Department of Applied Psychology, Northeastern University, Boston, Massachusetts, USA.
Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Am Coll Health. 2022 Nov-Dec;70(8):2470-2475. doi: 10.1080/07448481.2020.1865980. Epub 2021 Jan 31.
This study assessed the prevalence and correlates of mental health (MH) symptoms and diagnoses in international college students in the United States. The sample included 44,851 degree-seeking undergraduate students (42,428 domestic students and 2,423 international students). Logistic regression analyses were conducted using international student status to predict MH symptoms and diagnoses from the Spring 2017 administration of the ACHA-National College Health Assessment (ACHA-NCHA). International students were less likely than domestic students to report a diagnosis of anxiety, comorbid depression and anxiety, or other psychiatric diagnoses. International students were more likely to report suicide attempts and feeling overwhelmingly depressed. Among international students studying in the US, lower rates of MH diagnoses despite higher rates of depressive symptoms and suicide attempts mirror similar trends seen in American-born minority students. University campuses should consider culturally sensitive and targeted psychoeducation, mental health services, and outreach programming.
本研究评估了美国国际大学生心理健康（MH）症状和诊断的流行率及其相关因素。该样本包括 44851 名攻读学位的本科生（42428 名国内学生和 2423 名国际学生）。使用国际学生身份，采用逻辑回归分析对 2017 年春季 ACHA-全国大学生健康评估（ACHA-NCHA）的数据进行分析，以预测 MH 症状和诊断。与国内学生相比，国际学生报告焦虑、抑郁共病、或其他精神科诊断的可能性较低。国际学生更有可能报告自杀企图和压倒性的抑郁感。在美国学习的国际学生中，尽管抑郁症状和自杀企图的比例较高，但 MH 诊断率较低，这与美国少数族裔出生的学生中出现的类似趋势一致。大学校园应考虑提供文化敏感和有针对性的心理健康教育、心理健康服务和外展计划。
