JM, Attkisson CC, Greenfield TK: Screening for depression in primary care clinics: the CES-D and the BDI. Int J Psychiatry Med. 1990, 20: 259-277. 10.2190/LYKR-7VHP-YJEM-MKM2.CrossRefPubMed
39.
go back to reference Quyen DD: Depression and stress among the first medical students in University of Medicine and Pharmacy. 2007, Master Degree Thesis: Chulalongkorn University, Public Health Department Quyen DD: Depression and stress among the first medical students in University of Medicine and Pharmacy. 2007, Master Degree Thesis: Chulalongkorn University, Public Health Department
40.
go back to reference Brandy JM: PhD thesis. Depression in Freshmen College Students. 2011, Chicago, Illinois: Loyola University Chicago, Nursing science Department Brandy JM: PhD thesis. Depression in Freshmen College Students. 2011, Chicago, Illinois: Loyola University Chicago, Nursing science Department
41.
go back to reference Linden W: Development and initial validation of a life event scale for students. Canadian Counselor. 1984, 18: 106-110. Linden W: Development and initial validation of a life event scale for students. Canadian Counselor. 1984, 18: 106-110.
42.
go back to reference Clements K, Turpin G: The life events scale for students: validation for use with British samples. Pers Individ Differ J. 1996, 20 (6): 747-751. 10.1016/0191-8869(96)00005-0.CrossRef Clements K, Turpin G: The life events scale for students: validation for use with British samples. Pers Individ Differ J. 1996, 20 (6): 747-751. 10.1016/0191-8869(96)00005-0.CrossRef
43.
go back to reference Clement K, Turpin G: Life event exposure, physiological reactivity, and psychological strain. J Behav Med. 2000, 23 (1): 73-94. 10.1023/A:1005472320986.CrossRef Clement K, Turpin G: Life event exposure, physiological reactivity, and psychological strain. J Behav Med. 2000, 23 (1): 73-94. 10.1023/A:1005472320986.CrossRef
44.
go back to reference Honney K, Buszewicz M, Coppola W, Griffin M: Comparison of levels of depression in medical and non-medical students. Clin Teach. 2010, 7 (3): 180-184. 10.1111/j.1743-498X.2010.00384.x.CrossRefPubMed Honney K, Buszewicz M, Coppola W, Griffin M: Comparison of levels of depression in medical and non-medical students. Clin Teach. 2010, 7 (3): 180-184. 10.1111/j.1743-498X.2010.00384.x.CrossRefPubMed
45.
go back to reference Papazisis G, Tsiga E, Papanikolaou N, Vlasiadis I, Sapountzi-Krepia D: Psychological distress, anxiety and depression among nursing students in Greece. Int J Caring Sci. 2008, 1 (1): 42-46. Papazisis G, Tsiga E, Papanikolaou N, Vlasiadis I, Sapountzi-Krepia D: Psychological distress, anxiety and depression among nursing students in Greece. Int J Caring Sci. 2008, 1 (1): 42-46.
46.
go back to reference Melo-Carrillo A, Oudenhove L, Lopez-Avila A: Depressive symptoms among Mexican medical students: high prevalence and the effect of a group psycheducation intervention. J Affect Disord. 2012, 136 (3): 1098-1103. 10.1016/j.jad.2011.10.040.CrossRefPubMed Melo-Carrillo A, Oudenhove L, Lopez-Avila A: Depressive symptoms among Mexican medical students: high prevalence and the effect of a group psycheducation intervention. J Affect Disord. 2012, 136 (3): 1098-1103. 10.1016/j.jad.2011.10.040.CrossRefPubMed
47.
go back to reference Mergen H, Mergen B, Tan S, Öngel K: Evaluating the depression and related factors among the students of the faculty of education at Celal Bayar University. New J Med. 2008, 25: 169-174. Mergen H, Mergen B, Tan S, Öngel K: Evaluating the depression and related factors among the students of the faculty of education at Celal Bayar University. New J Med. 2008, 25: 169-174.
