Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 6/2013

01.06.2013 | Original Paper

Risk factors for mental disorder among university students in Australia: findings from a web-based cross-sectional survey

verfasst von: David Said, Kypros Kypri, Jenny Bowman

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 6/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To identify variables associated with common mental disorders in an Australian university population.

Methods

We invited all Australia-based students from a large public university (N = 24,209) to participate in a web-based student mental health survey. Outcome measures included the patient health questionnaire depression, anxiety, and eating disorders modules, and the alcohol use disorders identification test. Explanatory variables of interest included gender, age, year of study, degree type, financial means, parental education, domestic/international status, and sexual orientation. Multiple logistic regression analysis was used to estimate independent associations with the four outcomes.

Results

Complete responses were received from 6,044 students (25 %). Proportions reporting depression, anxiety, eating disorders, and harmful drinking were 8, 13, 14, and 8 %, respectively, while 30 % had at least one of these disorders. The groups with the highest rates of disorder were women, 25–34-year-olds, students on low income, and homosexual or bisexual students. Parental education was not associated with disorder, nor was international/domestic status.

Conclusion

This is the first study examining mental disorders in a population-based sample of university students in Australia. Given increasing student numbers and participation of students from lower socio-economic backgrounds, policy is urgently needed to promote better mental health in this population, to routinely identify vulnerable students, and to intervene early. Groups in particular need are women, students on low incomes, and homosexual or bisexual students.
Literatur
1.
Zurück zum Zitat Begg S, Vos T, Barker B, Stevenson C, Stanley L, Lopez A (2007) The burden of disease and injury in Australia, 2003. AIHW 2007. Cat. no. PHE 82. Australian Institute of Health and Welfare, Canberra Begg S, Vos T, Barker B, Stevenson C, Stanley L, Lopez A (2007) The burden of disease and injury in Australia, 2003. AIHW 2007. Cat. no. PHE 82. Australian Institute of Health and Welfare, Canberra
2.
Zurück zum Zitat ABS (2008) National survey of mental health and wellbeing: summary of results, 2007. ABS 2008. Cat. no. 4326.0. ABS, Canberra ABS (2008) National survey of mental health and wellbeing: summary of results, 2007. ABS 2008. Cat. no. 4326.0. ABS, Canberra
3.
Zurück zum Zitat Vazquez F, Torres A, Otero P, Diaz O (2011) Prevalence, comorbidity, and correlates of DSM-IV axis 1 mental disorders among female university students. J Nerv Ment Dis 199(6):379–383PubMedCrossRef Vazquez F, Torres A, Otero P, Diaz O (2011) Prevalence, comorbidity, and correlates of DSM-IV axis 1 mental disorders among female university students. J Nerv Ment Dis 199(6):379–383PubMedCrossRef
4.
Zurück zum Zitat Eisenberg D, Gollust SE, Golberstein E, Hefner JL (2007) Prevalence and correlates of depression, anxiety, and suicidality among university students. Am J Orthopsychiatry 77(4):534–542PubMedCrossRef Eisenberg D, Gollust SE, Golberstein E, Hefner JL (2007) Prevalence and correlates of depression, anxiety, and suicidality among university students. Am J Orthopsychiatry 77(4):534–542PubMedCrossRef
5.
Zurück zum Zitat Eisenberg D, Downs MF, Golberstein E, Zivin K (2009) Stigma and help seeking for mental health among college students. Med Care Res Rev 66(5):522–541PubMedCrossRef Eisenberg D, Downs MF, Golberstein E, Zivin K (2009) Stigma and help seeking for mental health among college students. Med Care Res Rev 66(5):522–541PubMedCrossRef
