Psychological distress in French college students: demographic, economic and social stressors. Results from the 2010 National Health Barometer

BMC Public Health

François Beck⁷  Viviane Kovess⁴  Fanny Sauvade⁶  Stéphane Legleye³  Jean-Baptiste Richard¹  Romain Guignard¹  Laurentine Véron⁶  Enguerrand du Roscoät²  Thomas Saïas⁵ 

[1] Institut National de Prévention et d’Education pour la Santé, 42 Bd de la Libération, Saint-Denis, Cedex 93203, France;EA 4386 - Laboratoire Parisien de Psychologie Sociale (LAPPS), Université Paris Ouest Nanterre-La Défense, Nanterre, France;INED, 133 boulevard Davout, Cedex 20 75980, Paris;Département Epidemiologie et Biostatistiques EHESP, EA4069 Université Paris Descartes SPC, Avenue du Professeur Léon-Bernard CS 74312, Rennes 35043, Paris;Département de Psychologie, Université du Québec à Montréal, Montréal, Québec, Canada;Aspytude, 20 cours Vitton, Lyon 69006, France;Cermes3 - Equipe Cesames (Centre de recherche Médecine, Sciences, Santé, Santé mentale, Société, Université Paris Descartes, Sorbonne Paris Cité/CNRS UMR 8211/Inserm U988/EHESS), Paris, France

关键词: Prevention;    Social isolation;    Risk factors;    Students;    Psychological distress;   

Others  :  1131895
DOI  :  10.1186/1471-2458-14-256

 received in 2013-07-31, accepted in 2014-03-11,  发布年份 2014

【 摘 要 】

Background

Psychological distress (PD) in students is under-investigated, since its prevalence can be high in certain subgroups of students and it has been seen to be associated with other mental health issues and academic achievement. In a sample of French college students, this study investigated factors associated with PD, and looked more closely at the impact of social and interpersonal variables.

Methods

Data were extracted from the 2010 French “National Health Barometer”. 946 students were interviewed. Mental health was assessed using the MH-5 five-item scale.

Results

The PD rate in this sample was 13.8% (7.2% in males, 19.5% in females). Low income, nonsexual assault in the last 12 months, studying law and low social participation were associated with PD in multivariate analyses.

Conclusions

French students show specific characteristics that are discussed in order to explain the relatively low rate of PD observed. The impact of loneliness and social isolation are a major focus for preventive policies based on community resources and early detection of the symptoms of PD.

