Jacks Bennett, Claire M A Haworth, Judi Kidger, Jon Heron, Myles-Jay Linton, David Gunnell
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引用次数: 0
摘要
背景:现在,越来越多的学生向高等教育机构寻求心理健康支持。作为回应,一些大学已经投资于非临床健康服务,但对这些服务的评估却寥寥无几。本研究填补了现有文献中的一个重要空白。研究目的:本研究探讨了英国一所大型大学引入非临床健康顾问对学生心理健康和求助行为的影响:在2018年(n = 5562)和2019年(n = 2637)服务引入前和引入后收集的调查数据测量了抑郁症(患者健康问卷-9)、焦虑症(广泛性焦虑症-7)和低心理幸福感(沃里克-爱丁堡心理幸福量表)的患病率,以及学生寻求支持的行为。逻辑回归模型调查了结果测量的变化。行政数据(2014-2020 年)用于调查现场医疗服务机构开具抗抑郁药处方、学生咨询转介和课程退学率的相应趋势:调整后的模型显示,2019 年学生的焦虑水平(几率比 0.86,95% CI 0.77-0.96)和低幸福感水平(几率比 0.84,95% CI 0.75-0.94)有所下降,但抑郁症状(几率比 1.05,95% CI 0.93-1.17)没有下降。统计证据显示,学生咨询转介减少,抗抑郁药物处方和课程退出率趋于平稳。学生对大学支持的可用性和可及性的看法有所改善:我们的研究结果表明,非临床的幸福服务模式可以改善学生对支持的感知,影响焦虑和低幸福感的整体水平,并减少临床需求。目前的研究只能考察短期内的变化,还需要更长时间的跟踪。
Investigating changes in student mental health and help-seeking behaviour after the introduction of new well-being support services at a UK university.
Background: Growing numbers of students now seek mental health support from their higher education providers. In response, a number of universities have invested in non-clinical well-being services, but there have been few evaluations of these. This research addresses a critical gap in the existing literature.
Aims: This study examined the impact of introducing non-clinical well-being advisers on student mental health and help-seeking behaviour at a large UK university.
Method: Survey data collected pre-post service introduction in 2018 (n = 5562) and 2019 (n = 2637) measured prevalence of depression (Patient Health Questionnaire-9), anxiety (Generalised Anxiety Disorder-7), and low mental well-being (Warwick-Edinburgh Mental Wellbeing Scale), alongside student support-seeking behaviour. Logistic regression models investigated changes in outcome measures. Administrative data (2014-2020) were used to investigate corresponding trends in antidepressant prescribing at the onsite health service, student counselling referrals and course withdrawal rates.
Results: Adjusted models suggested reductions in students' levels of anxiety (odds ratio 0.86, 95% CI 0.77-0.96) and low well-being (odds ratio 0.84, 95% CI 0.75-0.94) in 2019, but not depression symptoms (odds ratio 1.05, 95% CI 0.93-1.17). Statistical evidence showed reduced student counselling referrals, with antidepressant prescribing and course withdrawal rates levelling off. Student perception of the availability and accessibility of university support improved.
Conclusions: Our findings suggest a non-clinical well-being service model may improve student perception of support, influence overall levels of anxiety and low well-being, and reduce clinical need. The current study was only able to examine changes over the short term, and a longer follow-up is needed.
期刊介绍:
Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.