Abstract
A study of student mental health was conducted in an Irish university level college prior to the Covid-19 pandemic. The study had two principal objectives. The first of these was to provide a baseline examination of student mental health. The second aim was to explore the utility of several self-report mental health measures that had not previously been examined in an Irish population. This paper examines student mental health using one of these measures, the Clinical Outcomes in Routine Evaluation Short Form B (CORE SFB). Results from the achieved sample of 763 students are explored. Females self-reported significantly higher levels of mental distress on two of the CORE SFB subscales (the Wellbeing and Problems subscales) as well as on the Mean Total Score (MTS). Males were significantly more likely to endorse an item exploring threatening behaviour towards others. Final year students were also significantly more likely to self-report higher levels of mental distress on the Wellbeing, Problems and Functioning subscales, as well as on the MTS. Internal and test-retest reliability indicated support for the CORE SFB. Examination of the CORE SFB alongside the Mental Health Index (MHI) and the Brief Symptom Inventory (BSI 18) indicated convergent validity for this measure. Preliminary empirical percentile scores for the CORE SFB subscales and the total score were developed.
References
Newman DL, Moffitt TE, Caspi A, Magdol L, Silva PA, Stanton W. Psychiatric disorder in a birth cohort of young adults: Prevalence, comorbidity, clinical significance, and new case incidence from ages 11-21. Journal of Consulting of Clinical Psychology. 1996; 64: 552-562.
Singleton N, Bumpstead R, O’Brien M, Lee A, Meltzer H. Psychiatric morbidity among adults living in private households, 2000. London: The Stationary Office; 2001.
Connell J, Barkham M, Mellor-Clark J. CORE-OM mental health norms of students attending university counselling services benchmarked against an age-matched primary care sample. British Journal of Guidance & Counselling. 2007; 35(1): 41-57.
Bebbington P. The origins of sex differences in depressive disorder: bridging the gap. International Review of Psychiatry. 1996; 8(4): 295-332.
Piccinelli M, Wilkinson G. Gender differences in depression – critical review. British Journal of Psychiatry. 2000; 177: 486-492.
Van de Velde SD, Bracke P, Levecque K, Meuleman B. Gender differences in depression in 25 European countriesafter eliminating measurement bias in the CES-D. Social Science Research. 2010; 39: 396-404.
Houghton SB, O'Connell M, O'Flaherty A. The use of the Children's Depression Inventory in an Irish context. Irish Journal of Psychology. 1998; 19(2-3): 313-331.
Houghton F, Cowley H, Houghton S, Kelleher K. The Children's Depression Inventory short form (CDI-S) in an Irish context. Irish Journal of Psychology. 2003; 24(3-4): 193-198.
Houghton F, Cowley H, Houghton S, Kelleher K. The Children's Depression Inventory (CDI) in Ireland: revision & subscale analysis. Irish Journal of Psychology. 2004; 25(1-4): 1-15.
Van de Velde SD, Bracke P, Levecque K. Gender differences in depression in 23 European countries. Cross-national variation in the gender gap in depression. Social Science & Medicine. 2010; 71: 305-313
Walsh JM, Feeney C, Hussey J, Donnellan C. Sources of stress and psychological morbidity among undergraduate physiotherapy students. Physiotherapy. 2010; 96: 206-212.
Rodgers LS, Tennison LR. Archives of Psychiatric Nursing. 2009; 23(3): 220-230.
Bernier A, Larose S, Whipple N. Leaving home for college: A potentially stressful event for adolescents with preoccupied attachment patterns. Attachment and Human Development. 2005; 7(2): 171-185.
Saleh D, Camart N, Romo L. Predictors of Stress in College Students. Frontiers in Psychology. 2017; 8: 19.
Raj SR, Simpson CS, Hopman WM, Singer MA. Health-related quality of life among final-year medical students. Canadian Medical Association Journal. 2000; 162(4): 509-510.
Tile L, Singer M, Simpson C, Hopman W. Health status assessment of postgraduate trainees in Internal Medicine. Annual Review of the Royal College of Physicians and Surgeons of Canada. 1995; 28: 403-6.
