{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T20:47:38Z","timestamp":1774817258634,"version":"3.50.1"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Objective: to evaluate defining characteristics of nursing diagnoses that are predictors of mental health disorders among undergraduate students in the post-COVID-19 era.  Method: cross-sectional, multicenter study conducted with undergraduate students from four public universities in the state of Minas Gerais. Data were collected through a structured, online questionnaire with sociodemographic and clinical variables. The presence of defining characteristics included in the Nursing Diagnoses of Anxiety, Change Stress Syndrome; Post-Trauma Syndrome; Stress Overload and Chronic Sadness, present in the NANDA-I taxonomy, was also investigated through self-report. The Depression, Anxiety and Stress Scale and the Impact of Events Scale-Revised were also used. Multivariate logistic regression analysis was performed to determine the defining characteristics that were configured as predictors of mental health disorders. Adjusted odds ratios were estimated, along with 95% confidence intervals, at 5% significance.  Results: 2,349 undergraduate students participated in the study. The presence of 24 physical, behavioral, cognitive, and emotional defining characteristics of the nursing diagnoses in question was investigated. Of these, 13 emerged as predictors for anxiety symptoms; 15 for stress symptoms; 11 for depression symptoms; and 15 for post-traumatic stress disorder.  Conclusion: physical, behavioral, cognitive, and emotional defining characteristics of NANDA-I nursing diagnoses were evidenced as predictors for the development of mental health disorders in university students in the post-COVID-19 era.<\/jats:p>","DOI":"10.1590\/1518-8345.7741.4671","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:03:50Z","timestamp":1761577430000},"source":"Crossref","is-referenced-by-count":1,"title":["Defining characteristics predicting mental health disorders among undergraduate students in the post-COVID-19 era: a multicenter cross-sectional study"],"prefix":"10.1590","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1224-7177","authenticated-orcid":false,"given":"Caroline de Castro","family":"Moura","sequence":"first","affiliation":[{"name":"Universidade Federal de Vi\u00e7osa,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9527-7325","authenticated-orcid":false,"given":"Luana Vieira","family":"Toledo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Vi\u00e7osa,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7694-0080","authenticated-orcid":false,"given":"Gabriela Tavares","family":"Boscarol","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil; Scholarship holder at the Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7014-6705","authenticated-orcid":false,"given":"Rafael Lopes","family":"Chaves","sequence":"additional","affiliation":[{"name":"Universidade Professor Edson Ant\u00f4nio Velano,  Brazil; Scholarship holder at the Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2285-8764","authenticated-orcid":false,"given":"Denismar Alves","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Alfenas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4064-951X","authenticated-orcid":false,"given":"Carine Alves da Costa","family":"Marinho","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3192-3540","authenticated-orcid":false,"given":"Bruna de Oliveira","family":"Alves","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2417-8666","authenticated-orcid":false,"given":"B\u00e1rbara Guimar\u00e3es","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Universidade Federal de Vi\u00e7osa,  Brazil; Scholarship holder at the Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2346-5359","authenticated-orcid":false,"given":"\u00c9rika de C\u00e1ssia Lopes","family":"Chaves","sequence":"additional","affiliation":[{"name":"Universidade Federal de Alfenas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8313-2791","authenticated-orcid":false,"given":"T\u00e2nia Couto Machado","family":"Chianca","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"World mental health report: transforming mental health for all","year":"2022"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/S2215-0366(21)00395-3","article-title":"Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"9","author":"Collaborators GBD 2019 Mental Disorders","year":"2022","journal-title":"Lancet Psychiatry"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.3928\/02793695-20201104-03","article-title":"Prevalence of Mental Health Disorders Among Undergraduate University Students in the United States: A Review","volume":"59","author":"Kang H. K.","year":"2021","journal-title":"J Psychosoc Nurs Ment Health Serv"},{"issue":"11","key":"ref4","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1111\/jcpp.13606","article-title":"Prevalence and associated factors of depression and anxiety symptoms among college students: a systematic review and meta-analysis","volume":"63","author":"Li W.","year":"2022","journal-title":"J Child Psychol Psychiatry"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0258493","article-title":"Depression, anxiety and stress symptoms in Brazilian university students during the COVID-19 pandemic: Predictors and association with life satisfaction, psychological well-being and coping strategies","volume":"16","author":"Lopes A. 