Prelims

Jeffrey A. Hayes (Pennsylvania State University, USA)

College Student Mental Health and Wellness: Coping on Campus

ISBN: 978-1-83549-197-3, eISBN: 978-1-83549-194-2

Publication date: 6 August 2024

Citation

Hayes, J.A. (2024), "Prelims", College Student Mental Health and Wellness: Coping on Campus, Emerald Publishing Limited, Leeds, pp. i-xx. https://doi.org/10.1108/978-1-83549-194-220241012

Publisher

:

Emerald Publishing Limited

Copyright © 2024 Jeffrey A. Hayes


Half Title Page

COLLEGE STUDENT MENTAL HEALTH AND WELLNESS

Endorsement Page

Drawing on recent mental health data collected from over two million college students, as well as decades of well-established scholarship in diverse disciplines, Dr. Hayes deepens our understanding of college student mental health, the well-documented increase in psychological distress on our campuses, and factors associated with both distress and well-being. The author is widely published in the field of mental health and psychotherapy and has taught and provided psychotherapy to adults and college students for over 30 years. This book will benefit faculty members, college mental health clinicians, supervisors, trainees and student affairs professionals who seek to understand and meet the needs of a diverse college student population navigating an increasingly complex world.

Juan R. Riker, Training Director and Psychologist, Counseling and Psychological Services, University of California, Santa Barbara, USA

Drawing from his breadth of experiences in research and practice, Dr. Hayes delivers a critical update on the state of collegiate mental health and the unique challenges encountered by college students that impact their psychological well-being. This book is an essential resource for any clinician, practitioner, administrator, professional, or concerned other who directly works with college students.

Brett E. Scofield, Ph.D., Executive Director, The Center for Collegiate Mental Health (CCMH), Penn State University – University Park, USA

This book is a clear and comprehensive summary of the state of mental health in college student populations. It is an excellent introduction to the topic for anyone who works with college students or for students themselves who want to reflect on their own mental health. The book goes beyond the simple headline that students are struggling; it reviews not only the challenges, such as anxiety and suicide, but also the many strengths and opportunities that support positive mental health. Professor Hayes is a leading teacher and researcher for this topic, and his plain-spoken and rigorous style makes for an enriching and engaging reading experience.

Daniel Eisenberg, Professor of Health Policy and Management, UCLA Fielding School of Public Health, USA

Title Page

COLLEGE STUDENT MENTAL HEALTH AND WELLNESS: COPING ON CAMPUS

BY

JEFFREY A. HAYES

Pennsylvania State University, USA

United Kingdom – North America – Japan – India – Malaysia – China

Copyright Page

Emerald Publishing

Floor 5, North spring, 21-23 Wellington Street, Leeds LS1 4DL.

First edition 2024

Copyright © 2024 Jeffrey A. Hayes.

Published under exclusive licence by Emerald Publishing Limited.

Reprints and permissions service

Contact: www.copyright.com

No part of this book may be reproduced, stored in a retrieval system, transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise without either the prior written permission of the publisher or a licence permitting restricted copying issued in the UK by The Copyright Licensing Agency and in the USA by The Copyright Clearance Center. No responsibility is accepted for the accuracy of information contained in the text, illustrations or advertisements. The opinions expressed in these chapters are not necessarily those of the Author or the publisher.

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

ISBN: 978-1-83549-197-3 (Print)

ISBN: 978-1-83549-194-2 (Online)

ISBN: 978-1-83549-196-6 (Epub)

Dedication

This book is dedicated, with deep love and appreciation, to my wife, Dr Janet McCracken. You have provided unwavering encouragement, love and support throughout my career, and the time while I was writing this book was no exception. You have been both a fulcrum and an anchor for my own wellbeing, ever since you proposed to me, and probably beforehand. Your commitment to your own exercise and sleeping and eating and meditating and friendships and family and spiritual searching and our marriage reminds me of what is important in this life, and what is possible through and beyond it. “Should I fall behind, wait for me.” “We’ll make it through. We always do.”

