Attitudes and Beliefs About Treatment Among College Students With Untreated Mental Health Problems

Department of Health Management and Policy, University of Michigan, M3517 SPH II, Ann Arbor, MI 48109, USA.
Psychiatric services (Washington, D.C.) (Impact Factor: 1.99). 07/2012; 63(7):711-3. DOI: 10.1176/
Source: PubMed

ABSTRACT This study estimated attitudes and beliefs about treatment in a national sample of college students with untreated mental health problems.
A retrospective analysis of the 2007 and 2009 Healthy Minds Study, an online survey of college students in the United States, was conducted. The random sample included 13,105 survey participants from 26 institutions. Students with untreated depression, anxiety, or suicidal ideation (N=2,350) were classified by attitudes about treatment (stigma), beliefs about effectiveness of treatment, and perceived need for treatment.
A majority (65%) of untreated students reported low stigma and positive beliefs about treatment effectiveness, including 42% who perceived a need for help and 23% who did not.
For a large proportion of young people with untreated mental illness, attitudes and knowledge about mental illness may no longer be among the main barriers to help seeking. Research and practice need to consider new approaches for understanding and influencing help-seeking behavior.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: During the young adult years (ages 18 to 25 years), many young people participate in postsecondary education. Mental health problems such as anxiety, depression, and substance misuse are especially common in this age range. The purpose of this study was to survey the extended health insurance plans available to undergraduate students at colleges and universities across Canada to evaluate the extent of coverage for prescription medication and for psychotherapy and counselling services. Information from 210 postsecondary institutions was collected. Sixty-eight percent of universities and 41% of colleges provided private extended health insurance. For those institutions with these plans, the amount of coverage for prescription medication would adequately cover the yearly average cost of most medication treatments for problems such as anxiety or depressive disorders. Seventy-one percent of plans had maximum coverage of at least $3,000 a year and 28% had no maximums. Sixty-nine percent of universities and 28% of colleges have plans that provide coverage for psychotherapy. For institutions with this coverage, the modal level of total coverage was in the range of $300 to $500 per year. Very few plans provide sufficient coverage for the psychological treatment of common mental health problems. Recommendations are made for improving the support available for students with mental health problems through extended health insurance plans and the development of campus-wide plans for mental health promotion. (PsycINFO Database Record (c) 2014 APA, all rights reserved)
    05/2014; 55(2):101. DOI:10.1037/a0036476
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Extensive research shows university students experience high levels of stress, which can lead to the development of mental health problems such as anxiety and depression. Preliminary evidence supports the role of psychosocial factors such as perceived social support (PSS) and campus con-nectedness (CC) as protective factors in the development of mental health problems in university students. However, research conducted on the potential ameliorating effects of social support on stress applying Cohen and Wills' (1985) stress-buffering hypothesis produced weak, inconsistent, and even contradictory results. In addition, little attention has been given to examining the pro-tective role of CC in the relationships between perceived stress, anxiety, and depression. The cur-rent study examined the applicability of CC and PSS in buffering the relationships been perceived stress, anxiety, and depression across an international sample comprised of university students (N = 206) from Australia, Hong Kong, and the United States. The prediction that CC and PSS would moderate the relationships between perceived stress, anxiety, and depression was partially sup-ported. The results indicated CC moderated the relationship between perceived stress and de-pression but did not moderate the relationship between perceived stress and anxiety. PSS did not moderate the relationship between perceived stress and depression or the relationship between perceived stress and anxiety, thus rejecting the stress-buffering hypothesis. These findings sug-gest less emphasis should be placed on PSS as a protective factor, with universities focusing on enhancing CC to reduce the high prevalence of mental health problems to promote psychological wellbeing among students.
    2nd Psychology and Health Conference, Beijing, China; 11/2014
  • [Show abstract] [Hide abstract]
    ABSTRACT: Perceived public stigma regarding seeking mental health treatment can be a barrier to accessing services for young adults. While factors associating with personal stigma regarding how one would view and treat others have been identified, the discrepancies between perceived and personal stigma have received less research attention. We designed the current study to expand on previous research and examine the discrepancies between perceived public stigma and personal stigma among a sample of 386 primarily White and Asian college students. Participants completed surveys of mental health symptoms, treatment experience and attitudes, perceived public, and personal stigma. Overall, participants generally reported greater perceived public stigma than personal stigma; an effect that was particularly evident for women and those with mental health symptoms. The majority of participants disagreed with items assessing personal stigma. Negative attitudes toward treatment and anxiety symptoms associated with perceived public stigma, while male gender, Asian ethnicity, and negative attitudes toward treatment associated with personal stigma. Findings have implications for interventions and marketing programs to help change perceptions about mental health stigma to encourage utilization of services for those young people who could benefit from care.
    Psychiatry Research 09/2014; 219(1):143–150. DOI:10.1016/j.psychres.2014.05.017 · 2.68 Impact Factor