DEPRESSION AMONG NURSING STUDENTS IN INDONESIA: PREVALENCE AND ASSOCIATIONS WITH AGE AND LEVEL OF NURSING EDUCATION: NATIONAL SURVEY

Authors

  • Dian Sari Nurse Education Program, Faculty of Nursing and Public Health, Universitas Prima Bukittinggi, Bukittinggi, Indonesia

DOI:

https://doi.org/10.34035/jk.v17i1.1939

Keywords:

age, depression, education, Indonesia, nursing

Abstract

Background: Depression is more prevalent among nursing students than in the general student population, largely due to academic demands and the pressures of clinical practice. In Indonesia, evidence on demographic factors associated with depression among nursing students, such as age and level of nursing education, remains limited. This study aimed to examine the associations between age and educational level and the occurrence of depression among nursing students in Indonesia.
Methods: A cross-sectional study was conducted with 690 nursing students recruited from 30 provinces across Indonesia. Participants were selected using convenience and snowball sampling. Data were collected via an online questionnaire that included demographic characteristics and the Beck Depression Inventory (BDI), Indonesian version.
Results: The findings revealed that 21.01% of nursing students experienced depressive symptoms. The mean age of the respondents was 21 years old, and the majority were enrolled in a Bachelor’s degree program in Nursing (61.5%). Statistical analysis indicated no significant association between age and depression status (p = 0.611), and a significant association was identified between educational level and depression (p = 0.023), with students enrolled in the regular Bachelor of Nursing program demonstrating a higher prevalence of depression.
Conclusion: Depression remains a significant mental health problem among nursing students in Indonesia. Age was not associated with depressive symptoms, but education level emerged as a factor associated with depression. These findings highlight the need for increased psychological support and education-specific intervention strategies to prevent and reduce depression among nursing students.

References

Alhemedi, A., Qasaimeh, M., Abdo, N., Elsalem, L., Qaadan, D., Alomari, E., Lssa, Q., Alhadeethi, M., Abdul Kareem, H., Almasri, A., Elkhateeb, O., & Naser, A. (2023). Depression Among University Students in Jordan After the COVID-19 Pandemic: A Cross-Sectional Study. Psychology Research and Behavior Management, Volume 16, 4237–4249. https://doi.org/10.2147/PRBM.S436293

Aloufi, M. A., Jarden, R. J., Gerdtz, M. F., & Kapp, S. (2021). Reducing stress, anxiety, and depression in undergraduate nursing students: Systematic review. Nurse Education Today, 102, 104877. https://doi.org/10.1016/j.nedt.2021.104877

Alreshidi, S. M. (2025). College nursing students’ prevalence of depressive symptoms and associated factors: A cross-sectional study. Medicine, 104(46), e46033. https://doi.org/10.1097/MD.0000000000046033

Andargeery, S. Y. (2024). The perception and association between depression and academic stress among female undergraduate nursing students: A cross-sectional study. Frontiers in Public Health, 12, 1414469. https://doi.org/10.3389/fpubh.2024.1414469

Arini, D. P. (2021). Emerging adulthood: Pengembangan teori eriksonmengenaiteori psikososial pada abad 21. Jurnal Ilmiah Psyche, 15(1), 11–20.

Ciezar Andersen, S., Campbell, T., White, D., & King-Shier, K. (2024). An Intervention to Improve Mental and Physical Health of Undergraduate Nursing Students. Canadian Journal of Nursing Research, 56(3), 317–328. https://doi.org/10.1177/08445621241248308

Facioli, A. M., Barros, Â. F., Melo, M. C., Ogliari, I. C. M., & Custódio, R. J. D. M. (2020). Depression among nursing students and its association with academic life. Revista Brasileira de Enfermagem, 73(1), e20180173. https://doi.org/10.1590/0034-7167-2018-0173

Indahsari, M. M., & Oktaviana, W. (2025). Hubungan tingkat depresi dengan self-efficacy dalam menghadapi ujian kompetensi pada mahasiswa program profesi ners. Jurnal Ilmu Kesehatan Masyarakat, 14(6), 551–558. https://doi.org/10.33221/jikm.v14i06.4103/

Jardon, C., & Choi, K. R. (2024). COVID-19 Experiences and Mental Health Among Graduate and Undergraduate Nursing Students in Los Angeles. Journal of the American Psychiatric Nurses Association, 30(1), 86–94. https://doi.org/10.1177/10783903211072222

Kandasamy, G., Almanasef, M., Almeleebia, T., Orayj, K., Shorog, E., Alshahrani, A. M., Khaled, A., Prabahar, K., Alqifari, S. F., Mani, V., Alsuhim, G. Y. A., Alahmari, W. M. D., Ahmed, R., & Paulsamy, P. (2025). Prevalence of anxiety and depression among university students in Southern Saudi Arabia based on a cross-sectional survey. Scientific Reports, 15(1), 15482. https://doi.org/10.1038/s41598-025-00695-y

Kemkes. (2023). Survey Kesehatan Indonesia Tahun 2023. https://kemkes.go.id/app_asset/file_content_download/17169067256655eae5553985.98376730.pdf