【 授权许可】

   
2014 Saïas et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Dahlin M, Joneborg N, Runeson B: Stress and depression among medical students: a cross-sectional study. Med Educ 2005, 39:594-604.
• [2]Dyrbye LN, Thomas MR, Shanafelt TD: Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med 2006, 81(4):354-373.
• [3]Shah M, Hasan S, Malik S, Sreeramareddy C: Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Med Educ 2010, 10:2. doi:10.1186/1472-6920-10-2 BioMed Central Full Text
• [4]Sreeramareddy C, Shankar P, Binu V, Mukhopadhyay C, Ray B, Menezes R: Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ 2007., 7(26) doi:10.1186/1472-6920-7-26
• [5]Vàzquez F, Blanco V: Symptoms of depression and related factors among Spanish university students. Psychol Rep 2006, 99:583-590.
• [6]Vàzquez F, Otero P, Diàz O: Psychological Distress and Related Factors in Female College Students. J Am Coll Heal 2012, 60(3):219-225.
• [7]Erlich V: The “New” Students. The Studies and Social Life of French University Students in a Context of Mass Higher Education. Eur J Educ 2004, 39(4):485-495.
• [8]Adewuya AO, Ola BA, Olutayo OA, Mapayi BM, Oginni OO: Depression amongst Nigerian university students. Prevalence and socio-demographic correlates. Soc Psychiatry Psychiatr Epidemiol 2006, 41:674-678.
• [9]Vaez M, Laflamme L: Experienced stress, psychological symptoms, self-rated health and academic achievement: a longitudinal study of Swedish university students. Soc Behav Pers 2008, 36(2):183-196.
• [10]Tosevski D, Milovancevic M, Gajic S: Personality and psychopathology of university students. Curr Opin Psychiatry 2010, 23:48-52.
• [11]Li H, Lin CD, Bray MA, Kehle TJ: The measurement of stressful events in chinese college students. Psychol Sch 2005, 42(3):315-323.
• [12]Verger P, Combes JB, Kovess-Masfety V, Choquet M, Guagliardo V, Rouillon F, Peretti-Watel P: Psychological distress in first year university students: socioeconomic and academic stressors, mastery and social support in young men and women. Soc Psychiatry Psychiatr Epidemiol 2009, 44(8):643-650.
• [13]Kovess V: La santé mentale, l’affaire de tous. Paris: Centre d’analyse stratégique; 2009.
• [14]Korkeila J, Lehtinen V, Bijl R, Dalgard OS, Kovess V, Morgan A, Salize HJ: Establishing a set of mental health indicators for Europe. Scand J Public Health 2003, 31(6):451-459.
• [15]Watson R, Gardiner E, Hogston R, Gibson H, Stimpson A, Wrate R, Deary I: A longitudinal study of stress and psychological distress in nurses and nursing students. J Clin Nurs 2009, 18(2):270-278.
• [16]Platt S, Boyle P, Crombie I, Feng Z, Exeter D: The Epidemiology of Suicide in Scotland 1989–2004: An Examination of Temporal Trends and Risk Factors at National and Local Levels Scottish Executive Social Research. Edinburgh: Scottish Executive Social Research; 2007.
• [17]Russ T, Stamatakis E, Hamer M, Starr J, Kivimäki M, Batty GB: Association between psychological distress and mortality: individual participant pooled analysis of 10 prospective cohort studies. Br Med J 2012, 345:e4933.
• [18]Leplege A, Ecosse E, Verdier A, Perneger TV: The French SF-36 Health Survey: translation, cultural adaptation and preliminary psychometric evaluation. J Clin Epidemiol 1998, 51(11):1013-1023.
• [19]Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, Howes MJ, Normand SL, Manderscheid RW, Walters EE, Zaslavsky AM: Screening for serious mental illness in the general population. Arch Gen Psychiatry 2003, 60(2):184-189.
• [20]Rosenthal B, Wilson C: Mental health services: Use and disparity among diverse college students. J Am Coll Heal 2008, 57:61-67.
• [21]Briere J: Trauma Symptom Inventory: Professional Manual. Odessa, FL: Psychological Assessment Resources; 1995.
• [22]Dyrbye LN, Harper W, Durning SJ, Moutier C, Thomas MR, Massie FS Jr, Eacker A, Power DV, Szydlo DW, Sloan JA, Dyrbye LN, Harper W, Durning SJ, Moutier C, Thomas MR, Massie FS Jr, Eacker A, Power DV, Szydlo DW, Sloan JA, Shanafelt TD: Patterns of distress in US medical students. Medical teacher 2011, 33(10):834-839.
• [23]Stallman HM: Psychological distress in university students: a comparison with general population data. Aust Psychol 2010, 45(4):249-257.
• [24]Ajrouch K, Reisine S, Lim S, Sohn W, Ismail A: Perceived everyday discrimination and psychological distress: does social support matter? Ethn Health 2010, 15(4):417.