48.
go back to reference Arslan G, Ayranci U, Unsal A, Arslantas D: Prevalence of depression, its correlates among students, and its effect on health-related quality of life in a Turkish university. Ups J Med Sci. 2009, 114 (3): 170-177. 10.1080/03009730903174339.CrossRefPubMedPubMedCentral Arslan G, Ayranci U, Unsal A, Arslantas D: Prevalence of depression, its correlates among students, and its effect on health-related quality of life in a Turkish university. Ups J Med Sci. 2009, 114 (3): 170-177. 10.1080/03009730903174339.CrossRefPubMedPubMedCentral
49.
go back to reference Bayram N, Bilgel N: The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatr Epidemiol. 2008, 43: 667-672. 10.1007/s00127-008-0345-x.CrossRef Bayram N, Bilgel N: The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatr Epidemiol. 2008, 43: 667-672. 10.1007/s00127-008-0345-x.CrossRef
50.
go back to reference Bayati A, Beigi M, Salehi M: Depression prevalence and related factors in Iranian students. Pak J Biol Sci. 2009, 12 (20): 1371-1375. 10.3923/pjbs.2009.1371.1375.CrossRefPubMed Bayati A, Beigi M, Salehi M: Depression prevalence and related factors in Iranian students. Pak J Biol Sci. 2009, 12 (20): 1371-1375. 10.3923/pjbs.2009.1371.1375.CrossRefPubMed
51.
go back to reference Aghakhani N, Sharif Nia H, Eghtedar S, Rahbar N, Jasemi M, Mesgar Zadeh M: Prevalence of depression among students of Urmia university of medical sciences (Iran). Iran J Psychiatry Behavior Science. 2011, 5 (2): 131-135. Aghakhani N, Sharif Nia H, Eghtedar S, Rahbar N, Jasemi M, Mesgar Zadeh M: Prevalence of depression among students of Urmia university of medical sciences (Iran). Iran J Psychiatry Behavior Science. 2011, 5 (2): 131-135.
52.
go back to reference Simin H, Zahra G: A survey Beck test in university students & its relationship between some related risk factors. Procedia-Social and Behavioral Sciences. 2011, 28: 558-562.CrossRef Simin H, Zahra G: A survey Beck test in university students & its relationship between some related risk factors. Procedia-Social and Behavioral Sciences. 2011, 28: 558-562.CrossRef
53.
go back to reference Jeong Y, Kim J, Ryu J, Lee K, Ha E, Park H: The associations between social support, health-related behaviors, socioeconomic status and depression in medical students. Epidemiology and Health. 2010, 24: 32- Jeong Y, Kim J, Ryu J, Lee K, Ha E, Park H: The associations between social support, health-related behaviors, socioeconomic status and depression in medical students. Epidemiology and Health. 2010, 24: 32-
54.
go back to reference Chag SM, Law DW, Chang HK: The impact of personality on depression among university students in Taiwan. Medical Journal. 2011, 34 (5): 528-534. Chag SM, Law DW, Chang HK: The impact of personality on depression among university students in Taiwan. Medical Journal. 2011, 34 (5): 528-534.
55.
go back to reference Rab F, Mamadou R, Nasir S: Rates of depression and anxiety among female medical students in Pakistan. East Mediterr Health J. 2008, 14 (1): 126-133.PubMed Rab F, Mamadou R, Nasir S: Rates of depression and anxiety among female medical students in Pakistan. East Mediterr Health J. 2008, 14 (1): 126-133.PubMed
56.
go back to reference Jadoom N, Yaqoob R, Shehzad A, Choudhry Z: Anxiety and depression among medical students: a cross-sectional study. Journal of Pakistan Medical Association. 2010, 60 (8): 699-702. Jadoom N, Yaqoob R, Shehzad A, Choudhry Z: Anxiety and depression among medical students: a cross-sectional study. Journal of Pakistan Medical Association. 2010, 60 (8): 699-702.
57.
go back to reference Kiliari N, Theodosopoulou E, Papanastasiou E, Charalambous A: Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study. J R Soc Med Sh Rep. 2012, 3: 71-79.PubMedPubMedCentral Kiliari N, Theodosopoulou E, Papanastasiou E, Charalambous A: Socioeconomic determinants of non-communicable-diseases among the Cypriot population: questionnaire study. J R Soc Med Sh Rep. 2012, 3: 71-79.PubMedPubMedCentral
58.
go back to reference Khawaja N, Duncanson K: Using the university student depression inventory to investigate the effect of demographic variables on students’ depression. Aust J Guid Couns. 2008, 18 (2): 195-209. 10.1375/ajgc.18.2.195.CrossRef Khawaja N, Duncanson K: Using the university student depression inventory to investigate the effect of demographic variables on students’ depression. Aust J Guid Couns. 2008, 18 (2): 195-209. 10.1375/ajgc.18.2.195.CrossRef
59.
go back to reference Lowe G, Lipps G, Young R: Factors associated with depression in students at the university of the West Indies, Mona, Jamaica. West Indian Med J. 2009, 58 (1): 21-27.PubMed Lowe G, Lipps G, Young R: Factors associated with depression in students at the university of the West Indies, Mona, Jamaica. West Indian Med J. 2009, 58 (1): 21-27.PubMed
60.