Kurniawan, D., Fitriawan, A. S., Setyaningsih, W. A. W., Wulandari, A. N., Wijoyo, E. B., Samutri, E., Suparmanto, G., Achmad, B. F., Retnaningsih, L. N., & Sudiarti, P. E. (2024). Association Between Source of Social Support and Depression Among Nursing Students During the COVID-19 Pandemic. Nurse Media Journal of Nursing, 14(2). https://doi.org/10.14710/nmjn.v14i2.56407

Lombu, I. P. S., & Setiawan. (2016). Hubungan tingkat stres dengan strategi koping mahasiswa reguler profesi ners di fakultas keperawatan universitas sumatera utara [Skripsi, Universitas Sumatera Utara]. https://repositori.usu.ac.id/handle/123456789/17981

McDermott, K., Rajzer-Wakeham, K., Andres, J., & Schindler, C. (2022). A good coach can change a game, a great coach can change a life: Impact of quality CPR coaching. Critical Care Medicine, 50(1 SUPPL), 677. Embase. https://doi.org/10.1097/01.ccm.0000811732.88432.b1

Nadiah, S., Nadhirah, N. A., & Fajriza, I. (2021). Hubungan faktor perkembangan psikososial dengam identitas vokasional pada remaja akhir. Quanta, 5(1), 21–29.

Nway, N. C., Phetrasuwan, S., Putdivarnichapong, W., & Vongsirimas, N. (2023). Factors contributing to depressive symptoms among undergraduate nursing students: A cross-sectional study. Nurse Education in Practice, 68, 103587. https://doi.org/10.1016/j.nepr.2023.103587

Paiva, U., Cortese, S., Flor, M., Moncada-Parra, A., Lecumberri, A., Eudave, L., Magallón, S., García-González, S., Sobrino-Morras, Á., Piqué, I., Mestre-Bach, G., Solmi, M., & Arrondo, G. (2025). Prevalence of mental disorder symptoms among university students: An umbrella review. Neuroscience & Biobehavioral Reviews, 175, 106244. https://doi.org/10.1016/j.neubiorev.2025.106244

Santangelo, O. E., Provenzano, S., Giordano, D., Alagna, E., Armetta, F., Gliubizzi, C., Terranova, A., D’Anna, G., Barresi, D., Grigis, D., Genovese, C., Squeri, R., & Firenze, A. (2019). Nursing students and depressive symptomatology: An observational study in the University of Palermo. Mental Illness, 11(2), 25–31. https://doi.org/10.1108/MIJ-10-2019-0006

Sari, D., Fitria, D., Kartina, I., Lestari, R., Sari, A. B., Ramadhanti, I. P., Kosassy, S. M., & Efendi, D. (2025). Cross-cultural Adaptation and Psychometric Validation of the Indonesian Version of the Beck Depression Inventory Among Nursing Students in Indonesia: A Cross-Sectional Study.

Satria Fitriawan, A., Setyaningsih, W. A. W., Wulandari, A. N., Samutri, E., Achmad, B. F., Apriningtyas Budiyati, G., Nailufar, Y., & Retnaningsih, L. N. (2023). Prevalence and predictors of suicidality among nursing students in Indonesia. Kontakt, 25(1), 10–17. https://doi.org/10.32725/kont.2023.009

Sonmez, Y., Akdemir, M., Meydanlioglu, A., & Aktekin, M. R. (2023). Psychological Distress, Depression, and Anxiety in Nursing Students: A Longitudinal Study. Healthcare, 11(5), 636. https://doi.org/10.3390/healthcare11050636

Tarigan, M., Azizah Siregar, N., Nasution, S. Z., & Lailan Nasution, M. (2025). Depressive Symptoms among Undergraduate Nursing Students in Indonesia. Malaysian Journal of Nursing, 17(01). https://doi.org/10.31674/mjn.2025.v17i01.001

WHO. (2022). Addressing mental health in Indonesia. https://iris.who.int/server/api/core/bitstreams/7d153a55-caf7-4e3f-8400-7892ae402ed7/content

Winasis, G. P., Kurniawan, S. T., & Vioneery, D. (2020). Gambaran tingkat depresi mahasiswa diploma III keperawatan dalam menjalani tugas akhir karya tulis ilmiah (KTI) di Universtas Kusuma Husada Surakarta [Skripsi, Universitas Kusuma Husada]. https://eprints.ukh.ac.id/id/eprint/915/2/NASKAH%20PUBLIKASI_GALIH%20PULUNG%20WINASIS_S16086.pdf

Ye, X., Yang, G., Zhang, W., Toussaint, L., & Zhao, F. (2025). Relationship of negative life events with depression and anxiety in nursing students: A moderated mediation model of resilience and gender. BMC Nursing, 24(1), 58. https://doi.org/10.1186/s12912-024-02661-x

Zeng, Y., Wang, G., Xie, C., Hu, X., & Reinhardt, J. D. (2019). Prevalence and correlates of depression, anxiety, and symptoms of stress in vocational college nursing students from Sichuan, China: A cross-sectional study. Psychology, Health & Medicine, 24(7), 798–811. https://doi.org/10.1080/13548506.2019.1574358

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Published

2026-01-29

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