6.
Zurück zum Zitat Zivin K, Eisenberg D, Gollust SE, Golberstein E (2009) Persistence of mental health problems and needs in a college student population. J Affect Disord 117(3):180–185PubMedCrossRef Zivin K, Eisenberg D, Gollust SE, Golberstein E (2009) Persistence of mental health problems and needs in a college student population. J Affect Disord 117(3):180–185PubMedCrossRef
7.
Zurück zum Zitat White S, Reynolds-Malear JB, Cordero E (2011) Disordered eating and the use of unhealthy weight control methods in college students: 1995, 2002, and 2008. Eat Disord J Treat Prev 19(4):323–334CrossRef White S, Reynolds-Malear JB, Cordero E (2011) Disordered eating and the use of unhealthy weight control methods in college students: 1995, 2002, and 2008. Eat Disord J Treat Prev 19(4):323–334CrossRef
8.
Zurück zum Zitat Karam E, Kypri K, Salamoun M (2007) Alcohol use among college students: an international perspective. Curr Opin Psychiatry 20(3):213–221PubMed Karam E, Kypri K, Salamoun M (2007) Alcohol use among college students: an international perspective. Curr Opin Psychiatry 20(3):213–221PubMed
9.
Zurück zum Zitat Kypri K, Cronin M, Wright CS (2005) Do university students drink more hazardously than their non-student peers? Addiction 100(5):713–714PubMedCrossRef Kypri K, Cronin M, Wright CS (2005) Do university students drink more hazardously than their non-student peers? Addiction 100(5):713–714PubMedCrossRef
10.
Zurück zum Zitat Dawson DA, Grant BF, Stinson FS, Chou PS (2004) Another look at heavy episodic drinking and alcohol use disorders among college and noncollege youth. J Stud Alcohol 65(4):477–488PubMed Dawson DA, Grant BF, Stinson FS, Chou PS (2004) Another look at heavy episodic drinking and alcohol use disorders among college and noncollege youth. J Stud Alcohol 65(4):477–488PubMed
11.
Zurück zum Zitat Slutske WS (2005) Alcohol use disorders among US college students and their non-college-attending peers. Arch Gen Psychiatry 62(3):321–327PubMedCrossRef Slutske WS (2005) Alcohol use disorders among US college students and their non-college-attending peers. Arch Gen Psychiatry 62(3):321–327PubMedCrossRef
12.
Zurück zum Zitat Kypri K, Bell ML, Hay GC, Baxter J (2008) Alcohol outlet density and university student drinking: a national study. Addiction 103(7):1131–1138PubMedCrossRef Kypri K, Bell ML, Hay GC, Baxter J (2008) Alcohol outlet density and university student drinking: a national study. Addiction 103(7):1131–1138PubMedCrossRef
13.
Zurück zum Zitat Cousins K, Kypri K (2008) Alcohol advertising in the New Zealand university student press. Drug Alcohol Rev 27(5):566–569PubMedCrossRef Cousins K, Kypri K (2008) Alcohol advertising in the New Zealand university student press. Drug Alcohol Rev 27(5):566–569PubMedCrossRef
14.
Zurück zum Zitat Kypri K, Hallett J, Howat P, McManus A, Maycock B, Bowe S et al (2009) Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students. Arch Intern Med 169(16):1508–1514PubMedCrossRef Kypri K, Hallett J, Howat P, McManus A, Maycock B, Bowe S et al (2009) Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students. Arch Intern Med 169(16):1508–1514PubMedCrossRef
15.
Zurück zum Zitat Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL et al (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976PubMedCrossRef Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL et al (2002) Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med 32(6):959–976PubMedCrossRef
16.
Zurück zum Zitat Andrews B, Wilding JM (2004) The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol 95(Pt 4):509–521PubMedCrossRef Andrews B, Wilding JM (2004) The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol 95(Pt 4):509–521PubMedCrossRef
17.