go back to reference Vazquez F, Blanco V: Prevalence of DSM-IV major depression among Spanish university students. J Am Coll Health. 2008, 57: 165-171. 10.3200/JACH.57.2.165-172.CrossRefPubMed Vazquez F, Blanco V: Prevalence of DSM-IV major depression among Spanish university students. J Am Coll Health. 2008, 57: 165-171. 10.3200/JACH.57.2.165-172.CrossRefPubMed
61.
go back to reference Young C, Fang D, Zisook S: Depression in Asian-American and Caucasian undergraduate students. J Affect Disord. 2010, 125: 379-382. 10.1016/j.jad.2010.02.124.CrossRefPubMed Young C, Fang D, Zisook S: Depression in Asian-American and Caucasian undergraduate students. J Affect Disord. 2010, 125: 379-382. 10.1016/j.jad.2010.02.124.CrossRefPubMed
62.
go back to reference Ceyhan A, Ceyhan E, Kurtyilmaz Y: Investigation of university students’ depression. J Educ Res. 2009, 9 (36): 75-90. Ceyhan A, Ceyhan E, Kurtyilmaz Y: Investigation of university students’ depression. J Educ Res. 2009, 9 (36): 75-90.
63.
go back to reference Goodwin RD, Gotlib IH: Gender differences in depression: the role of personality factors. Psychiatr Res J. 2004, 126 (2): 135-142. 10.1016/j.psychres.2003.12.024.CrossRef Goodwin RD, Gotlib IH: Gender differences in depression: the role of personality factors. Psychiatr Res J. 2004, 126 (2): 135-142. 10.1016/j.psychres.2003.12.024.CrossRef
64.
go back to reference King DA, Buchwald AM: Sex differences in subclinical depression: administration of the Beck depression inventory in public and private disclosure situations. J Pers Soc Psychol. 1982, 42 (5): 963-969.CrossRefPubMed King DA, Buchwald AM: Sex differences in subclinical depression: administration of the Beck depression inventory in public and private disclosure situations. J Pers Soc Psychol. 1982, 42 (5): 963-969.CrossRefPubMed
65.
go back to reference Paykel ES: Contribution of life events to causation of psychiatric illness. Psychol Med. Journal. 1978, 8 (2): 245-253. 10.1017/S003329170001429X.CrossRef Paykel ES: Contribution of life events to causation of psychiatric illness. Psychol Med. Journal. 1978, 8 (2): 245-253. 10.1017/S003329170001429X.CrossRef
66.
go back to reference Brown GW, Bifulco A, Harris TO: Life event, vulnerability, and onset of depression: some refinements. Br J Psychiatry. 1987, 150: 30-42. 10.1192/bjp.150.1.30.CrossRefPubMed Brown GW, Bifulco A, Harris TO: Life event, vulnerability, and onset of depression: some refinements. Br J Psychiatry. 1987, 150: 30-42. 10.1192/bjp.150.1.30.CrossRefPubMed
67.
go back to reference Costello CG: Social factors associated with depression: a retrospective community study. Psychol Med. 1982, 12 (2): 329-339. 10.1017/S0033291700046663.CrossRefPubMed Costello CG: Social factors associated with depression: a retrospective community study. Psychol Med. 1982, 12 (2): 329-339. 10.1017/S0033291700046663.CrossRefPubMed
68.
go back to reference Surtees PG, Miller PM, Ingham JG, Kreitman NB, Rennie D, Sashidharan SP: Life events and the onset of affective disorder: a longitudinal general population study. J Affec Disord. 1986, 10 (1): 37-50. 10.1016/0165-0327(86)90047-9.CrossRef Surtees PG, Miller PM, Ingham JG, Kreitman NB, Rennie D, Sashidharan SP: Life events and the onset of affective disorder: a longitudinal general population study. J Affec Disord. 1986, 10 (1): 37-50. 10.1016/0165-0327(86)90047-9.CrossRef
69.
go back to reference Hammen C, Kim EY, Eberhart NK, Brennan PA: Chronic and acute stress and the prediction of major depression in women. Depress Anxiety. 2009, 26: 718-723. 10.1002/da.20571.CrossRefPubMedPubMedCentral Hammen C, Kim EY, Eberhart NK, Brennan PA: Chronic and acute stress and the prediction of major depression in women. Depress Anxiety. 2009, 26: 718-723. 10.1002/da.20571.CrossRefPubMedPubMedCentral
70.
