Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional study

Abstract Background University students are more likely to experience mental disorders. This study aimed to assess the prevalence of depression, anxiety, and stress among health and non-health university students at King Khalid University students, Abha, Kingdom of Saudi Arabia. Methods An anonymous...

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Main Authors: Abdulaziz M. Al-Garni, Ayed A. Shati, Nora A. Almonawar, Ghadi M. Alamri, Lujain A. Alasmre, Thamraa N. Saad, Faisal M. Alshehri, Esraa Abdellatif Hammouda, Ramy Mohammed Ghazy
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21277-7
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author Abdulaziz M. Al-Garni
Ayed A. Shati
Nora A. Almonawar
Ghadi M. Alamri
Lujain A. Alasmre
Thamraa N. Saad
Faisal M. Alshehri
Esraa Abdellatif Hammouda
Ramy Mohammed Ghazy
author_facet Abdulaziz M. Al-Garni
Ayed A. Shati
Nora A. Almonawar
Ghadi M. Alamri
Lujain A. Alasmre
Thamraa N. Saad
Faisal M. Alshehri
Esraa Abdellatif Hammouda
Ramy Mohammed Ghazy
author_sort Abdulaziz M. Al-Garni
collection DOAJ
description Abstract Background University students are more likely to experience mental disorders. This study aimed to assess the prevalence of depression, anxiety, and stress among health and non-health university students at King Khalid University students, Abha, Kingdom of Saudi Arabia. Methods An anonymous validated short form of Arabic questionnaire of the depression, anxiety, and stress scale (DASS-21) survey was distributed online on social media platforms and through face-to-face interview for 1700 students from March 1st to May 31st 2024. A multivariate linear regression model was used to examine the relationships between the independent variables (age, gender, academic year, and study field) and the dependent variables (depression, anxiety, and stress). Results More than half of the surveyed students (72.8%) were females. The age distribution reveals that the majority of students (71.4%) fall within the 20–25 years old, 22.6% were in their third year, and more than half (58.6%) pursued studies in non-health science disciplines. Almost 12% experienced moderate stress and 39% suffered from moderate, severe, and extremely severe anxiety, while 29.5% had moderate to severe depression. Youths younger than 25 years were at higher risk of experiencing depression (45.14% vs. 32.32% P = 0.024), stress (46.87% vs. 33.33%, P = 0.034), and anxiety than older ages (55.52% vs.43.43%, P = 0.019). Females also suffered more stress (48.47% vs. 38.53%, P = 0.0001), and anxiety (58.32 vs. 48.48%, P = 0.0001) than males. The correlations between depression and anxiety (0.75), depression and stress (0.83), and anxiety and stress (0.81) all indicate very strong positive correlations, with all tests being highly significant (P < 0.001). Regression analysis revealed that older age was associated with lower depression scores (P = 0.017), while female gender was associated with higher anxiety and stress scores (P < 0.001 for both). Conclusion The findings highlight the urgent need for regular screening and monitoring of students’ mental health status at King Khalid University. Implementing targeted mental health interventional programs is essential to help students to cope with different stressors with a particular focus on addressing the heightened challenges faced by female students.
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spelling doaj-art-38a4e56a5cc44376b4b36e400166ce162025-02-02T12:45:48ZengBMCBMC Public Health1471-24582025-01-0125111110.1186/s12889-025-21277-7Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional studyAbdulaziz M. Al-Garni0Ayed A. Shati1Nora A. Almonawar2Ghadi M. Alamri3Lujain A. Alasmre4Thamraa N. Saad5Faisal M. Alshehri6Esraa Abdellatif Hammouda7Ramy Mohammed Ghazy8Department of Internal Medicine, College of Medicine, King Khalid UniversityDepartment of Child Health, College of Medicine, King Khalid UniversityCollege of Medicine, King Khalid UniversityCollege of Medicine, King Khalid UniversityCollege of Medicine, King Khalid UniversityCollege of Medicine, King Khalid UniversityCollege of Medicine, King Khalid UniversityClinical Research Department, El-Raml Pediatric Hospital, Ministry of Health and PopulationFamily and Community Medicine Department, College of Medicine, King Khalid UniversityAbstract Background University students are more likely to experience mental disorders. This study aimed to assess the prevalence of depression, anxiety, and stress among health and non-health university students at King Khalid University students, Abha, Kingdom of Saudi Arabia. Methods An anonymous validated short form of Arabic questionnaire of the depression, anxiety, and stress scale (DASS-21) survey was distributed online on social media platforms and through face-to-face interview for 1700 students from March 1st to May 31st 2024. A multivariate linear regression model was used to examine the relationships between the independent variables (age, gender, academic year, and study field) and the dependent variables (depression, anxiety, and stress). Results More than half of the surveyed students (72.8%) were females. The age distribution reveals that the majority of students (71.4%) fall within the 20–25 years old, 22.6% were in their third year, and more than half (58.6%) pursued studies in non-health science disciplines. Almost 12% experienced moderate stress and 39% suffered from moderate, severe, and extremely severe anxiety, while 29.5% had moderate to severe depression. Youths younger than 25 years were at higher risk of experiencing depression (45.14% vs. 32.32% P = 0.024), stress (46.87% vs. 33.33%, P = 0.034), and anxiety than older ages (55.52% vs.43.43%, P = 0.019). Females also suffered more stress (48.47% vs. 38.53%, P = 0.0001), and anxiety (58.32 vs. 48.48%, P = 0.0001) than males. The correlations between depression and anxiety (0.75), depression and stress (0.83), and anxiety and stress (0.81) all indicate very strong positive correlations, with all tests being highly significant (P < 0.001). Regression analysis revealed that older age was associated with lower depression scores (P = 0.017), while female gender was associated with higher anxiety and stress scores (P < 0.001 for both). Conclusion The findings highlight the urgent need for regular screening and monitoring of students’ mental health status at King Khalid University. Implementing targeted mental health interventional programs is essential to help students to cope with different stressors with a particular focus on addressing the heightened challenges faced by female students.https://doi.org/10.1186/s12889-025-21277-7AnxietyDepressionStressUniversity studentsDASS-21
spellingShingle Abdulaziz M. Al-Garni
Ayed A. Shati
Nora A. Almonawar
Ghadi M. Alamri
Lujain A. Alasmre
Thamraa N. Saad
Faisal M. Alshehri
Esraa Abdellatif Hammouda
Ramy Mohammed Ghazy
Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional study
BMC Public Health
Anxiety
Depression
Stress
University students
DASS-21
title Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional study
title_full Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional study
title_fullStr Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional study
title_full_unstemmed Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional study
title_short Prevalence of depression, anxiety, and stress among students enrolled at King Khalid University: a cross-sectional study
title_sort prevalence of depression anxiety and stress among students enrolled at king khalid university a cross sectional study
topic Anxiety
Depression
Stress
University students
DASS-21
url https://doi.org/10.1186/s12889-025-21277-7
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