Zurück zum Zitat Weitzman ER (2004) Poor mental health, depression, and associations with alcohol consumption, harm, and abuse in a national sample of young adults in college. J Nerv Ment Dis 192(4):269–277PubMedCrossRef Weitzman ER (2004) Poor mental health, depression, and associations with alcohol consumption, harm, and abuse in a national sample of young adults in college. J Nerv Ment Dis 192(4):269–277PubMedCrossRef
18.
Zurück zum Zitat Ibrahim AK, Kelly SJ, Glazebrook C (2011) Analysis of an Egyptian study on the socio-economic distribution of depressive symptoms among undergraduates. Soc Psychiatry Psychiatr Epidemiol 47:927–937PubMedCrossRef Ibrahim AK, Kelly SJ, Glazebrook C (2011) Analysis of an Egyptian study on the socio-economic distribution of depressive symptoms among undergraduates. Soc Psychiatry Psychiatr Epidemiol 47:927–937PubMedCrossRef
19.
Zurück zum Zitat Oswalt SB, Wyatt TJ (2011) Sexual orientation and differences in mental health, stress, and academic performance in a national sample of U.S. college students. J Homosex 58(9):1255–1280PubMedCrossRef Oswalt SB, Wyatt TJ (2011) Sexual orientation and differences in mental health, stress, and academic performance in a national sample of U.S. college students. J Homosex 58(9):1255–1280PubMedCrossRef
20.
Zurück zum Zitat Stallman HM (2008) Prevalence of psychological distress in university students—implications for service delivery. Aust Fam Physician 37(8):673–677PubMed Stallman HM (2008) Prevalence of psychological distress in university students—implications for service delivery. Aust Fam Physician 37(8):673–677PubMed
21.
Zurück zum Zitat Stallman HSI (2009) Prevalence of mental health problems in Australian university health services. Aust Psychol 44(2):122–127CrossRef Stallman HSI (2009) Prevalence of mental health problems in Australian university health services. Aust Psychol 44(2):122–127CrossRef
22.
Zurück zum Zitat Andrews A, Chong JLY (2011) Exploring the wellbeing of students studying at an Australian university. J Aust N Z Stud Serv Assoc 37:9–39 Andrews A, Chong JLY (2011) Exploring the wellbeing of students studying at an Australian university. J Aust N Z Stud Serv Assoc 37:9–39
23.
Zurück zum Zitat Leahy CM, Peterson RF, Wilson IG, Newbury JW, Tonkin AL, Turnbull D (2010) Distress levels and self-reported treatment rates for medicine, law, psychology and mechanical engineering tertiary students: cross-sectional study. Aust N Z J Psychiatry 44(7):608–615PubMedCrossRef Leahy CM, Peterson RF, Wilson IG, Newbury JW, Tonkin AL, Turnbull D (2010) Distress levels and self-reported treatment rates for medicine, law, psychology and mechanical engineering tertiary students: cross-sectional study. Aust N Z J Psychiatry 44(7):608–615PubMedCrossRef
24.
Zurück zum Zitat Stallman HM (2010) Psychological distress in university students: a comparison with general population data. Aust Psychol 45(4):249–257CrossRef Stallman HM (2010) Psychological distress in university students: a comparison with general population data. Aust Psychol 45(4):249–257CrossRef
25.
Zurück zum Zitat Bradley DB, Noonan P, Nugent H, Scales B (2008) Australian government review of higher education: final report. DEEWR, Canberra Bradley DB, Noonan P, Nugent H, Scales B (2008) Australian government review of higher education: final report. DEEWR, Canberra
26.
Zurück zum Zitat Kypri K, Samaranayaka A, Connor J, Langley JD, Maclennan B (2011) Non-response bias in a web-based health behaviour survey of New Zealand tertiary students. Prev Med 53(4–5):274–277PubMedCrossRef Kypri K, Samaranayaka A, Connor J, Langley JD, Maclennan B (2011) Non-response bias in a web-based health behaviour survey of New Zealand tertiary students. Prev Med 53(4–5):274–277PubMedCrossRef
27.
