Psychological distress and help seeking amongst higher education students: findings from a mixed method study of undergraduate nursing/midwifery and teacher education students in Ireland

Psychological distress as experienced by higher education students is of major concern because of its potential to adversely impact academic performance, retention, mental health and lifestyle. This paper reports a mixed method investigation of student self-reported psychological distress and help-seeking behaviour. The sample comprised all students (n?=?1557) registered on undergraduate nursing/midwifery and teacher education programmes at an Irish university. Participants (n?=?1112) completed the General Health Questionnaire (GHQ) to determine their self-reported psychological distress and the Lifestyle Behaviour Questionnaire to examine sources of distress, lifestyle and demographic variables. Individual interviews (n?=?59) explored student experiences of psychological distress and their help-seeking behaviours. Forty two percent of respondents exceeded the GHQ threshold ≥5, which signifies risk of mental or physical health problems. Sources of distress included academic, financial and psychosocial stressors. Regression analysis identified that demographic, programmatic and lifestyle variables predicted GHQ scores. Despite the distress experienced, students were reluctant users of support services. Many actively avoided seeking help. These findings raise serious concerns about the extent of psychological distress among this population. They also alert education providers to be vigilant for student psychological distress and to provide effective interventions, cognisant of the impact of stigma on help seeking.     

How universities can enhance student mental wellbeing: the student perspective

ABSTRACT

The growing prevalence and severity of mental health difficulties across university student populations is a critical issue for universities and their wider communities. Yet little is known about student perspectives on the stressors in university environments and the steps that universities could take to better support student mental wellbeing. This article reports on a study that collected and analyzed 2776 student responses to the question: What can be done to improve student wellbeing? Students made diverse recommendations that fell into seven categories: Academic teachers and teaching practices; student services and support; environment, culture and communication; course design; program administration; assessment; and student society activities. The findings from our study offer important insight to university educators and administrators about the role they can play in better supporting student wellbeing and preventing the high rates of psychological distress. We argue that the process of seeking and acting on students’ suggestions fosters students’ sense of inclusion and empowerment, and this is critical given that the goal of improving student mental wellbeing can only be achieved through an effective partnership between students and institutional actors.     

Student psychological distress and degree dropout or completion: a discrete-time,competing risks survival analysis

Studies of psychological distress (PD) in university students have shown that they have high prevalence rates. These findings have raised concerns that PD may be leading to poorer student outcomes, such as elevated dropout rates. The aim of this study was to examine the association of PD in undergraduate university students with the competing risks of degree dropout or completion. It analysed data from the Household Income and Labour Dynamics in Australia (HILDA) survey. The sample comprised 1265 university students. PD (i.e., probable depression and/or anxiety) was measured with a validated cut-off score of ≤65 on the 5-item Mental Health Inventory (MHI-5) from the Short Form 36 (SF-36). The study used an accelerated longitudinal design with student year of study as the metric of time and estimated dynamic discrete-time, competing risks survival models. Contrary to expectations, the study found that students with PD had lower odds of degree dropout and higher odds of degree completion than students without PD in year 4 of their degrees. This study contributes to the empirical literature on university student mental health by showing that, while PD can be debilitating and negatively affect students’ general educational experience, it is not as harmful to academic progress as might be assumed.     

高校大学生就业心理困扰的个案研究与对策

大学生就业问题一直备受社会关注,而由各种心理问题所带来的就业困扰已成为目前高校心理健康教育的重要内容．本文从实际案例出发,运用心理辅导理论技术,对大学生的就业困扰心理进行辅导和分析,探讨解决高校大学生心理困扰的途径和方法．     

Teacher–student relationships,psychological need satisfaction,and happiness among diverse students

Teacher–student relationships have been linked to autonomous motivation and achievement. However, relatively little is known about whether satisfying students’ psychological needs mediates the association between teacher–student relationships and student happiness. Furthermore, this relationship needs to be examined in samples of students from different ethnic and racial backgrounds. In this structural equation modeling study (N = 1,961), we found that teacher–student relationships were positively and moderately associated with the satisfaction of psychological needs for autonomy, relatedness, and competence. Satisfying psychological needs, in turn, was moderately positively associated with happiness. These findings held across African American, Asian American, and Latinx subsamples. For the overall sample, students in higher grade levels perceived that their psychological needs were met to a lesser degree than students in earlier grades. However, only the Latinx subsample replicated this effect. Teacher–student relationships may promote happiness via meeting psychological needs.     

