Skip to main content

Advertisement

Log in

The long-term mental health of Australia’s tertiary students

  • Original Paper
  • Published:
Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Purpose

The objective of the current study was to quantify the extent to which Australia’s tertiary students have reported poorer mental health in comparison with the general community between 2001 and 2017.

Methods

Data were derived from the Household, Income and Labour Dynamics in Australia Survey, a longitudinal household-based panel study. There were 29,124 participants who provided at least one observation over the study period. On average, participants provided 7.4 observations. Mental Health was assessed with the SF-36 mental health and vitality subscales.

Results

There was little evidence for differences in mental health and vitality between those studying at tertiary levels and those not in tertiary education. Age-stratified analyses revealed that any differences were reported by older students. Interactions between education level and time revealed that the association between tertiary study and mental health outcomes has been consistent over time.

Conclusion

There were very few differences between those in and those not in tertiary education. The magnitude of any differences was very small and does not necessarily reflect substantial poor mental health outcome. Overall, the most consistent finding was that there was little risk for poor mental health outcomes attributed to tertiary study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB (2007) Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry 20(4):359–364. https://doi.org/10.1097/YCO.0b013e32816ebc8c

    Article  PubMed  PubMed Central  Google Scholar 

  2. Slade T, Johnston A, Oakley Browne MA, Andrews G, Whiteford H (2009) 2007 national survey of mental health and wellbeing: methods and key findings. Aust N Z J Psychiatry 43(7):594–605. https://doi.org/10.1080/00048670902970882

    Article  PubMed  Google Scholar 

  3. Leahy CM, Peterson RF, Wilson IG, Newbury JW, Tonkin AL, Turnbull D (2010) Distress levels and self-reported treatment rates for medicine, law, psychology and mechanical engineering tertiary students: cross-sectional study. Aust N Z J Psychiatry 44(7):608–615. https://doi.org/10.3109/00048671003649052

    Article  PubMed  Google Scholar 

  4. Stallman HM (2010) Psychological distress in university students: a comparison with general population data. Aust Psychol 45(4):249–257. https://doi.org/10.1080/00050067.2010.482109

    Article  Google Scholar 

  5. Vivekananda K, Telley A, Trethowan S (2011) A five year study on psychological distress within a university counselling population. J Aust N Z Stud Serv Assoc 37:39–57

    Google Scholar 

  6. Auerbach RP, Alonso J, Axinn WG, Cuijpers P, Ebert DD, Green JG, Hwang I, Kessler RC, Liu H, Mortier P, Nock MK, Pinder-Amaker S, Sampson NA, Aguilar-Gaxiola S, Al-Hamzawi A, Andrade LH, Benjet C, Caldas-de-Almeida JM, Demyttenaere K, Florescu S, de Girolamo G, Gureje O, Haro JM, Karam EG, Kiejna A, Kovess-Masfety V, Lee S, McGrath JJ, O’Neill S, Pennell BE, Scott K, Ten Have M, Torres Y, Zaslavsky AM, Zarkov Z, Bruffaerts R (2016) Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychol Med 46(14):2955–2970. https://doi.org/10.1017/s0033291716001665

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Bayram N, Bilgel N (2008) The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 43(8):667–672. https://doi.org/10.1007/s00127-008-0345-x

    Article  PubMed  Google Scholar 

  8. Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C (2013) A systematic review of studies of depression prevalence in university students. J Psychiatr Res 47(3):391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015

    Article  PubMed  Google Scholar 

  9. Stewart-Brown S, Evans J, Patterson J, Petersen S, Doll H, Balding J, Regis D (2000) The health of students in institutes of higher education: an important and neglected public health problem? J Public Health Med 22(4):492–499

    Article  CAS  Google Scholar 

  10. Adewuya AO, Ola BA, Aloba OO, Mapayi BM, Oginni OO (2006) Depression amongst Nigerian university students. Soc Psychiatry Psychiatr Epidemiol 41(8):674–678. https://doi.org/10.1007/s00127-006-0068-9

    Article  PubMed  Google Scholar 

  11. Tong J, Miao S, Wang J, Yang F, Lai H, Zhang C, Zhang Y, Hsu LK (2014) A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China. Soc Psychiatry Psychiatr Epidemiol 49(3):499–505. https://doi.org/10.1007/s00127-013-0694-y

