(Mal)Adaptive Psychological Functioning of Students Utilizing University Counseling Services

Background: University students confront psychological difficulties that can negatively influence their academic performance. The present study aimed to assess several areas of adaptive and maladaptive psychological functioning among university students who request counseling services. Method: One hundred eighty-four young female students seeking professional psychological help (Counseling seekers) and 185 young female students who have never asked for psychological help (Non-counseling seekers) were asked to complete the Adult Self-Report (ASR) to evaluate both their internalizing and externalizing problems through DSM-oriented scales as well as their adaptive functioning. Results: ANOVA results indicated worse psychological functioning for the students who sought counseling. They reported lower score in ASR Adaptive Functioning Scales (i.e., friends, jobs, family, education), and higher scores in DSM-oriented scales (i.e., Depressive, Anxiety, Somatic, Avoidant Personality, Attention Deficit/Hyperactivity symptoms) than the students who never asked psychological help. Furthermore, discriminant analysis successfully discriminated between the two groups of students on the basis of the ASR’s adaptive and DSM-oriented scales. Conclusion: The study findings could be useful to guide university counseling services in their screening activities as well as useful for clinical practice.

[1]  Nico Gizzi,et al.  Emotional Dysregulation: The Clinical Intervention of Psychodynamic University Counselling , 2016 .

[2]  Jenny K Hyun,et al.  Graduate Student Mental Health: Needs Assessment and Utilization of Counseling Services , 2006 .

[3]  L. Doerfler,et al.  Mental Health Issues Among College Students: Who Gets Referred for Psychopharmacology Evaluation? , 2015, Journal of American college health : J of ACH.

[4]  J. Talcott,et al.  Syndromes of Self-Reported Psychopathology for Ages 18–59 in 29 Societies , 2015, Journal of psychopathology and behavioral assessment.

[5]  O. Muldoon,et al.  Understanding help-seeking amongst university students: the role of group identity, stigma, and exposure to suicide and help-seeking , 2015, Front. Psychol..

[6]  R. P. Gallagher,et al.  National Survey of Counseling Center Directors 2002 , 2001 .

[7]  G. Good,et al.  Emotional openness as a predictor of college students' attitudes toward seeking psychological help. , 2000 .

[8]  F. Verhulst,et al.  Predicting adult emotional and behavioral problems from externalizing problem trajectories in a 24-year longitudinal study , 2010, European Child & Adolescent Psychiatry.

[9]  Matthew Draper,et al.  Nature and severity of college students' psychological concerns: A comparison of clinical and nonclinical national samples. , 2006 .

[10]  T. Achenbach,et al.  DSM-Oriented Scales and Statistically Based Syndromes for Ages 18 to 59: Linking Taxonomic Paradigms to Facilitate Multitaxonomic Approaches , 2005, Journal of personality assessment.

[11]  P. Bonaiuto,et al.  The Scientific Contribution of the Clinical Method in Educational Applications: A Case Study , 2012 .

[12]  Carol T Mowbray,et al.  Campus mental health services: recommendations for change. , 2006, The American journal of orthopsychiatry.

[13]  Elizabeth A. Prosek,et al.  Trends and Implications of Proposed Changes to the DSM‐5 for Vulnerable Populations , 2013 .

[14]  Daniel Eisenberg,et al.  Help-Seeking and Access to Mental Health Care in a University Student Population , 2007, Medical care.

[15]  R. P. Gallagher National Survey of Counseling Center Directors 1995 , 1990 .

[16]  C. Keyes,et al.  The Relationship of Level of Positive Mental Health With Current Mental Disorders in Predicting Suicidal Behavior and Academic Impairment in College Students , 2012, Journal of American college health : J of ACH.

[17]  L. A. Berkel,et al.  Counseling Needs of Students Who Seek Help at a University Counseling Center: A Closer Look at Gender and Multicultural Issues , 2005 .

[18]  Margaret Bradley,et al.  Measuring, monitoring and managing the psychological well-being of first year university students , 2006 .

[19]  Catherine Riegle-Crumb,et al.  Marital Transitions, Parenting, and Schooling: Exploring the Link Between Family-Structure History and Adolescents' Academic Status , 2006, Sociology of education.

[20]  C. Adams,et al.  A systematic review of studies of depression prevalence in university students. , 2013, Journal of psychiatric research.

[21]  Daniel Eisenberg,et al.  Prevalence and correlates of depression, anxiety, and suicidality among university students. , 2007, The American journal of orthopsychiatry.

[22]  Nuran Bayram,et al.  The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students , 2008, Social Psychiatry and Psychiatric Epidemiology.

[23]  Turkan Dogan A Long-Term Study of the Counseling Needs of Turkish University Students , 2012 .

[24]  E. Saewyc,et al.  Depression and suicide ideation among students accessing campus health care. , 2011, The American journal of orthopsychiatry.

[25]  H. Ringeisen,et al.  Young adult outcomes and mental health problems among transition age youth investigated for maltreatment during adolescence , 2009 .

[26]  Michelle V. Porche,et al.  Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adults. , 2011, Child development.

[27]  Kari B. Taylor Mapping the Intricacies of Young Adults' Developmental Journey from Socially Prescribed to Internally Defined Identities, Relationships, and Beliefs , 2008 .

[28]  J. Mackenbach,et al.  Young adults face major barriers to seeking help from mental health services. , 2008, Patient education and counseling.

[29]  Roslyn M Thomas,et al.  Counseling in Switzerland: Past, Present, and Future , 2012 .

[30]  Daniel Eisenberg,et al.  Stigma and Help Seeking for Mental Health Among College Students , 2009, Medical care research and review : MCRR.

[31]  C. Grano,et al.  Perfectionism mediates the relationship between insomnia and depressive symptoms , 2013 .

[32]  J. Arnett Emerging adulthood. A theory of development from the late teens through the twenties. , 2000, The American psychologist.

[33]  C. Abraham,et al.  Psychological correlates of university students' academic performance: a systematic review and meta-analysis. , 2012, Psychological bulletin.

[34]  P. Bonaiuto,et al.  The "Need for Harmony" Defence Mechanisms as Co-Factor in Stress Sensitivity Producing Sadness and Depression , 2014 .

[35]  D. Rosielle,et al.  Psychiatry , 1905, NeuroImage.

[36]  Kirsten McKenzie,et al.  Who Succeeds at University? Factors predicting academic performance in first year Australian university students , 2001 .

[37]  P. Bonaiuto,et al.  Relation between Stress Conditions, Uncertainty and Incongruity Intolerance, Rigidity and Mental Health: Experimental Demonstrations , 2015 .

[38]  D. Eisenberg,et al.  Mental health problems and help-seeking behavior among college students. , 2010, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[39]  Darrell Anthony Luzzo,et al.  Mental Health and Career Development of College Students , 2007 .

[40]  Bethany A. Koestner,et al.  Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College Screening Project at Emory University , 2008, Depression and anxiety.

[41]  Fiorella Monti,et al.  Il Servizio di Aiuto Psicologico (SAP) dell'Università di Bologna , 2013 .

[42]  V. Biasi,et al.  The effectiveness of university counselling for improving academic outcomes and well-being , 2017 .

[43]  Kristen J. McKinney,et al.  Individual, Interpersonal, and Institutional Level Factors Associated With the Mental Health of College Students , 2012, Journal of American college health : J of ACH.