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G.","year":"2023","journal-title":"Behav Sci"},{"issue":"15","key":"ref11","doi-asserted-by":"crossref","DOI":"10.3390\/su151511924","article-title":"Mental Health in the Post-Pandemic Period: Depression, Anxiety, and Stress in Peruvian University Students upon Return to Face-to-Face Classes","volume":"15","author":"Farf\u00e1n-Latorre M.","year":"2023","journal-title":"Sustainability"},{"key":"ref12","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-78559-0","article-title":"Mental health and sleep in the post-COVID-19 era among Thai undergraduate students","volume":"14","author":"Chautrakarn S.","year":"2024","journal-title":"Sci Rep"},{"issue":"9596","key":"ref13","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies","volume":"370","author":"Elm E. von","year":"2007","journal-title":"Lancet"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jad.2013.10.031","article-title":"Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese","volume":"155","author":"Vignola R. C.","year":"2014","journal-title":"J Affect Disord"},{"issue":"3","key":"ref15","first-page":"597","article-title":"Cross-cultural adaptation of the Brazilian version of the Impact of Events Scale-Revised (IES-R)","volume":"8","author":"Caiuby A. V. S.","year":"2012","journal-title":"Cad Saude Publica"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5116\/ijme.4dfb.8dfd","article-title":"Making sense of Cronbach\u2019s alpha","volume":"2","author":"Tavakol M.","year":"2011","journal-title":"Int J Med Educ"},{"issue":"9","key":"ref17","article-title":"Effects of COVID-19 on College Students\u2019 Mental Health in the United States: Interview Survey Study","volume":"22","author":"Son C.","year":"2020","journal-title":"J Med Internet Res"},{"issue":"1-2","key":"ref18","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1159\/000362736","article-title":"Stress, the Stress System and the Role of Glucocorticoids","volume":"22","author":"Nicolaides N. C.","year":"2015","journal-title":"Neuroimmunomodulation"},{"key":"ref19","doi-asserted-by":"crossref","DOI":"10.1016\/j.ctim.2020.102514","article-title":"Effect of nature exposure on perceived and physiologic stress: A systematic review","volume":"53","author":"Shuda Q.","year":"2020","journal-title":"Complement Ther Med"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.3390\/healthcare10040740","article-title":"Temporomandibular Disorders, Bruxism, Perceived Stress, and Coping Strategies among Medical University Students in Times of Social Isolation during Outbreak of COVID-19 Pandemic","volume":"10","author":"Saczuk K.","year":"2022","journal-title":"Healthcare"},{"issue":"11","key":"ref21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0288745","article-title":"Stress and headaches in university students during the COVID-19 pandemic","volume":"18","author":"Francisco J.","year":"2023","journal-title":"PLoS One"},{"issue":"2","key":"ref22","first-page":"147","article-title":"Anxiety and depression associated with pain and discomfort of temporomandibular disorders","volume":"3","author":"Soares L. F. F.","year":"2020","journal-title":"BrJP"},{"key":"ref23","article-title":"Prevalence of COVID-19 Pandemic, Self-Esteem and Its Effect on Depression Among University Students in Saudi Arabia","volume":"10","author":"Azmi F. M.","year":"2022","journal-title":"Front Public Health"},{"issue":"20","key":"ref24","article-title":"The Role of Self-Esteem in the Academic Performance of Rural Students in China","volume":"19","author":"Yu W.","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"ref25","first-page":"179","article-title":"COVID-19 induced psychosocial challenges in South African higher education: Experiences of staff and students at two rural universities","volume":"6","author":"Olawale B. E.","year":"2021","journal-title":"Res Soc Sci Technol"},{"issue":"7","key":"ref26","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1007\/s00787-021-01856-w","article-title":"The impact of COVID-19 lockdown on child and adolescent mental health: systematic review","volume":"32","author":"Panchal U.","year":"2023","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"ref27","doi-asserted-by":"crossref","DOI":"10.1016\/j.psychres.2022.114596","article-title":"Fear of COVID-19 and health-related outcomes: results from two Brazilian population-based studies","volume":"313","author":"Meller F. 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