Evidence of Mental Health in University Students: A Contribution to Literacy

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  •   Olívia Conceição Costa Maria

  •   Ana Maria Galvão

  •   Maria José Liébana

Abstract

The data on the mental health of young people, in the current scientific evidence, point to the need for a constant updating of perspectives in relation to the contexts in which it is inserted, aiming at a more targeted intervention and its empowerment. In this context, it was described in the study: "Consumption of psychoactive substances in university students...What reality?" as one of the objectives- Identify the level of psychological health (depression, anxiety, and stress) of students at the Instituto Politécnico de Bragança. A quantitative, descriptive, correlational, and cross-sectional study was carried out. A (non-probabilistic) sample of 392 students was used. The assessment of the students' psychological health was carried out using the Anxiety, Depression, and Stress Scale (EADS21) by Lovibond and Lovibond, adapted by Pais Ribeiro in 2004. SPSS was used to process the data using descriptive statistics and inferential with a significance level of 95%. As a result, we have that: about 25% of students show above-normal levels of intensity in the depression and stress dimensions, reaching almost one-third in the anxiety dimension. The correlations between the EADS21 dimensions were moderate to strong. There was a statistically significant difference between the respondents: according to sex (p=0,001; Cohen's d=0,344), for the dimension of stress; according to whether or not they practiced physical exercise, for the dimension of stress (p=0,010; Cohen's d=0,280), anxiety (p=0,006; Cohen's d=0,252) and depression (p=0,034; Cohen's d=0,244); according to whether or not they had already started sexual activity, for the depression dimension (p=0,019; Cohen's d=0,287); according to whether or not they consider awareness-raising actions relevant, for the depression dimension (p=0,018; Cohen's d=0,331). We conclude that the results show that the general values are low in each of the mental health dimensions of the EADS21. This implies good experiences of respondents in a university context, in addition to the fact that female students have higher values in all dimensions of the EADS21, as well as those who do not practice physical exercise, those who have not yet started sexual activity, and those who do not consider relevant awareness-raising actions.


Keywords: Academic Experiences, Literacy, Mental Health, University Students.

References

Abhainath, D., & Kedare, J. (2016). Why do adolescents visit psychiatric outpatient depart-ment? Panacea Journal of Medical Sciences, 6(3), 151–154.

Abraão, I. (1999). “Fatores de risco e fatores de proteção para as toxicodependências: Uma breve revisão.” 5(2), 3–11.

Alexander, T. (2017). Understanding and promoting help-seeking among adolescents. [The University of Western Ontario]. http://ir.lib.uwo.ca/etd/4448

Almeida, L. S., Soares, A. P., Guisande, M. A., & Paisana, J. (2007). Rendimento académico no ensino superior: Estudo com estudantes do 1o ano. Revista Galego-Portuguesa de Psicoloxía e Educación 14(1), 207–220.

Almeida, F. (2014). Questionário de Literacia em Saúde Mental: Adaptação e estudo das características psicométricas numa amostra de adultos. Faculdade de Educação e Psicologia da Universidade Católica Portuguesa.

Andrade, A.S., Tiraboshi, G., Antunes, N., Viana, P, Zanoto, P. & Curilla, R. (2016). Vivências Acadêmicas e Sofrimento Psíquico de Estudantes de Psicologia. Psicol. Cienc. Prof, 36(4), 831–846. https://doi.org/10.1590/1982-3703004142015.

Barry, M., M., Clarke, A. M., Jenkins, R., & Patel, V. (2013). A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries. https://doi.org/10.1186/1471-2458-13-835.

Brown, J., Learmonth, A., & Mackereth, C. (2015). Promoting Public Mental Health and Well-being: Principles into Practice (L. J. K. Publishers (ed.)).

Calais, S. L., Andrade, L. M. B. De, & Lipp, M. E. N. (2003). Diferenças de sexo e escolaridade na manifestação de Stress em adultos jovens. Psicologia: Reflexão e Crítica, 16(2), 257–263. https://doi.org/10.1590/S0102-79722003000200005.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum. https://doi.org/10.1111/1467-8721.ep10768783.

Conley, C., Travers, L., & Bryant, F. (2013). Promoting psychosocial adjustment and stress management in first-year college students: the benefits of engagement in a psychosocial wellness seminar. Journal of American College Health, 61(2). https://doi.org/10.1080/07448481.2012.754757.

Costa, E., & Leal, I. (2008). Um olhar sobre a saúde psicológica dos estudantes do ensino superior – Avaliar para intervir (A. do 7o C. N. de P. da S. In S. M. Isabel Leal, José Luís Pais Ribeiro, Isabel Silva (Ed.) (ed.); pp. 213–216). In S. M. Isabel Leal, José Luís Pais Ribeiro, Isabel Silva (Ed.), Actas do 7o Congresso Nacional de Psicologia da Saúde.

Costa, P. M. A. (2009). Comportamentos de Saúde dos Adolescentes Escolarizados: um estudo efetuado com alunos do 3o ciclo e do ensino secundário. Universidade do Minho.

Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297–334. https://doi.org/10.1007/BF02310555.

Cronbach, L. J. (1988). Internal consistency of tests: Analyses old and new. Psychometrika, 53(1), 63–70. https://doi.org/10.1007/BF02294194.

Curtis, S. (2010). Space, place and mental health (1st ed.). Routledge.

Dale, H., Brassington, L., & King, K. (2014). The impact of healthy lifestyle interventions on mental health and wellbeing: a systematic review. Mental Health Review Journal, 19(1), 1–26.

Demers, N. R. (2013). The relationship between exercise and mental health in college students. Psychiatry Research, 4(6), 130–141. http://search.proquest.com.ezproxy.library

Direção Geral da Saúde-DGS. (2019). Manual de boas práticas literacia em saúde. Capacitação dos Profissionais de saúde. https://www.dgs.pt/documentos-e-publicacoes/manual-de-boas-praticas-literacia-em-saude-capacitacao-dos-profissionais-de-saude.aspx

Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry, 77(4), 534–542.

Fecundes, V. L. D.; Ludermir, A. B. (2005). Common mental disorders among health care students. Revista Brasileira de Psiquiatria, 194–200.

Fortin, M.-F. (2009). O processo de investigação: Da concepção à realização. Lusociência. https://doi.org/10.1017/S1049096506060264

Fritz, C. O., Morris, P. E., & Richler, J. J. (2012). Effect size estimates: Current use, calculations, and interpretation. Journal of Experimental Psychology: General, 141(1), 2–18. https://doi.org/10.1037/a0024338

Galvao, A., Pinheiro, M., & Gomes, M. J. (2017). Mental health and sleep-vigil disturbances in high school students : sleep hygiene consultation. 707–712.

Galvão, A., Pinheiro, M., Gomes, M. J., & Ala, S. (2017). Ansiedade, Stress e Depressão Relacionados Com Perturbações do Sono-Vigília e Consumo de Álcool em Alunos do Ensino Superior. Revista Portuguesa de Enfermagem de Saúde Mental, 5 (5), 8–12. https://doi.org/10.19131/rpesm.0160

Ghasemi, A., & Zahediasl, S. (2012). Normality tests for statistical analysis: A guide for non-statisticians. International Journal of Endocrinology and Metabolism, 10(2), 486–489.

IBM. (2013). IBM SPSS Statistics for Windows, Version 23.0. IBM.

Jorm, A., Korten, A., Jacomb, P., Christensen, H., Rodgers, B. & Pollitt, P. (1997). Mental health literacy: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166(4), 182–186.

Kelly, C. M., Mithen, J. M., Fischer, J. A., Kitchener, B. A., Jorm, A. F., Lowe, A. & Scanlan, C. (2011). Youth mental health first aid: a description of the program and an initial evaluation. International Journal of Mental Health Systems, 5(4). https://doi.org/10.1186/1752-4458-5-4

Kickbusch, I. (2004). Improving Health Literacy in the European Union: towards a Europe of informed and active health citizens. European Health Forum Gastein 2004 – Special Interest Session Improving, (October), 1–16.

Loureiro, L. Pedreiro, A. Correia, S. & Mendes, A. (2012). Reconhecimento da depressão e crenças sobre procura de ajuda em jovens portugueses. Revista Portuguesa de Enfermagem de Saúde Mental, 7, 13–17.

Lovibond, & Lovibond, P. (1996). Manual for the Depression, Anxiety and Stress Scales. Sydney: Psychology Foundation of Australia.

Machado, V. . (2014). A Juventude camponesa em cena e sua relação com a instituição escolar. Revista Labirinto, 18, 52–67.

Marques, J. (2015). Literacia em saúde: avaliação através do european health literacy survey em português num serviço de internamento hospitalar. Instituto Universitário de Lisboa.

McGovern, M. K. (2005). The effects of exercise on the brain. Serendip. Brymawr. Edu, 35(4), 363–373.

Moore, D. S., McCabe, G. P., & Craig, B. A. (2009). Introduction to the Practice of Statistics.

Mullins, T. L. K., Widdice, L. E., Rosenthal, S. L., Zimet, G. D., & Kahn, J. A. (2016). Risk Perceptions, Sexual Attitudes, and Sexual Behavior after HPV Vaccination in 11–12 Year-Old Girls. 33(32), 3907–3912.

Nascimento CMC, Ayan C, Cancela JM, Pereira JR, Andrade LP, G. M. et al. (2013). Exercícios físicos generalizados, capacidade funcional e sintomas depressivos em idosos brasileiros. Revista Brasileira Cineantropom Desempenho Humano, 15(4), 486–497. https://doi.org/10.5007/1980-0037.2013v15n4p486

Nutbeam, D. (2008). The evolving concept of health literacy. In Social Science and Medicine, 67(12). https://doi.org/10.1016/j.socscimed.2008.09.050

Olivari, C., & Guzmán-González, M. (2017). Validación del cuestionario general de búsqueda de ayuda para poblemas de salud mental en adolescentes. Revista Chilena de Pedia-Tría, 88(3), 324–331.

