Depression and its Correlation with Self-esteem and Social Support among Iranian University Students
Abstract
Objective: Considering the effects of the level of social support and self-esteem as risk factors in the onset and continuation of depression, the purpose of the current study (in addition to studying the demographic items of depression) was to investigate the correlation between depression and level of social support and self-esteem in Iranian university students studying non medical majors.
Method: The study was a cross-sectional descriptive-analytic research carried out on the students of Ferdowsi University of Mashhad in 2006. Self administered questionnaires on socio-demographic information (age, gender, marital status, and educational level), Eysenk self-esteem scale, Beck Depression Inventory and Cassidy social support scale were randomly given out to students who were selected by multi stage randomized sampling. The data were analyzed using SPSS version 14 using the χ2-test.
Results: 1200 students responded to the anonymous questionnaires. A total of 57.2% of the participants had depression (36.3% mild, 14.4% moderate and 6.5% severe). Depression was significantly higher in males, singles and in 25-29-year-old students. Results showed that 9.4%, 18.3% and 72.3% of the participants reported low, moderate and high levels of social support respectively. 1.8% and 6.3% of the participants reported low and moderate levels of self-esteem respectively; while 91.9% reported high levels of self-esteem.
Conclusion: Depression has a higher rate in non-medical university students of Iran than general population. Levels of social support and self-esteem were negatively associated with frequency of depression.
Akiskal MS. Mood disorder, Historical Introduction and Conceptual Overview. In: Sadock BJ,Sadock VA, eds. Comprehensive Textbook of psychiatry(8th ed). Lippincott: William and Wilkins; 2005. p. 1559.
Franck E,De Raedt R. Self-esteem reconsidered: unstable self-esteem outperforms level of self-esteem as vulnerability marker for depression. Behav Res Ther 2007; 45: 1531-1541.
Furegato AR, Santos JL,Silva EC. Depression among nursing students associated to their self-esteem, health perception and interest in mental health. Rev Lat Am Enfermagem 2008; 16: 198-204.
Merritt RK, Price JR, Mollison J,Geddes JR. A cluster randomized controlled trial to assess the effectiveness of an intervention to educate students about depression. Psychol Med 2007; 37: 363-372.
Blazer D,Williams CD. Epidemiology of dysphoria and depression in an elderly population. Am J Psychiatry 1980; 137: 439- 444.
Brown GW, Bifulco A,Andrews B. Self-esteem and depression. III. Aetiological issues. Soc Psychiatry Psychiatr Epidemiol 1990; 25: 235- 243.
Rosal MC, Ockene IS, Ockene JK, Barrett SV, Ma Y,Hebert JR. A longitudinal study of students' depression at one medical school. Acad Med 1997; 72: 542-546.
Modrzejewska R,Bomba J. [Prevalence of depression in Krakow population of 17 years old students in years 1984 and 2001]. Psychiatr Pol 2004; 38: 13-27.
Andrews B, Hejdenberg J,Wilding J. Student anxiety and depression: comparison of questionnaire and interview assessments. J Affect Disord 2006; 95: 29-34.
Ross R, Zeller R, Srisaeng P, Yimmee S, Somchid S,Sawatphanit W. Depression, stress, emotional support, and self-esteem among baccalaureate nursing students in Thailand. Int J Nurs Educ Scholarsh 2005; 2: Article25.
Cole DA. Relation of social and academic competence to depressive symptoms in childhood. J Abnorm Psychol 1990; 99: 422- 429.
Modabber-Nia MJ, Shodjai-Tehrani H, Moosavi SR, Jahanbakhsh-Asli N,Fallahi M. The prevalence of depression among high school and preuniversity adolescents: Rasht, northern Iran. Arch Iran Med 2007; 10: 141- 146.
Stewart SM, Betson C, Marshall I, Wong CM, Lee PW,Lam TH. Stress and vulnerability in medical students. Med Educ 1995; 29: 119- 127.
Kim O. Sex differences in social support, loneliness, and depression among Korean college students. Psychol Rep 2001; 88: 521- 526.
Olsson G. Adolescent depression. Epidemiology, nosology, life stress and social network. Minireview based on a doctoral thesis. Ups J Med Sci 1998; 103: 77-145.