Contents

List of figures xvii
Acknowledgments xix
1 The Current Scene In College Student Mental Health 1
Introduction 2
Institutional Support For Students’ Mental Health 3
Sociopolitical Effects on College Students’ Mental Health 11
The Role of Popular Media 13
The Role of Social Media: The Good, The Bad and the Ugly 15
Students’ Current Concerns in A Broader Historical Context 17
Conclusion 21
2 How Do We Know What We Know About College Student Mental Health? 31
Introduction 32
Historical Context 33
The Center for Collegiate Mental Health 34
CCMH Instruments 35
CCMH Growth, Strengths and Limitations 37
Healthy Minds Network 41
American College Health Association 43
Conclusion 43
3 How Do First-Year Students Become Young Adults? Theories of College Student Development 49
Introduction 50
Who Am I? Theories of Identity Development 51
Chickering’s Seven Vectors 52
Sanford’s Theory of Challenge and Support 54
Baxter Magolda’s Theory of Self-authorship 56
Theories of Cultural Identity Development 58
Phinney’s Theory of Ethnic Identity Development 60
White Racial Consciousness 61
Fowler’s Theory of Faith Development 63
Conclusion 66
4 Depression and Suicide Among College Students 69
Introduction 70
Prevalence And Measurement of Depression Among College Students 72
Counseling Center Assessment of Psychological Symptoms-62 (CCAPS-62) Depression Subscale 73
Patient Health Questionnaire-9 (PHQ-9) 76
Beck Depression Inventory – Second Edition (BDI-II) 77
Cultural Considerations 78
Causes of Depression 81
Suicide: The Most Serious Consequence of Depression 83
Causes of College Student Suicide 85
Suicide Assessment 88
Cultural Considerations 89
Suicide Prevention on Campus 90
Prevention of Depression 91
Treatment of Depression 92
Conclusion 94
5 Worried Sick: Anxiety and Stress Among College Students 109
Introduction 110
Anxiety Versus Stress 111
Generalized Anxiety and Stress 113
Measures of Generalized Anxiety and Stress 114
The Student Stress Scale 115
Generalized Anxiety Disorder-7 (GAD-7) 115
CCAPS Generalized Anxiety Subscale 116
Prevalence of Generalized Anxiety and Stress 116
Cultural Considerations 117
Causes of Generalized Anxiety and Stress 118
Anxiety is a Function of Perceived Threat 119
Anxiety Is a Function of a Lack of Perspective 120
Anxiety Is a Function of Overstriving 121
Consequences of Generalized Anxiety and Stress 123
Prevention of Generalized Anxiety and Stress 124
Treatment 126
Social Anxiety 129
Measures of Social Anxiety 130
Liebowitz Social Anxiety Scale 130
Social Interaction Anxiety Scale (Mattick & Clarke, 1998) 130
CCAPS Social Anxiety Subscale 131
Prevalence of Social Anxiety 131
Cultural Considerations 132
Causes of Social Anxiety 133
Consequences of Social Anxiety 135
Prevention of Social Anxiety 136
Treatment of Social Anxiety 137
Posttraumatic Stress Disorder 137
Measures of PTSD 138
PTSD Checklist 138
Posttraumatic Stress Diagnostic Scale 139
Prevalence of PTSD 139
Causes of PTSD 139
Cultural Considerations 140
Consequences of PTSD 141
Prevention of PTSD 141
Treatment of PTSD 142
Conclusion 145
6 High Times: College Students’ Substance Use, Misuse And Abuse 161
Introduction 162
Measures of Cannabis and Alcohol Use Among College Students 163
CCAPS-62 Substance Use Subscale 164
CCAPS-34 Alcohol Use Subscale 164
Alcohol Use Disorder Identification Test (AUDIT) 165
Daily Sessions, Frequency, Age of Onset and Quantity of Cannabis Use Inventory (DFAQ-CU) 165
Prevalence of Cannabis and Alcohol Use Among College Students 166
Causes 170
Consequences 172
Prevention 173
Conclusion 177
7 Eating And Sleeping: The Basics – or Are They? 189
Eating Disorders And Disordered Eating 190
Measures of Problematic Eating 193
Prevalence of and Cultural Factors Related to Problematic Eating Among College Students 194
Causes of Problematic Eating 196
Consequences of Problematic Eating 200
Prevention and Treatment of Problematic Eating 200
College Students’ Sleeping and Mental Health 202
Measures of Sleep Quality 203
Prevalence of and Cultural Factors Related to Problematic Sleep Among College Students 204
Causes of Problematic Sleep 205
Consequences of Problematic Sleep 208
Prevention and Treatment of Problematic Sleep 209
Conclusion 210
8 College Students’ Academic and Career Success 227
Introduction 228
Academic Success And Mental Health 233
Measures of Academic Distress 234
The Relationship Between College Students’ Mental Health And Career Preparation 236
Career Preparation 237
Conclusion 239
9 College Students’ Relationships and Their Psychological Wellbeing 247
Introduction 248
Parenting Styles 248
Parental Divorce And College Students’ Wellbeing 253
Effects of The Death of A Parent 253
College Students’ Friendships 254
Why Do College Students’ Friendships Matter? 256
Romantic Relationships 257
Conclusion 263
10 Flourishing and Thriving: Optimal Mental Health 273
Introduction 274
Hettler’s Theory of Wellness 278
Flourishing: Keyes’ Model of Wellbeing 282
Integrity: Living In Accordance With One’s Values 284
Mindfulness 287
Self-Compassion 291
Flow 293
Resilience 295
Conclusion 296
About the Author 315
Index 317

