Multivariable models of academic outcomes were adjusted for age, gender and childhood abuse. Interestingly, in adjusted models, depressive symptoms remained associated with decreases in cumulative GPA; whereas anxiety symptoms appeared associated with increases in cumulative GPA. Mental health difficulties are common among college and university students, with around one in four Canadian undergraduates self-reporting a past-year diagnosis of depression, one in five reporting past-year anxiety, and 46% reporting heightened stress levels ().Internationally, the pooled 12-month prevalence of any mood, anxiety, or substance use disorder was 31.4% . . At the end of the first year, the proportion of students with clinically significant depressive and anxiety symptoms increased to 36% and 39%, respectively (Table 1), with rates of associated impairment at 54% and 48%, respectively. It was decided a priori not to adjust models for outcomes measured at time 2 with baseline measurements of the outcome at time 1. This strategy should encompass the provision of mental health literacy, prevention initiatives, timely assessment and when indicated care of students presenting with mild-to-moderate mental health conditions. c. Outcome was normalised with a square transformation. Given the ubiquitous nature of significant mental health symptoms in students, whole university approaches and investment in rigorous prevention and early intervention research, as set out in recent reports,9,12,39 seems justified. There was strong evidence that all predictors at time 1 were associated with school connectedness measured at time 2. Primary mental health outcomes at time 2 were defined as positive screens for clinically significant depressive and anxiety symptoms measured by the PHQ-9 and GAD-7 examined as binary outcomes using the established cut-off score of 10. Unadjusted and adjusted association between proximal risk factors (time 1) and academic outcomes (time 2). Monaghan, Caitlin Over the academic year, 14% of students reported suicidal thoughts and 1.6% suicide attempts. Help-seeking and access to mental health care in a university student population. In 1530 students surveyed at entry to university 28% and 33% screened positive for clinically significant depressive and anxiety symptoms respectively, which increased to 36% and 39% at the completion of first year. In adjusted models, there remained evidence that depressive and anxiety symptoms, poorer self-esteem, higher perceived stress and lower social support were associated with lower levels of school connectedness. and Auerbach RP, Mortier P, Bruffaerts R, Alonso J, Benjet C, Cuijpers P, et al. Taken together, findings underscore the extent to which symptoms at entry to university may have a negative impact on social and academic endeavours, which may serve to maintain clinically significant symptoms. Very little changed in this stratified analysis; however, there was insufficient evidence that any of the predictors were associated for new-onset suicidal thoughts/attempts after adjustments. The baseline survey measured important distal and proximal risk factors and the follow-up assessed mental health and well-being. First responders and 911 call takers facing the stress and challenges of the job in Fairfax County, Virginia, will now have a new place to connect with mental health professionals. Further, anxiety and depressive symptoms at the start of university were associated with lower grades over the year, whereas anxiety and depressive symptoms along with a number of psychosocial and lifestyle risk factors at entry to university were associated with lower levels of school connectedness at the end of the academic year. The final analysis sample (n=1530) was comparable with the time 1 participants (n=3029) in terms of age, lifetime history of mental disorder and exposure to early adversity (supplementary Table 1); however, more females, those with a family history of mental disorder, and those with less parental education were more likely to continue throughout the study. Daz-Garca, Amanda Although it is outside the scope of this paper to investigate exactly which combinations of adjustments are most responsible for this change in the association, this would definitely be an interesting avenue for future research. The transition into university has been described as an 'acute stressor', due to the initial intense strain on wellbeing at the start of university, as students may struggle to adjust to university life at first (Gall, Evans, and Bellerose Citation 2000), with some reporting they are 'just surviving' (Richardson et al. These associations did not change after partial adjustments for gender, age and distal risk factors; while in the fully adjusted model taking into account all other risk factors in the model, there was no longer statistical significance for exercise frequency or social support. Learning and Individual Differences, 52, 109-118 . Social consequences of psychiatric disorders, I: educational attainment. and It is well established that university students commonly experience high levels of stress across financial, academic and social domains.Reference Ribeiro, Pereira, Freire, de Oliveira, Casotti and Boery2 Furthermore, student stress may be compounded by poor coping strategies and lifestyle choices such as binge drinking and low participation