Association between mental health and academic performance among university undergraduates: The interacting role of lifestyle behaviors

IF 2.4 3区 医学 Q2 PSYCHIATRY International Journal of Methods in Psychiatric Research Pub Date : 2022-09-10 DOI:10.1002/mpr.1938
Tianshu Chu, Xin Liu, Shigemi Takayanagi, Tomoko Matsushita, Hiro Kishimoto
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Abstract

Objectives

Impaired mental health status tends to be associated with poor academic performance, but few prospective studies have examined the association between mental health and academic performance among undergraduates while considering the interacting roles of multiple lifestyle behaviors.

Participants and Methods

A total of 1823 Japanese undergraduate students (67% men) were followed up for 4 years. Their mental health status was measured by the six-item Kessler Psychological Distress Scale (K6). We defined poor academic performance as a grade point average (GPA) <2.0. Cox proportional hazards models were used to determine the relationship between the students' mental health status and the incident risk of poor academic performance.

Results

Our analyses revealed that impaired mental health status in the first semester of university study significantly predicted an increased incident risk of poor academic performance during the overall undergraduate period. This association remained significant when the health lifestyle behaviors were adjusted, and the hazard ratio (95% confidence interval) for poor academic performance was 1.62 (1.18–2.23). This significant association disappeared in the low-lifestyle-behavior-risk group.

Conclusion

Impaired mental health status in the first semester significantly predicts an increased incident risk of poor academic performance during the undergraduate period.

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大学生心理健康与学业成绩的关系:生活方式行为的交互作用
目的心理健康状况受损往往与学习成绩差有关,但很少有前瞻性研究在考虑多种生活方式行为相互作用的情况下,考察大学生心理健康与学习成绩之间的关系。对象与方法对1823名日本大学生(男性67%)进行为期4年的随访。采用六项Kessler心理困扰量表(K6)对其心理健康状况进行测量。我们将糟糕的学业表现定义为平均绩点(GPA) 2.0。采用Cox比例风险模型确定学生心理健康状况与学业成绩不良事件风险的关系。结果大学第一学期的心理健康状况受损显著预示着整个本科期间学习成绩不佳的事件风险增加。当调整健康生活方式行为时,这种关联仍然显著,学习成绩差的风险比(95%置信区间)为1.62(1.18-2.23)。这种显著的关联在低生活方式-行为风险组中消失了。结论第一学期心理健康状况不良显著预示着本科阶段学业成绩不良事件风险的增加。
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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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