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2025, Number 2

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Salud Mental 2025; 48 (2)

Factors Associated with the Use of Psychoactive Drugs, Anxiety and Depression in University Students

Coscrato LOAR, Inocenti MA, do Carmo PJA
Full text How to cite this article

Language: English
References: 51
Page: 77-89
PDF size: 269.88 Kb.


Key words:

Students, anxiety, depression, psychotropics.

ABSTRACT

Introduction. University life entails several changes, contributing to the use of psychotropic drugs and mental disorders. Objective. To identify factors associated with psychoactive drug use and anxiety and depressive symptoms in university students. Method. Cross-sectional survey of 902 undergraduates, undertaken using sociodemographic data, with information on the use of psychotropic drugs, and the Mini International Neuropsychiatric Interview as a self-report. Chi-square and Fisher’s exact were used for the hypothesis of association. Logistic regression was used to determine the effect of independent in relation to dependent variables. Results. Risk factors for the use of psychotropic drugs were having children, admission through a quota scheme, studying linguistics, literature and arts and agricultural sciences, not enrolling, emotional difficulties, using mood altering drugs, unpleasant reactions to the absence of a substance and continuing use despite these reactions. Specific risk factors for depressive symptoms included being in the first year of undergraduate studies, dropping out and continuing to use mood-altering drugs despite unpleasant reactions. Specific risk factors for anxiety symptoms included admission quotas, studying agricultural sciences, literature, arts and linguistics, evening courses and courses that were not students’ first choice. Discussion and conclusion. The findings of this study provide a greater understanding of the phenomenon studied and can be used to develop health education strategies tailored for students.


REFERENCES

  1. Amaral, C. M. M., Carvalho, R. C., Vieira, M. E. B., & Aguiar, P. M. (2021). Factorsassociated with use of medications for anxiety and depression in pharmacystudents in Brazil. American Journal of Pharmaceutical Education, 85(6),8285. https://doi.org/10.5688/ajpe8285

  2. Balayssac, D., Pereira, B., Darfeuille, M., Cuq, P., Vernhet, L., Collin, A., Vennat,B., & Authier, N. (2018). Use of psychotropic medications and illegal drugs,and related consequences among French pharmacy students – SCEP Study: ANationwide Cross-Sectional Study. Frontiers in Pharmacology, 9,725. https://doi.org/10.3389/fphar.2018.00725

  3. Barros, G. M. M. de, Valério, F. C. E. P., Silva, M. H. F. D. da, Pecorelli, D. G., Porto,V. U. da N., & Silva, L. de A. (2021). Os impactos da Pandemia do COVID-19na saúde mental dos estudantes. Research Society and Development, 10(9), 47210918307. https://doi.org/10.33448/rsd-v10i9.18307

  4. Barros, M. S. M. R. de, & Costa, L. S. (2019). Perfil do consumo de álcool entreestudantes universitários. SMAD Revista Eletrônica Saúde Mental ÁlcoolE Drogas (Edição Em Português), 15(1), 4–13. https://doi.org/10.11606/issn.1806-6976.smad.2019.000353

  5. Batista, R. S. C., Freitas, T. B. C. de, Nascimento, E. G. C. do, Martins, R. R.,Miranda, F. A. N. de, & Pessoa Júnior, J. M. (2022). Uso de substânciaspsicoativas entre estudantes de medicina em uma universidade do semiáridobrasileiro. Medicina (Ribeirão Preto), 55(1), 184136.https://doi.org/10.11606/issn.2176-7262.rmrp.2022.184136

  6. Behzadifar, M., Behzadifar, M., Aryankhesal, A., Ravaghi, H., Baradaran, H. R., Sajadi,H. S., Khaksarian, M., & Bragazzi, N. L. (2020). Prevalence of self-medication inuniversity students: systematic review and meta-analysis. Eastern MediterraneanHealth Journal, 26(7), 846–857. https://doi.org/10.26719/emhj.20.052

  7. Bennett, T., & Holloway, K. (2017). Motives for illicit prescription drug use amonguniversity students: A systematic review and meta-analysis. InternationalJournal of Drug Policy, 44, 12–22. https://doi.org/10.1016/j.drugpo.2017.02.012

  8. Benson, K., Flory, K., Humphreys, K. L., & Lee, S. S. (2015). Misuse of stimulantmedication among college students: A comprehensive review and metaanalysis.Clinical Child and Family Psychology Review, 18(1), 50–76. https://doi.org/10.1007/s10567-014-0177-z

  9. Boulton, M. A., & O’Connell, K. A. (2017). Past year substance use by studentnurses. Journal of Addictions Nursing, 28(4), 179–187. https://doi.org/10.1097/jan.0000000000000193

