Examining the initial usability,acceptability and feasibility of a digital mental health intervention for college students in India

Generalised anxiety disorder (GAD) is prevalent among college students in India; however, barriers like stigma, treatment accessibility and cost prevent engagement in treatment. Web- and mobile-based, or digital, mental health interventions have been proposed as a potential solution to increasing treatment access. With the ultimate goal of developing an engaging digital mental health intervention for university students in India, the current study sought to understand students' reactions to a culturally and digitally adapted evidence-based cognitive behavioural therapy (CBT) for GAD intervention. Specifically, through theatre testing and focus groups with a non-clinical sample of 15 college students in India, the present study examined initial usability, acceptability and feasibility of the “Mana Maali Digital Anxiety Program.” Secondary objectives comprised identifying students' perceived barriers to using the program and eliciting recommendations. Results indicated high usability, with the average usability rating ranking in the top 10% of general usability scores. Participants offered actionable changes to improve usability and perceived acceptability among peers struggling with mental health issues. Findings highlight the benefits of offering digital resources that circumvent barriers associated with accessing traditional services. Results build on existing evidence that digital interventions can be a viable means of delivering mental healthcare to large, defined populations.     

Multiple health risk behaviours and posttraumatic stress disorder symptoms among university students from 22 countries

The goal of the study was to investigate multiple health risk behaviours in relation to PTSD symptoms in a sample of university students from 22 countries. Using anonymous questionnaires, data were collected from 16804 undergraduate university students (mean age 20.8, SD?=?2.8) from 23 universities in 22 countries in Africa, Asia, Caribbean and South America. Results indicate that overall, 20.9% of the university students screened positive for PTSD, and the overall mean of health risk behaviours (range from 1–10) was 2.7 for university students from all countries. Logistic regression adjusted for sociodemographic characteristics and social support found that each of the ten individual health risk behaviours was significantly associated with PTSD symptoms. In addition, logistic regression with multiple health risk behaviours found a steady increase from 1 (Odds Ratio (OR): 1.37, CI 1.05–1.77) to 5 or more (OR: 3.57, CI 2.75–4.64) health risk behaviours in association with PTSD symptoms, adjusted for age, gender, economic family background and social support.     

Hostile attribution bias's role in perceived stress among college freshman students: A latent growth modelling approach

This study's objective was to examine the growth trajectories of freshman students' perceived stress and whether hostile attribution bias predicts the pattern of perceived stress change using latent growth analyses. A longitudinal dataset with fourth measurement points was gathered from a total of 1109 college students enrolled at a university in Guizhou Province in the first 3 months after college freshmen enrollment. The freshman students' levels of perceived stress tend to show a piecewise linear decline during the transition period, which manifests as a faster decline in the first stage (within the first month) than in the second stage (after the first month). Moreover, hostile attribution bias not only positively predicted the initial level of perceived stress but also positively predicted the slope of perceived stress in the first and second stages. In addition, there was a significant sex difference in the initial level of perceived stress where the initial level of perceived stress was higher in females than in males, but there was no significant sex difference in the rate of perceived stress decline. These results highlight the longitudinal relationship between hostile attribution bias and perceived stress and have implications for improving freshmen' college adaptation.     

Randomized controlled trial evaluating the effectiveness of a web-based stress management program among community college students

Background and Objectives: This study evaluated the effectiveness of a web-based stress management program among community college students that focused on increasing perceived control over stressful events. Design: Students (N = 257) were randomly assigned to a Present Control Intervention or a Stress-information only comparison group. Methods: Primary outcomes were perceived stress and stress symptoms; secondary outcomes were depression and anxiety. Self-report measures were completed online at preintervention, postintervention, and three-week follow-up. Intervention effects were estimated using linear mixed models. Seventy-five percent of the sample (n = 194) completed the pretest and comprised the intent-to-treat sample. Results: Participants in the intervention group reported significant increases in present control, and significant decreases in all four primary and secondary outcome measures from baseline to postintervention and follow-up. Within-group effect sizes were small to medium at postintervention (mean d = –.34) and follow-up (mean d = –.49). The mean between-group effect size on the four outcome measures was d = .35 at postintervention but d = .12 at follow-up, due to unexpected decreases in distress in the comparison group. Conclusions: Our online program is a cost-effective mental health program for college students. Limitations and future direction are discussed.     