go back to reference Gibb BE, Beevers CG, Andover MS, Holleran K: The hopelessness theory of depression: prospective multi-wave test of the vulnerability-stress hypothesis. Cogn Ther Res. 2006, 30: 763-772. 10.1007/s10608-006-9082-1.CrossRef Gibb BE, Beevers CG, Andover MS, Holleran K: The hopelessness theory of depression: prospective multi-wave test of the vulnerability-stress hypothesis. Cogn Ther Res. 2006, 30: 763-772. 10.1007/s10608-006-9082-1.CrossRef
71.
go back to reference Paykel ES: Life events and affective disorders. Acta Psychiatr Scand. 2003, 108: 61-66.CrossRef Paykel ES: Life events and affective disorders. Acta Psychiatr Scand. 2003, 108: 61-66.CrossRef
72.
go back to reference Lewinsohn PIM, Hoberman HM, Rosenbaum M: A prospective study of risk factors for unipolar depression. J Abnorm Psychol. 1988, 97: 251-264.CrossRefPubMed Lewinsohn PIM, Hoberman HM, Rosenbaum M: A prospective study of risk factors for unipolar depression. J Abnorm Psychol. 1988, 97: 251-264.CrossRefPubMed
73.
go back to reference Hammen C: Generation of stress in the course of unipolar depression. J Abnorm Psychol. 1991, 100: 555-561.CrossRefPubMed Hammen C: Generation of stress in the course of unipolar depression. J Abnorm Psychol. 1991, 100: 555-561.CrossRefPubMed
74.
go back to reference Hammen C: Stress generation in depression: reflections on origins, research, and future directions. J Clin Psychol. 2006, 62: 1065-1082. 10.1002/jclp.20293.CrossRefPubMed Hammen C: Stress generation in depression: reflections on origins, research, and future directions. J Clin Psychol. 2006, 62: 1065-1082. 10.1002/jclp.20293.CrossRefPubMed
75.
go back to reference Liu RT, Alloy LB: Stress generation in depression: a systematic review of the empirical literature and recommendations for future study. Clin Psychol Review. 2010, 30 (25): 582-593.CrossRef Liu RT, Alloy LB: Stress generation in depression: a systematic review of the empirical literature and recommendations for future study. Clin Psychol Review. 2010, 30 (25): 582-593.CrossRef
76.
go back to reference Brown GW, Harris TO: Depression. Life Events and Illness. Edited by: Brown GW, Harris TO. 1989, New York: Guilford Press, 49-93. Brown GW, Harris TO: Depression. Life Events and Illness. Edited by: Brown GW, Harris TO. 1989, New York: Guilford Press, 49-93.
77.
go back to reference Gorman DM: A review of studies comparing checklist and interview methods of data collection in life event research. Behav Med. 1993, 19: 66-73. 10.1080/08964289.1993.9937567.CrossRefPubMed Gorman DM: A review of studies comparing checklist and interview methods of data collection in life event research. Behav Med. 1993, 19: 66-73. 10.1080/08964289.1993.9937567.CrossRefPubMed
78.
go back to reference McQuaid JR, Monroe SM, Roberts JE, Kupfer DJ, Frank E: A comparison of two life stress assessment approaches: prospective prediction of treatment outcome in recurrent depression. J Abnorm Psychol. 2000, 109: 787-791.CrossRefPubMed McQuaid JR, Monroe SM, Roberts JE, Kupfer DJ, Frank E: A comparison of two life stress assessment approaches: prospective prediction of treatment outcome in recurrent depression. J Abnorm Psychol. 2000, 109: 787-791.CrossRefPubMed
79.
go back to reference Wong JGWS, Cheung EPT, Chan KKC, Ma KKM, Tang SW: Web - based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Aust N Z J Psychiatry. 2006, 40 (29): 777-782.CrossRefPubMed Wong JGWS, Cheung EPT, Chan KKC, Ma KKM, Tang SW: Web - based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Aust N Z J Psychiatry. 2006, 40 (29): 777-782.CrossRefPubMed
80.
go back to reference Cheng C, Cheung WL: Cognitive processes underlying coping flexibility: differentiation and integration. J Pers. 2005, 73: 859-886. 10.1111/j.1467-6494.2005.00331.x.CrossRefPubMed Cheng C, Cheung WL: Cognitive processes underlying coping flexibility: differentiation and integration. J Pers. 2005, 73: 859-886. 10.1111/j.1467-6494.2005.00331.x.CrossRefPubMed
Metadata
Title
The association between stressful life events and depressive symptoms among Cypriot university students: a cross-sectional descriptive correlational study
Authors
Sokratis Sokratous
Anastasios Merkouris
Nicos Middleton
Maria Karanikola
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-1121

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue