Psychological distress among pharmacy students in Ghana and its impact on academic performance
DOI:
https://doi.org/10.18203/2320-6012.ijrms20251286Keywords:
Anxiety, Depression, Ghana, Pharmacists, Stress, StudentsAbstract
Background: Mental health encompasses emotional, psychological, and social well-being, shaping cognition, behaviour, and interpersonal relationships across the lifespan. There is a high level of stress, anxiety and depression among students of professional programs such as pharmacy. Academic distress is expected to be associated with high general anxiety.
Methods: The study employed a quantitative cross-sectional design and used the depression, anxiety, and stress scale (DASS-21) to measure psychological distress and self-reported grade point average (GPA) for academic performance. A sample of 482 pharmacy students from three pharmacy institutions completed the online survey between April and July 2024.
Results: Out of 497 participants, 482 completed the study, yielding a 97% completion rate. Of these, 50.6% were female (n=244) and 49.4% male (n=238). Most students (46.9%) were aged 21-24, about a quarter below 21 years, while the fewest were 30 or older. The majority were Christians (86.3%), followed by Muslims (12%), with a small proportion from other faiths. About 80% (n=386) of respondents reported symptoms of depression, anxiety and stress. Both males and females showed similar levels of anxiety and depression. However, females had a 37% higher likelihood of reporting stress than their male counterparts (OR=0.73, p=0.002).
Conclusions: This study revealed a high prevalence of anxiety, depression, and stress among pharmacy students in Ghana, with female students particularly prone to stress. While anxiety and depression correlate positively with higher academic performance, stress shows a negative impact.
Metrics
References
Weitzman ER. Poor mental health, depression, and associations with alcohol consumption, harm, and abuse in a national sample of young adults in college. J Nerv Ment Dis. 2004;192(4):269-77. DOI: https://doi.org/10.1097/01.nmd.0000120885.17362.94
Dixon J. Improving the mental health treatment gap in Ghana. Afr Background. 2012;29:1-7.
Roberts M, Mogan C, Asare JB. An overview of Ghana’s mental health system : results from an assessment using the World Health Organization’s Assessment Instrument for Mental Health Systems (WHO-AIMS). Int J Ment Health Syst. 2014;8(16):1-13. DOI: https://doi.org/10.1186/1752-4458-8-16
Opoku-Acheampong A, Kretchy IA, Acheampong F, Afrane BA, Ashong S, Tamakloe B, et al. Perceived stress and quality of life of pharmacy students in University of Ghana. BMC Res Notes. 2017;10:1-7. DOI: https://doi.org/10.1186/s13104-017-2439-6
McEachan RR, Conner M, Taylor NJ, Lawton RJ. Prospective prediction of health-related behaviours with the theory of planned behaviour: a meta-analysis. Health Psychol Rev. 2011;5(2):97-144. DOI: https://doi.org/10.1080/17437199.2010.521684
Anekwe L. Revealed: The rising level of stress among community pharmacists. 2009. Available at: https://www.chemistanddruggist.co.uk/CD005729/Revealed-The-rising-levels-of-stress-among-community-pharmacists. Accessed on 11 January 2025.
Kumar KS, Srivastava S, Paswan S, Dutta AS. Depression-symptoms, causes, medications and therapies. Pharm Innov. 2012;1(3, Part A):37.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). American Psychiatric Association. 2013. Available at: https://psychiatry.org/psychiatrists/practice/dsm. Accessed on 11 January 2025.
Weinberg A, Creed F. Stress and psychiatric disorder in healthcare professionals and hospital staff. Lancet. 2000;355(9203):533-7. DOI: https://doi.org/10.1016/S0140-6736(99)07366-3
Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during COVID-19 pandemic. BMJ. 2020;368. DOI: https://doi.org/10.1136/bmj.m1211
Marshall LL, Allison A, Nykamp D, Lanke S. Perceived stress and quality of life among doctor of pharmacy students. Am J Pharm Educ. 2008;72(6):137. DOI: https://doi.org/10.5688/aj7206137
Sabourin AA, Prater JC, Mason NA. Assessment of mental health in doctor of pharmacy students. Curr Pharm Teach Learn. 2019;11(3):243-50. DOI: https://doi.org/10.1016/j.cptl.2018.12.004
Khorassani F, Hassani B, Conry J, Espejo G. Evaluating anxiety in doctor of pharmacy students in their first through fourth professional years. Curr Pharm Teach Learn. 2021;13(6):628-34. DOI: https://doi.org/10.1016/j.cptl.2021.01.045
Zakeri M, De La Cruz A, Wallace D, Sansgiry SS. General anxiety, academic distress, and family distress among doctor of pharmacy students. Am J Pharm Educ. 2021;85(10):8522. DOI: https://doi.org/10.5688/ajpe8522
Samreen S, Siddiqui NA, Mothana RA. Prevalence of anxiety and associated factors among pharmacy students in Saudi Arabia: a cross‐sectional study. BioMed Res Int. 2020;2020(1):2436538. DOI: https://doi.org/10.1155/2020/2436538
Bore M, Kelly B, Nair B. Potential predictors of psychological distress and well-being in medical students: a cross-sectional pilot study. Adv Med Educ Pract. 2016;7:125. DOI: https://doi.org/10.2147/AMEP.S96802
Ludwig AB, Burton W, Weingarten J, Milan F, Myers DC, Kligler B. Depression and stress amongst undergraduate medical students. BMC Med Educ. 2015;15:1-5. DOI: https://doi.org/10.1186/s12909-015-0425-z
Fischbein R, Bonfine N. Pharmacy and medical students’ mental health symptoms, experiences, attitudes and help-seeking behaviours. Am J Pharm Educ. 2019;83(10):7558. DOI: https://doi.org/10.5688/ajpe7558
Tessema TT, Gebremariam TA, Abebe EA. The prevalence and factors associated with mental distress among college students in southern Ethiopia: a cross-sectional study. Ethiop J Health Sci. 2019;29(3).