Zurück zum Zitat Kypri K, Gallagher SJ, Cashell-Smith ML (2004) An internet-based survey method for college student drinking research. Drug Alcohol Depend 76(1):45–53PubMedCrossRef Kypri K, Gallagher SJ, Cashell-Smith ML (2004) An internet-based survey method for college student drinking research. Drug Alcohol Depend 76(1):45–53PubMedCrossRef
28.
Zurück zum Zitat Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein F (1998) Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science 280:867–873PubMedCrossRef Turner CF, Ku L, Rogers SM, Lindberg LD, Pleck JH, Sonenstein F (1998) Adolescent sexual behavior, drug use, and violence: increased reporting with computer survey technology. Science 280:867–873PubMedCrossRef
29.
Zurück zum Zitat Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 282(18):1737–1744PubMedCrossRef Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA 282(18):1737–1744PubMedCrossRef
30.
Zurück zum Zitat American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, text revision. American Psychiatric Association, Washington, DC American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, text revision. American Psychiatric Association, Washington, DC
31.
Zurück zum Zitat Kroenke K, Spitzer R, Williams J (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613PubMedCrossRef Kroenke K, Spitzer R, Williams J (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613PubMedCrossRef
32.
Zurück zum Zitat Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction 88(6):791–804PubMedCrossRef Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction 88(6):791–804PubMedCrossRef
33.
Zurück zum Zitat Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO (1991) The Fagerstrom test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict 86(9):1119–1127PubMedCrossRef Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO (1991) The Fagerstrom test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict 86(9):1119–1127PubMedCrossRef
34.
Zurück zum Zitat Lin IF, Schaeffer NC (1995) Using survey participants to estimate the impact of nonparticipation. Public Opin Q 59:236–258CrossRef Lin IF, Schaeffer NC (1995) Using survey participants to estimate the impact of nonparticipation. Public Opin Q 59:236–258CrossRef
35.
Zurück zum Zitat Kypri K, McCambridge J, Wilson A, Attia J, Sheeran P, Bowe S et al (2011) Effects of Study Design and Allocation on participant behaviour—ESDA: study protocol for a randomized controlled trial. Trials 12(1):42PubMedCrossRef Kypri K, McCambridge J, Wilson A, Attia J, Sheeran P, Bowe S et al (2011) Effects of Study Design and Allocation on participant behaviour—ESDA: study protocol for a randomized controlled trial. Trials 12(1):42PubMedCrossRef
36.
Zurück zum Zitat Wild TC, Cunningham J, Adlaf E (2001) Nonresponse in a follow-up to a representative telephone survey of adult drinkers. J Stud Alcohol 62(2):257–261PubMed Wild TC, Cunningham J, Adlaf E (2001) Nonresponse in a follow-up to a representative telephone survey of adult drinkers. J Stud Alcohol 62(2):257–261PubMed
37.
Zurück zum Zitat Van Loon AJ, Tijhuis M, Picavet HS, Surtees PG, Ormel J (2003) Survey non-response in the Netherlands. Effects on prevalence estimates and associations. Ann Epidemiol 13(2):105–110PubMedCrossRef Van Loon AJ, Tijhuis M, Picavet HS, Surtees PG, Ormel J (2003) Survey non-response in the Netherlands. Effects on prevalence estimates and associations. Ann Epidemiol 13(2):105–110PubMedCrossRef
39.
Zurück zum Zitat Meiklejohn J, Connor J, Kypri K (2012) The effect of low survey response rates on estimates of alcohol consumption in a general population survey. PLoS ONE 7(4):e35527PubMedCrossRef Meiklejohn J, Connor J, Kypri K (2012) The effect of low survey response rates on estimates of alcohol consumption in a general population survey. PLoS ONE 7(4):e35527PubMedCrossRef
40.
