The Risk Role of Defeat on the Mental Health of College Students:A Moderated Mediation Effect of Academic Stress and Interpersonal Relationships

Background:College students face significant academic and physiological changes,making them more susceptible to psychological issues such as depression,self-injury,and suicidal ideation.Feelings of defeat can exacerbate these risks by increasing academic stress.However,interpersonal relationships can moderate the impact of academic stress on students’mental health.Utilizing the presage–process–product model,this study aims to empirically investigate how feelings of defeat influence depression,self-injury,and suicidal ideation among college students.Additionally,it explores the mediating role of academic stress and the moderating role of various types of interpersonal relationships.Methods:A total of 1612 college students(750 females,862 males,mean age=19.64±0.62 years)were recruited through cluster sampling.Data were collected via offline questionnaires administered by a trained psychology teacher and a postgraduate student,ensuring high reliability with two examiners per class.Latent profile analysis(LPA)was used to examine the impact of defeat on mental health outcomes,while mediation analysis was conducted to assess the roles of academic stress and interpersonal relationships.Results:1.Defeat is identified as a significant risk factor for mental health issues among college students;2.Four distinct patterns of interpersonal relationships were identified:the interpersonal-relationship risk group,the father–child-relationship high-risk group,the general interpersonal-relationship group,and the superior interpersonal-relationship group;3.Academic stress partially mediates the relationship between defeat and mental health issues such as depression,self-injury,and suicidal ideation;4.Different interpersonal relationship models moderate the impact of academic stress on depression and suicidal ideation.Conclusion:Defeat is a significant risk factor for mental health problems in college students.Academic stress partially mediates the negative impact of defeat on mental health,while patterns of interpersonal relationships moderate this impact.Effective early prevention and intervention should focus on monitoring students’stress levels and fostering warm,positive parent–child relationships.

How University Athletics Can Impact Mental Health among Student Athletes at the University of Evansville

In recent years, the NCAA student athlete population in the United States has surpassed 500,000, and is continuing to rise each year [1]. These student athletes work their entire lives academically and athletically to reach the ultimate goal: competing in university athletics. However, when these athletes reach university, they are met with non-stop training, homework, exams, and evolving social lives. We have conducted a study at the University of Evansville evaluating how participation in university athletics may impact mental health status among these student athletes, as well as measuring players’ awareness of accessible mental health resources. Over fifty percent of participants reported experiencing at least one mental health condition while competing in their sport;eighty percent reported having knowledge of the mental health resources available to them on campus, however, nearly thirty percent of those knowledgeable reported not knowing how to access these resources. This has indicated a gap in awareness and utilization of mental health resources among student athletes at the University of Evansville.

Psychology University Students’ Mental Health Status during COVID-19 Pandemic in Karachi, Pakistan

Purpose: The COVID-19 pandemic has brought challenges in various domains of life but for low and middle-income country university students very demanding situations have emerged. University students’ psychological well-being has always been an area of concern worldwide and higher rates of anxiety and depression have been extensively reported among this cohort. Objective: To determine the frequency of depressive symptoms, anxiety symptoms, and quality of sleep and the association of sleep quality and personality traits with anxiety and depressive symptoms among university students in Karachi, Pakistan in the context of the pandemic COVID-19. Method: This web-based cross-sectional study was conducted among the students of a renowned, private, and HEC-recognized university during March 2020 to April 2020. Google forms were used to disseminate the online questionnaire to screen for depression-Patient Health Questionnaire—PHQ-9, anxiety-Generalized Anxiety Disorder—GAD-7, sleep-quality-Pittsburgh Sleep Quality Index Scale— PSQI and personality traits-Short Term Big Five Inventory—BFI-S. Results: Among the total sample size of 227 students, a considerable proportion of student participants had symptoms of mild anxiety [34.8%], moderate anxiety [15.9%], severe anxiety [18%], mild depression [19.8%], moderate depression [21.5%], moderately severe depression [13.3%] and severe depression [12%]. The majority of them were poor sleepers [77.5%]. Poor sleep quality was also associated with the level of depression and anxiety with a p-value of tiousness, Extroversion & Neuroticism were comparatively more vulnerable to anxiety and depression than people with other traits. Conclusion: This study gives strong evidence that a large percentage of university students have been suffering from depressive and anxiety symptoms during the COVID-19 pandemic accompanied by poor sleep quality. Protecting students’ mental health is an inevitable target during health crises by developing preventive strategies and interventions to address the psychological well-being of university students. The findings also highlight the significance of personality traits as a relevant component of individual differences to respond to various health-related emergencies.