A Review of Psychological Distress Among University Students: Pervasiveness,Implications and Potential Points of Intervention

A review of literature from the past 30 years establishes psychological distress as both a longstanding and current issue affecting university students worldwide. Poorer academic outcomes and problematic health behaviours are linked to students’ distress, and these wider implications also highlight the need for appropriate policies and services to support students during what is clearly a challenging time. Further review identified various socio-demographic, situational and academic factors as potential bases of students’ distress. Undoubtedly, the demands of the university lifestyle are inherently stressful; yet experiencing these as distressing is not inevitable. Rather, a review of links between university students’ psychological attributes and psychological distress indicates such attributes might be ideal points of intervention to ensure students are best equipped to manage the stressors of university, and greater attention in this area is recommended.     

Costs on the Mind: The Influence of the Financial Burden of College on Academic Performance and Cognitive Functioning

The current studies test the hypothesis that the financial burden of college can initiate a psychological process that has a negative influence on academic performance for students at selective colleges and universities. Prior studies linking high college costs and student loans to academic outcomes have not been grounded within relevant social psychological theory regarding how and when the financial burden of college can influence students’ psychological and cognitive processes. We test the hypothesis that the salient financial burden of college impairs students’ cognitive functioning, especially when it creates an identity conflict or perceived barrier to reaching a student’s desired financially successful future. First, we use longitudinal data from 28 selective colleges and universities to establish that students who accumulate student loan debt within these contexts are less likely to graduate from college because student loan debt predicts a decline in grades over time, even when controlling for factors related to socioeconomic status and prior achievement. Then, in an experiment, we advance research in this area with a direct, causal test of the proposed psychological process. An experimental manipulation that brings high college costs to mind impairs students’ cognitive functioning, but only when those thoughts create an identity conflict or a perceived barrier to reaching a student’s desired financially successful future.     

The protective role of teacher–student relationships against peer victimization and psychosocial distress

This study examined whether teacher–student relationships protect against peer victimization and its negative psychosocial effects (i.e., depression, anxiety, and stress). Additionally, the influence of teacher–student relationships, peer relationships, and students’ perceptions of school order and discipline was investigated as these variables were expected to be negatively related to the former. Data were collected from high school‐aged adolescents (N = 539; 51% female) in the U.S. Southwest. Study results indicate that teacher–student relationships buffered against experiencing psychosocial distress associated with peer victimization. Although positive teacher–student relationships, peer relationships, and students’ perceptions of school order and discipline all were negatively associated with peer victimization and psychosocial distress, teacher–student relationships were robustly related to peer victimization and psychosocial distress over the influence of the previous variables. In other words, as a key study finding, teacher–student relationships may reduce the impact of peer victimization by mitigating its negative psychosocial effects in a robust yet relatively unexplored way. Therefore, although more research is needed, fostering positive teacher–student relationships might be an effective way to reduce peer victimization as well as its negative effects.     

Stress and psychological distress among trainee secondary teachers in England

The relationships between stress and psychological distress were investigated among a cohort of trainee secondary school teachers in England. Specifically, the study examined the structure of a Teacher Stress Scale and its relationship to mental health as measured by the 12‐item General Health Questionnaire. Three factors were identified: behaviour management, workload, and lack of support. Differences were identified between men and women in respect of stressors and psychological distress. Stress attributed to pupils’ disruptive behaviour and stress attributed to perceived occupational stress were found to be significant predictors of psychological distress. The findings are discussed in relation to the degree to which trainees are prepared for the challenges they are likely to experience as teachers.     

