What kinds of factors affect the academic outcomes of university students with mental disorders? A retrospective study based on medical records

Ishii, Terumi; Tachikawa, Hirokazu; Shiratori, Yuki; Hori, Takafumi; Aiba, Miyuki; Kuga, K; Arai, Tetsuaki

doi:10.1016/j.ajp.2017.11.017

Cited by 68 publications

(57 citation statements)

References 8 publications

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“…The difficulties university students face are a matter of public concern. Thus, our results can be useful for both professional and clinical or educational institutions since it is well known that students experiencing higher psychological distress show a higher risk of academic failures and drop-out (Jaisoorya et al, 2017;Ishii et al, 2018). Such evidence strongly suggests the need to adopt an integrated approach toward university students to alleviate their psychological distress, and to improve the development of preventative and therapeutic interventions tailored to the clinical characteristics of students, as well as taking their living environment into account.…”

Section: Discussionmentioning

confidence: 64%

State and Trait Anxiety Among University Students: A Moderated Mediation Model of Negative Affectivity, Alexithymia, and Housing Conditions

2020

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Starting university education is a crucial period for the mental health of students, who report higher levels of distress compared to the general population. This study sought to better understand the distress experienced by students by considering contextual facets (e.g., housing conditions) as well as stable clinical variables (e.g., negative affectivity, emotion regulation, and anxiety). Methods: A total of 177 University students (71.2% females) aged 18-29 were administered the State-Trait Anxiety Inventory-Y, the Beck Depression Inventory-II, the Suicidal History Self-Rating Screening Scale, the Personality Inventory for DSM-5-Brief Form, and the Toronto Alexithymia Scale-20. Results: University students showed concerning levels of distress, particularly concerning anxiety, and depression. We found that the relationship between negative affectivity and both state and trait anxiety was mediated by alexithymia but housing conditions did not act as a moderator for the indirect effect of negative affectivity on state or trait anxiety through alexithymia. Conclusion: Undoubtedly, university lifestyle can be demanding, but experiencing distress is not inevitable nor inexplicable. The present study sought to gain insight into the anxiety experienced by Italian University students while taking into account the importance of personality and clinical characteristics that have previously been widely underestimated. We found that these characteristics can be of extreme importance for developing preventative and therapeutic interventions tailored to the clinical characteristics of students, as well taking into account their living environment.

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Section: Discussionmentioning

confidence: 64%

State and Trait Anxiety Among University Students: A Moderated Mediation Model of Negative Affectivity, Alexithymia, and Housing Conditions

2020

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“…Mental disorders and suicidal thoughts and behaviors are highly prevalent among college students (Auerbach et al, , ; Mortier et al, ) and are associated with substantial current role impairments (Alonso et al, ) as well as with diverse negative long‐term consequences such as lower academic achievement (Bruffaerts et al, ; Eisenberg, Golberstein, & Hunt, ; Hysenbegasi, Hass, & Rowland, ; Mortier et al, ), higher risk for dropout (Ishii et al, ; Kessler, Foster, Saunders, & Stang, ), and worse functioning in later life (Goldman‐Mellor et al, ; Niederkrotenthaler et al, ).…”

Section: Introductionmentioning

confidence: 99%

Barriers of mental health treatment utilization among first‐year college students: First cross‐national results from the WHO World Mental Health International College Student Initiative

Ebert

Mortier

Kaehlke

et al. 2019

Int J Methods Psych Res

252

167

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Background Although mental disorders and suicidal thoughts‐behaviors (suicidal thoughts and behaviors) are common among university students, the majority of students with these problems remain untreated. It is unclear what the barriers are to these students seeking treatment. Aims The aim of this study is to examine the barriers to future help‐seeking and the associations of clinical characteristics with these barriers in a cross‐national sample of first‐year college students. Method As part of the World Mental Health International College Student (WMH‐ICS) initiative, web‐based self‐report surveys were obtained from 13,984 first‐year students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio‐demographic, college‐, and treatment‐related variables were used to examine correlates of help‐seeking intention and barriers to seeking treatment. Results Only 24.6% of students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among students who failed to report that they would definitely seek help. Having 12‐month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. Conclusions The majority of first‐year college students in the WMH‐ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help‐seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet‐based psychological treatments, which can be accessed privately and are often build as self‐help approaches, would be more acceptable than other types of treatments to student who report hesitation about seeking treatment.