Oliveira, M., & Machado, T. (2011). Tradução e validação da Escala de Resiliência para Estudantes do Ensino Superior. Análise Psicológica, 4(24), 579–591.

Onwuegbuzie, A., & Leech, N. (2005). On becoming a pragmatic researcher: The importance of combining quantitative and qualitative research methodologies. International Journal of Social Research Methodology: Theory and Practice, 8(5), 375–387. ttps://www.tandfonline.com/doi/abs/10.1080/13645570500402447

Pais-Ribeiro, J., Honrado, A., & Leal, I. (2004). Contributos para o estudo da adaptação portuguesa das escalas de Ansiedade, Depressão e Stress (EADS) de 21 itens de Lovibond e Lovibond. Psicologia, Saúde & Doenças, 5(1), 229–239. file:///C:/Users/Utilizador/Downloads/76.pdf

Patel, V., Flisher, A. J., Hetrick, S. & McGorry, P. (2007). Mental health of young people: a global public-health challenge. Lancet, 369(9569), 1302–1313. https://www.sciencedirect.com/science/article/abs/pii/S0140673607603687

Pinheiro, A. e M. (2016). Relação entre os níveis de atividade física e qualidade de vida no uso de drogas em adolescentes. SMAD, Rev. Eletrônica Saúde Mental Álcool Drog., 12(i3), 178–187. file:///C:/Users/lopes/Downloads/120790-Texto do artigo-224678-1-10-20160915.pdf

Porto, A., Soares, A. (2017). Diferenças entre expectativas e adaptação acadêmica de universitários de diversas áreas do conhecimento. Aná. Psicológica, 35(1). http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0870-82312017000100002

Ribeiro, J. L. P., Honrado, A., & Leal, I. (2004). Contribuição para o estudo da adaptação portuguesa das Escalas de Ansiedade, Depressão e Dtress (EADS) de 21 itens de Lovibond e Lovibond. Psicologia, Saúde & Doenças, 5(2), 229–239.

Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. V. (2005). Young people´s help-seeking for mental health problems. Autralian E-Journal of the Advancement of Mental Health, 4(3), 1–34.

Sarkar, C., Webster, C., & Gallacher, J. (2014). Healthy Cities: Public Health Through Urban Planning.

Sawilowsky, S. S. (2009). Very large and huge effect sizes. Journal of Modern Applied Statistical Methods, 8(2), 597–599. https://doi.org/10.22237/jmasm/1257035100

Schober, P., & Schwarte, L. A. (2018). Correlation coefficients: Appropriate use and interpretation. Anesthesia and Analgesia, 126(5), 1763–1768. https://doi.org/10.1213/ANE.0000000000002864

Silva, A., & Neto, J. (2014). Association between levels of physical activity and commom mental disorder in university students. Revista de Motricidade, 10(1), 45– 59. http://www.scielo.gpeari.mctes.pt/scielo.php/motricidade

Steinskog, D. J., Tjøstheim, D. B., & Kvamstø, N. G. (2007). A Cautionary Note on the Use of the Kolmogorov–Smirnov Test for Normality. Monthly Weather Review, 135(3), 1151–1157. https://doi.org/10.1175/mwr3326.1

Sullivan, G. M., & Feinn, R. (2012). Using Effect Size--or Why the P Value Is Not Enough. Journal of Graduate Medical Education, 4(3), 279–282. https://doi.org/10.4300/JGME-D-12-00156.1

United Nations - UNAIDS. (2016). Joint United Nations Programme on HIV/AIDS. Report on the global HIV/AIDS epidemic. United Nations. https://www.unaids.org/sites/default/files/media_asset/global-AIDS-update-2016_en.pdf

Veríssimo, A., Costa, R., Gonçalves, E., & Araújo, F. (2011). Níveis de stress no Ensino Superior. Psicologia e Educação 1(2), 41–48.

World Health Organization - WHO. (2017). National Health Literacy Demonstration Projects (NHLDP) for the Control and Management of NCDs: Concept Note for WHO GCM/NCD Working Group 3.3 on Health Education and Health Literacy for NCDs. http://www.who.int/global-coordination-mechanism/activities/workinggroups/GCM-NCD-Health-Literacy-Demonstration-Projects.pdf?ua=1

World Health Organization d) - WHO. (2015). Physical activity. http://www.who.int/mediacentre/factsheets/fs385/en/.

World Medical Association. (2013). World Medical Association Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects. Journal International de Bioéthique. https://doi.org/10.3917/jib.151.0124

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How to Cite
Costa Maria, O. C., Galvão, A. M., & Liébana, M. J. (2022). Evidence of Mental Health in University Students: A Contribution to Literacy. European Journal of Education and Pedagogy, 3(3), 300–305. https://doi.org/10.24018/ejedu.2022.3.3.349