    Article  PubMed  Google Scholar 

  12. Verger P, Combes J-B, Kovess-Masfety V, Choquet M, Guagliardo V, Rouillon F, Peretti-Wattel P (2009) Psychological distress in first year university students: socioeconomic and academic stressors, mastery and social support in young men and women. Soc Psychiatry Psychiatr Epidemiol 44(8):643–650. https://doi.org/10.1007/s00127-008-0486-y

    Article  PubMed  Google Scholar 

  13. Rickwood D, Telford N, O’Sullivan S, Crisp D, Magyar R (2017) National tertiary student wellbeing survey 2016. Headspace & National Union of Students

  14. (ABS) ABoS (2015) Psychological distress .4364.0.55.001—national health survey: first results, 2014–15. Commonwealth of Australia, Canberra

  15. Hope V, Henderson M (2014) Medical student depression, anxiety and distress outside North America: a systematic review. Med Educ 48(10):963–979. https://doi.org/10.1111/medu.12512

    Article  PubMed  Google Scholar 

  16. Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, Sen S (2015) Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. J Am Med Assoc 314(22):2373–2383. https://doi.org/10.1001/jama.2015.15845

    Article  CAS  Google Scholar 

  17. Brown J (2018) Student mental health: some answers and more questions AU—Brown, June S. L. J Ment Health 27(3):193–196. https://doi.org/10.1080/09638237.2018.1470319

    Article  PubMed  Google Scholar 

  18. Eisenberg D, Hunt J, Speer N, Zivin K (2011) Mental health service utilization among college students in the United States. J Nerv Ment Dis 199(5):301–308. https://doi.org/10.1097/NMD.0b013e3182175123

    Article  PubMed  Google Scholar 

  19. Voelker R (2003) Mounting student depression taxing campus mental health services. J Am Med Assoc 289(16):2055–2056. https://doi.org/10.1001/jama.289.16.2055

    Article  Google Scholar 

  20. Cvetkovski S, Reavley NJ, Jorm AF (2012) The prevalence and correlates of psychological distress in Australian tertiary students compared to their community peers. Aust N Z J Psychiatry 46(5):457–467. https://doi.org/10.1177/0004867411435290

    Article  PubMed  Google Scholar 

  21. Blanco C, Okuda M, Wright C, Hasin DS, Grant BF, Liu SM, Olfson M (2008) Mental health of college students and their non-college-attending peers: results from the National Epidemiologic Study on Alcohol and Related Conditions. Arch Gen Psychiatry 65(12):1429–1437. https://doi.org/10.1001/archpsyc.65.12.1429

    Article  PubMed  PubMed Central  Google Scholar 

  22. Sarmento M (2015) A “mental health profile” of higher education students. Proced Soc Behav Sci 191:12–20. https://doi.org/10.1016/j.sbspro.2015.04.606

    Article  Google Scholar 

  23. Hawton K, Bergen H, Mahadevan S, Casey D, Simkin S (2012) Suicide and deliberate self-harm in Oxford University students over a 30-year period. Soc Psychiatry Psychiatr Epidemiol 47(1):43–51. https://doi.org/10.1007/s00127-010-0310-3

    Article  PubMed  Google Scholar 

  24. Collins IP, Paykel ES (2000) Suicide amongst Cambridge University Students 1970–1996. Soc Psychiatry Psychiatr Epidemiol 35(3):128–132. https://doi.org/10.1007/s001270050195

    Article  CAS  PubMed  Google Scholar 

  25. Wilson T, Shalley F (2018) Estimates of Australia’s non-heterosexual population. Aust Popul Stud 2(1):2018

    Article  Google Scholar 

  26. Cvetkovski S, Jorm AF, Mackinnon AJ (2019) An analysis of the mental health trajectories of university students compared to their community peers using a national longitudinal survey. Stud Higher Educ 44(1):185–200. https://doi.org/10.1080/03075079.2017.1356281

    Article  Google Scholar 

  27. Wooden M, Watson N (2007) The HILDA survey and its contribution to economic and social research (so far). Econ Rec 83(261):208–231. https://doi.org/10.1111/j.1475-4932.2007.00395.x

    Article  Google Scholar 

  28. Wooden M, Warren D (2004) Non-standard employment and job satisfaction: evidence from the Hilda Survey. J Ind Relat 46(3):275–297. https://doi.org/10.1111/j.0022-1856.2004.00142.x