Effects of stress and retesting on role play tests of social skill

The purpose of this study was to examine the role of stress in performance on role play tests of social skill. Chronic psychiatric patients were tested in a formal videotape studio or in an informal consulting room setting. Motoric and physiological measures were secured. In addition, one-half of the subjects were retested one week later. In contrast to previous studies, results indicated that the assessment was not stressful. The two groups were not different on any measure, and the mean heart rates ranged from only 80 to 84 b.p.m. The effects of retesting were difficult to interpret. There were reductions in motoric indices of anxiety (speech disruptions) but not on physiological indices. Overall, testretest reliability was quite high. The results raise several questions which affect interpretation of many social skills studies in the literature.     

Examining posttraumatic growth among Japanese university students

Abstract

To determine the underlying factor structure of the Japanese version of the Posttraumatic Growth Inventory (PTGI-J), a principal components analysis was performed on data from 312 Japanese undergraduate students who reported growth due to their most traumatic event within the last 5 years. Results showed the PTGI-J has high internal consistency and, of the original five factors reported by Tedeschi and Calhoun (1996), three were replicated: Relating to Others, New Possibilities, Personal Strength, and a fourth factor integrating Spiritual Change and Appreciation of Life emerged. There were neither gender differences nor relationships with time since trauma. PTGI-J scores were positively associated with posttraumatic symptoms and correlated with type of traumatic event experienced. These results and future directions are discussed from a cross-cultural viewpoint.     

Examining the impact of acculturative stress on body image disturbance among Hispanic college students

This study investigated the impact of acculturative stress on psychological well-being and body image disturbance in a sample of female and male Hispanic individuals. The unique protective effects of differing social support sources, including family and peer support, were examined against acculturative stress and body image disturbance. A total of 399 participants of Hispanic origin were recruited from Texas Tech University in West Texas. Students completed a battery of measures of acculturative stress and internalization of the thin ideal, as well as perceived social support. Hierarchical regression analyses indicated that acculturative stress is a significant positive predictor of body image disturbance among Hispanic college students. Thin ideal internalization was found to mediate this relationship such that acculturative stress was associated with heightened body image disturbance through its impact on thin ideal internalization. Social support significantly reduced acculturative stress as well as body image disturbance but did not moderate the relation between these 2 factors. Results highlight the importance of considering acculturative stress as a strong predictor of body image disturbance among college students of Hispanic origin. The mechanisms of influence of acculturative stress on body image disturbance are discussed in relation to thin ideal internalization. The protective role of social support on these negative psychological outcomes is also clarified. This study is the first to examine these issues in a sample of female and male Hispanic college students and provides avenues for clinical interventions and future trials with diverse populations.     

Coping style in predicting posttraumatic stress disorder among Israeli students

Abstract

Two possible motives for sensation seeking behavior, escape from self-awareness and compensatory self-regulation, were investigated in two studies. In Study I a questionnaire was developed to identify the putative escape and compensation motives suspected to contribute to sensation seeking behaviors. In Study II the factor structure of this new measure, called the Risk and Excitement Inventory (REI), was cross-validated using confirmatory factor analysis, and construct validity was examined. Together these studies suggest that the REI comprises two reliable factors, compensation and escape from self-awareness. Study II showed that these factors have a reasonable degree of construct validity. Limits of the measure and the model are discussed, and suggestions are offered for future research.     

Psychology of computer use: XXIV. Computer-related stress among technical college students.

Hudiburg's Computer Technology Hassles Scale, along with a measure of global stress and a scale on attitudes toward computers, were administered to 186 students in a two-year technical college. Hudiburg's work with the hassles scale as a measure of "technostress" was affirmed. Moderate, but statistically significant, correlations among the three scales are reported. No relationship between the hassles scale and achievement as measured by GPA was detected.     

Religious coping,stress, and quality of life of Muslim university students in New Zealand

Most of the research on religious coping has been conducted with Christian participants from Western cultures, although in recent years increasingly more studies have been conducted with Muslim participants. For university students in Muslim countries, religiosity is positively correlated with a variety of indices of mental health and psychological well-being, but only a small number of studies investigated coping in Muslims living and studying in a non-Muslim country. The present study thus explored the relationship between perceived stress, quality of life (QOL), and religious coping in a sample of 114 Muslim university students in New Zealand. International Muslim students had higher levels of spirituality/religiousness than domestic Muslim students, and used more positive and negative religious coping methods. For international students, positive religious coping was positively related to QOL and lack of stress, while, for domestic students, negative religious coping was negatively related to the QOL and increased stress. This different pattern may relate to the ethnic background of the participants, and the results of the present study thus highlight that Muslims studying at universities overseas can certainly not be considered as a homogenous group.     

Family and work predictors of parenting role stress among two‐earner families of children with disabilities

Family resources (i.e. household income and spouse support), parenting challenges (i.e. number of children, difficulty finding reliable child care, and child characteristics), work rewards (i.e. work interest) and work demands (i.e. hours and work overload) were tested as predictors of parenting role stress among mothers and fathers in two‐earner families of five‐year old children with disabilities. The two‐level hierarchical model was adapted to assess mothers and fathers as nested within married couples. Both common and unique predictors of maternal and paternal parenting role stress were found. Having fewer children in the family predicted less stress for both parents. Household income and an interaction between child behaviour problems and work interest were significant predictors of maternal parenting role stress. In contrast, greater difficulty in finding reliable child care predicted higher levels of parenting role stress for fathers but not mothers. The policy and research implications of these findings are discussed. Copyright © 2005 John Wiley & Sons, Ltd.     

Relationship between COVID-19-related stress and social inhibition among university students in China: The mediating role of psychological richness

Throughout the COVID-19 pandemic, the mental health issues of university students received increasing attention. However, little is known about the effect of COVID-19-related stress on social inhibition among Chinese university students and its psychological mechanism in the context of the COVID-19 pandemic. This study aimed to explore the relationship between COVID-19-related stress and social inhibition as well as the mediating role of psychological richness. In late 2022, 1250 Chinese university students were recruited for participation in an online survey. Modified SARS-Stress Scale, Social Inhibition Questionnaire, and Psychologically Rich Life Questionnaire were used to assess participants' COVID-19-related stress, social inhibition, and psychological richness. The Results indicate that COVID-19-related stress positively predicts social inhibition and negatively predicts psychological richness. Meanwhile, Psychological richness negatively predicts social inhibition. Mediation analysis shows that the relationship between COVID-19-related stress and social inhibition was partially mediated by psychological richness. The results indicate the significant predictive value of psychological richness when studying mental health issues.     

Attitude Towards Premarital Sex among Rural College Youth in Maharashtra,India

Little is known about the risky sexual behaviour, misconceptions and attitudes regarding sexuality and sexual health among rural youth in India. In order to understand these aspects, quantitative data were collected among 1,500 rural college students (800 male and 700 female) in the age group 15–24 years in the Thane district of Maharashtra, India, during 2004. Analysis of variance and regression analysis were performed using the total mean score of attitude towards sexuality as the dependent variable to determine the association and relationship, respectively, with background and familial characteristics. The results clearly showed that the majority of the students in the study expressed conservative attitudes towards premarital sexuality. Many students not only disagreed with casual sex but also considered it immoral. Gender bias i.e. permitting premarital sex for males and not for females, was reflected in their attitudes to some extent. Mean score indicated that male students had higher mean scores compared with their female counterparts and senior students compared with junior students, indicating more liberal attitudes towards sexuality. Bivariate analysis showed positive association between age; peer interaction; erotic exposure; habits of gutaka, tobacco, smoking and alcohol consumption; and knowledge about reproductive health issues with attitudes towards various sexuality issues. Multivariate analysis showed that female students studying in the commerce and science faculties were more liberal in attitude towards sexuality when compared with female students from the arts faculty. Male students with high erotic exposure (odds ratio 2.3); habits of gutaka, tobacco, smoking and alcohol consumption (odds ratio 2.7); and high peer interaction (odds ratio 2.3) had higher attitudinal scores indicated more liberal attitudes. Overall, the majority of the students expressed conservative attitudes towards premarital sex. The programme on sexuality education and responsibility for in-school adolescents should be launched early in secondary schools/college at an early stage of the perception process and formulation of attitudes towards sexuality. This would provide students with more scientific information and deter them from gathering incomplete information through sources such as pornography and peers.     

