Cited by 784Mental Health Treatment and AccessStudent Stress and CopingHealthcare professionals’ stress and burnout

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Persistence of mental health problems and needs in a college student population

Zivin, Kara, Eisenberg, Daniel, Gollust, Sarah E., Golberstein, Ezra·2009·Journal of Affective Disorders

DOI 10.1016/j.jad.2009.01.001

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Abstract

Background Cross-sectional studies indicate a high prevalence of mental health problems among college students, but there are fewer longitudinal data on these problems and related help-seeking behavior.Methods We conducted a baseline web-based survey of students attending a large public university in fall 2005 and a two-year follow-up survey in fall 2007. We used brief screening instruments to measure symptoms of mental disorders (anxiety, depression, eating disorders), as well as self-injury and suicidal ideation. We estimated the persistence of these mental health problems between the two time points, and determined to what extent students with mental health problems perceived a need for or used mental health services (medication or therapy). We conducted logistic regression analyses examining how baseline predictors were associated with mental health and help-seeking two years later.Results Over half of students suffered from at least one mental health problem at baseline or follow-up. Among students with at least one mental health problem at baseline, 60% had at least one mental health problem two years later. Among students with a mental health problem at both time points, fewer than half received treatment between those time points.Limitations Mental health problems are based on self-report to brief screens, and the sample is from a single university.Conclusions These findings indicate that mental disorders are prevalent and persistent in a student population. While the majority of students with probable disorders are aware of the need for treatment, most of these students do not receive treatment, even over a two-year period.

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Authors: Zivin, K., Eisenberg, D., Gollust, S. E., & Golberstein, E.
Affiliations: United States Department of Veterans Affairs (US)
University of Michigan (US)
University of Pennsylvania (US)
Harvard University (US)
Corresponding author: Zivin, Kara
ORCID: Zivin, Kara
Eisenberg, Daniel
Gollust, Sarah E.
Golberstein, Ezra
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2009-10
Volume: 117
Issue: 3
Pages: 180-185
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2009.01.001
OpenAlex: W2004267009
Cited by: 784
References: 26
Citations by year: 2026: 12 · 2025: 38 · 2024: 50 · 2023: 59 · 2022: 75 · 2021: 81 · 2020: 69 · 2019: 56 · 2018: 67 · 2017: 46 · 2016: 52 · 2015: 46 · 2014: 38 · 2013: 31 · 2012: 29
FWCI: 27.07
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords: university students, mental illness, help-seeking, treatment utilization, anxiety, depression, eating disorders, self-harm, suicidal ideation, mental health services, longitudinal follow-up
MeSH terms: Adolescent, Adult, Anxiety Disorders, Feeding and Eating Disorders, Mental Disorders, Cross-Sectional Studies, Depressive Disorder, Female, Health Surveys, Humans, Longitudinal Studies, Male, Mental Health Services, Patient Acceptance of Health Care, Psychotropic Drugs, Student Health Services, Students, Suicide, Attempted, Midwestern United States, Comorbidity, Self-Injurious Behavior, Needs Assessment, Young Adult

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Persistence of mental health problems and needs in a college student population

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