in physical exercise, recreational interest and hobbies.Reference Chung and Hudziak1 Although many symptomatic students do not develop severe mental illness, high stress is associated with sleep disturbance and distressing depressive and anxiety symptoms, as well as suicidal thoughts and behaviour; all of which have a negative impact on well-being and academic performance.Reference Ribeiro, Pereira, Freire, de Oliveira, Casotti and Boery2,Reference Andrews and Wilding30 Transition to university comes at a time of disrupted social networks,Reference Chung and Hudziak1 although a stronger sense of university connectedness appears protective for well-being, life satisfaction and academic performance outcomes.Reference Brouwer, Jansen, Hofman and Flache31 Moreover, university represents an important developmental stage characterised by separation and individuation, and for some the transcendence of earlier adversity, which can manifest as clinically significant symptoms.Reference Mortier, Demyttenaere, Auerbach, Cuijpers, Green and Kiekens32, Interventions targeting stress, self-esteem, lifestyle factors and social support in clinical and general population samples have proven beneficial, yet there is limited research in university student populations. There was substantial overlap in mental health outcomes at both entry and completion of first year (Fig. Over 50% of students with clinically significant anxiety and depressive symptoms at entry showed persistence, meeting screening cut-offs again at the end of the academic year. Crane, Catherine Depressive and anxiety symptoms at time 1 were measured by the 9-item Patient Health Questionnaire (PHQ-9)19 and 7-item Generalized Anxiety Disorder assessment (GAD-7),20 respectively. In grade 12, Kendall had come to Trent to compete in Head of the Trent and instantly fell in love with the environment. Zheng, Sally The mean of 2021 first-year students' depression and anxiety had returned to pre-pandemic of the COVID-19. Further 60% of students exercised once per week or less, of which 16% indicated they never exercised; males exercised more frequently than females (P<0.001). "coreDisableEcommerce": false, Hjemdal O, Friborg O, Stiles TC, Martinussen M, Rosenvinge JH. Tickell, Alice WHO World Mental Health Surveys International College Student Project: prevalence and distribution of mental disorders, National College Health Assessment II: Canadian Reference Group Executive Summary, Mental Health and Wellbeing in England: Adult Psychiatric Morbidity Survey 2014. 2020. and Duffy, Anne Of the 556 students screening positive for depressive symptoms at time 2, 51% were persistent and 49% were new onset. 2022. Goodday SM, Rivera D, Foran H, King N, Milanovic M, Keown-Stoneman CD, et al. Additionally, adjusted and unadjusted models were fit for persistent positive screens for depressive and/or anxiety symptoms and/or suicidal thoughts/attempts present both at time 1 and at time 2 (supplementary Table 6b). Adjusted for: age, gender, physical and sexual abuse, bullied, family history for mental illness, personal history of mental illness and all other predictors listed in the table. Raharjanti, Natalia Widiasih Agyapong, Vincent I. O. Interactions for age and gender were analysed for each adjusted model by including interaction terms with each predictor. Kunttu, Kristina Academic outcomes included cumulative grade point average (GPA) abstracted from the university database and well-being at university indexed by the School Connectedness subscale of the College Student Subjective Well-Being questionnaire22 at time 2. . Ashton, Lee M. This survey asked about demographic, family and personal health information and included brief validated measures of candidate distal and proximal risk factors including early loss, childhood adversity, social, psychological and lifestyle risk factors, as well as anxiety and depressive symptoms, suicidal ideation and lifetime suicide attempts and self-harm. Research to date has been limited by a lack of longitudinal studies, low response rates yielding non-representative samples, and the use of varied and not always validated measures.Reference Duffy, Saunders, Malhi, Patten, Cipriani and McNevin7,Reference Thorley12 Therefore, the primary aims of this longitudinal study were to (a) estimate the extent and persistence of clinically significant mental health symptoms; and (b) examine the importance of candidate potentially modifiable psychosocial and lifestyle risk factors for mental health and university-related outcomes in a large representative cohort of undergraduate students entering a major Canadian university. a. Given the ubiquitous nature of mental health symptoms in the student population, mental health strategies should include whole university approaches and prioritise investment in rigorous prevention and early-intervention research to improve student mental health and well-being. King, Nathan and Research article Open Access Published: 15 September 2013 Physical and mental health perspectives of first year undergraduate rural university students Rafat Hussain, Michelle Guppy, Suzanne Robertson & Elizabeth Temple BMC Public Health 13, Article number: 848 ( 2013 ) Cite this article 30k Accesses 50 Citations 4 Altmetric Metrics Abstract To longitudinally examine the extent and persistence of mental health symptoms and the importance of psychosocial and lifestyle factors for student mental health and academic outcomes. Over the academic year, 14% of students reported suicidal thoughts and 1.6% suicide attempts. Romem Porat, Shai-li a. This research and debate take place at the crossroads of clinical psychology, psychiatry, and information technology. Similarly, all candidate psychosocial and lifestyle risk factors at entry with the exception of substance use were associated with a positive anxiety screen at completion of first year (Table 2). It is the gateway to obtaining knowledge and skills that enable individuals to thrive in their respective fields. 