Life Stress and Depression in University Students: Clinical Illustrations of Recent Research

Abstract

Through the use of case vignettes, this paper demonstrates the clinical relevance of findings from previously reported research conducted at the University of Toronto. These published studies link life stress to depression in university students. Three psychosocial factors—a family history of psychiatric illness, stressful life events, and lack of social support—are found to be significantly related to depressive symptoms. A fourth psychosocial factor, childhood or adolescent loss of a nurturing person, was not significantly related to the occurrence of depression. However, that factor remains an important therapeutic focus for a number of depressed students. In addition, the absence of at least a single confidant and certain life events (recent loss of a significant person, changes in living arrangements or academic situation, and financial problems) were identified as specific risk factors for depression. Although depression experienced by students is often serious enough to warrant professional intervention, only a minority seek professional help. The majority of those who do seek help are women; male students are less likely to associate somatic symptoms with emotional problems and are less willing to seek psychiatric help. The four case studies presented illustrate the clinical relevance of these research findings.     

Elderly Prisoners: A Growing and Forgotten Group Within Correctional Systems Vulnerable to Elder Abuse

ABSTRACT

There are over 2.1 million people incarcerated in the nation's jails and prisons. Additionally, close to 600,000 prisoners are released annually into communities across the country. Many prisoners and those released from prisons are elderly. The purpose of this article is to examine the systemic abuse and neglect experienced by elderly prisoners while they are incarcerated and when they are released from prison. Most correctional systems have inadequate resources, processes, and personnel to manage the elderly population inside and outside of prisons. In addition to providing a definition of “elderly prisoner,” two specific problems–prison health care and prisoner re-entry–are examined in the article. The article concludes with recommendations for both policy and research on how best we can further understand and address the multiple needs and concerns faced by elderly prisoners.     

Evaluation of an Online Group Intervention to Improve Test-Taking Self-Efficacy and Reduce Licensure Test Anxiety

We evaluated whether a synchronous online group intervention, using the Association for Social Work Boards Group Review Practice Test© items, increased students’ LMSW licensure test-taking confidence and decreased their test anxiety. A non-equivalent comparison group study was used to measure change in 59 graduate students’ confidence in test-taking and test anxiety. Almost 45% of students reported test anxiety in the clinical range at pretest. Using a repeated measures GLM, we found that students in the intervention group experienced a significant increase in confidence from pretest posttest. For overall anxiety, impairment anxiety, and worry anxiety, students in the intervention group experienced less anxiety over time, and students in the comparison group experienced more anxiety over time. Implications for programs are discussed.     

A Social Problems Approach to Gerontology in Social Work Education

This paper proposes a social problems emphasis to gerontology in social work education which acknowledges the fact that the elderly are handicapped and discriminated against by social values, attitudes, and practices. The traditional integrative approach has been ineffective in educating and sensitizing students to problems and needs of the aged. The social problems emphasis is discussed as related to future manpower needs, enlightened social workers as citizens, and advocacy for the elderly. A proposal for schools is presented, with implications for practice, fieldwork settings, research, and classroom instruction.     

Suicide among elderly white men: development of a profile.

1. Older white men have the highest suicide rate in the nation; a linear increase of suicide occurs with each passing year of chronological age. 2. Elderly who attempt suicide are more likely to communicate their intentions less frequently and to use violent and lethal means. 3. Chronic sleep problems, pain, degenerative illness, or clinical depression may be experienced by older white men at suicidal risk; somatic complaints including imaginary symptoms can mask depression. 4. Educational programs, outreach mental health programs, and enhanced consultation/coordination improve case findings and early intervention. Holistic nursing care, including pain alleviation, depression assessment, and simple comfort measures, are imperative in suicide prevention in the elderly.     

Understanding Intergenerational Relationships in India

ABSTRACT

This paper makes an attempt to describe the status and role of elderly within the family and community institutions as a source of wisdom and knowledge, particularly to have an understanding of the intergenerational relationships in the Indian context. As the countries and areas of Asia develop economically and become more heavily urban, the familial support of the elderly has eroded. There are a number of reasons to think that traditional systems of familial care for the elderly in Asia have started to reflect this changing scenario in terms of increasing problems for the elderly. The Indian subcontinent too has experienced these transitional changes. But despite the changes in the structures and functions of Indian societies, families do preserve the norms of social hierarchy (of which the elderly are an important part), cultural styles and mode of living. At the same time elderly who are regarded as the sources of wisdom and knowledge are given due respect and place in the society within the ambit of the family and community contexts.     

Teachers' Views of Students with Gay or Lesbian Parents

Eighty-three female and 24 male teachers responded to an anonymous questionnaire exploring four aspects of teachers' views of students who have gay or lesbian parents: (1) exposure to and general knowledge about homosexuality, (2) attitudes towards gays and lesbians, (3) interactions with gay or lesbian parents, including school practices and policies, and (4) beliefs about problems experienced by students with gay and lesbian parents. Most teachers knew some gay males and lesbians, had limited education and knowledge about homosexuality, and possessed moderately tolerant attitudes towards gays and lesbians. They believed that students with gay or lesbian parents had more problems in social interaction but were more mature, tolerant, and self-reliant than other students. Open-ended questions about gay and lesbian parents and their children revealed a wide range of answers, ranging from very supportive to noticeably hostile.     