    Article  Google Scholar 

  29. Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483

    Article  Google Scholar 

  30. Butterworth P, Crosier T (2004) The validity of the SF-36 in an Australian National Household Survey: demonstrating the applicability of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examination of health inequalities. BMC Public Health 4:44. https://doi.org/10.1186/1471-2458-4-44

    Article  PubMed  PubMed Central  Google Scholar 

  31. Rumpf HJ, Meyer C, Hapke U, John U (2001) Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard. Psychiatry Res 105(3):243–253

    Article  CAS  Google Scholar 

  32. Yamazaki S, Fukuhara S, Green J (2005) Usefulness of five-item and three-item Mental Health Inventories to screen for depressive symptoms in the general population of Japan. Health Qual Life Outcomes 3:48. https://doi.org/10.1186/1477-7525-3-48

    Article  PubMed  PubMed Central  Google Scholar 

  33. Skapinakis P, Lewis G, Araya R, Jones K, Williams G (2005) Mental health inequalities in Wales, UK: multi-level investigation of the effect of area deprivation. Br J Psychiatry 186:417–422

    Article  Google Scholar 

  34. Gill SC, Butterworth P, Rodgers B, Anstey KJ, Villamil E, Melzer D (2006) Mental health and the timing of men’s retirement. Soc Psychiatry Psychiatr Epidemiol 41(7):515–522. https://doi.org/10.1007/s00127-006-0064-0

    Article  PubMed  Google Scholar 

  35. Huppert FA, Marks N, Clark A, Siegrist J, Stutzer A, Vittersø J, Wahrendorf M (2009) measuring well-being across Europe: description of the ESS well-being module and preliminary findings. Soc Indic Res 91(3):301–315. https://doi.org/10.1007/s11205-008-9346-0

    Article  Google Scholar 

  36. Kasser T, Ryan RM (1996) Further examining the American dream: differential correlates of intrinsic and extrinsic goals. Pers Soc Psychol B 22(3):280–287

    Article  Google Scholar 

  37. Ryan RM, Frederick C (1997) On energy, personality, and health: subjective vitality as a dynamic reflection of well-being. J Pers Soc Psychol 65(3):529–565

    CAS  Google Scholar 

  38. Nix GA, Ryan RM, Manly JB, Deci EL (1999) Revitalization through self-regulation: the effects of autonomous and controlled motivation on happiness and vitality. J Exp Soc Psychol 35(3):266–284

    Article  Google Scholar 

  39. Bjorner JB, Wallenstein GV, Martin MC, Lin P, Blaisdell-Gross B, Tak Piech C, Mody SH (2007) Interpreting score differences in the SF-36 Vitality scale: using clinical conditions and functional outcomes to define the minimally important difference. Curr Med Res Opin 23(4):731–739. https://doi.org/10.1185/030079907X178757

    Article  PubMed  Google Scholar 

  40. Croog SH, Levine S, Testa MA, Brown B, Bulpitt CJ, Jenkins CD, Klerman GL, Williams GH (1986) The effects of antihypertensive therapy on the quality of life. N Engl J Med 314(26):1657–1664. https://doi.org/10.1056/NEJM198606263142602

    Article  CAS  PubMed  Google Scholar 

  41. Fowler FJ Jr, Wennberg JE, Timothy RP, Barry MJ, Mulley AG Jr, Hanley D (1988) Symptom status and quality of life following prostatectomy. JAMA 259(20):3018–3022

    Article  Google Scholar 

  42. Burns RA, Byles J, Mitchell P, Anstey KJ (2012) Positive components of mental health provide significant protection against likelihood of falling in older women over a 13-year period. Int Psychogeriatr 24(9):1419–1428

    Article  Google Scholar 

  43. Burns R, Sargent-Cox K, Mitchell P, Anstey K (2014) An examination of the effects of intra and inter-individual changes in wellbeing and mental health on self-rated health in a population study of middle and older-aged adults. Soc Psychiatry Psychiatr Epidemiol 49(11):1849–1858. https://doi.org/10.1007/s00127-014-0864-6

    Article  PubMed  Google Scholar 

  44. Burns RA, Browning CJ, Kendig HL (2015) Examining the 16-year trajectories of mental health and wellbeing through the transition into widowhood. Int Psychogeriatr 27(12):1979–1986. https://doi.org/10.1017/S1041610215000472