2021. a. Further, multivariable regression models assessed the contribution of a variety of proximal risk factors to mental health outcomes, while adjusting for important distal risk factors along with all of the other predictors in the model. The distribution of persistent mental health outcomes, present at both entry (time 1) and completion (time 2) of first year, compared with new-onset mental health outcomes, only present at time 2, was assessed (supplementary Table 4). That is, universities should be mindful of potential system-level contributions to student stress related to the campus culture, scheduling of exams and graded assignments, and be encouraging of students to strike a healthy studylife balance; for example, by providing and ensuring access to subsidised art and cultural events, sporting and recreational programmes, and relaxation and mindfulness activities. Substance misuse was defined as engaging in any of the following at least once a week over the past month: binge drinking (4 drinks on one occasion), cannabis use, use of non-prescribed sleeping or wake-up pills or stimulants, pain killers, opiates or other. Adams, Kiera Louise Close to half the students surveyed (48%) endorsed substance misuse, largely attributable to binge drinking; higher in males compared with females (52% v. 42%; P=0.001). Cunningham, Simone Kessler RC, Foster CL, Saunders WB, Stang PE. Respondents rating 2 or 3 were considered to have significant impairment associated with their symptoms. Moreover, there was persistence and overlap in these mental health outcomes. 1). 2). Surveys were linked to academic grades. A brief measure for assessing generalized anxiety disorder: the GAD-7. Conceptual model of the association between distal and proximal risk factors and mental health and academic outcomes. There was strong evidence that all predictors at time 1 were associated with school connectedness measured at time 2. 2021 Nov 30;11(12):e047393. 3). Total loading time: 0 Mental health is a public health issue, particularly for first-year university students. Determinants of early study success in first-year university students. 1). Accessibility Linden, B. The site is secure. and A substantial proportion of students entering university experience clinically significant anxiety and depressive symptoms and suicidal thoughts and behaviour that persist and are negatively associated with academic performance and university well-being. Canadian Health Promoting Campuses Network. Byun, Jin Risk factors preceded outcomes and analyses adjusted for important confounders. Multivariable models of academic outcomes were adjusted for age, gender and childhood abuse. There was insufficient power to include other gender categories (total n=19). Ribeiro IJS, Pereira R, Freire IV, de Oliveira BG, Casotti CA, Boery EN. Cunningham, S. Wei, Yifeng We use cookies to distinguish you from other users and to provide you with a better experience on our websites. All statistics were completed using R version 3.6.1 64bit for Windows.23. and Finally, these findings may not generalise to other university student populations and independent replication is planned. At the end of the academic year and before final exams (March 2019), students who completed the time 1 survey were sent a link to complete the time 2 survey that asked about anxiety and depressive symptoms, self-harm, suicidal thoughts and attempts, and university well-being. Although females had a higher rate of positive screens for depressive and anxiety symptoms at both time points compared with males, the rate of increase in symptoms from time 1 to time 2 was comparable (supplementary Fig. Self-esteem, perceived stress, social support, sleep quality and exercise frequency at entry to university were associated with screening positive for mental health outcomes measured at the end of the first year. Saunders, K.E.A. Similarly, at the end of first year 39% had clinically significant anxiety and depressive symptoms, and 18% screened positive for all three mental health outcomes. http://creativecommons.org/licenses/by/4.0/, https://www.universitiesuk.ac.uk/minding-our-future, https://occccco.files.wordpress.com/2015/05/ccvps-white-paper-on-postsecondary-student-mental-health-april-2015.pdf, www.queens.ca/studentaffairs/health-and-wellness/ncha-student-health-and-wellness-survey, https://healthpromotingcampuses.squarespace.com/okanagan-charter. After final grades were posted, survey data were linked to grades abstracted from the university database. Student creates first mental health club at her Pa. high school . Access to de-identified data from this study considered upon request to the corresponding author. Osma, Jorge King N, Pickett W, McNevin SH, Bowie