Influencing Factors of Mental Health of Medical Students in China

Summary： This study investigated the mental health status of medical students in China, and analyzed the influencing factors in order to provide evidence for mental health education for medical students. A stratified cluster sampling method was used to recruit medical students from Huazhong University of Science and Technology, China. The questionnaire survey on general information and Symptom Checklist 90 （SCL-90） were used for investigation and analysis. The results showed among the 1137 valid questionnaires, 278 （24.45%） participants had SCL-90 score ≥ 160. The top three mental problems of medical students were obsessive-compulsive disorder, interpersonal sensitivity and depression in terms of the factor score ≥ 2.5 and the number of participants who reflected on the diseases. The third-year medical students had the worst mental health status, and fifth-year medical students had the best mental health status. Students from rural area had more psychological problems than those from urban area; furthermore, students with high professional satisfaction, those who were the single child of the family, non-poor students, and those whose parents had high education level had better mental health status. It was concluded that the mental health of medical students is not optimistic in China. Medical students have some mental health problems of different degrees. Factors that influence the mental health of medical students include academic pressure, professional satisfaction level and family environment.

The Relationship between Psychological Suzhi and Mental Health among Chinese College Students

Object: To explore the relationship between psychological suzhi and mental health among Chinese college students, and to gain psychological suzhi factors that are predictors for mental health. Method: By using stratified sampling method, an investigation was conducted among 734 subjects. They were assessed with the College Student Psychological Suzhi Scale (CSPS, including 3 subscales, 28 factors) and General Health Questionnaire-20 item (GHQ-20, including 3 subscales). Results: 1) Psychological suzhi score for Chinese college students had negative correlation with the score of GHQ-20, GHQ-depression and GHQ-anxiety (p < 0.001), and positive correlation with the score of GHQ-self-affirmation (p < 0.001);2) Psychological suzhi score for Chinese college students was predictor of the score for GHQ-20 and its subscales namely GHQ-self-affirmation, GHQ-depression, and GHQ-anxiety (β = ?0.448, 0.439, ?0.262, ?0.259, p < 0.001);the variance explained by the score of GHQ-20 and its subscales were 19.9%, 19.1%, 6.7%, 6.5%;3) There were 12 psychological suzhi factors that were predictors for GHQ-self-affirmation which was known as the positive indicator of mental health (p < 0.05);11 psychological suzhi factors were predictors for GHQ-depression and GHQ-anxiety which was known as the negative indicator of mental health (p < 0.05). Conclusion: There exists a correlation between psychological suzhi and mental health, particularly in positive mental health. Indeed, the psychological suzhi factors are able to enhance the pertinence of mental health education.

COVID-19 Downgraded Already Impaired Mental Health of Medical Undergraduates during the Pandemic Years

Background: Measures to contain the COVID-19 transmission reached teaching routines of universities worldwide with possible mental health consequences for anxiety. This study assessed prevalence and risk factors for stress, depression, and anxiety (SDA) in medical students during quarantine by COVID-19. Methods: A cross-sectional observational study of medical students by means of the DASS-21 questionnaire. Risk factors for SDA were assessed based on epidemiologic questions related to COVID-19. Receiver Operating Characteristics (ROC) curves were calculated for each predictor, as well as sensitivity and specificity. Results: This survey reached 1009 responses. A prevalence of 77.5% for some SDA disorder was found, 63% being severe. Previous diagnosis of psychiatric disorder was a factor of risk for anxiety (OR 2.78 CI95% 1.44 - 14.25, p = 0.044), as well as for depression (OR 3.37 CI95% 1.98 - 6.02, p Conclusion: Psychiatric conditions as well as chronic illnesses were risk factors for high prevalence of anxiety, depression and stress during the COVID-19 pandemic among medical students.