Training experiences of international doctoral students in marriage and family therapy

Recognizing mental health needs of diverse populations, emphasizing cultural diversity, and recruiting ethnic minority students are important foci of current of marriage and family therapy training programs. However, the profession has made little progress in identifying the needs and experiences of its international students and practitioners. This research examines the experiences of doctoral-level international students across the areas of theory, clinical training, supervision, practice, and research. A qualitative methodological approach was used to explore the research questions. Thirteen in-depth interviews were conducted. Findings revealed that most respondents experienced some adjustment problems, want more academic and career support, and need increased recognition for their cultural differences. Recommendations for training international students are included.     

Some Correlates of Emotional Well-Being Among New England College Students

Abstract

In a questionnaire survey of New England college students, a large number of undergraduate men and women reported problems related to their personal, social, or academic adjustment. Given a list of 22 items described as “common concerns or feelings experienced by college students,” respondents were asked to rate the extent to which each item had been a problem for them in the past year. Most students (86%) reported having very much or somewhat of a problem with one or more items on the list. Pressure to do well in school, problems with weight control, anxiety, poor concentration and depression were among the most commonly reported concerns. The prevalence of these self-reported concerns and problems was found to be significantly associated with the respondents' sex, their perceptions of their health status, and academic standing.     

Screening and brief intervention for alcohol problems among college students treated in a university hospital emergency department

The authors evaluated a protocol to screen and provide brief interventions for alcohol problems to college students treated at a university hospital emergency department (ED). Of 2,372 drinkers they approached, 87% gave informed consent. Of those, 54% screened positive for alcohol problems (Alcohol Use Disorders Identification Test score < or = 6). One half to two thirds of the students who screened positive drank 2 to 3 times a week, drank 7 or more drinks per typical drinking day, or had experienced alcohol dependence symptoms within the past year. Ninety-six percent of screen-positive students accepted counseling during their ED visit. Three quarters of those questioned at 3-month follow-up reported that counseling had been helpful and that they had decreased their alcohol consumption. The prevalence of alcohol problems, high rates of informed consent and acceptance of counseling, and improved outcomes suggest that the ED is an appropriate venue for engaging students at high risk for alcohol problems.     

Sleep Quality and Alcohol Risk in College Students: Examining the Moderating Effects of Drinking Motives

Abstract

Objective: Sleep problems and alcohol misuse are common issues experienced by college students that can have detrimental effects on overall health. Previous work indicates a strong relationship between poor sleep quality and alcohol risk in this population. This study explored the moderating effect of drinking motives in the relationship between global sleep quality and experience of alcohol-related negative consequences. Participants: College students (N = 1,878) who reported past-month drinking. Methods: Participants completed online surveys assessing sleep and alcohol-related behaviors. Results: Poorer sleep quality and higher drinking motives (coping, conformity, and enhancement) predicted greater alcohol-related consequences, controlling for drinking. Further, coping motives moderated the relationship between sleep quality and consequences such that participants reporting poor sleep and high coping motives experienced heightened levels of consequences. Conclusions: These findings advance the understanding of the relationship between sleep problems and alcohol-related risk and provide implications for targeted campus-based health promotion interventions.     

Racism:

The problem of attracting minority group students in social work is but one aspect of the larger social problem of racism. This paper therefore defines racism, its influence on the social and psychological processes associated with career identification and selection, and its influence on interpersonal relationships. As a way of illustrating the effects of racism, case studies describing common problems experienced by minority students who decide to enter social work programs are presented. The paper closes with a set of broad recommendations that should enable social work educators to retain minority group students.     

Sexual Concerns and Counseling Needs of Normal Men Attending a University Student Health Service

Abstract

The responses of 582 male university students attending the UCLA Student Health Service for medical evaluation are presented. Of these students, 37% (215) were freshmen and varsity athletes having pretraining physicals, and 63% (367) were students being evaluated in the SHS primary care clinics. A self-report questionnaire examined the frequency of sexual problems experienced by the respondents and their partners. The most common concerns expressed about themselves were orgasmic difficulties, feeling too interested in sex, and trouble getting and keeping erections. Forty-one percent of the SHS group and 33% of the athletes group had sexual concerns, and, of these, 55% and 40% respectively wanted help with their problems. Specific counseling needs of students were also evaluated.     