Experiences of psychological and physical aggression in adolescent romantic relationships: Links to psychological distress

ObjectiveThis research examined links between adolescents’ experiences of psychological and physical relationship aggression and their psychological distress. Experiences of psychological and physical aggression were expected to correlate positively with symptoms of psychological distress, but experiences of psychological aggression were expected to partially account for the association between experiences of physical aggression and psychological distress. In addition, psychological aggression was hypothesized to be perceived as more unpleasant and less playful than physical aggression.MethodParticipants were 125 high school students. Relationship aggression was assessed over an 8-week period using two methods: (1) a retrospective method based on a single assessment at the end of the 8-week period, and (2) a cumulative method based on multiple assessments conducted during the 8-week period. Adolescents’ appraisals of the aggression were also measured, as were their reports of symptoms of psychological distress.ResultsAdolescents’ experiences of psychological and physical relationship aggression correlated positively, but inconsistently, with their symptoms of psychological distress. In analyses considering both forms of aggression simultaneously, psychological aggression was related to adolescents’ distress, but physical aggression was not. This finding emerged across both methods of assessing for relationship aggression. Psychological aggression was more likely than physical aggression to be rated as unpleasant, and less likely to be attributed to the partner “playing around.”ConclusionsThe study of adolescent relationship aggression will benefit by expanding the focus of aggression to include psychological aggression as well as physical aggression, and by examining adolescents’ appraisals of the aggression they experience.Practice implicationsThe findings highlight the importance of a broad view of aggression in adolescent relationships. Psychological aggression appears to be at least as important to adolescent well-being as physical aggression in dating relationships. In addition, it may be useful to consider how adolescents’ interpret the intent of the aggression that they experience.     

Predictors of psychological distress and well-being in a sample of Australian undergraduate students

Previous research has found university students report higher levels of psychological distress compared to the general population. Our aim was to investigate the degree to which personality and contextual factors predict psychological distress and well-being in students over the course of a semester. We also examined whether resilience-building skills, such as positive self-talk, mindfulness meditation and self-management, included in a first-year psychology subject, might reduce distress and improve well-being. Undergraduate first-year students (n?=?150) completed a battery of questionnaires in week three (Time 1; n?=?150) and week 10 (Time 2; n?=?53) of semester. At both times students reported high levels of psychological distress, as measured by the K10, the General Health Questionnaire and the Brief Symptom Inventory, and low levels of psychological well-being, as measured by the Warwick Edinburgh Mental Well-Being Scale. Students exposed to resilience-building skills embedded in a subject (n?=?24) were no less distressed at Time 2 than those not enrolled in that subject (n?=?29). The personality traits of emotional resilience (vs. reactivity) and bounce-back resilience measured at Time 1 were the only significant predictors of psychological distress and well-being measured at Time 2. Students with high emotional and bounce-back resilience had lower psychological distress and higher well-being scores. Future research could consider development and trial of a full semester university subject designed to improve students’ resilience knowledge and skills.     

The flexible learning needs and preferences of regional occupational therapy students in Australia

This study aimed to explore the flexible learning needs and preferences of occupational therapy students from a regional Australian university. Participants (n?=?170) were surveyed using a quantitative survey tool. Findings were analysed using SPSS to determine significant differences between variable attributes of the student cohort. The survey found that students have complex and competing lifestyle demands, which impact on study. In particular, paid work was found to negatively influence study and the university experience. Traditional face-to-face learning suited most students, however, flexible learning options were preferable for students where paid work, family commitments and geographic location interfered with study. These results will help inform the design and implementation of flexible delivery courses for occupational therapy. Further research is required to explore the experiences of staff and students who are involved in health courses run by flexible delivery.     

民族地区临毕业大学生的心理问题及对策

临毕业大学生作为大学生中的特殊群体,背负着来自于学习、择业等方面的压力,容易引发诸多心理困扰,甚至出现心理疾病。文章采用个案研究方法,着重探讨了目前我国民族地区临毕业大学生主要心理问题,并从社会工作介入角度提出了问题的解决思路。     

高职院校大学生心理健康状况调查研究

以兰州石化职业技术学院508名大学生为研究对象,以大学生人格问卷（UPI）为研究工具,调查研究大学生心理健康状况,为高职院校心理健康教育工作提供理论依据。结果表明：第一类有明显心理问题的学生占1.2%左右,第二类有一般心理问题的学生占4.33%,第三类无显著心理问题的学生占94.47%;女生的严重程度明显的高于男生,男生的人数多于女生;大学生心理问题主要表现为人际关系不良、情绪和意志问题、自信心缺乏、性生理心理问题,而不幸的家庭和过去、失眠和对事情的兴趣程度也是大学生心理问题的衡量指标。     

