Trends in college students’ mental health diagnoses and utilization of services, 2009–2015

Abstract

Objective: To examine changes in diagnoses/treatment for 12 mental health (MH) conditions, previous use of campus MH services, and willingness to seek MH services in the future. Participants: ACHA–NCHA II participants from 2009 to 2015 (n?=?454,029). Methods: Hierarchical binary logistic regression with step 1 controlling for demographics and step 2 considering time. Results: Time was significant except for bipolar disorder, bulimia, and schizophrenia with increases for all conditions except substance abuse. Anxiety (OR?=?1.68), panic attacks (OR?=?1.61), and ADHD (OR?=?1.40) had the highest odd ratios. Use of MH services at current institution (OR?=?1.30) and willingness to utilize services in the future (OR?=?1.37) also increased over time. Conclusions: Based on a national sample, self-reported diagnoses/treatment of several MH conditions are increasing among college students. This examination of a variety of MH issues can aid college health professionals to engage institutional stakeholders regarding the resources needed to support college students’ MH.     

Long range planning in Bell Canada

The objectives and activities of Bell Canada's Business Planning group are outlined. The Business Planning process of obtaining inputs, organizing the data base, and creating outputs is elaborated. Inputs are derived from original research efforts such as trend extrapolation, Delphi research and survey research. Selected results from Business Planning studies are illustrated. Inputs obtained through secondary research activities are also outlined. The creation of a key-word-indexed on-line information retrieval system to organize the data base is described. The underlying group philosophy of developing outputs that support and/or stimulate the executive decision making process is stressed in the development of Business Planning Outputs.     

Adolescent Perceptions of Interparental Conflict, Stressors, and Coping as Predictors of Adolescent Family Life Satisfaction

Using family stress theory, this study examined the relationship between adolescent reports of selected demographic variables (gender, age, family form), interparental conflict (style, content, intensity, resolution), stress due to the pileup of stressors, coping strategies (social support, detrimental coping), and adolescent family life satisfaction. The sample was comprised of 155 adolescents ranging from 14 to 18 years of age who completed self-report questionnaires at one of three rural Oklahoma high schools. Four dimensions of interparental conflict (overt conflict style, conflict about childrearing, conflict about family roles/finances, conflict resolution), stress due to pileup, social support coping, and detrimental coping were significantly related to family life satisfaction. Adolescent age was positively related to family life satisfaction. Within the scope of family stress theory, scholars have addressed how the combination of stressors and coping strategies relates to the adaptation of individuals within family systems (McCubbin and Patterson 1983). Further, investigations of the relationship of parental divorce to well-being in children and adolescents suggest that interaction patterns within various family forms may be more fruitful in explaining the adaptation of youth than parental marital status (Demo 1992). The perception by youth of conflict between their parents (i.e., interparental conflict) has emerged as a key family stressor that has the potential to explain variation in adolescent adaptation in a variety of family forms (Buehler, Krishnakumar, Anthony, Tittsworth, and Stone 1994). Stressor events for adolescents such as interparental conflict generally do not occur in isolation. Rather, they exist within the context of other stressors such as economic stress, difficulties at school, or normative developmental tasks for families with adolescents (e.g., changing family roles to allow greater adolescent autonomy; McCubbin and Patterson 1986). Further, considerable variation exists in the coping strategies (e.g., social support, avoidance) that adolescents use in response to stress (McCubbin and Patterson 1986). Finally, previous research shows variation between certain demographic variables and adolescent adaptation. Thus, the current study was developed to examine how selected demographic variables (gender, age, family form), adolescent perceptions of interparental conflict (style, content, intensity, degree of resolution), stress based on the pileup of stressor events, and coping strategies relate to adolescent satisfaction with family life (one indicator of adaptation).     

Structural instability and alternative development scenarios

Many past societies grew and flourished for several generations, and some for many centuries, prior to experiencing calamities that lowered wealth and/or productivity below some “critical levels.” In some cases, a collapse occurred; in others, the population reductions caused by emigration, plague, or warfare not only extended societies’ survival but induced a growth resurgence. These varied historical development scenarios are captured using a comparative dynamic analysis of structurally unstable variations of the Solow–Swan growth model. These results would seem to be relevant for understanding possibilities in the contemporary world.     

Responding to joint attention as a developmental catalyst: Longitudinal associations with language and social responsiveness

Joint attention (JA), infants' ability to engage in triadic attention with another person and a separate object or event, emerges in infancy. Responding to joint attention (RJA) develops earlier than initiating joint attention (IJA) and may benefit from a reconceptualization from a competence to a skill that varies in performance. Investigating associations between RJA performance and important skills of toddlerhood such as language, social responsiveness, and executive function (EF) in typically developing samples can better elucidate how RJA may serve as a developmental precursor to later dimensional skills, with implications for both typical and atypical development. Here, 210 (82% White) infants completed the Dimensional Joint Attention Assessment (DJAA), a naturalistic play-based assessment of RJA, at 8–15 months. At 16–38 months social responsiveness, verbal ability, and EF were assessed. Multilevel models showed that DJAA scores were associated with later verbal abilities and parent-reported social responsiveness. Exploratory analyses showed trend-level associations between RJA and EF. Results establish the content validity of the DJAA as a measure of RJA, and longitudinal associations with later verbal ability and social responsiveness. Future work should examine EF emergence and consolidation, and RJA and later EF associations.     

The potential for bias in reporting of industry-sponsored clinical trials

Concerns about potentially misleading reporting of pharmaceutical industry research have surfaced many times. The potential for duality (and thereby conflict) of interest is only too clear when you consider the sums of money required for the discovery, development and commercialization of new medicines. As the ability of major, mid-size and small pharmaceutical companies to innovate has waned, as evidenced by the seemingly relentless decline in the numbers of new medicines approved by Food and Drug Administration and European Medicines Agency year-on-year, not only has the cost per new approved medicine risen: so too has the public and media concern about the extent to which the pharmaceutical industry is open and honest about the efficacy, safety and quality of the drugs we manufacture and sell. In 2005 an Editorial in Journal of the American Medical Association made clear that, so great was their concern about misleading reporting of industry-sponsored studies, henceforth no article would be published that was not also guaranteed by independent statistical analysis. We examine the precursors to this Editorial, as well as its immediate and lasting effects for statisticians, for the manner in which statistical analysis is carried out, and for the industry more generally.