Webb E, Ashton CH, Kelly P, Kamali F. Alcohol and drug use in UK university students. Lancet. 1996; 348: 922-925.
Roberts R, Golding J, Towell T, Weinreib I. The effects of economic circumstances on British students’ mental and physical health. Journal of American College Health. 1999; 48: 103-109.
Stewart-Browne S, Evans J, Patterson J, Peterson S, Doll H, Balding J, Regis D. The health of students in institutes of higher education: an important and neglected public health problem? Journal of Public Health Medicine. 2000; 22: 492-499.
Roberts R, Zelenyanski C. Degrees of debt. In: N. Stanley & J. Manthorpe (Eds.) Students’ Mental Health Needs Problems and Responses. London: Jessica Kinsley; 2002.
Houghton F, Keane N, Murphy N, Houghton S, Dunne C. Tertiary Level Students and the Mental Health Index (MHI-5) in Ireland. Irish Journal of Applied Social Studies. 2010; 10(1): 36-44.
Karwig G, Chambers D, Murphy F (2015). Reaching Out in College: Help Seeking at Third Level in Ireland. (https://www.hse.ie/eng/services/list/4/Mental_Health_Services/NOSP/Research/reports/reachingout_college.pdf).
Evans TM, Bira L, Gastelum JB, Weiss LT, Vanderford NL (2018). Evidence for a mental health crisis in graduate education. Nature Biotechnology 36, 282–284, DOI 10.1038/nbt.4089
Hill M, Farrelly N, Clarke C, Cannon M (2020). Student mental health and well-being: overview and future directions. Irish Journal of Psychological Medicine 19, 1–8, DOI 10.1017/ipm.2020.110.
Mahon C, Fitzgerald A, O’Reilly A, Dooley B. Profiling third-level student mental health: findings from My World Survey 2. Irish Journal of Psychological Medicine. 2022; 1–9. doi:10.1017/ipm.2021.85
Royal College of Psychiatrists. The mental health of students in higher education. London: Royal College of Psychiatrists; 2003.
Connell J, Barkham M, Mellor-Clark J. The effectiveness of UK student counselling services: an analysis using the CORE System. British Journal of Guidance & Counselling. 2008; 36(1): 1-18.
Cooke R, Bewick BM, Barkham M, Bradley M, Audin K. Measuring, monitoring and managing the psychological well-being of first year university students. British Journal of Guidance & Counselling. 2006; 34(4): 505-517.
Hope A, Dring C, Dring J. College Lifestyle and Attitudinal National (CLAN) Survey. In: Health Promotion Unit. The Health of Irish Students. Dublin, Ireland: Health Promotion Unit, Department of Health & Children; 2005.
Higher Education Authority & Department of Further and Higher Education, Research, Innovation and Science. National Access Plan: A Strategic Action Plan for Equity of Access, Participation and Success in Higher Education 2022-2028. Dublin: Government Publications Office; 2022.
Association for Higher Education Access & Disability. Participation of and services for students with disabilities in Institutes of Technology 2004-2005. Dublin: AHEAD, UCD; 2005.
Higher Education Authority. A Study of Progression in Irish Higher Education. Dublin: HEA; 2010.
Houghton, F. Technological Universities in Ireland: The New Imperative. Irish Journal of Academic Practice. 2020; 8 (1):12.
Tyrell J. Sources of stress among psychology undergraduates. Irish Journal of Psychology. 1992; 13: 184-192.
Gleeson M, Houghton F. Health Status, Health Behaviours and Health Cognitions: A Baseline Study of Third-Level Students. In: C. O’Sullivan (ed.) Report of the Conference Promoting Health on Campus – An Irish Experience, pp. 16-24. Limerick, Ireland: Mary Immaculate College; 2000.
Houghton F, Keane N, Murphy N, Houghton S, Dunne C. Cannabis Use Among Third -Level Students in Limerick City. NIHS Bulletin. 2011; 6(1): 90-91.