Rawson HE, Bloomer K,Kendall A. Stress, anxiety, depression, and physical illness in college students. J Genet Psychol 1994; 155: 321-330.
Talaei A, Soltanifar A, Mokhber N,Mohammadnejad M. Depression among Iranian health workers and its correlation with self-esteem and social support.In Press ;2008.
Galambos NL, Barker ET,Krahn HJ. Depression, self-esteem, and anger in emerging adulthood: seven-year trajectories. Dev Psychol 2006; 42: 350-365.
Harris TL,Molock SD. Cultural orientation, family cohesion, and family support in suicide ideation and depression among African American college students. Suicide Life Threat Behav 2000; 30: 341-353.
De Raedt R, Schacht R, Franck E,De Houwer J. Self-esteem and depression revisited: implicit positive self-esteem in depressed patients? Behav Res Ther 2006; 44: 1017- 1028.
Kearney-Cooke A. Gender differences and self-esteem. J Gend Specif Med 1999; 2: 46- 52.
Wild LG, Flisher AJ,Lombard C. Suicidal ideation and attempts in adolescents: associations with depression and six domains of self-esteem. J Adolesc 2004; 27: 611-624.
Andrews B,Brown GW. Self-esteem and vulnerability to depression: the concurrent validity of interview and questionnaire measures. J Abnorm Psychol 1993; 102: 565- 572.
Brown GW, Andrews B, Harris T, Adler Z,Bridge L. Social support, self-esteem and depression. Psychol Med 1986; 16: 813-831.
Johnson SL, Meyer B, Winett C,Small J. Social support and self-esteem predict changes in bipolar depression but not mania. J Affect Disord 2000; 58: 79-86.
Alexander JL. Quest for timely detection and treatment of women with depression. J Manag Care Pharm 2007; 13: S3-11.
Eysenck HJ,Wilson G. Know your own personality. London: Maurice Temple Smith; 1975.
Abdollahi S. [Evaluation of effect of social phobia on self esteem in high school students, Thesis for psychology PhD]. Mashhad Ferdowsi University; 1996.
Dolat Abadi H. [Comparison of self esteem level with depression severity in employed and unemployed physical disabled persons, Thesis for psychology PhD]. Mashhad Ferdowsi University;1997.
Carranza-Lira S,Valentino-Figueroa ML. Estrogen therapy for depression in postmenopausal women. Int J Gynaecol Obstet 1999; 65: 35-38.
Cassidy T,Long C. Problem-solving style, stress and psychological illness: development of a multifactorial measure. Br J Clin Psychol 1996; 35 ( Pt 2): 265-277.
Korke Abadi M. [Comparison of depression in employed and unemployed mothers in Mashhad in 1997, Thesis for PhD]. Mashhad University of Medical Sciences; 1997.
Golden J, Conroy RM,O'Dwyer AM. Reliability and validity of the Hospital Anxiety and Depression Scale and the Beck Depression Inventory (Full and FastScreen scales) in detecting depression in persons with hepatitis C. J Affect Disord 2007; 100: 265-269.
Tashakkori A, Barefoot J,Mehryar AH. What does the Beck Depression Inventory measure in college students? Evidence from a non- western culture. J Clin Psychol 1989; 45: 595- 602.
Furlanetto LM, Mendlowicz MV,Romildo Bueno J. The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients. J Affect Disord 2005; 86: 87-91.
Ghassemzadeh H, Mojtabai R, Karamghadiri N,Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck Depression Inventory--Second edition: BDI-II- PERSIAN. Depress Anxiety 2005; 21: 185- 192.
Foroughan M, Emami H, Abdi Farkoush B,Parto Azar B. [An epidemiological survey in students of Bandarabbas medical students]. Tavanbakhshi 2000; 1: 19-29.
Amani F, Sohrabi B, Sadeghie S,Mashoufi M. [Frequency of depression among students of Ardebil University of Medical Sciences]. Research & scientific journal of Ardebil University of Medical Sciences & health services 2004; 3: 7-11.
Hashemi MohammadAbad N, ZadehBagheri G,Ghafarian Shirazi H. [Servey on factors affected depression in students of Yasouj Universities]. Journal of medical research 2003; 2: 19-27.
