Bulgarian Journal of Psychiatry, 2025; 10(2):17-23

Depressive symptoms in nursing students at the University of Palermo: the QIDS-SR16 test

Sandro Provenzano1, Omar Enzo Santangelo2,3, Antonio Terranova4, Giuseppina Pesco5, Vito Scilabra4, Giuseppe D’Anna6, Luana Maria Amato6, Simona Fanuli6, Alberto Firenze7

1Hospital Management, Local Health Unit of Trapani, ASP Trapani – Trapani, Italy

2Regional Health Care and Social Agency of Lodi, ASST Lodi – Lodi, Italy

3University of Milan – Milan, Italy

4Department of Health Promotion, Maternal-Infant, Internal Medicine and Specialization of Excellence “G. D’Alessandro”, University of Palermo – Palermo, Italy

5Integrated Medical Activities Department, University Hospital “P. Giaccone” Hospital – Palermo, Italy

6University of Palermo – Palermo, Italy

7General Directorate of the University Hospital “P. Giaccone” Hospital, Nursing Office – Palermo, Italy

Abstract. Introduction. The aim of the study was to identify the presence of depressive symptoms among nursing students at the University of Palermo through the use of the QIDS-SR16 (Quick Inventory of Depressive Symptomatology Self-Report). Materials and methods. The study was conducted in April 2024. The study design is cross-sectional. The study population is made up of first, second- and thirdyear nursing students at the University of Palermo (Italy) and students beyond the allotted time to attain a degree. The QIDS-SR16 questionnaire was administered to evaluate the severity of depressive symptoms among nursing students. In order to evaluate the role of the variables of the first section of the questionnaire, an ordered logistic regression was performed with QIDSR-16 as the dependent variable. Results. 801 respondents completed the questionnaire. What emerges from the QIDSR-16 test is that 35% present moderate-severe-very severe symptoms. The ordered logistic regression shows the statistically significant covariates associated with the QIDSR-16 test, namely: age (aOR=0.96), year of studies (the risk increases as the year of study increases), being a smoker (aOR=1.93), being single (aOR=1.37), perceived health status (the risk increases as the level of perceived health status decreases), perceived low economic status (aOR=2.57), and having had sleep disorders in the last two weeks (aOR=4.13). Conclusions. The demanding nature of the course of study, combined with academic and clinical stress, may contribute to increasing psychological vulnerability of these students. It is essential to implement targeted interventions to promote the mental health of nursing students.

Key words: University students, nursing students, Italy, Sicily, depression, depressive symptoms, mental health

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