Temporary liberties and uncertain futures: young female Muslim perceptions of life in England

This article explores how young female Muslim university students in London and Birmingham experience life in England. Through focus groups and interviews, talk about three main topics was collected: how young Muslims frame their identities; how they are perceived by others; and how they perceive Muslims to be portrayed and represented in public life. Analysis shows that the participants: presented themselves as ambitious and autonomous; experienced direct and indirect exclusion as young Muslims; perceived a lack of diverse Muslims role models and ambassadors in public life; and that, despite their optimism, felt their futures in Britain were uncertain. The young people recognised the temporary liberties they have around dress and practice as university students that are potentially restricted in wider society. The research highlights the problems created by stigmatising public discourse around Islamist extremism that fuels narrow, deficit-focused policy that exacerbates the exclusion of young Muslims.     

Preparing MSW Students for Integrative Mind–Body-Spirit Practice

Knowledge of new developments in social work education supports clinical practitioners’ professional development and their supervision of students and early career social workers. Integrative mind–body-spirit (IMBS) practice is a holistic paradigm that is emerging in social work education and the profession. IMBS modalities have a growing evidence base and are congruent with the healing practices of many cultures, thereby supporting culturally competent practice. This article explores the development, implementation, and outcomes of an elective MSW course designed to critically examine the IMBS and biomedical paradigms and introduce students to IMBS practice. Two sections of this course were piloted (n = 35) and pre- and post-assessments administered. Findings suggest that experienced clinicians can support the professional development of novice practitioners by encouraging ongoing exploration and critical assessment of the IMBS and biomedical paradigms and incorporation of evidence-based mind–body-spirit practices in their clinical work and self-care.     

Concepts and Precepts In Social Work Education

While a single elective course in human sexuality is a useful supplement to core social work courses in preparing students for the sex-related problems they will encounter, a more comprehensive sequence of learning experiences is necessary for those who wish to develop greater competence in this area.

This article describes such a sequence offered by the University of Hawaii School of Social Work which focuses on treating and preventing sex-related problems experienced by various populations, particularly the sexually oppressed These learning experiences include class and field activities, research projects, and guided experiences as sex educators at local agencies, as producers of a weekly radio program, and as leaders of small discussion groups for a basic sex education course.     

My life is a mess: self-deprecating relatability and collective identities in the memification of student issues

ABSTRACT

In this paper, we investigate memes about student issues. We consider the memes as expressions of a new networked student public that contain discourses that may fall outside the mainstream discourse on higher education. The paper is based on content analysis of 179 posts in the public Facebook Group ‘Student Problem Memes’, combined with a nine-month media watch and a discussion workshop with 15 students. Through self-deprecating humour, students create an inverse attention economy of competitive one-downmanship, where the goal is to display humorous failure instead of perfect appearance. Our analysis shows that students use humour to express, share, and commiserate over daily struggles, but also that the problems related to work/study balance and mental health, are experienced as a persistent feature of student living. We also analyse limitations of meme-based publics, emphasizing processes of inclusion and exclusion through specific vernaculars of visual and discursive humour where issues related to gender, race, orientation, class, and ability are sidelined in favour of relatable humour.     

The Role of a Psychiatric Pharmacist in College Health

Abstract

Published evidence indicates there is a growing prevalence of psychiatric illnesses on college campuses, and that approximately one quarter of students may be taking psychotropic medications. But attracting and retaining experienced mental health care professionals to college health settings is a challenging task. The psychiatric pharmacist is one professional resource that can serve as both a clinical and educational consultant for college mental health services. A pilot psychiatric pharmacist service project is described.     

Chronic pain and depression.

Because of the increased incidence of chronic disease and other health problems associated with aging, chronic pain is a common companion for the elderly. Pain is of great clinical importance, often associated with disability, loss of independence, and reduced quality of life. A fact that is of interest to psychiatric nurses is that many elderly with complaints of chronic pain also exhibit signs and symptoms of depressive disorders. Treating chronic pain conditions is complex and difficult, and health-care professionals are increasingly recognizing that psychological factors are often involved in the development and continuation of chronic pain problems. Depression is one of these influential variables. Increased understanding of the role of depression in the etiology and maintenance of chronic pain can improve assessment and intervention for the elderly with chronic pain complaints.     

Experienced harms from substance use among college students: A latent class analysis

ABSTRACT

Many college students experience personal consequences from their own substance use as well as secondhand effects resulting from other students’ substance use. Our study identifies meaningful subgroup response patterns representing the construct of experienced harms, that is, the combined harms resulting from personal substance use and the substance use of others. In this sample six latent classes of harms experienced by participants were identified. The classes ranged from a No Harms group to a group of eleven harms – Severe Harms. We demonstrated that harms class membership was directly related to the level of involvement with substances. As the level of substance use increased – demonstrated by membership in latent classes of progressive involvement with substances – the odds of membership in a more serious experienced harms class increased. Participants reporting early onset of any substance were more likely to be members in any of the experienced harms latent classes than members of the No Harms class. Elucidating the exposure to harm associated with college student substance use behavior through an expanded focus on the patterns of experienced effects (i.e., personal consequences and secondhand effects) advances current research on a nationally-recognized problem.