College Students: Mental Health Problems and Treatment Considerations
Open accessAbstract
Attending college can be a stressful time for many students. In addition to coping with academic pressure, some students have to deal with the stressful tasks of separation and individuation from their family of origin while some may have to attend to numerous work and family responsibilities. In this context, many college students experience the first onset of mental health and substance use problems or an exacerbation of their symptoms. Given the uniqueness of college students, there is a need to outline critical issues to consider when working with this population. In this commentary, first, the prevalence of psychiatric and substance use problems in college students and the significance of assessing age of onset of current psychopathology are described. Then, the concerning persistent nature of mental health problems among college students and its implications are summarized. Finally, important aspects of treatment to consider when treating college students with mental health problems are outlined, such as the importance of including parents in the treatment, communicating with other providers, and employing of technology to increase adherence. It is concluded that, by becoming familiar with the unique problems characteristic of the developmental stage and environment college students are in, practitioners will be able to better serve them.
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One in every three college freshmen has mental health issues.
“It is estimated that one in every three college freshmen has mental health issues [4]”
From Analysis of Mobile App-Based Mental Health Solutions for College Students: A Rapid Review (2023) · cites this paper as [4]
The Abstract says mental health problems are very common among college students, and the Prevalence of Mental Health Disorders section discusses their prevalence. Neither passage gives a one-in-three estimate for college freshmen; searches for freshmen and that proportion found no such estimate in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredUniversity undergraduates are at higher risk than the general population for psychological distress to progress to a diagnosable psychiatric disorder.
“University undergraduates are at a higher risk than the general population for this psychological distress to progress to a diagnosable psychiatric disorder.”
From Relationships between psychopathology, psychological process variables, and sociodemographic variables and comparison of quarantined and non-quarantined groups of malaysian university students in the covid-19 pandemic (2021) · cites this paper as [4]
The Prevalence of Mental Health Disorders section says that the disruptions of attending college may exacerbate existing psychopathology or trigger its first onset. That supports concern about mental illness emerging during college, but the paper does not establish that undergraduates are at higher risk than the general population for psychological distress to progress to a diagnosable disorder. (LLM, conf=0.84)
Experimental — accuracy not yet measuredDepression and anxiety are among the most prevalent mental health conditions experienced by young people and often co-occur with many other disorders.
“We have focused on depression and anxiety as these are among the most prevalent mental health conditions experienced by young people and often co-occur with many other disorders (22–24).”
From What Works and What Doesn’t Work? A Systematic Review of Digital Mental Health Interventions for Depression and Anxiety in Young People (2019) · cites this paper as [22]
The Prevalence of Mental Health Disorders section (page not provided) identifies anxiety as the most prevalent psychiatric problem among college students and depression as another common problem. The Implications of Age of Onset section (page not provided) links childhood-onset anxiety and mood disorders to later comorbidity, but does not establish that depression and anxiety generally often co-occur with many other disorders across young people beyond college students. (LLM, conf=0.83)
Experimental — accuracy not yet measuredCollege students are increasingly recognized as a population particularly vulnerable to mental health concerns.
“College students are increasingly being recognized as a population particularly vulnerable to mental health concerns.1,2”
From Aligning students and counseling centers on student mental health needs and treatment resources. (2022) · cites this paper as [1]
The findings support the suggestion that other strategies are necessary to ensure that college students receive the care they need as soon as possible.
“Our findings support the suggestion that other strategies are necessary to ensure that college students receive the care they need as soon as possible.1,28”
From Aligning students and counseling centers on student mental health needs and treatment resources. (2022) · cites this paper as [1]
College students are at a key point in their life when mental health concerns are common, and addressing those concerns is pivotal to their sustained wellbeing.
“College students are at a key point in their life when mental health concerns are common,1 and addressing those concerns is pivotal to their sustained wellbeing.38”
From Aligning students and counseling centers on student mental health needs and treatment resources. (2022) · cites this paper as [1]
Research studies have repeatedly found that these disorders are common among college students.
“epidemiological studies consistently find high prevalence of these disorders among college students (Hunt & Eisenberg, 2010; Ibrahim, Kelly, Adams, & Glazebrook, 2013; Pedrelli, Nyer, Yeung, Zulauf, & Wilens, 2015).”
From WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. (2018) · cites this paper as Pedrelli, Nyer, Yeung, Zulauf, & Wilens, 2015
College students during the young adult years are at elevated risk for the development of anxiety and depressive difficulties.
“College students during the young adult years are at elevated risk for the development of anxiety and depressive difficulties.”
College students are one of the most susceptible age groups to mental health problems.
“College students are one of the most susceptible age groups to mental health problems.”
From Analysis of Mobile App-Based Mental Health Solutions for College Students: A Rapid Review (2023) · cites this paper as [4]
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“population particularly vulnerable to mental health concerns.(1,2) Many factors contribute to the stress-inducing cli-”
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“Students face various stressors such as independent living, adjustment to a new social environment, and academic pressure, making them particularly susceptible to experiencing mental health problems (Karyotaki et al., 2020; Pedrelli, Nyer, Yeung, Zulauf, & Wilens, 2015).”
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“It is estimated that one in every three college freshmen has mental health issues [4], and an estimated 9% of all students have depressive symptoms [5].”
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“This often exacerbates their vulnerability to develop mental health issues, posing adverse consequences for their well-being and academic performance (Auerbach et al., 2016; Bravo et al., 2018; Bruffaerts et al., 2018; Pedrelli et al., 2015).”
Judgment and reactivity are associated with mental distress among university students.
Gonçalves Gallo, G., Fernandez Curado, D., Pires Alves Machado, M., Villar Scattone, V., & Noto, A. R. (2022) · The Journal of Mental Health Training Education and Practice · doi:10.1108/jmhtep-08-2021-0094
- Authors
- Pedrelli, P., Nyer, M., Yeung, A., Zulauf, C., & Wilens, T.
- Affiliations
- Massachusetts General Hospital (US)
- Corresponding author
- Pedrelli, Paola
- Venue
- Academic Psychiatry
- Published
- 2014-08-21
- Volume
- 39
- Issue
- 5
- Pages
- 503-511
- ISSN
- 1042-9670 (ISSN-L)
- 1545-7230
- PMC
- PMC4527955
- OpenAlex
- W1996007928
- Cited by
- 1,325
- References
- 114
- Citations by year
- 2026: 139 · 2025: 196 · 2024: 230 · 2023: 188 · 2022: 170 · 2021: 165 · 2020: 96 · 2019: 52 · 2018: 64 · 2017: 19 · 2016: 4 · 2015: 1 · 2012: 1
- FWCI
- 11.84
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Academic Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K23AA020064, K23AA020064-012)
- National Institute on Drug Abuse (K24DA016264)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- university students, mental illness, substance use disorders, medication adherence, parental involvement in treatment, interprofessional communication, academic stress, prevalence of mental disorders
- MeSH terms
- Mental Disorders, Humans, Students, Universities
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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