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“…It is estimated that 12–46% of all university students are affected by mental health disorders in any given year (Auerbach et al, ; Auerbach et al, ; Blanco et al, ; Eisenberg, Hunt, & Speer, ; Verger, Guagliardo, Gilbert, Rouillon, & Kovess‐Masfety, ). Mental disorders account for about half of the disease burden of young adults in high‐income countries (WHO, ) and are associated with long‐standing negative outcomes for both the individual and society, including lowered academic achievement (Eisenberg, Golberstein, & Hunt, ; Hysenbegasi, Hass, & Rowland, ), college dropout (Ishii et al, ; Kessler, Foster, Saunders, & Stang, ), and worse functioning in later life (Goldman‐Mellor et al, ; Niederkrotenthaler et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Although often conceptualized as a time of positive personal development (Evans, Forney, Guido, Patton, & Renn, 2009), postsecondary education also represents a peak onset period for the occurrence of mental disorders (Ibrahim, Kelly, Adams, & Glazebrook, 2013). It is estimated that 12-46% of all university students are affected by mental health disorders in any given year (Auerbach both the individual and society, including lowered academic achievement (Eisenberg, Golberstein, & Hunt, 2009;Hysenbegasi, Hass, & Rowland, 2005), college dropout (Ishii et al, 2018;Kessler, Foster, Saunders, & Stang, 1995), and worse functioning in later life (Goldman-Mellor et al, 2014;Niederkrotenthaler et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Internet interventions for mental health in university students: A systematic review and meta‐analysis

Harrer

Adam

Baumeister

et al. 2018

Int J Methods Psych Res

298

250

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Objectives Mental health disorders are highly prevalent among university students. Universities could be an optimal setting to provide evidence‐based care through the Internet. As part of the World Mental Health International College Student initiative, this systematic review and meta‐analysis synthesizes data on the efficacy of Internet‐based interventions for university students' mental health. Method A systematic literature search of bibliographical databases (CENTRAL, MEDLINE, and PsycINFO) for randomized trials examining psychological interventions for the mental health (depression, anxiety, stress, sleep problems, and eating disorder symptoms), well‐being, and functioning of university students was performed through April 30, 2018. Results Forty‐eight studies were included. Twenty‐three studies (48%) were rated to have low risk of bias. Small intervention effects were found on depression (g = 0.18, 95% confidence interval [CI; 0.08, 0.27]), anxiety (g = 0.27, 95% CI [0.13, 0.40]), and stress (g = 0.20, 95% CI [0.02, 0.38]). Moderate effects were found on eating disorder symptoms (g = 0.52, 95% CI [0.22–0.83]) and role functioning (g = 0.41, 95% CI [0.26, 0.56]). Effects on well‐being were non‐significant (g = 0.15, 95% CI [−0.20, 0.50]). Heterogeneity was moderate to substantial in many analyses. After adjusting for publication bias, effects on anxiety were not significant anymore. Discussion Internet interventions for university students' mental health can have significant small‐to‐moderate effects on a range of conditions. However, more research is needed to determine student subsets for which Internet‐based interventions are most effective and to explore ways to increase treatment effectiveness.

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What kinds of factors affect the academic outcomes of university students with mental disorders? A retrospective study based on medical records

Cited by 68 publications

References 8 publications

State and Trait Anxiety Among University Students: A Moderated Mediation Model of Negative Affectivity, Alexithymia, and Housing Conditions

State and Trait Anxiety Among University Students: A Moderated Mediation Model of Negative Affectivity, Alexithymia, and Housing Conditions

Barriers of mental health treatment utilization among first‐year college students: First cross‐national results from the WHO World Mental Health International College Student Initiative

Internet interventions for mental health in university students: A systematic review and meta‐analysis

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