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The importance of physical and mental health in explaining health-related academic role impairment among college students.
Journal of Psychiatric Research ( IF 3.7 ) Pub Date : 2020-01-29 , DOI: 10.1016/j.jpsychires.2020.01.009
Chelsey R Wilks 1 , Randy P Auerbach 2 , Jordi Alonso 3 , Corina Benjet 4 , Ronny Bruffaerts 5 , Pim Cuijpers 6 , David D Ebert 7 , Jennifer G Green 8 , Claude A Mellins 2 , Philippe Mortier 9 , Ekaterina Sadikova 10 , Nancy A Sampson 10 , Ronald C Kessler 10
Affiliation  

Research consistently documents high rates of mental health problems among college students and strong associations of these problems with academic role impairment. Less is known, though, about prevalence and effects of physical health problems in relation to mental health problems. The current report investigates this by examining associations of summary physical and mental health scores from the widely-used Short-Form 12 (SF-12) Health Survey with self-reported academic role functioning in a self-report survey of 3,855 first-year students from five universities in the northeastern United States (US; mean age 18.5; 53.0% female). The mean SF-12 physical component summary (PCS) score (55.1) was half a standard deviation above the benchmark US adult population mean. The mean SF-12 mental component summary (MCS) score (38.2) was more than a full standard deviation below the US adult population mean. Two-thirds of students (67.1%) reported at least mild and 10.5% severe health-related academic role impairment on a modified version of the Sheehan Disability Scale. Both PCS and MCS scores were significantly and inversely related to these impairment scores, but with nonlinearities and interactions and much stronger associations involving MCS than PCS. Simulation suggests that an intervention that improved the mental health of all students with scores below the MCS median to be at the median would result in a 61.3% reduction in the proportion of students who experienced severe health-related academic role impairment. Although low-cost scalable interventions exist to address student mental health problems, pragmatic trials are needed to evaluate the effectiveness of these interventions in reducing academic role impairment.

中文翻译:

身心健康在解释大学生健康相关的学术角色损害中的重要性。

研究一致地证明,大学生中的心理健康问题发生率很高,并且这些问题与学术角色受损之间有很强的联系。但是,关于身体健康问题相对于精神健康问题的普遍性和影响知之甚少。本报告通过检查来自广泛使用的简短表格12(SF-12)健康调查的身体和心理健康总得分与自我报告的学术角色在对3855名一年级学生进行自我报告调查中的作用之间的联系,对此进行了调查。来自美国东北部的五所大学(美国;平均年龄18.5;女性53.0%)。SF-12身体成分摘要(PCS)的平均得分(55.1)比基准美国成年人口平均值高半个标准差。SF-12心理成分摘要(MCS)平均得分(38。2)比美国成年人口均值还多了一个完整的标准差。三分之二的学生(67.1%)在希恩残疾量表的修订版中报告了至少与轻度和10.5%的严重健康相关的学术角色障碍。PCS和MCS评分均与这些障碍评分显着且呈负相关,但与PCS相比,具有非线性和交互作用,且涉及MCS的关联性强得多。模拟表明,一项干预措施可改善所有分数低于MCS中位数为中位数的学生的心理健康状况,这将使遭受严重与健康相关的学术角色障碍的学生比例减少61.3%。尽管存在低成本的可扩展干预措施来解决学生的心理健康问题,
更新日期:2020-01-30
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