Department of Psychiatry, Tsukuba University Health Center, 1-1-1, Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan; Department of Psychiatry, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennoudai, Tsukuba, Ibaraki, 305-8575 Japan.
Department of Psychiatry, Tsukuba University Health Center, 1-1-1, Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan; Department of Psychiatry, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennoudai, Tsukuba, Ibaraki, 305-8575 Japan.
Asian J Psychiatr. 2018 Feb;32:67-72. doi: 10.1016/j.ajp.2017.11.017. Epub 2017 Dec 2.
University students that suffer from mental disorders seem to have difficulty graduating. Therefore, we investigated risk and protective factors of dropping out with the aim of improving such students' academic outcomes.
First, we statistically compared the academic outcomes of 203 undergraduate students who received treatment in the Department of Psychiatry of the Tsukuba University Health Center to those of matched controls. Second, clinical factors of 370 mentally ill students were statistically compared between the dropout and graduate groups.
Mentally ill students experienced significantly greater difficulties graduating. Furthermore, the ratio of females and the year of study at initial consultation were significantly lower in the dropout group. However, duration of illness, social withdrawal, temporary leaves of absence, percentage of diagnosis of F2, history of truancy, CGI-S/GI score, number of suicide attempts, visits to us, family consultations with us and grade repeating were longer or greater in the dropout group. Ultimately, the number of suicide attempts, CGI-S score, social withdrawal and leaves of absence were significantly associated with dropping out. Moreover, duration of social withdrawal and leaves of absence were significantly correlated with CGI-GI score.
We found that the number of suicide attempts, CGI-S score, social withdrawal and extended enrollment were risk factors for dropping out, while the therapeutic effect seemed to be a protective factor. As risk factors involved states of social maladjustment, it is necessary not only to treat mental disorders, but also to provide assistance such as educational and individual support for daily living.
患有精神障碍的大学生似乎难以毕业。因此，我们调查了辍学的风险和保护因素，以期改善此类学生的学业成绩。
首先，我们对在筑波大学健康中心精神病学部接受治疗的 203 名本科生的学业成绩与匹配对照组进行了统计学比较。其次，对 370 名精神病学生的临床因素进行了辍学组和毕业组的统计学比较。
精神病学生毕业难度明显更大。此外，辍学组女性比例和初始咨询时的学习年限明显较低。然而，辍学组的病程、社会退缩、临时休学、F2 诊断比例、逃学史、CGI-S/GI 评分、自杀企图次数、就诊次数、家庭咨询次数和留级次数均较长或较大。最终，自杀企图次数、CGI-S 评分、社会退缩和休学与辍学显著相关。此外，社会退缩和休学的持续时间与 CGI-GI 评分显著相关。
我们发现自杀企图次数、CGI-S 评分、社会退缩和延长入学时间是辍学的危险因素，而治疗效果似乎是一种保护因素。由于风险因素涉及社会适应不良的状态，不仅需要治疗精神障碍，还需要提供教育和个人日常生活支持等帮助。
