Cent Eur J Public Health 2017, 25(2):113-119 | DOI: 10.21101/cejph.a4438

A 12-year Trend of Psychological Distress: National Study of Finnish University Students

Airi Oksanen1, Katri Laimi1, Katja Björklund2, Eliisa Löyttyniemi3, Kristina Kunttu4
1 Department of Physical and Rehabilitation Medicine, Turku University Hospital, Turku, Finland
2 National Institute for Health and Welfare, Helsinki, Finland
3 Department of Biostatistics, Faculty of Medicine, University of Turku, Turku, Finland
4 Finnish Student Health Service, Turku, Finland

Objective: The study aimed to explore changes in the prevalence of psychological distress and co-occurring psychological symptoms among 19-34 years old Finnish university students between the years 2000 and 2012.

Methods: The prevalence of perceived frequent psychological symptoms was compared in four nationwide cross-sectional student health surveys with random samples (N=11,502) in the following years: 2000 (N=3,174), 2004 (N=3,153), 2008 (N=2,750), and 2012 (N=2,425).

Results: In the time phase from 2000 to 2012, the overall psychological distress (12-item General Health Questionnaire, GHQ-12) increased from 22% to 28%, while there was also an increase in the frequently experienced psychological symptoms (depressiveness from 13% to 15%, anxiety from 8% to 13%, concentration problems from 12% to 18%, and psychological tension from 13% to 18% with a peak prevalence observed in 2008). The co-occurrence of different psychological symptoms increased as well. Psychological distress was more common in females and in older students.

Conclusions: The findings suggest an increasing trend of frequent psychological distress among Finnish university students over the years from 2000 to 2012, with the peak prevalence occurring in 2008, which may reflect the growing multifaceted environmental demands.

Keywords: Finland, university students, well-being, psychological distress, GHQ-12

Received: May 16, 2015; Revised: August 16, 2016; Accepted: August 16, 2016; Published: June 1, 2017  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Oksanen A, Laimi K, Björklund K, Löyttyniemi E, Kunttu K. A 12-year Trend of Psychological Distress: National Study of Finnish University Students. Cent Eur J Public Health. 2017;25(2):113-119. doi: 10.21101/cejph.a4438. PubMed PMID: 28662321.
Download citation

References

  1. Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005 Jun;39(6):594-604. Go to original source... Go to PubMed...
  2. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006 Apr;81(4):354-73. Go to original source... Go to PubMed...
  3. Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Health. 2010 Jan;46(1):3-10. Go to original source... