Associations among depressive symptoms,well-being,patient involvement,provider cultural competency,and treatment nonadherence: An exploratory study among university student-patients

Many students on US university campuses are underserved and undertreated for common mental health and medical conditions. The limited extent to which university students seek psychological and medical care when they need it has long been a problem. Among those who do seek care, treatment adherence appears to be an issue as well. However, few studies have examined factors that may be related to treatment nonadherence in university student-patients. The present survey study examined often-understudied constructs (i.e. patient involvement, treatment nonadherence, and provider cultural competency) in 243 university student-patients. Specifically, using a correlational research design, we examined the relations among depressive symptoms, well-being, patient involvement, cultural competency, and treatment nonadherence. Using multiple linear regression analysis, we also explored the extent to which the exploratory variables predicted treatment nonadherence separately and jointly. The current study revealed two important findings. First, all four factors – depressive symptoms, well-being, patient involvement, and cultural competency – were related to nonadherence to treatment. Second, depressive symptoms and patient involvement explained unique variance in nonadherence to treatment. The findings suggest that increased awareness of and attention to depressive symptoms and patient involvement may have important relevance for engendering healthy campuses and for reducing nonadherence in student-patients. Implications and directions for future research are proffered.     

An Examination of Disclosure of Nonsuicidal Self‐injury among University Students

Despite the widespread prevalence of nonsuicidal self‐injury (NSSI) among community‐based samples, little is known about which self‐injurers disclose their NSSI or the factors that promote disclosure among self‐injurers. To address this gap in the literature, we examined whether disclosers could be differentiated from nondisclosers on the basis of NSSI characteristics (e.g. frequency of NSSI and severity of NSSI), NSSI motivations (e.g. interpersonal and intrapersonal motivations) and psychosocial factors (e.g. suicidal ideation and self‐esteem). Participants consisted of a large sample of 268 self‐injuring undergraduate students (M_age = 19.07 years, 70.3% women) at a Canadian university. Results indicated that 57% of self‐injurers had never disclosed their NSSI to anyone. Self‐injurers were most likely to disclose to peers and romantic partners. Logistic regression analyses revealed that pain during NSSI, severity of NSSI, interpersonal motivations for engaging in NSSI, higher suicidal ideation and higher friendship quality were all associated with a greater likelihood of NSSI disclosure. Our findings suggest that individuals with severe NSSI and suicidal ideation may be more likely to disclose. Moreover, our findings underscore the importance of equipping friends and romantic partners with effective responses to NSSI disclosures to promote more formal help‐seeking behaviours among self‐injurers. Copyright © 2014 John Wiley & Sons, Ltd.     

Changes in sleep quality and levels of psychological distress during the adaptation to university: The role of childhood adversity

Stress-related sleep disturbances are common, and poor sleep quality can negatively affect health. Previous work indicates that early-life adversity is associated with compromised sleep quality later in life, but it is unknown whether it predicts greater declines in sleep quality during stressful life transitions. We propose and test a conceptual model whereby individuals who reported experiencing greater levels of child maltreatment would experience greater psychological distress during a stressful life transition, which in turn would contribute to greater declines in sleep quality, relative to their quality of sleep before the stressful transition. Controlling for potential confounding variables (e.g., age, gender), structural equation modelling demonstrated that psychological distress experienced during a stressful transition (i.e., beginning life at university) mediated the relationship between childhood emotional neglect and changes in sleep quality. The hypothesized model demonstrated a good overall fit to the data, χ ² (15) = 17.69, p = .279, CFI = .99, TLI = .97, SRMR = .04, RMSEA = .04 (90% CI <0.001–0.09). Emotional neglect (β = .22) was positively associated with psychological distress which in turn was positively associated with poor sleep quality (β = .31) during a stressful transition. Future research should aim to understand the specific stressors in the university environment that are most challenging to individuals who faced early-life emotional maltreatment. These findings will help inform interventions to facilitate adaptation to a new environment and improve sleep quality for these university students.     

Super's Work Values Inventory: Issues of Subtest Internal Consistency Using a Sample of Chinese University Students in Hong Kong

The authors discuss observed weaknesses in internal consistency (Cronbach's alphas below .60) within five subtests of the Work Values Inventory when translated into Chinese and used with a sample of 211 university students in Hong Kong. Possible reasons for the weaknesses are explored, and suggestions are made for improvement.     

Building well-being among university teachers: the roles of psychological capital and meaning in life

The present study aims to address the issue of temporal precedence linking psychological capital and meaning in life and, further, to examine the relationship between meaning in life, psychological capital, and well-being among university teachers. Data were collected in three measurement waves; 412 university teachers in China were selected as the final sample, completing the measures of Meaning in Life Questionnaire, Psychological Capital Questionnaire, and Psychological Well-Being Scale at all three time points. The results showed that university teachers’ psychological capital positively predicted their meaning in life over time, but not vice versa; meaning in life and psychological capital positively predicted well-being over time; furthermore, meaning in life partially mediated the effect of psychological capital on well-being among university teachers over time.     

Towards a model for evaluating spiritual recollections

Spiritual recollections are often evaluated through the effectiveness of delivery, rather than the outcomes of the recollections. Such preference is understandable given the difficulty in defining and quantifying recollection outcomes. To address this gap, the article proposes a framework for evaluating recollection outcomes rather than delivery, and shows how a Filipino Catholic university makes use of this framework for its spiritual recollections. Using data from the university’s Office of Campus Ministry, the study shows how these outcomes were defined and finds that prayer significantly increases the odds of gaining from the recollection while participation in the alternative multifaith group reduces these odds. The article details the changes that were made in response to these results and ends with possible adaptation of this model in other contexts.     

Grit and academic performance among first-year university students: A brief report

This study examined grit and academic performance among a sample of South African university students (n = 121, mean age = 19.55, SD = 1.77, female = 57.85%). Data were collected using the Grit Scale and academic performance was assessed over one academic semester. Simple regression analysis was computed to predict students’ academic achievement from components of their self-reported grit. The grit component of consistency of interest accounted for 3% of the variance in the student’s academic achievement scores. Similarly, the grit component of perseverance of effort explained 9% of the variance in scores. Students who scored high on the Grit Scale also obtained higher academic marks compared to participants who scored low on the same instrument. The findings suggest that grit is an important personal resource for higher education students.     

Problem areas of students at a university psychological counselling centre: a 16-year analysis

This study examined the change in the problem areas of students who visited a university counselling centre for individual counselling over a period of 16 years. The findings showed that problem areas changed with the psychosocial and economic changes in the 16 years examined, and that the majority of students in the most recent period visited the centre with relationship problems. In addition, student problems through the different periods displayed great diversity, ranging from developmental problems to more severe psychological disorders.     

Use of student support services among university students: associations with problem-focused coping,experience of personal difficulty and psychological distress

ABSTRACT

Universities provide a range of problem-focused social support services to help students who are experiencing personal difficulties. The current study examines how the effectiveness of students' (N = 131) problem-coping style, experience of personal difficulty and psychological distress are associated with actual use of support services in the academic setting. Results indicate that students who experienced a personal difficulty and who had a more reflective problem-coping style were more likely to use student support services. In addition, students with less effective problem-focused coping styles (more reactive and suppressive, less reflective) reported greater psychological distress. The potential personal, psychological and academic benefits of the reflective problem-coping style are discussed.