The impact of wireless keypads in an interprofessional education context with health science students

The aim of this study was to identify if wireless keypads could facilitate interprofessional interaction among undergraduate paramedic, nursing, occupational therapy, physiotherapy, health science, social work and midwifery students. Secondary research aims included the examination of students' perceptions of interprofessional education and how students perceived using wireless keypads in large lecture classes and smaller tutorials. The study used a mixed methodology approach via self‐reporting questionnaires and focus groups that included (n = 210) students in week 1 and (n = 151) students in week 13 of an undergraduate unit. Overall, students were satisfied with the use of wireless keypads in their interprofessional undergraduate unit of study. While modest findings supported the use of wireless keypads in improving student interaction, other findings were statistically significant in understanding the roles of other health professions and why collaboration in health‐care environments was important for professional growth. The following themes emerged from the qualitative data: engagement, satisfaction, use of educational technology, interprofessional education and learning environment. Integration of wireless keypads has assisted undergraduate students to better appreciate and understand other health‐care disciplines within an interprofessional education setting. Students reported that they appreciated the alternative teaching and learning approach that wireless keypads offered, thus improving engagement and interactivity, and providing a broader understanding of other allied health‐care professions.     

Perceptions of tutoring roles and psychological distance among instructors,tutors and students at a Korean university

This study explores issues related to the tutor’s role when initiating tutoring as an institutional strategy at a conventional university. Based on a pilot tutoring program implemented in four college courses, we investigated the perceptions of instructors, tutors and students regarding the role of tutoring and whether it affected the psychological distance between the different types of participants. The results indicated that instructors’ perceptions of the tutor’s primary role and the psychological distance from the students and the tutors differed from the perceptions of the tutors and the students, perhaps because the instructors perceived tutors as a source of instructor support rather than student support. Implications and suggestions are discussed.     

Examining the role of attachment in the relationship between childhood adversity,psychological distress and subjective well-being

Childhood adversity is associated with a wide range of detrimental psychological consequences. This study examined the mediating role of relationship-specific attachment (avoidance and anxiety) in the associations between childhood adversity and both psychological distress and subjective well-being. University students (N = 190) across the Republic of Ireland completed self-report measures including the Adverse Childhood Experiences scale, Experiences in Close Relationships − Relationship Structures scale, Depression Anxiety and Stress scales and measures of subjective well-being. One hundred and twenty-eight participants (67.4%) reported experiencing at least one adverse childhood experience. Childhood adversity was associated with symptoms of psychological distress and subjective well-being. All such associations were mediated by certain relationship-specific attachment dimensions. Of these, attachment anxiety in general relationships was the most prominent mediator for both psychological distress and subjective well-being. Attachment to one’s father and to one’s romantic partner did not mediate any association. These findings indicate that attachment, in particular relationships, is an important factor in the associations between childhood adversity and both psychological distress and subjective well-being as an adult. One’s attachment anxiety in general relationships is particularly important in these associations. Therapeutic interventions addressing these attachment domains may offset the detrimental effects of childhood adversity. Future research is required using a longitudinal design.     

Racial Identity and Psychological Symptoms Among African Americans Attending a Historically Black University

Previous research found racial identity predictive of psychological distress among African American students at predominantly White colleges. This study examined these relationships among 154 African American undergraduates attending a historically Black university. Racial identity was independent of psychological distress, suggesting that African American students' racial identity predicts psychological distress only in settings in which they are the minority.     

大学生网络成瘾问题心理干预个案研究

采用个案研究法,选取网络成瘾的Z同学为干预对象。通过质性与量化的心理评估,制定出合理的干预计划和策略。通过四个阶段的认知行为疗法心理干预,取得理想的效果。这可为大学生网络成瘾心理干预提供可借鉴的思路和经验。     

大学生学习倦怠现象的成因探索

倦怠的研究主要在职业领域,近年来国外开始重视研究学生的学习倦怠,但是学习倦怠的界定与量化都还是借鉴职业倦怠的研究成果。学习领域里的倦怠与职业领域里的倦怠有本质的差别,因此研究学习倦怠,特别是大学生学习倦怠的成因,不仅要考虑影响倦怠的一般因素,更要考虑到大学生人群的心理需求。