Is There an Association between Social Connectedness, Social Identity, Alcohol Consumption and Mental Health among Young University Students?

Social connectedness has been identified as a protective factor for a range of health issues however the literature is not conclusive. The high prevalence of hazardous alcohol consumption and mental health problems among university students along with the potential for the university as a setting for health promotion prompted this study. The study aims to explore the association between levels of alcohol consumption, mental health, social connectedness and social identity among university students. Online data were collected from a random sample of university undergraduate students (n = 2506) aged 18 - 24 years old. Outcomes were measured using the Alcohol Use Disorders Identification Test (AUDIT), the Kessler Psychological Distress Scale, Social Connectedness Scale, Social Identity Scale and measures of paid employment and study (hours), and participation in sports and other clubs. The majority of students had consumed alcohol in the last 12 months (87%). Of these students 38% reported to drink at hazardous levels (AUDIT ≥ 8). When all factors were considered: gender, living arrangements, being a domestic student, hours spent at work, participation in university and community sport, higher levels of psychological distress, higher levels of social connectedness, and lower levels of social identity were significant predictors of hazardous alcohol consumption. The finding highlights the need for the inclusion of integrated, multi-strategy health promotion interventions on campus. Further exploration of the associations between social connectedness and social identity as influences of health behaviors will better inform the development of targeted strategies for specific groups.

An Analysis on Mental Health Education of College Students with Financial Difficulties

With the enrollment expansion of college and continuous reform of college education system and college charging system,the number of college students with financial difficulties is increasing. The college students with family financial difficulties not only bear the huge economic burden,but also bear the huge pressure of learning and mental stress,and they have many kinds of psychological problems including psychological distress of tension and anxiety,psychological conflict of self-respect and self-abasement,conflict of desire for interpersonal interaction and self-containment and strong vanity and dependence mentality. This paper puts forward the corresponding recommendations to solve these problems.

An Empirical Analysis on Mental Health of Agricultural College Students

Based on the empirical survey of 2013-2016 college students in Northwest A&F University,we analyze the 9260 valid samples,and the survey involves emotional state,self-worth,psychological adjustment capacity and students’ attitude towards mental health education.On the basis of statistical data,we summarize the general situation of agricultural college students’ mental health,analyze the problems in agricultural college students’ psychological development and bring forward the feasible recommendations.

Cognitive Behavioral Therapy as the Basis for Preventive Intervention in a Sleep Health Program: A Quasi-Experimental Study of E-Mail Newsletters to College Students

Several reports suggest that college students often have atypical sleep patterns and experience poor sleep quality. We examined the effect of a cognitive behavioral therapy (CBT) based intervention program to improve sleep quality and overall mental health among college students. The intervention was delivered in the form of e-mail newsletters. Fifty-three students participated in the intervention group, and another 50 students participated in the control group. The intervention group received a lecture on sleep hygiene;once-weekly e-mail newsletters on sleep health topics (sleep hygiene, stimulus control, sleep restriction, sleep titration, and relapse prevention) and were asked to maintain a four-week sleep diary. The Pittsburgh Sleep Quality Index (PSQI), a measure of sleep quality, and the Kessler 6, a measure of psychological distress, were administered before the lecture (as the baseline measurement) and again 16 weeks later (follow-up measurement). PSQI and K6 scores were reduced in the intervention group compared with the control group. A CBT-based sleep health program utilizing e-mail newsletters may work to improve sleep quality and mental health. This program may represent a cost effective way for Japanese students to receive treatment for poor sleep and may also serve to prevent psychiatric problems.

