Psychological vulnerability, mental health literacy, positive mental health and health behaviours in higher education students
DOI:
https://doi.org/10.29352/mill0227.39780Keywords:
nursing health promotion; literacy; positive mental health; psychological vulnerability; studentsAbstract
Introduction: Psychological vulnerability and low mental health literacy correlate negatively with positive mental health in higher education students. These negative correlates delay recognizing mental disorders' manifestations and the search for professional help. Low levels of mental health literacy limit self-help, adaptative coping strategies, and academic success. However, few studies examine the association between students' psychological vulnerability, mental health literacy, and positive mental health.
Objective: To explain the relationship between psychological vulnerability, mental health literacy and positive mental health in higher education students.
Methods: A cross-sectional correlational study was used in a sample of 3600 undergraduate students.
Results: Participants were mostly female (78.8%), with an average age of 23 years (SD = 6.68). The majority do not exercise, are dissatisfied with sleep quality time per night (62.1% sleep less than 7 hours per night), and do not have leisure activities. The majority have high levels of Psychological vulnerability, Results show significant differences (p<0.001) between sex, age, sleep, exercise, diet, leisure activities, Psychological vulnerability, positive mental health, and literacy.
Conclusion: The results identify modifiable. Vulnerability factors justify intervention-targeted programs to promote literacy and positive mental health in higher education campuses in Portugal to empower students with effective well-being and self-help strategies.
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Bhattacharya, S., Pradhan, K., Bashar, M., Tripathi, S., Thiyagarajan, A., Srivastava, A., & Singh, A. (2020). Salutogenesis: A bona fide guide towards health preservation. Journal of Family Medicine and Primary Care, 9(1), 16. https://doi.org/10.4103/jfmpc.jfmpc_260_19
Chaves, C., Duarte, J., Sampaio, F., Coelho, J., Gonçalves, A., Santos, V., & Sequeira, C. (2023). Construction and validation of the Positive Mental Health Literacy Assessment Scale in adults. International Journal of Environmental Research and Public Health, 20(14), 6391. https://doi.org/10.3390/IJERPH20146391
Chen, Z., & Liu, Y. (2020). The state of leisure life situation and the meaning of leisure education for college students in China. International Journal of Educational Research, 102, 101613. https://doi.org/10.1016/J.IJER.2020.101613
de Faria, L., Kring, B., Keable, H., Menon, M., Peluso, F., Notman, M., & Ackerman, A. (2023). Tele-psychiatry for college students: Challenges, opportunities, and lessons learned from the pandemic. Journal of Medical Regulation, 109(2), 21–28. https://doi.org/10.30770/2572-1852-109.2.21
Dias, P., Campos, L., Almeida, H., & Palha, F. (2018). Mental health literacy in young adults: Adaptation and psychometric properties of the Mental Health Literacy Questionnaire. International Journal of Environmental Research and Public Health, 15(7), 1318. https://doi.org/10.3390/ijerph15071318
Ebert, D. D., Mortier, P., Kaehlke, F., Bruffaerts, R., Baumeister, H., Auerbach, R. P., Alonso, J., Vilagut, G., Martínez, K. U., Lochner, C., Cuijpers, P., Kuechler, A., Green, J., Hasking, P., Lapsley, C., Sampson, N. A., & Kessler, R. C. (2019). Barriers of mental health treatment utilization among first-year college students: First cross-national results from the WHO World Mental Health International College Student Initiative. International Journal of Methods in Psychiatric Research, 28(2), e1782. https://doi.org/10.1002/mpr.1782
Forbes, J., Noller, D. T., Henriquez, M., Scantamburlo, S., Ward, I., & Lee, H. (2022). Assessing the utility of Mental Health First Aid training for physician assistant students. Journal of Physician Assistant Education, 33(4), 325–330. https://doi.org/10.1097/JPA.0000000000000467
Ghrouz, A. K., Noohu, M. M., Dilshad Manzar, M., Warren Spence, D., BaHammam, A. S., & Pandi-Perumal, S. R. (2019). Physical activity and sleep quality in relation to mental health among college students. Sleep and Breathing, 23(2), 627–634. https://doi.org/10.1007/s11325-019-01780-z
Jacob, M., Gerth, M., & Weiss, F. (2018). Student employment: Social differentials and field-specific developments in higher education. Journal of Education and Work, 31(1), 87–108. https://doi.org/10.1080/13639080.2017.1395513
