The Debate about Increasing College Student Psychopathology: Are College Students Really Getting “Sicker?”

Much, Kari; Swanson, Amy

doi:10.1080/87568220903558570

Cited by 24 publications

(10 citation statements)

References 14 publications

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“…Second, a central discussion concerns whether the observed increase reflects more focus on and openness regarding mental health problems rather than changes in experiences of distress per se (Baxter et al, 2014 ; Collishaw, 2015 ; Much & Swanson, 2010 ). That is, whether these factors have improved recognition of and/or lowered the threshold to report mental health problems.…”

Section: Discussionmentioning

confidence: 99%

Trends in self-reported psychological distress among college and university students from 2010 to 2018

et al. 2019

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Background An increase in reported psychological distress, particularly among adolescent girls, is observed across a range of countries. Whether a similar trend exists among students in higher education remains unknown. The aim of the current study was to describe trends in self-reported psychological distress among Norwegian college and university students from 2010 to 2018. Methods We employed data from the Students' Health and Wellbeing Study (SHoT), a nationwide survey for higher education in Norway including full-time students aged 18–34. Numbers of participants (participation rates) were n = 6065 (23%) in 2010, n = 13 663 (29%) in 2014 and n = 49 321 (31%) in 2018. Psychological distress was measured using the Hopkins Symptom Checklist-25 (HSCL-25). Results Overall, a statistically significant increase in self-reported psychological distress was observed over time across gender and age-groups. HSCL-25 scores were markedly higher for women than for men at all time-points. Effect-size of the mean change was also stronger for women (time-by-gender interaction: χ2 = 70.02, df = 2, p < 0.001): in women, mean HSCL-25 score increased from 1.62 in 2010 to 1.82 in 2018, yielding a mean change effect-size of 0.40. The corresponding change in men was from 1.42 in 2010 to 1.53 in 2018, giving an effect-size of 0.26. Conclusions Both the level and increase in self-reported psychological distress among Norwegian students in higher education are potentially worrying. Several mechanisms may contribute to the observed trend, including changes in response style and actual increase in distress. The relative low response rates in SHoT warrant caution when interpreting and generalising the findings.

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Section: Discussionmentioning

confidence: 99%

Trends in self-reported psychological distress among college and university students from 2010 to 2018

et al. 2019

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“…As the result of these trends, many college and university counseling centers have found it necessary to adapt their approaches (Kitzrow, 2003;Much & Swanson, 2010). Consistent with the national trends, senior clinicians within Sarah Lawrence College (SLC) Health Services perceived a rise in the number of students presenting with significant psychopathology, specifically students who met criteria for BPD and reported a history of suicidal ideation, NSIB, and comorbid Axis I psychopathology.…”

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confidence: 84%

Dialectical Behavior Therapy for a College Population: Applications at Sarah Lawrence College and Beyond

Engle

Gadischkie

Roy

et al. 2013

Journal of College Student Psychotherapy

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Journal of College Student PsychotherapyPublication details, including instructions for authors and subscription information:Trends in college mental health literature suggest many college and university counseling centers are facing increased demands for services. Moreover, survey data suggest that counseling center directors and staff perceive increases in serious psychopathology, suicidality, and nonsuicidal self-injurious behavior, along with other typical student problems. At Sarah Lawrence College, a marked increase in the number of students hospitalized for psychiatric reasons, many meeting criteria for borderline personality disorder (BPD), required Health Services to rethink clinical service delivery, staff training, and resource allocation. Owing to its proven efficacy in the treatment of BPD, dialectical behavior therapy (DBT) was adapted at our setting. An overview of DBT is presented, followed by a brief history and a detailed description of the Sarah Lawrence College DBT Program, initial data on its impact for student retention and hospitalizations, and a discussion of the potential benefits of employing DBT with students in other collegiate settings. As one of few college counseling centers offering such treatment, the DBT Program at Sarah Lawrence College represents a promising model of treatment for college students with BPD.

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“…Research suggests that providing feedback to clinicians regarding client progress positively affects treatment outcomes, reduces the likelihood of clinical deterioration, and enhances the likelihood of positive outcomes even for clients who showed an initial poor response to treatment (Lambert, 2010;Lambert et al, 2003;Maruish, 1999;Reese, Norsworthy, & Rowlands, 2009 Evaluating Clinical Significance Jacobson and Truax (1991) introduced a method to enable researchers and clinicians to determine whether any particular client achieved "clinically significant change." To do so, a client's change score on a measure is rated on two criteria.…”

Section: Tracking Individual Outcomesmentioning

confidence: 98%

The Utility of an Efficient Outcomes Assessment System at University Counseling Centers

Kopta

Petrik

Saunders

et al. 2014

Journal of College Student Psychotherapy

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The Debate about Increasing College Student Psychopathology: Are College Students Really Getting “Sicker?”

Cited by 24 publications

References 14 publications

Trends in self-reported psychological distress among college and university students from 2010 to 2018

Trends in self-reported psychological distress among college and university students from 2010 to 2018

Dialectical Behavior Therapy for a College Population: Applications at Sarah Lawrence College and Beyond

The Utility of an Efficient Outcomes Assessment System at University Counseling Centers

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