CR, Rivera D, Keown-Stoneman C, et al. A substantial proportion of students entering university experience clinically significant anxiety and depressive symptoms and suicidal thoughts and behaviour that persist and are negatively associated with academic performance and university well-being. GAD-7, Generalized Anxiety Disorder assessment; PHQ-9, Patient Health Questionnaire. and Although it is outside the scope of this paper to investigate exactly which combinations of adjustments are most responsible for this change in the association, this would definitely be an interesting avenue for future research. "So when I was applying for universities, it was a no-brainer to apply to Trent.". Although there was no change after partial adjustments, in the fully adjusted model there was no longer evidence of an association between substance use, exercise, sleep and social support with suicidal ideation and/or attempts. Kay-Lambkin, Frances 2). Hostname: page-component-d59c9c6dd-ptmgz The rate of persistence for suicidal ideation and/or attempts was even higher. Design/methodology/approach Approximately one-fifth of students met screening thresholds for sleep problems (21%), with more females compared with males (23% v. 13%; P<0.001) (supplementary Table 2). Duffy, Anne C These associations did not change after partial adjustments for gender, age and distal risk factors; while in the fully adjusted model taking into account all other risk factors in the model, there was no longer statistical significance for exercise frequency or social support. Mental health care for university students: a way forward? 2). Unadjusted and adjusted associations between psychosocial and lifestyle factors (time 1) and positive screen for mental health (time 2; n=1530) at the end of first-year university. Moreover, given the concentrated study terms and high-risk period for onset of severe and persistent mental disorders, university and community-based clinical programmes should develop a plan of facilitated transitions for students with moderate-to-severe mental illness.7. Predictors of mental health and academic outcomes in Department of Psychiatry, Division of Student Mental Health, Queen's University, Kingston, Canada; and Department of Psychiatry, University of Oxford, UK, Dalla Lana School of Public Health, University of Toronto, Canada, Department of Psychiatry, University of Oxford, UK, Department of Mathematics and Statistics, University of Guelph, Canada, Department of Public Health Sciences, Queen's University, Canada, Department of Psychiatry, Division of Student Mental Health, Queen's University, Canada, Department of Psychology, Queen's University, Canada, Reference Ribeiro, Pereira, Freire, de Oliveira, Casotti and Boery, Reference Kessler, Amminger, Aguilar-Gaxiola, Alonso, Lee and Ustun, Reference Kessler, Foster, Saunders and Stang, Reference Whiteford, Degenhardt, Rehm, Baxter, Ferrari and Erskine, Reference Patton, Sawyer, Santelli, Ross, Afifi and Allen, Reference Duffy, Saunders, Malhi, Patten, Cipriani and McNevin, Reference Auerbach, Alonso, Axinn, Cuijpers, Ebert and Green, Reference Gunnell, Caul, Appleby, John and Hawton, Reference Goodday, Rivera, Foran, King, Milanovic and Keown-Stoneman, Reference King, Pickett, McNevin, Bowie, Rivera and Keown-Stoneman, Reference Hjemdal, Friborg, Stiles, Martinussen and Rosenvinge, Reference Espie, Kyle, Hames, Gardani, Fleming and Cape, Reference Spitzer, Kroenke, Williams and Lowe, Reference Posner, Brown, Stanley, Brent, Yershova and Oquendo, Reference Auerbach, Mortier, Bruffaerts, Alonso, Benjet and Cuijpers, Reference Mortier, Cuijpers, Kiekens, Auerbach, Demyttenaere and Green, Reference Blasco, Vilagut, Alayo, Almenara, Cebria and Echeburua, Reference Brouwer, Jansen, Hofman and Flache, Reference Mortier, Demyttenaere, Auerbach, Cuijpers, Green and Kiekens, Reference Cuijpers, Cristea, Ebert, Koot, Auerbach and Bruffaerts, Reference Harrer, Adam, Baumeister, Cuijpers, Karyotaki and Auerbach, Reference Winzer, Lindberg, Guldbrandsson and Sidorchuk, The transitional age brain: The best of times and the worst of times, Stress and quality of life among university students: a systematic literature review, Age of onset of mental disorders: a review of recent literature, Social consequences of psychiatric disorders, I: educational attainment, Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010, Our future: a Lancet commission on adolescent health and wellbeing. Milanovic, M. 2021. official website and that any information you provide is encrypted 294 Abstract Purpose The purpose of this study is to determine the mental health status and risk factors for the mental health of first-year university students on a health sciences campus. Bhattarai, Asmita The baseline survey measured important distal and proximal risk factors and the follow-up assessed mental health and well-being. Time 1 represents lifetime prior to time 1, time 2 represents over the academic year. Now he's taking that opportunity as one of the inaugural Vet Center Scholarship recipients, earning a full ride to complete his master's . Mulder, J. A recent annual survey of 96,000 students in the U.S. from 133 campuses showed the highest rates of depression, anxiety and suicidal ideation in the survey's 15-year history during the 2021-22 academic year. 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