{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:10:38Z","timestamp":1787015438480,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The current study was conducted to measure the prevalence of stress, anxiety, depression, and sleep quality and identify predisposing factors of psychological distress among young adults during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional design was adopted. The target population consisted of students studying at an associate degree health services school at a university in Turkiye. Overall, 704 students were included in the sample. Multiple logistic regression was implemented to predict risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence of moderate to extremely severe stress, anxiety, and depression was found to be 39%, 48.4% and 47.6%, respectively. There was a strong positive association between stress and anxiety (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.869,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), stress and depression (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.912,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and between anxiety and depression (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.857,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). A moderate positive relationship was found between sleep quality and stress (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.484,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), sleep quality and anxiety (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.484,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and sleep quality and depression (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.481,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Young adults with poor sleep quality, those who find safety measures for the pandemic outbreak insufficient, those who use alcohol, and those who feel despair were more likely to have stress, anxiety, and depression risk. Age and gender did not affect their stress, anxiety, or depression risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nearly half of the young adults experienced varying degrees of stress, anxiety, and depression, and most had poor sleep quality. The insufficiency of outbreak measures, poor sleep quality, using alcohol, and feelings of despair were mutual predictive factors of stress, anxiety, and depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70002","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T06:50:38Z","timestamp":1737528638000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Prevalence of Stress, Anxiety, Depression, and Sleep Quality Among Young Adults in Turkiye: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"31","author":[{"given":"Hanifi","family":"D\u00fclger","sequence":"first","affiliation":[{"name":"Department of Midwifery Bart\u0131n University Health Sciences Faculty Bart\u0131n Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4745-5478","authenticated-orcid":false,"given":"Sultan","family":"Ayaz\u2010Alkaya","sequence":"additional","affiliation":[{"name":"Department of Nursing Gazi University Faculty of Nursing Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2020.21020186"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02143-7"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-018-1647-5"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.842378"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17197001"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/23311908.2017.1283829"},{"key":"e_1_2_8_8_1","unstructured":"World Health Organization COVID\u201019 Pandemic Triggers 25% Increase in Prevalence of Anxiety and Depression Worldwide;2022. 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