Coping style and mental health on high school students

Objective: To explore the coping style of high school students and its relationship to mental health. Methods: Make a survey upon 320 students through coping style questionnaire and MSMH. Results: High school students often resort to problem solving and appeal to coping factors. No distinct gender difference is found in coping style. There are different degrees of correlation between coping style and mental health. Remarkable grade difference is shown in the factor of appealing in coping style and the three factors of compulsion, anxiety and mental imbalance in mental health. Conclusion: Relatively mature coping style has come into existence among high school students, but more guidance and assistance are in need in cultivating the coping style and improving the mental health.

Relationship between Students’ Personality and Mental Health at University of Guilan (Faculty of Humanities)

The main goal of this research was the scrutiny of relationship between students’ personality characteristics and mental health at the University of Guilan. The population was the students of the Faculty of Humanities in 2009 with 3000 which 196 were selected using Kerjeci & Morgan table and stratified sampling method. They answered to the NEO and GHQ questionnaires. Results showed that there was relationship between personality characteristic of neurotic, openness, extraversion and being conscionable with mental health. Meanwhile, openness had the highest and extraversion with the lowest correlation scale and most of students (65%) had low mental health. Also, there were no significant differences among students with respect to different courses but significant difference with respect to gender and age.

The Mental Health Education Development of China University Students

In 80s, 20th century, the policy、economy、culture of China, at the influence of China's Open -door policy, strengthening the communication with other countries in the world, make China realize the importance of improving the labor quality. In addition, with the policy of quality education, the university students' mental health education comes up. After its thirty-year development history, forms its unique working-system.

The Effect of Life Skills Training on the Mental Health and Level of Resilience among Teachers of Normal Students and Teachers of Exceptional Students in Zahedan

This is an experimental study conducted on two groups of control and experimental using pretestposttest design, applying psychological intervention on the study sample. The present study aimed to determine the effectiveness of collective education life skills on mental health and resilience of teachers in Zahedan. The population of the study included all teachers at schools with normal students and teachers at schools with exceptional students in Zahedan, among which 60 teachers at normal schools and 20 teachers at exceptional schools were selected and placed in two groups of experimental and control, respectively. Initially, members of the experimental group were taught 10 basic life skills in 10 2-hour sessions. Mental health and resilience questionnaires were distributed and gathered before and after the training sessions. Results indicated the positive effect of life skills training on mental health of teachers at schools with normal students and teachers at schools with exceptional students, which meant that the more the life skills training to teachers at schools with normal students and teachers at schools with exceptional students, the lower their mental health scores would be. Results also indicated the positive effect of life skills training on resilience of teachers at schools with normal students and teachers at schools with exceptional students, which meant that the more the life skills training to teachers at schools with normal students and teachers at schools with exceptional students, the higher their resilience scores would be.

A Survey of Adolescent Mental Health from the Perspective of Sinology

The purpose of this paper is to investigate the mental health status of adolescents. In this paper, the MHT test paper was used to evaluate the mental health status of 226 students in different places. MHT refers to the mental health test for primary and middle school students. Results: 1) 34 students had serious psychological tendency, which was mainly manifested in learning anxiety, anxiety about people, self-accusation tendency and impulse tendency;2) There are gender differences in mental health problems among school students, with more girls than boys. There are also regional differences, with more students in Guangdong than in other regions. There are also differences in learning stages, and there are more senior high school students than junior middle school students. Conclusion: 1) Students in school have different degrees of mental health problems. 2) These mental health problems are different due to three different factors.

Thoughts on Integration of TCM Elements into Mental Health Education

The contemporary college students in China are facing the pressure of study,employment and interpersonal relationship in current complicated society,and their mental health condition is not optimistic.Therefore,it plays a crucial role by integrating TCM elements into mental health education.The paper deliberates the problem of integrating TCM elements into mental health education of college students,and puts forward suggestions and measures.