Houghton F, Keane N, Murphy N, Houghton S, Dunne C, Lewis CA, Breslin MJ. The Brief Symptom Inventory-18 (BSI-18): norms for an Irish third level college sample. Irish Journal of Psychology. 2012; 33(1): 43-62.
Houghton F, Keane N, Lewis CA, Murphy N, Houghton S, Dunne C. Temporal stability of the Brief Symptom Inventory18 (BSI-18) among Irish college students. Social Behavior and Personality. 2013; 41(2): 197-198.
Goodwin J, Behan L, Kelly P, McCarthy K, Horgan A. Help-seeking behaviours and mental well-being of first year undergraduate university students. Psychiatry Research. 2016; 246: 129-135.
Davoren MP, Fitzgerald E, Shiely F, Perry IJ. Positive mental health and well-being among a third level student population. PloS One. 2013; 8(8): e74921.
Davoren, MP, Shiely F, Byrne M, Perry IJ. Hazardous alcohol consumption among university students in Ireland: a cross-sectional study. BMJ Open. 2015; 5(1): e006045.
Curran TA, Gawley E, Casey P, Gill M, Crumlish N. Depression, suicidality and alcohol abuse among medical and business students. Irish Medical Journal. 2009; 102(8): 249-52.
McSharry P, Timmins F. Promoting healthy lifestyle behaviours and well-being among nursing students. Nursing Standard. 2017; 31(24): 51-63.
Horgan A, Sweeney J, Behan L, McCarthy G. Depressive symptoms, college adjustment and peer support among undergraduate nursing and midwifery students. Journal of Advanced Nursing. 2016; 72(12): 3081-3092.
Higher Education Authority. Eurostudent Survey VIII: Report on the Social and Living Conditions of Higher Education Students in Ireland 2022. Dublin, Ireland: Higher Education Authority; 2023.
CORE System Group. CORE System User Manual. Leeds: CORE System Group; 1998.
Higher Education Authority. National Plan of Equity of Access to Higher Education 2008 – 2013. Dublin: National Office of Equity of Access to Higher Education, HEA; 2008.
Lynch K. Equality in education. Dublin, Ireland: Gill & Macmillan; 1999.
McGarthy P, Duffy D. A socio-economic analysis of student population in third level education. Irish Journal of Applied Social Studies. 1999; 2(1): 101-116.
O'Shea C, O'Shea S, Killeavy M. Socio-economic, demographic and academic profile of first year students entering seven institutes of technology in Ireland. Irish Journal of Applied Social Studies. 2006; 7(1): 56-79.
Ware JE, Snow KK, Kosinski M. SF-36 Health Survey: Manual and interpretation guide. Boston MA: Health Institute, New England Medical Centre; 1992.
Derogatis LR. BSI 18 Brief Symptom Inventory 18: Administration, Scoring and Procedures Manual. Minneapolis: NCS Pearson Inc.; 2000.
Gray P, Mellor-Clark J. CORE: A Decade of Development. Rugby: CORE IMS; 2007.
Houghton F, Keane N, Murphy N, Houghton S, Dunne C. Smoking Rates among Third-Level Students in Limerick City. NIHS Research Bulletin. 2010; 5(4): 106-7.
Houghton F, Keane N, Murphy N, Houghton S, Dunne C. Alcohol Use among Third-Level Students in Limerick City. NIHS Research Bulletin. 2010; 5(4): 104-5.
Houghton F, Keane N, Murphy N, Houghton S, Dunne C. 12 Month Prevalence of Drug Use Among Third-Level Students in Limerick City. Irish Medical Journal. 2011; 104(5): 154.
Evans C, Connell J, Barkham M, Margison F, McGrath G, Mellor-Clark J, Audin K. A copyleft (free) self-report measure for psychological therapies: psychometric properties and utility of the CORE-OM. Journal of Affective Disorders. 2002; 68(1): 109-110.
Mellor-Clark J, Barkham M, Connell J, Evans C. Practice-based evidence and need for a standardised evaluation system: Informing the design of the CORE System. European Journal of Psychotherapy, Counselling and Health. 1999; 3: 357-374.