  10. Conceição, L. de S., Batista, C. B., Dâmaso, J. G. B., Pereira, B. S., Carniele, R. C., &Pereira, G. dos S. (2019). Saúde mental dos estudantes de medicina brasileiros:Uma revisão sistemática da literatura. Avaliação: Revista da Avaliação daEducação Superior (Campinas), 24(3), 785–802. https://doi.org/10.1590/s1414-40772019000300012

  11. Demenech, L. M., Oliveira, A. T., Neiva-Silva, L., & Dumith, S. C. (2021). Prevalenceof anxiety, depression and suicidal behaviors among Brazilian undergraduatestudents: A systematic review and meta-analysis. Journal of Affective Disorders,282, 147–159. https://doi.org/10.1016/j.jad.2020.12.108

  12. Fasanella, N. A., Custódio, C. G., Cabo, J. S. do, Andrade, G. S., Almeida, F. A. de, &Pavan, M. V. (2022). Use of prescribed psychotropic drugs among medical studentsand associated factors: a cross-sectional study. Sao Paulo Medical Journal, 140(5),697–704. https://doi.org/10.1590/1516-3180.2021.0566.r2.05012022

  13. Fauzi, M. F., Anuar, T. S., Teh, L. K., Lim, W. F., James, R. J., Ahmad, R., Mohamed,M., Abu Bakar, S. H., Yusof, F. Z. M., & Salleh, M. Z. (2021). Stress, anxietyand depression among a cohort of health sciences undergraduate students: Theprevalence and risk factors. International Journal of Environmental Researchand Public Health, 18(6), 3269. https://doi.org/10.3390/ijerph18063269

  14. Galea, S., Merchant, R. M. & Lurie, N. (2020). The mental health consequences ofCOVID-19 and physical distancing. JAMA Internal Medicine, 180(6), 817-818.https://doi.org/10.1001/jamainternmed.2020.1562

  15. Garbin, A. J. Í., Santos, L. F. P. dos, Garbin, C. A. S., Saliba, T. A., & Saliba, O.(2020). Insatisfação com o curso e suicídio: saúde mental do estudante deOdontologia. Archives Of Health Investigation, 9(3). https://doi.org/10.21270/archi.v9i3.4851

  16. Gebreegziabher, Y., Girma, E., & Tesfaye, M. (2019). Help-seeking behavior of Jimmauniversity students with common mental disorders: A cross-sectional study.PLoS ONE, 14(2), e0212657. https://doi.org/10.1371/journal.pone.0212657

  17. Hirsch, C. D., Barlem, E. L. D., Barlem, J. G. T., Silveira, R. S. da, & Mendes,D. P. (2015). Fatores preditores e associados à satisfação dos estudantes deenfermagem. Acta Paulista de Enfermagem, 28(6), 566–572. https://doi.org/10.1590/1982-0194201500093

  18. Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematicreview of studies of depression prevalence in university students. Journalof Psychiatric Research, 47(3), 391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015

  19. Islam, S., Akter, R., Sikder, T., & Griffiths, M. D. (2022). Prevalence and factorsassociated with depression and anxiety among first-year university students inBangladesh: A cross-sectional study. International Journal of Mental Healthand Addiction, 20(3), 1289–1302. https://doi.org/10.1007/s11469-020-00242-y

  20. Jenkins, P. E., Ducker, I., Gooding, R., James, M., & Rutter-Eley, E. (2020). Anxietyand depression in a sample of UK college students: A study of prevalence,comorbidity, and quality of life. Journal of American College Health, 69(8),813–819. https://doi.org/10.1080/07448481.2019.1709474

  21. Jha, M. K., Rush, A. J., & Trivedi, M. H. (2018). When siscontinuing SSRIantidepressants Is a challenge: Management tips. The American Journal ofPsychiatry, 175(12), 1176–1184. https://doi.org/10.1176/appi.ajp.2018.18060692

  22. Kang, H. K., Rhodes, C., Rivers, E., Thornton, C. P., & Rodney, T. (2021). Prevalenceof mental health disorders among undergraduate university students in theUnited States: A Review. Journal of Psychosocial Nursing and Mental HealthServices, 59(2), 17–24. https://doi.org/10.3928/02793695-20201104-03

  23. Karyotaki, E., Cuijpers, P., Albor, Y., Alonso, J., Auerbach, R. P., Bantjes, J.,Bruffaerts, R., Ebert, D. D., Hasking, P., Kiekens, G., Lee, S., McLafferty, M.,Mak, A., Mortier, P., Sampson, N. A., Stein, D. J., Vilagut, G., & Kessler, R. C.(2020). Sources of stress and their associations with mental disorders amongcollege students: Results of the World Health Organization World Mental HealthSurveys International College Student Initiative. Frontiers in Psychology, 11,1759. https://doi.org/10.3389/fpsyg.2020.01759