Loureiro, L., & Freitas, P. (2020). Efetividade do programa de primeiros socorros em saúde mental em estudantes de enfermagem. Revista de Enfermagem Referência, V(1). https://doi.org/10.12707/RIV19078
Loureiro, L., & Sousa, C. (2019). Programa de Primeiros Socorros em Saúde Mental: Estudo piloto. Revista Portuguesa de Investigação Comportamental e Social, 5(1), 72–86. https://doi.org/10.31211/rpics.2019.5.1.108
Mendes, J., Sousa, M., Leite, V. M., Bettencourt da Silva Belchior, N. M., & Pires Medeiros, M. T. (2019). Qualidade do sono e sonolência em estudantes do ensino superior. Revista Portuguesa de Investigação Comportamental e Social, 5(2), 38–48. https://doi.org/10.31211/rpics.2019.5.2.150
Mnatzaganian, C. L., Atayee, R. S., Namba, J. M., Brandl, K., & Lee, K. C. (2020). The effect of sleep quality, sleep components, and environmental sleep factors on core curriculum exam scores among pharmacy students. Currents in Pharmacy Teaching and Learning, 12(2), 119–126. https://doi.org/10.1016/j.cptl.2019.11.004
Munawar, K., Mukhtar, F., Choudhry, F. R., & Ng, A. L. O. (2022). Mental health literacy: A systematic review of knowledge and beliefs about mental disorders in Malaysia. Asia-Pacific Psychiatry, 14(1), e12475. https://doi.org/10.1111/APPY.12475
Nogueira, M. J., Barros, L., & Sequeira, C. (2017). Psychometric Properties of the Psychological Vulnerability Scale in Higher Education Students. Journal of the American Psychiatric Nurses Association, 23(3), 215–222. https://doi.org/10.1177/1078390317695261
Nogueira, M. J., Seabra, P., Alves, P., Teixeira, D., Carvalho, J. C., & Sequeira, C. (2022). Predictors of positive mental health in higher education students. A cross‐sectional predictive study. Perspectives in Psychiatric Care, 58(4), 2942–2949. https://doi.org/10.1111/ppc.13145
Nogueira, M. J., & Sequeira, C. (2018). A Satisfação com a Vida Académica. Relação com Bem-Estar e Distress Psicológico. Revista Portuguesa de Enfermagem de Saúde Mental, Especial(6), 71–76. https://doi.org/10.19131/rpesm.0216
Nogueira, M. J., & Sequeira, C. (2020). Preditores de Bem-estar Psicológico em Estudantes do Ensino Superior. Suplemento Digital Revista Rol de Enfermeria, 43(1), 356–363. http://hdl.handle.net/10400.26/31491
Nogueira, M. J., Sequeira, C., & Sampaio, F. (2021). Gender differences in mental health, academic life satisfaction and psychological vulnerability in a sample of college freshmen: a cross-sectional study. Journal of Gender Studies, 1–20. https://doi.org/10.1080/09589236.2021.1979945
Oliveira, A. P., Nobre, J. R., Luis, H., Luis, L. S., Albacar-Riobóo, N., Pinho, L. G., & Sequeira, C. (2022). Literacy and Mental Health of Portuguese Higher Education Students and Their Use of Health Promotion Strategies during Confinement in the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19(21), 14393. https://doi.org/10.3390/ijerph192114393
Richardson, T., Elliott, P., & Roberts, R. (2017). Relationship between loneliness and mental health in students. Journal of Public Mental Health, 16(2), 48–54. https://doi.org/10.1108/JPMH-03-2016-0013
Sequeira, C., Carvalho, J. C., Gonçalves, A., Nogueira, M. J., Lluch-Canut, T., & Roldán-Merino, J. (2019). Levels of Positive Mental Health in Portuguese and Spanish Nursing Students. Journal of the American Psychiatric Nurses Association. https://doi.org/10.1177/1078390319851569
Teixeira, S., Ferré-Grau, C., Canut, T. L., Pires, R., Carvalho, J. C., Ribeiro, I., Sequeira, C., Rodrigues, T., Sampaio, F., Costa, T., & Sequeira, C. A. (2022). Positive Mental Health in University Students and Its Relations with Psychological Vulnerability, Mental Health Literacy, and Sociodemographic Characteristics: A Descriptive Correlational Study. International Journal of Environmental Research and Public Health, 19(6), Artigo 6. https://doi.org/10.3390/ijerph19063185
Verlenden, J., Naser, S., & Brown, J. (2021). Steps in the Implementation of Universal Screening for Behavioral and Emotional Risk to Support Multi-Tiered Systems of Support: Two Case Studies. Journal of Applied School Psychology, 37(1), 69–107. https://doi.org/10.1080/15377903.2020.1780660
Wang, F., & Bíró, É. (2021). Determinants of sleep quality in college students: A literature review. EXPLORE, 17(2), 170–177. https://doi.org/10.1016/j.explore.2020.11.003
Wolitzky-Taylor, K., LeBeau, R. T., Perez, M., Gong-Guy, E., & Fong, T. (2019). Suicide prevention on college campuses: What works and what are the existing gaps? A systematic review and meta-analysis. Journal of American College Health. https://doi.org/10.1080/07448481.2019.1577861
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