Mental Health Outreach at Community Behavior Health Centers

Background: Major Depressive Disorder (MDD) is considered to be one of the most common incapacitating psychiatric diseases. A pharmacist interacting with patients has the potential to enhance compliance, ensure proper medication use, and monitor adverse effects that will ultimately improve patients’ quality of care. Methods: The primary objectives of this study were to 1) assess individuals’ knowledge of depression before and after a 30-minute educational intervention and 2) measure satisfaction with the program. The pre- and post-test consisted of 11 identical questions that assessed individuals’ knowledge regarding depression. The survey consisted of four questions that rated program satisfaction. Results: Although 82 individuals participated in some aspect of the program, 56 individuals completed the program requirements and were included in the data analysis. Four hundred and eighty six of the total 616 (56 participants × 11 questions) pre-test questions (79%) were answered correctly at the beginning of the program. A total of 556 post-test questions (90%) were answered correctly at the conclusion of the program, with an overall increase of 70 (p ≤ 0.001) more correct answers. Correct responses to five questions were statistically significant for improved post-test scores: Over-the-counter or herbal medications will interfere with your medication (p = 0.01);certain foods can interfere with medications that affect mood (p = 0.01);it is safe to use multiple pharmacies to get your medications (p = 0.001);the main chemical of the brain that is not balanced in depression (p ≤ 0.001);and the most common type of medication for depression (p ≤ 0.001). Overall, 95% of participants would recommend the program to a friend or family member. Conclusion: The data from this program supports that pharmacists can have a positive impact in the mental health field and satisfaction with such services in the community.

新媒体环境下大学生心理健康教育探析

新媒体时代多元信息的传播将对大学生产生较大影响。了解新媒体对大学生行为和认知方面的影响,发现新媒体将拓展心理健康教育渠道,优化心理健康教育手段,强化大学生的参与意识。故教师可从以下三方面入手:创新教育思维,积极收集大学生心理动态;优化教育模式,构建动静结合的教育方法;完善教育队伍,提升心理健康教育者素质,从而优化新媒体环境下的大学生心理健康教育。

信阳市小学4~6年级儿童心理健康状况与校园欺凌、学业压力的关系

目的:研究信阳市小学4~6年级儿童心理健康状况与校园欺凌、学业压力的关系,为改善儿童心理健康状况提供实证依据。方法:从信阳市抽取6所小学4~6年级儿童1736名为调查对象,采用儿童少年心理健康问卷(Mental Health Scale for Child and Adolescent,MHS-CA)、特拉华欺凌受害量表(学生版)(Delaware Bullying Victimization Scale-Student,DBVS-S)、小学生学习压力问卷进行调查,采用回归分析考察变量之间的关系。结果:①单因素分析显示,男生的MHS-CA评分、学业压力评分高于女生,DBVS-S评分低于女生(P<0.01);城区学生的MHS-CA评分、学业压力评分高于农村,DBVS-S评分低于农村(P<0.001);独生子女的MHS-CA评分、学业压力评分高于非独生子女(P<0.001);汉族学生的学业压力评分高于少数民族,DBVS-S评分低于少数民族(P<0.001);贫困家庭学生的DBVS-S评分高于非贫困家庭,学业压力评分、MHS-CA评分低于非贫困家庭(P<0.001);双亲家庭学生的MHS-CA评分高于单亲或其他家庭,DBVS-S评分低于单亲或其他家庭(P<0.001);留守学生的DBVS-S评分高于非留守学生,MHS-CA评分低于非留守学生(P<0.001);不同年级学生的MHS-CA评分、DBVS-S评分、学业压力评分比较,差异有统计学意义(P<0.001)。②Pearson相关分析法显示,小学生心理健康与校园欺凌、学业压力呈负相关(P<0.05)。③多重线性回归分析发现,影响小学生心理健康状况的因素有家庭经济状况、家庭类型、校园欺凌、学业压力、是否为独生子女、有无留守经历(P<0.05)。结论:生源地为农村、单亲或其他家庭、家庭贫困、非独生子女、有留守经历的4~6年级儿童心理健康状况较差,且与校园欺凌、学业压力有关。