Zurück zum Zitat Torvik FA, Rognmo K, Tambs K (2012) Alcohol use and mental distress as predictors of non-response in a general population health survey: the HUNT study. Soc Psychiatry Psychiatr Epidemiol 47(5):805–816PubMedCrossRef Torvik FA, Rognmo K, Tambs K (2012) Alcohol use and mental distress as predictors of non-response in a general population health survey: the HUNT study. Soc Psychiatry Psychiatr Epidemiol 47(5):805–816PubMedCrossRef
41.
Zurück zum Zitat Lundberg I, Damstrom Thakker K, Hallstrom T, Forsell Y (2005) Determinants of non-participation, and the effects of non-participation on potential cause-effect relationships, in the PART study on mental disorders. Soc Psychiatry Psychiatr Epidemiol 40(6):475–483PubMedCrossRef Lundberg I, Damstrom Thakker K, Hallstrom T, Forsell Y (2005) Determinants of non-participation, and the effects of non-participation on potential cause-effect relationships, in the PART study on mental disorders. Soc Psychiatry Psychiatr Epidemiol 40(6):475–483PubMedCrossRef
42.
Zurück zum Zitat Edwards P, Roberts I, Clarke M, DiGuiseppi C, Pratap S, Wentz R et al (2002) Increasing response rates to postal questionnaires: systematic review. Br Med J 324(7347):1183CrossRef Edwards P, Roberts I, Clarke M, DiGuiseppi C, Pratap S, Wentz R et al (2002) Increasing response rates to postal questionnaires: systematic review. Br Med J 324(7347):1183CrossRef
43.
Zurück zum Zitat Phelan JCLB, Stueve A, Pescosolido BA (2000) Public conceptions of mental illness in, 1950 and 1996: what is mental illness and is it to be feared? J Health Soc Behav 41:188–207CrossRef Phelan JCLB, Stueve A, Pescosolido BA (2000) Public conceptions of mental illness in, 1950 and 1996: what is mental illness and is it to be feared? J Health Soc Behav 41:188–207CrossRef
45.
46.
Zurück zum Zitat Reavley N, Jorm A (2010) Prevention and early intervention to improve mental health in higher education students: a review. Early Interv Psychiatry 4(2):132–142PubMedCrossRef Reavley N, Jorm A (2010) Prevention and early intervention to improve mental health in higher education students: a review. Early Interv Psychiatry 4(2):132–142PubMedCrossRef
47.
Zurück zum Zitat Moreira MT, Smith LA, Foxcroft D (2009) Social norms interventions to reduce alcohol misuse in university or college students. Cochrane Database Syst Rev, issue 3, Art. No.: CD006748. doi:10.1002/14651858.CD006748.pub2 Moreira MT, Smith LA, Foxcroft D (2009) Social norms interventions to reduce alcohol misuse in university or college students. Cochrane Database Syst Rev, issue 3, Art. No.: CD006748. doi:10.​1002/​14651858.​CD006748.​pub2
48.
Zurück zum Zitat Tait RJ, Christensen H (2010) Internet-based interventions for young people with problematic substance use: a systematic review. MJA 192(11):S15–S21PubMed Tait RJ, Christensen H (2010) Internet-based interventions for young people with problematic substance use: a systematic review. MJA 192(11):S15–S21PubMed
49.
Zurück zum Zitat Hallett J, Maycock B, Kypri K, Howat P, McManus A (2009) Development of a web-based alcohol intervention for university students: processes and challenges. Drug Alcohol Rev 28(1):31–39PubMedCrossRef Hallett J, Maycock B, Kypri K, Howat P, McManus A (2009) Development of a web-based alcohol intervention for university students: processes and challenges. Drug Alcohol Rev 28(1):31–39PubMedCrossRef
Metadaten
Titel
Risk factors for mental disorder among university students in Australia: findings from a web-based cross-sectional survey
verfasst von
David Said
Kypros Kypri
Jenny Bowman
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 6/2013
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0574-x

Weitere Artikel der Ausgabe 6/2013

Social Psychiatry and Psychiatric Epidemiology 6/2013 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.