  24. Knapstad, M., Sivertsen, B., Knudsen, A. K., Smith, O. R. F., Aarø, L. E., Lønning, K.J., & Skogen, J. C. (2021). Trends in self-reported psychological distress amongcollege and university students from 2010 to 2018. Psychological Medicine,51(3), 470–478. https://doi.org/10.1017/S0033291719003350

  25. Leach, L. S., & Butterworth, P. (2012). The effect of early onset common mentaldisorders on educational attainment in Australia. Psychiatry Research, 199(1),51–57. https://doi.org/10.1016/j.psychres.2012.03.040

  26. Leão, A. M., Gomes, I. P., Ferreira, M. J. M., & Cavalcanti, L. P. de G. (2018).Prevalence and factors associated with depression and anxiety amonguniversity students in the field of health in a large urban center in the northeastof Brazil. Revista Brasileira de Educação Médica, 42(4), 55-65. http://dx.doi.org/10.1590/1981-52712015v42n4RB20180092

  27. Lerner, A., & Klein, M. (2019). Dependence, withdrawal and rebound of CNS drugs:an update and regulatory considerations for new drugs development. BrainCommunications, 1(1), fcz025. https://doi.org/10.1093/braincomms/fcz025

  28. Limone, P., & Toto, G. A. (2022). Factors that predispose undergraduates to mentalissues: A cumulative literature review for future research perspectives. Frontiersin Public Health, 10, 831349. https://doi.org/10.3389/fpubh.2022.831349

  29. Liyanage, S., Saqib, K., Khan, A. F., Thobani, T. R., Tang, W.-C., Chiarot, C. B.,AlShurman, B. A., & Butt, Z. A. (2021). Prevalence of anxiety in universitystudents during the COVID-19 pandemic: A systematic review. InternationalJournal of Environmental Research and Public Health, 19(1), 62. https://doi.org/10.3390/ijerph19010062

  30. Maidana, M. dos S., Fernandes, C. L. F., Dumith, S. de C., & Silva Júnior, F. M.R. da. (2020). Prevalence and factors associated to the use of illicit drugs andpsychotropic medications among Brazilian undergraduates. Acta Scientiarum.Health Sciences, 42(1), e46774. https://doi.org/10.4025/actascihealthsci.v42i1.46774

  31. Melese, B., Bayu, B., Wondwossen, F., Tilahun, K., Lema, S., Ayehu, M., & Loha,E. (2016). Prevalence of mental distress and associated factors among HawassaUniversity medical students, Southern Ethiopia: a cross-sectional study. BMCResearch Notes, 9(1), 485. https://doi.org/10.1186/s13104-016-2289-7

  32. Naser, A. Y., Alwafi, H., Amara, N. A., Alhamad, H., Almadani, M. A., Alsairafi, Z.K., & Salawati, E. M. (2021). Epidemiology of depression and anxiety amongundergraduate students. International Journal of Clinical Practice, 75(9),e14414.https://doi.org/10.1111/ijcp.14414

  33. Padovani, R. da C., Neufeld, C. B., Maltoni, J., Barbosa, L. N. F., Souza, W. F.,Cavalcanti, H. A. F., & Lameu, J. do N. (2014). Vulnerability and psychologicalwell-being of college students. Revista Brasileira de Terapias Cognitivas,10(1). https://doi.org/10.5935/1808-5687.20140002

  34. Ornell, F., Schuch, J. B., Sordi, A. O., & Kessler, F. H. P. (2020). Pandemic fearand COVID-19: mental health burden and strategies. Brazilian Journal ofPsychiatry, 42(3), 232–235. https://doi.org/10.1590/1516-4446-2020-0008

  35. Papazisis, G., Tsakiridis, I., Pourzitaki, C., Apostolidou, E., Spachos, D., & Kouvelas,D. (2017). Nonmedical use of prescription medications among medical studentsin Greece: Prevalence of and motivation for use. Substance Use & Misuse,53(1), 77–85. https://doi.org/10.1080/10826084.2017.1325373

  36. Paudel, S., Gautam, H., Adhikari, C., & Yadav, D. K. (2020). Depression, anxietyand stress among the undergraduate students of Pokhara Metropolitan,Nepal. Journal of Nepal Health Research Council, 18(1), 27–34. https://doi.org/10.33314/jnhrc.v18i1.2189

  37. Prince, M. A., Carey, K. B., & Maisto, S. A. (2013). Protective behavioral strategies forreducing alcohol involvement: A review of the methodological issues. AddictiveBehaviors, 38(7), 2343–2351. https://doi.org/10.1016/j.addbeh.2013.03.010

  38. Ramón-Arbués, E., Gea-Caballero, V., Granada-López, J. M., Juárez-Vela, R.,Pellicer-García, B., & Antón-Solanas, I. (2020). The Prevalence of depression,anxiety and stress and their associated factors in college students. InternationalJournal of Environmental Research and Public Health, 17(19), 7001. https://doi.org/10.3390/ijerph17197001

  39. Reis, T. S. D. dos, Ragnini, E. C. S., & Boehs, S. de T. M. (2021). Psychic sufferinguse of psychopharmacs among graduate students. Rev. Nufen: Phenom. Interd,13(2), 45–57.

