Department of Kinesiology, Health and Nutrition, University of Texas at San Antonio, San Antonio, TX, USA.
American College Health Association Health Promotion Section Research Committee, Silver Spring, MD, USA.
J Am Coll Health. 2020 Jan;68(1):41-51. doi: 10.1080/07448481.2018.1515748. Epub 2018 Oct 25.
: 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. ACHA-NCHA II participants from 2009 to 2015 ( = 454,029). Hierarchical binary logistic regression with step 1 controlling for demographics and step 2 considering time. 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. 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.
: 目的：检查 12 种心理健康（MH）状况的诊断/治疗变化、以前使用校园 MH 服务的情况以及未来寻求 MH 服务的意愿。2009 年至 2015 年 ACHA-NCHA II 参与者（ = 454,029）。分层二项逻辑回归，第 1 步控制人口统计学因素，第 2 步考虑时间。除双相情感障碍、贪食症和精神分裂症外，所有条件的时间均有显著差异，除物质滥用外，所有条件均呈上升趋势。焦虑症（OR = 1.68）、惊恐发作（OR = 1.61）和注意力缺陷多动障碍（OR = 1.40）的比值比最高。当前机构的 MH 服务使用情况（OR = 1.30）和未来使用服务的意愿（OR = 1.37）也随着时间的推移而增加。基于全国样本，大学生中自我报告的几种 MH 状况的诊断/治疗正在增加。对各种 MH 问题的检查可以帮助大学生健康专业人员与机构利益相关者就支持大学生 MH 所需的资源进行接触。
