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. 2021 Feb;51(3):470-478.
doi: 10.1017/S0033291719003350. Epub 2019 Nov 29.

Trends in self-reported psychological distress among college and university students from 2010 to 2018

Marit Knapstad  1   2 , Børge Sivertsen  1   3   4 , Ann Kristin Knudsen  5   6 , Otto Robert Frans Smith  1 , Leif Edvard Aarø  1 , Kari Jussie Lønning  7   8 , Jens Christoffer Skogen  1   9   10
Affiliations

Trends in self-reported psychological distress among college and university students from 2010 to 2018

Marit Knapstad et al. Psychol Med. 2021 Feb.

Abstract

Background: An increase in reported psychological distress, particularly among adolescent girls, is observed across a range of countries. Whether a similar trend exists among students in higher education remains unknown. The aim of the current study was to describe trends in self-reported psychological distress among Norwegian college and university students from 2010 to 2018.

Methods: We employed data from the Students' Health and Wellbeing Study (SHoT), a nationwide survey for higher education in Norway including full-time students aged 18-34. Numbers of participants (participation rates) were n = 6065 (23%) in 2010, n = 13 663 (29%) in 2014 and n = 49 321 (31%) in 2018. Psychological distress was measured using the Hopkins Symptom Checklist-25 (HSCL-25).

Results: Overall, a statistically significant increase in self-reported psychological distress was observed over time across gender and age-groups. HSCL-25 scores were markedly higher for women than for men at all time-points. Effect-size of the mean change was also stronger for women (time-by-gender interaction: χ2 = 70.02, df = 2, p < 0.001): in women, mean HSCL-25 score increased from 1.62 in 2010 to 1.82 in 2018, yielding a mean change effect-size of 0.40. The corresponding change in men was from 1.42 in 2010 to 1.53 in 2018, giving an effect-size of 0.26.

Conclusions: Both the level and increase in self-reported psychological distress among Norwegian students in higher education are potentially worrying. Several mechanisms may contribute to the observed trend, including changes in response style and actual increase in distress. The relative low response rates in SHoT warrant caution when interpreting and generalising the findings.

Keywords: HSCL-25; anxiety; college students; depression; psychological distress; trend; university students.

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Figures

Fig. 1.
Fig. 1.
Mean (95% CI) HSCL-25 score and percentages (95% CI) scoring ⩾1.75 per survey year, stratified by gender and age-group.
See this image and copyright information in PMC

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