    Article  CAS  PubMed  Google Scholar 

  45. Burns RA, Butterworth P, Browning C, Byles J, Luszcz M, Mitchell P, Shaw J, Anstey KJ (2014) Examination of the association between mental health, morbidity, and mortality in late life: findings from longitudinal community surveys. Int Psychogeriatr. https://doi.org/10.1017/s1041610214002051

    Article  PubMed  Google Scholar 

  46. Burns RA, Byles J, Magliano DJ, Mitchell P, Anstey KJ (2015) The utility of estimating population-level trajectories of terminal wellbeing decline within a growth mixture modelling framework. Soc Psychiatry Psychiatr Epidemiol 50(3):479–487. https://doi.org/10.1007/s00127-014-0948-3

    Article  CAS  PubMed  Google Scholar 

  47. Burns RA, Byles J, Mitchell P, Anstey KJ (2012) Positive components of mental health provide significant protection against likelihood of falling in older women over a 13-year period. Int Psychogeriatr 24(9):1419–1428. https://doi.org/10.1017/S1041610212000154

    Article  PubMed  Google Scholar 

  48. Burns RA, Mitchell P, Shaw J, Anstey K (2014) Trajectories of terminal decline in the wellbeing of older women: the DYNOPTA project. Psychol Aging 29(1):44–56

    Article  Google Scholar 

  49. StataCorp (2015) Stata statistical software: release 14. StataCorp LP, College Station

    Google Scholar 

  50. Wasserstein RL, Schirm AL, Lazar NA (2019) Moving to a world beyond “p < 0.05”. Am Stat 73(sup1):1–19. https://doi.org/10.1080/00031305.2019.1583913

    Article  Google Scholar 

  51. McAllister M, Wynaden D, Happell B, Flynn T, Walters V, Duggan R, Byrne L, Heslop L, Gaskin C Staff experiences of providing support to students who are managing mental health challenges: a qualitative study from two Australian universities

  52. Thorley C (2017) Not by degrees: improving student health in the UK’s universities. Institute of Public Policy Research

  53. Cuijpers P, Auerbach RP, Benjet C, Bruffaerts R, Ebert D, Karyotaki E, Kessler RC (2019) The World Health Organization World Mental Health International College Student initiative: an overview. Int J Methods Psychiatr Res 28(2):e1761. https://doi.org/10.1002/mpr.1761

    Article  PubMed  PubMed Central  Google Scholar 

  54. Harrer M, Adam SH, Baumeister H, Cuijpers P, Karyotaki E, Auerbach RP, Kessler RC, Bruffaerts R, Berking M, Ebert DD (2019) Internet interventions for mental health in university students: a systematic review and meta-analysis. Int J Methods Psychiatr Res 28(2):e1759. https://doi.org/10.1002/mpr.1759

    Article  PubMed  Google Scholar 

  55. Lungu A, Sun M (2016) Time for a change: college students’ preference for technology-mediated versus face-to-face help for emotional distress. Telemed J E Health 22(12):991–1000. https://doi.org/10.1089/tmj.2015.0214

    Article  PubMed  Google Scholar 

  56. Chan JK, Farrer LM, Gulliver A, Bennett K, Griffiths KM (2016) University students’ views on the perceived benefits and drawbacks of seeking help for mental health problems on the internet: a qualitative study. JMIR Hum Factors 3(1):e3. https://doi.org/10.2196/humanfactors.4765

    Article  PubMed  PubMed Central  Google Scholar 

  57. Storrie K, Ahern K, Tuckett A (2010) A systematic review: students with mental health problems—a growing problem. Int J Nurs Pract 16(1):1–6. https://doi.org/10.1111/j.1440-172X.2009.01813.x

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The research in this paper uses unit record data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey. HILDA is funded by the Australian Government Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA) and managed by the Melbourne Institute of Applied Economic and Social Research (Melbourne Institute). The findings and view reported in this paper are those of the authors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richard A. Burns.

Ethics declarations

Conflict of interest

On behalf of all authors, Richard A. Burns states that there is no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Burns, R.A., Crisp, D.A. The long-term mental health of Australia’s tertiary students. Soc Psychiatry Psychiatr Epidemiol 55, 1223–1230 (2020). https://doi.org/10.1007/s00127-019-01806-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00127-019-01806-7

Keywords

Navigation