• [25]Falcón LM, Todorova I, Tucker K: Social support, life events, and psychological distress among the Puerto Rican population in the Boston area of the United States. Aging Ment Health 2009, 13(6):863-873.
• [26]Lin J, Thompson MP, Kaslow NJ: The mediating role of social support in the community environment-psychological distress link among low-income African American women. J Community Psychol 2009, 37(4):459-470.
• [27]Berry HL, Rodgers B, Dear KB: Preliminary development and validation of an Australian community participation questionnaire: types of participation and associations with distress in a coastal community. Soc Sci Med 2007, 34(8):1719-1737.
• [28]Murray G, Judd F, Jackson H, Fraser C, Komiti A, Pattison P, Wearing A, Robins G: Ceremonies of the whole: does social participation moderate the mood consequences of neuroticism? Soc Psychiatry Psychiatr Epidemiol 2007, 42(3):173-180.
• [29]Ahnquist J, Wamala S, Lindstrom M: Social determinants of health - a question of social or economic capital? Interaction effects of socioeconomic factors on health outcomes. Soc Sci Med 2012, 74(6):930-939. doi:10.1016/j.socscimed.2011.11.026. Epub 2012 Jan 21
• [30]Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C: The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 1997, 27(1):191-197.
• [31]Eisenberg D, Golberstein E, Gollust S: Help-seeking and access to mental health care in a university student population. Med Care 2007, 45:594-601.
• [32]Patel V, Flisher AJ, Hetrick S, McGorry P: Mental health of young people: a global public-health challenge. Lancet 2007, 369(9569):1302-1313.
• [33]Kish L: A procedure for objective respondent selection within the household. Am Stat Assoc J 1949, 44:380-381.
• [34]Beck F, Gautier A, Guignard R, Richard J-B: Une méthode de prise en compte du dégroupage total dans le plan de sondage des enquêtes téléphoniques auprès des ménages. In Pratiques et Méthodes de sondage. edn. Edited by Tremblay M-E, Lavallée P, El Hadj Tirari M. Paris: Dunod; 2011:310-314.
• [35]Beck F, Gautier A, Guignard R, Richard J-B: Méthode d’enquête du Baromètre santé 2010. In Les comportements de santé des jeunes. edn. Edited by F B, J-B R. Saint-Denis: INPES; 2013:27-50.
• [36]Berwick DM: The double edge of knowledge. JAMA 1991, 266(6):841-842.
• [37]Ware J, Gandek B, The IQOLA Project Group: Health Survey: development and use in mental health research and the IQOLA Project. Int J Ment Health Promot 1994, 23(2):49-73.
• [38]Dumesnil H, Cortaredona S, Verger P: La santé mentale en région PACA. Résultats du Baromètre santé 2010. Marseille: ARS Provence-Alpes-Côte d'Azur: ARS Provence-Alpes-Côte d’Azur; 2013.
• [39]Commission E: Eurobarometer Mental Health 73.2. Brussels: European Commission; 2010.
• [40]Felner RD, Brand S, DuBois D, Adan A, Mulhall P, Evans E: Socioeconomic disadvantage, proximal environment experiences, and socioemotional and academic adjustment in early adolescence: investigation of mediated effects model. Child Dev 1995, 66:774-792.
• [41]Frederick J, Goddard C: Exploring the relationship between poverty, childhood adversity and child abuse from the perspective of adulthood. Child Abuse Rev 2007, 16:323-341.
• [42]Johnson JG, Cohen P, Gould M, Kasan S, Brown J, Brook J: Childhood adversities, interpersonal difficulties and risk for suicide attempting during late adolescence and early adulthood. Arch Gen Psychiatry 2002, 59:741-749.
• [43]INPES: Baromètre Santé 2010. Saint-Denis: INPES; 2010.
• [44]Legleye S, Beck F, Peretti-Watel P, Chau N, Firdion J: Suicidal ideation among young French adults: association with occupation, family, sexual activity, personal background and drug use. J Affect Disord 2010, 123:108-115.
• [45]Gadermann AM, Alonso J, Vilagut G, Zaslavsky AM, Kessler RC: Comorbidity and disease burden in the National Comorbidity Survey Replication (NCS-R). Depress Anxiety 2012, 29(9):41-51.
• [46]Grant B, Dawson D, Stinson F, Chou S, Dufour M, Pickering R: The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991–1992 and 2001–2002. Drug Alcohol Depend 2004, 74(3):223-234.
• [47]Adlaf EM, Gliksman L, Demers A, Newton-Taylor B: The prevalence of elevated psychological distress among Canadian undergraduates: findings from the 1998 Canadian Campus Survey. J Am Coll Health 2001, 50(2):67-72.
• [48]Beaupère N, Boudesseul G: Sortir sans diplôme de l’Université. Comprendre les parcours d’étudiants “décrocheurs”. Paris: La documentation française; 2009.