Dyrbye LN, Thomas MR, Eacker A, Harper W, Massie FS, Jr., Power DV, et al. Race, ethnicity, and medical student well-being in the United States. Arch Intern Med 2007; 167: 2103-2109.
Haack MR. Stress and impairment among nursing students. Res Nurs Health 1988; 11: 125-134.
Faravelli C, Guerrini Degl'Innocenti B, Aiazzi L, Incerpi G,Pallanti S. Epidemiology of mood disorders: a community survey in Florence. J Affect Disord 1990; 20: 135-141.
Sharifi K, Souki Z, Khademi Z, Hoseinian M,Tagharobi Z. [Frequency of depression and the associated factors in students of Kashan University of Medical Sciences]. Feyz Win 2001; 4: 54-58.
Silvers SA. Perceived social support, coping strategies, and depression during transition to college.doctor of philosophy dissertation. Dekalb: Northern Illinois University; 2006.
Bandura A, Barbaranelli C, Caprara GV,Pastorelli C. Multifaceted impact of self- efficacy beliefs on academic functioning. Child Dev 1996; 67: 1206-1222.
Denny S, Clark TC, Fleming T,Wall M. Emotional resilience: risk and protective factors for depression among alternative education students in New Zealand. Am J Orthopsychiatry 2004; 74: 137-149.
Patten SB, Stuart HL, Russell ML, Maxwell CJ,Arboleda-Florez J. Epidemiology of major depression in a predominantly rural health region. Soc Psychiatry Psychiatr Epidemiol 2003; 38: 360-365.
Adamiak G, Swiatnicka E, Wolodzko- Makarska L,Switalska MJ. [Assessment of quality of life of medical students relative to the number and intensity of depressive symptoms]. Psychiatr Pol 2004; 38: 631-638.
Faragher EB, Cass M,Cooper CL. The relationship between job satisfaction and health: a meta-analysis. Occup Environ Med 2005; 62: 105-112.
Broman CL, Hamilton VL, Hoffman WS,Mavaddat R. Race, gender, and the response to stress: autoworkers' vulnerability to long-term unemployment. Am J Community Psychol 1995; 23: 813-842.
Fayyazi Bordbar MR, Darabi MR, Shakeri MT, Saeidi M, Saeidpour M, Azizi SM, et al. [Frequency of deoression among students of Ferdowsi University of Mashhad]. Mashhad University of Medical Sciences; 2007.
Blom M, Georgiades A, Laszlo KD, Alinaghizadeh H, Janszky I,Ahnve S. Work and marital status in relation to depressive symptoms and social support among women with coronary artery disease. J Womens Health (Larchmt) 2007; 16: 1305-1316.
Booth A, Johnson DR,Granger DA. Testosterone and men's depression: the role of social behavior. J Health Soc Behav 1999; 40: 130-140.
Ross CE,Mirowsky J. Explaining the social patterns of depression: control and problem solving--or support and talking? J Health Soc Behav 1989; 30: 206-219.
Holt-Lunstad J, Birmingham W,Jones BQ. Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health. Ann Behav Med 2008; 35: 239-244.
Brown GW,Bifulco A. Motherhood, employment and the development of depression. A replication of a finding? Br J Psychiatry 1990; 156: 169-179.
Earle JR, Smith MH, Harris CT,Longino CF. Women, marital status, and symptoms of depression in a midlife national sample. J Women Aging 1997; 10: 41-57.
Edwards AC, Nazroo JY,Brown GW. Gender differences in marital support following a shared life event. Soc Sci Med 1998; 46: 1077- 1085.
Lee YS, Kim KH,Cho YC. [Relationships between mental health and psychosocial factors with single-child high school students in an urban city of Korea]. J Prev Med Public Health 2006; 39: 419-426.
Kernan WD, Wheat ME,Lerner BA. Linking learning and health: a pilot study of medical students' perceptions of the academic impact of various health issues. Acad Psychiatry 2008; 32: 61-64.
Omokhodion FO,Gureje O. Psychosocial problems of clinical students in the University of Ibadan Medical School. Afr J Med Med Sci 2003; 32: 55-58
Files | ||
Issue | Vol 4 No 1 (2009) | |
Section | Articles | |
Keywords | ||
Depression Iran Self-esteem Social support Students Universities |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |