Godoy-Henderson Clara, Denner Sara Shiv, Flesaker Michelle, Weinberg Janice, Dalhoe Melissa, Lipson Sarah K
University of Minnesota.
Boston University.
Res Sq. 2025 Sep 5:rs.3.rs-7435461. doi: 10.21203/rs.3.rs-7435461/v1.
This study aims to examine the perceptions, beliefs, and attitudes that affect help-seeking behaviors among college students with a diagnosis of psychosis.
Cross-sectional 2015-2024 national survey data from the Healthy Minds Study (HMS) were used to examine mental health service utilization among 2,819 U.S. college students with a diagnosis of psychosis. Descriptive statistics and adjusted logistic regression models were used to examine students' help-seeking behaviors.
Approximately eight-in-ten students with a diagnosis of psychosis reported utilizing formal services, eight-in-ten reported engaging in informal supports, and one-in-ten did not engage in either. A majority of students strongly agreed (50.7%) or agreed (26.6%) that therapy or counseling would be helpful for their mental health. Encouragement from a friend to seek help was associated with significantly higher odds of therapy/counseling in the past 12 months (aOR = 4.89, 95% CI: 1.03-23.1). Encouragement from others-such as health professionals-was also associated with higher odds of antipsychotic medication use (aOR = 1.49, 95% CI: 1.01-2.20). Compared to students who believed that medication is very helpful for their mental health, students who identified medication (aOR=0.17, 95% CI: 0.09-0.31) or therapy/counseling as not helpful had lower odds of formal service use (aOR=0.31, 95% CI: 0.15-0.62).
This is the largest known study of formal service and informal support engagement in students with a diagnosis of psychosis. Therapy and/or counseling in this population is highly utilized, and therapeutic resources available on college campuses may play an important role in supporting students diagnosed with psychosis. Encouragement from friends or healthcare professionals to seek help for mental health may promote help-seeking behaviors.
本研究旨在探讨影响被诊断为精神病的大学生寻求帮助行为的认知、信念和态度。
使用来自健康心灵研究（HMS）2015 - 2024年的横断面全国调查数据，研究2819名被诊断为精神病的美国大学生的心理健康服务利用情况。描述性统计和调整后的逻辑回归模型用于研究学生的求助行为。
约十分之八被诊断为精神病的学生报告使用过正式服务，十分之八报告寻求过非正式支持，十分之一既未使用正式服务也未寻求非正式支持。大多数学生强烈同意（50.7%）或同意（26.6%）治疗或咨询对他们的心理健康有帮助。在过去12个月里，朋友鼓励寻求帮助与接受治疗/咨询的几率显著更高相关（调整后比值比[aOR]=4.89，95%置信区间[CI]：1.03 - 23.1）。来自其他方面（如健康专业人员）的鼓励也与使用抗精神病药物的几率更高相关（aOR = 1.49，95% CI：1.01 - 2.20）。与认为药物对其心理健康非常有帮助的学生相比，认为药物（aOR = 0.17，95% CI：0.09 - 0.31）或治疗/咨询没有帮助的学生使用正式服务的几率较低（aOR = 0.31，95% CI：0.15 - 0.62）。
这是已知的关于被诊断为精神病的学生使用正式服务和寻求非正式支持的最大规模研究。该人群对治疗和/或咨询的利用率很高，大学校园提供的治疗资源可能在支持被诊断为精神病的学生方面发挥重要作用。朋友或医疗保健专业人员鼓励寻求心理健康帮助可能会促进求助行为。