Burnout among Finnish and Chinese university students

In this study the levels of experienced burnout of Finnish and Chinese university students are compared using School Burnout Inventory (SBI). This study is motivated by earlier studies, which suggest that the level of student burnout is different in the culturally distinct Finnish and Chinese university systems, but which are based on different research instruments for the two groups. The sample studied consisted of 3,035 Finnish students and 2,309 Chinese students. Because of the cross‐cultural nature of this study the level of structural equivalence of SBI between the cultural groups was examined and the effect of different response styles on the results was taken into account. Both standard and robust statistical methods were used for the analyses. The results showed that SBI with two extracted components is suitable for cross‐cultural analysis between Finnish and Chinese university students. Virtually no difference was found in experienced overall burnout between the Finnish and Chinese students, which means that both university systems contain factors causing similar levels of student burnout. This study also verified that controlling for the response styles is important in cross‐cultural studies as it was found to have a distinct effect on the results obtained from mean‐level comparisons.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in clinical dental students

The aims of this study were to identify sources of stress among clinical students and to evaluate the students’ perceived levels of stress, general self-efficacy and effective coping strategies in a private dental school environment. The study group consisted of 130 undergraduate clinical dental students in a Turkish private dental school, during the academic year 2014–2015. The students were surveyed using modified version of the dental environment stress (DES) survey, the perceived stress scale, the general self-efficacy scale (G-SES) and the brief coping scale. Age, sex, year of study, history of psychiatric treatment and factors that affected the choice of dentistry were also recorded. Final year and female clinical dental students, who were found to be the most stressful students, had moderate to high perceived stress scores. Total and ‘Faculty and administration’ related DES scores increased with the year of study. Stressors related to ‘Workload’ and ‘Clinical training’ affected females more than males. G-SES scores were higher in male students and students, who had no history of psychiatric treatment. The most and the least common coping strategies were ‘Planning’ and ‘Substance abuse’, respectively. ‘Religion’ was found to be one of the main coping strategies. Stress factors affecting Turkish clinical dental students studying at private dental school differed from the previously reported stress factors affecting students studying at a governmental dental school. Advanced year and female students experienced more stress than the other students.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in preclinical dental students

Dental education programs are known to be highly stressful and stress can affect general health. The aims were to identify sources of stress among preclinical students and to evaluate their perceived levels of stress, self-efficacy and effective coping strategies in a private dental school. One hundred preclinical students in a Turkish private dental school were surveyed using dental environment stress (DES), perceived stress (PSS), general self-efficacy (G-SES) and brief coping scales (Brief-COPE). Age, gender, history of psychiatric treatment, factors that affected the choice of dentistry, choice rank of dental school, scholarship and income was recorded. ‘Exams and grades’ followed by ‘Fear of failing course or year’ were found to be the most stressprovoking factors. The most and the least stressprovoking DES domains were ‘Workload’ and ‘Social stressors’, respectively. ‘Social stressors’ affected male more than female (p < .05). The most and the least common coping strategies were found to be ‘Planning’, and ‘Drug’, respectively. Female used ‘Instrumental support’ more than male (p < .05). Demographic factors had impact on the perceived stress factors and levels, as well as coping strategies. Unlike previous studies establishing high stress levels in dental students, preclinical students displayed moderate level of stress. Clinical dental education might be more responsible for creating stress.     

Examining predictors and outcomes of a career calling among undergraduate students

The current study examined predictors and outcomes of a career calling among 292 undergraduate students at two time points over a three-month period. Using structural equation modeling, a model was tested that examined the extent to which calling, life meaning, the search for life meaning, vocational clarity, and personal growth at Time 1 would predict these same variables at Time 2. Results showed that calling was a significant predictor of personal growth and life meaning and that life meaning, the search for life meaning, and vocational self-clarity significantly predicted the presence of a calling. Although findings demonstrating calling as a predictor variable are consistent with previous research, these results also demonstrate the potential reciprocal relation of calling to proximal work and well-being variables over time. Implications and future research directions are discussed.