Leach C, Lucock M, Barkham M, Noble R, Clarke L, Iveson S. Assessing risk and emotional disturbance using the CORE-OM and HoNOS outcome measures at the interface between primary and secondary mental healthcare. Psychiatric Bulletin. 2005; 29: 419-42.
Stiles WB, Barkham M, Connell J, Mellor-Clark J. Responsive Regulation of Treatment Duration in Routine Practice in United Kingdom Primary CARE Settings: Replication in a Larger Sample. Journal of Consulting & Clinical Psychology. 2008; 76(2): 298-305.
Barkham M, Culverwell A, Spindler K, Twigg E. The CORE-OM in an older adult population: Psychometric status, acceptability, and feasibility. Aging & Mental Health. 2005; 9(3): 235-245.
Barkham M, Gilbert N, Connell J, Marshall C, Twigg E. Suitability and utility of the CORE-OM and CORE-A for assessing severity of presenting problems in psychological therapy services based in primary and secondary care settings. British Journal of Psychiatry. 2005; 186: 239-246.
Cahill J, Barkham M, Stiles WB, Twigg E, Hardy GE, Rees A, Evans C. Convergent Validity of the CORE Measures With Measure of Depression for Clients in Cognitive Therapy for Depression. Journal of Counselling Psychology. 2006; 53(2): 253-259.
Leach C, Lucock M, Barkham M, Stiles WB, Noble R, Iveson S. Transforming between Beck Depression Inventory and CORE-OM scores in routine clinical practice. British Journal of Clinical Psychology. 2006; 45: 153-166.
Gilbody S, Richards D, Barkham M. Diagnosing depression in primary care using self-completed instruments: UK validation of PHQ-9 and CORE-OM. British Journal of General Practice. 2007; August: 650-652.
Evans C, Connell J, Barkham M, Margison F, McGrath G, Mellor-Clark J, Audin K. Towards a standardised brief outcome measure: psychometric properties and utility of the CORE-OM. British Journal of Psychiatry. 2002; 180: 51-60.
Lyne KJ, Barrett P, Evans C, Barkham M. Dimensions of variation on the CORE-OM. British Journal of Clinical Psychology. 2006; 45: 185-203.
Ashworth M, Robinson S, Evans C, Shepherd M, Conolly A, Rowlands G. (2007). What does an idiographic measure (PSYCHLOPS) tell us about the spectrum of psychological issues and scores on a nomothetic measure (CORE-OM)? Primary Care and Community Psychiatry. 2007; 12(1): 7-16.
Christi P, Stone DH, Corcoran P, Williamson E, Petridou E. Suicide mortality in the European Union. European Journal of Public Health. 2003; 13: 108-114.
Cryan EMJ. Parasuicide and suicide in the south-west of Ireland. Irish Journal of Medical Science. 2003; 172(3): 105-6.
Morey C, Corcoran P, Arensman E, Perry IJ. The prevalence of self-reported deliberate self harm in Irish adolescents. BMC Public Health. 2008;, 8: 79.
Murphy OC, Kelleher C, Malone KM. Demographic trends in suicide in the UK and Ireland 1980-2010. Irish Journal of Medical Science. 2015; 184(1): 227-235.
Robson C. Experiment, design and statistics in psychology. London: Penguin Books; 1994.
Perneger TV. What's wrong with Bonferroni adjustments. British Medical Journal. 1998; 316: 1236-1238.
Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16: 297-334.
Kearns M, Muldoon OT, Msefti RM, Surgenor PW. Understanding help-seeking amongst university students: the role of group identity, stigma, and exposure to suicide and help-seeking. Frontiers of Psychology. 2015; 6: 1462.
Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive behaviour therapy for depression-a new approach in preventing relapse. London: Guildford; 2002.
The British Psychological Society and The Royal College of Psychiatrists. National Clinical Practice Guideline 90. The Treatment & Management of Depression in Adults. Leicester: BPS & London: RCP; 2010.