List of Figures

Figures
Fig. 1 False Negatives and False Positives 77
Fig. 2 Number of States with Legalized Recreational Use of Cannabis 167
Fig. 3 Holland’s RIASEC Model 238
Fig. 4 Four Parenting Styles 249
Fig. 5 College Students’ Religious Identities 2012 Versus 2022 276

Acknowledgments

This book would not exist without the efforts of the most talented group of undergraduate students with whom a professor could ever hope to work: Nick Eppley, Julia Kokotakis, Lizzie Orosz, Ali Quade, Anna Riedinger and Julia Warren. I am indebted to each of you. You helped the ideas in this book come alive and you made working on it joyful. I cannot wait to see where your careers take you and what life holds in store for each of you.

Thank you to my editor, Kirsty Woods, and the entire team at Emerald Publishing, who attended to everything from the forest to the veins in the leaves on the branches on the trees. Kirsty, thank you especially for believing in my roots. To Dr Mary McClanahan – this book is better because of the love you devoted to it through your comments, for which I am grateful.

I would like to thank the thousands of college students from whom I have had the fortune of learning for more than 35 years. To my past and future students, I hope that by sharing with you some of what life has taught me, your lives are enhanced.

To my guides on different planes – Heather, Mary and Jon – I am filled with gratitude for your showing me how to search and pointing me toward what might be discovered at and beyond the furthest reaches of what I can only insufficiently call wellness.

I would like to express my admiration, thanks and affection to Drs Louis Castonguay, Ben Locke, Brett Scofield and the incredibly talented team of graduate students and staff at the Center for Collegiate Mental Health (CCMH). Much of what I have learned about college students’ mental health and wellness can be attributed to our work together. Ben, you had the vision, courage, fortitude and rich array of talents to lead CCMH out of the harbor, through occasionally rough seas and to distant lands, always with considerable diplomacy, grace and humor. Brett, you have proven yourself to be an able captain, leading without calling attention to yourself, always putting the best interests of the ship and the crew first. CCMH survived the change of command only because of you. Louis, you have been my scholarly brother throughout our time at Penn State, with all of the loyalty, respect, fun, vulnerability, inspiration, rights, privileges and honors thereunto appertaining. My life is immeasurably better because of you.

Finally, I would like to express gratitude to my children, Kyle, Casey and Joseph, for the balance you have provided throughout my career, for the lessons I learned parenting you, including the time you were students at Penn State, Ithaca College and Cornell, and for the immense rewards that have come from watching you grow into adults, evolve professionally and choose your own remarkable life partners. I love each of you beyond words.