  40. Ribeiro, A. G., Cruz, L. P. da, Marchi, K. C., Tirapelli, C. R., & Miasso, A. I. (2014).Antidepressants: use, adherence and awareness among medical students.Ciência & Saúde Coletiva, 19(6), 1825-1833. https://doi.org/10.1590/1413-81232014196.06332013

  41. Ribeiro, M. das G. S., Cunha, C. de F., & Alvim, C. G. (2016). Trancamentos dematrícula no curso de medicina da UFMG: Sintomas de sofrimento psíquico.Revista Brasileira de Educação Médica, 40(4), 583–590. https://doi.org/10.1590/1981-52712015v40n4e00282015

  42. Risal, A. (2012). Common mental disorders. Kathmandu University Medical Journal,9(3), 213–217. https://doi.org/10.3126/kumj.v9i3.6308

  43. Santana, L. de L., Beljaki, W. D., Gobatto, M., Raeffner, R., Antonacci, M. H., &Buzzi, J. A. P. (2018). Estresse no cotidiano de graduandos de enfermagemde um instituto federal de ensino. Revista de Enfermagem do Centro-OesteMineiro, 8. https://doi.org/10.19175/recom.v8i0.2738

  44. Santos, L. S. dos, Martins, K. S. B. S., & Justi, J. (2023). Tornar-se mãe durante aformação acadêmica: desafios da maternidade sob a perspectiva educacional esociológica. Revista Contribuciones a Las Ciencias Sociales, 1–18.

  45. Santos, N. M. dos, Santana, M. S., Faustino, M. V. dos S., Fernandes, F. E. C. V.,& Santos, R. L. P. dos. (2021). Prevalência de depressão em acadêmicos desaúde e fatores associados / Prevalence of depression in health academic andassociated factors. Brazilian Journal of Development, 7(1), 7644–7657. https://doi.org/10.34117/bjdv7n1-519

  46. Shao, R., He, P., Ling, B., Tan, L., Xu, L., Hou, Y., Kong, L., & Yang, Y. (2020).Prevalence of depression and anxiety and correlations between depression, anxiety,family functioning, social support and coping styles among Chinese medicalstudents. BMC Psychology, 8(1), 38. https://doi.org/10.1186/s40359-020-00402-8

  47. Sheehan, D. V., Lecrubier. Y., Sheehan. K., Amorim. P., Janavs. J., Weiller. E.,Hergueta. T. Baker. R., & Dunbar, G. C. (1998). The Mini-InternationalNeuropsychiatric Interview (M.I.N.I.): the development and validation of astructured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal ofClinical Psychiatry, 59 Suppl 20, 34–57.

  48. Silva, M. V. da, Silva, J. L., & Guedes, J. P. (2022). Riscos associados ao uso abusivo debenzodiazepínicos: uma revisão de literatura. Research, Society and Development,11(15), e131111537040. https://doi.org/10.33448/rsd-v11i15.37040

  49. Silva, V. M. P. da, Oliveira, H. J. P. de, Souza, W. K. de, Souza, D. M. de, Santana, J.A. R. de, Canejo, S. P. da S., Lins, R. de P. L. de, Brito, F. B. de A., Lira, J. M. R.,& Santana, L. de L. S. (2021). Perfil epidemiológico do uso de medicamentosentre estudantes universitários. Revista Eletrônica Acervo Saúde, 13(10),e9030. https://doi.org/10.25248/reas.e9030.2021

  50. Sousa, A. R., Reis, D. M. dos, Vasconcelos, T. M. de, Abdon, A. P. V., Machado,S. P., & Bezerra, I. N. (2021). Relação entre Transtornos Mentais Comuns e aingestão dietética de universitários da área da saúde. Ciência & Saúde Coletiva,26(9), 4145–4152. https://doi.org/10.1590/1413-81232021269.07172020

  51. Souza, S. A. de, & Reinert, J. N. (2010). Avaliação de um curso de ensino superioratravés da satisfação/insatisfação discente. Avaliação: Revista da Avaliaçãoda Educação Superior (Campinas), 15(1), 159–176. https://doi.org/10.1590/S1414-40772010000100009




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Salud Mental. 2025;48