Latent Profiles of Psychological Distress and Social Inequalities in Brazilian Higher Education.

IF 2.7 4区 医学 Q2 PSYCHIATRY
Manuela de Mendonça Figueirêdo Coelho, Kaylane Morais Ribeiro, Anna Luísa de Oliveira Parnaíba, Isaque Lima de Farias, Melissa Bezerra Machado, Mariana Araújo Rios, Francisca Semirames de Sousa Silvestre, Manuela Dos Santos Gomes, Paula Sacha Frota Nogueira, Janaína Fonseca Victor Coutinho, Fabiane do Amaral Gubert, Mariana Cavalcante Martins
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Abstract

Objective: To identify latent profiles of psychological distress in the Brazilian academic community and analyze their association with sociodemographic inequalities.

Methods: A nationwide online survey was conducted with 3,770 participants, including undergraduate and graduate students, faculty, and administrative staff from public higher education institutions. Standardized instruments were used to assess symptoms of common mental health conditions. Statistical modeling was applied to identify distinct profiles of psychological distress and examine their relationship with sociodemographic characteristics.

Results: Five profiles of psychological distress were identified: acute anxious-depressive (14.0%), substance-related distress (9.0%), multimorbidity (10.6%), low symptom burden (39.4%), and severe internalizing (27.0%). These profiles were consistent across students, faculty, and staff. Higher levels of psychological distress were observed among undergraduate students, women, non-binary individuals, and participants from Black, Brown, and Indigenous groups, as well as those with lower income. Older age and higher income were associated with lower likelihood of belonging to more severe profiles. The findings reflect a high burden of self-reported symptoms rather than prevalence of diagnosed mental disorders.

Conclusions: Psychological distress in higher education is heterogeneous and socially patterned. The identification of distinct profiles highlights the need for targeted and equitable institutional strategies, including mental health screening, psychosocial support, and interventions focused on vulnerable groups.

巴西高等教育中心理困扰和社会不平等的潜在特征。
目的:确定巴西学术界心理困扰的潜在特征,并分析其与社会人口不平等的关系。方法:在全国范围内进行了一项在线调查,共有3770名参与者,包括公立高等教育机构的本科生和研究生、教师和行政人员。标准化的工具被用来评估常见精神健康状况的症状。统计模型应用于识别不同的心理困扰概况,并检查其与社会人口学特征的关系。结果:确定了5种类型的心理困扰:急性焦虑-抑郁(14.0%)、物质相关困扰(9.0%)、多病(10.6%)、低症状负担(39.4%)和严重内化(27.0%)。这些概况在学生、教师和员工中是一致的。在本科生、女性、非二元个体、黑人、棕色人种和土著群体以及低收入群体中,观察到更高水平的心理困扰。年龄越大、收入越高,属于更严重状况的可能性越低。研究结果反映了自我报告症状的高负担,而不是诊断的精神障碍的普遍存在。结论:高等教育中的心理困扰具有异质性和社会性。对不同情况的确定突出表明需要有针对性和公平的机构战略,包括精神健康检查、社会心理支持和以弱势群体为重点的干预措施。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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