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Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey

School of Nursing, Point Loma Nazarene University, 2600 Laning Road, San Diego, CA 92106, USA
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Received: 30 November 2020 / Revised: 30 December 2020 / Accepted: 5 January 2021 / Published: 12 January 2021
(This article belongs to the Special Issue Nursing and COVID-19)
The COVID-19 pandemic and consequent lockdown have precipitated significant disruption in the educational system. Nursing students are known to have higher levels of stress and anxiety than other non-nursing students, but there is a dearth of evidence regarding the impacts of the COVID-19 lockdown on their mental health and coping mechanisms. Purpose: The aim of this study was to explore the influence of coping mechanisms as predictors of stress, anxiety, and depression among nursing students during the COVID-19 lockdown. Methods: A cross-sectional online survey was conducted from 20 April to 10 May 2020 among 173 nursing students at a private university in Southern California, USA. Results: Self-reported stress, anxiety, and depression were significantly higher during the lockdown compared to the pre-lockdown period (p < 0.001). Almost a quarter of participants reported high stress, while more than half reported moderate-to-severe symptoms of anxiety and depression. High resilience was negatively associated with high stress (Odds Ratio (OR) = 0.46; 95% Confidence Interval (CI) = 0.22–0.98; p = 0.045), moderate-to-severe anxiety (OR = 0.47; 95%CI = 0.25–0.90; p = 0.022), and moderate-to-severe depression (OR = 0.50; 95%CI = 0.26–0.95; p = 0.036). Similarly, high family functioning was negatively associated with high stress (OR = 0.41; 95%CI = 0.20–0.86; p = 0.018), moderate-to-severe anxiety (OR = 0.41; 95%CI = 0.21–0.80; p = 0.009), and moderate-to-severe depression (OR = 0.41; 95%CI = 0.20–0.81; p = 0.011). High spiritual support was negatively associated with moderate-to-severe depression (OR = 0.48; 95%CI = 0.24–0.95; p = 0.035). Conclusions: During the COVID-19 lockdown, nursing students experienced remarkable levels of poor mental health. High levels of resilience and family functioning were associated with 2- to 2.4-fold lower risk of stress, anxiety, and depression, whereas high spiritual support was associated with 2-fold lower risk of depression. As the pandemic evolves, fostering these coping mechanisms may help students to maintain their psychological wellbeing. View Full-Text
Keywords: COVID-19; anxiety; stress; depression; coping mechanism; resilience; spirituality; family functioning COVID-19; anxiety; stress; depression; coping mechanism; resilience; spirituality; family functioning
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MDPI and ACS Style

Kim, S.C.; Sloan, C.; Montejano, A.; Quiban, C. Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey. Nurs. Rep. 2021, 11, 36-44. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010004

AMA Style

Kim SC, Sloan C, Montejano A, Quiban C. Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey. Nursing Reports. 2021; 11(1):36-44. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010004

Chicago/Turabian Style

Kim, Son C., Christine Sloan, Anna Montejano, and Carlota Quiban. 2021. "Impacts of Coping Mechanisms on Nursing Students’ Mental Health during COVID-19 Lockdown: A Cross-Sectional Survey" Nursing Reports 11, no. 1: 36-44. https://0-doi-org.brum.beds.ac.uk/10.3390/nursrep11010004

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