Assessment of stress, anxiety, and depression levels among nursing students using the DASS-21 scale
- VernacularTitle:Сувилахуйн хөтөлбөрөөр суралцагчдын стресс, түгшүүр, сэтгэл гутралын түвшинг DASS-21 тестээр үнэлэх нь
- Author:
Ma Ye
1
;
Zultsetseg Narangerel
2
;
Odonchimeg Battsengel
3
;
Ariunaa Zundui
2
Author Information
1. Affiliated Hospital of Inner Mongolia University for the Nationalities, Inner Mongolia Autonomous Region, China
2. Office of Academic Policy and Coordination, Mongolian University of Pharmaceutical Sciences, Ulaanbaatar, Mongolia
3. Department of Traditional medicine, Drug Research Institute
- Publication Type:Journal Article
- Keywords:
nursing students;
DASS-21;
depression;
anxiety;
stress
- From:
Mongolian Pharmacy and Pharmacology
2026;28(1):19-28
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction:This study aimed to assess psychological distress among nursing students enrolled in bachelor’s and
associate degree programs using the DASS-21 (Depression Anxiety Stress Scales-21).
Objective:To evaluate levels of depression, anxiety, and stress and analyze their differences by age, gender, and
year of study.
Methods::A cross-sectional design was employed. Data were collected from students and analyzed by
age, gender, and year of study. Depression, anxiety, and stress levels were measured using DASS-21 standard scoring and categorized accordingly.
The findings showed that psychological distress levels were generally consistent with international trends. Bachelor’s students demonstrated higher levels of depression and stress, particularly in the second and final years. Anxiety levels were moderate among first- to third-year bachelor’s students. In contrast, associate degree students mostly exhibited normal to mild levels across all three domains. Female students reported relatively higher levels of depression and anxiety. Academic workload, clinical practice demands, financial difficulties, and environmental stressors such as traffic congestion and air pollution were identified as contributing factors.
Conclusion:Psychological distress among nursing students varies by academic level and is influenced by multiple
factors. The results highlight the importance of implementing targeted mental health support and preventive interventions tailored to students’ academic stages.
- Full text:2026080123424553433MPPJ-2026-28(1)-19-28.pdf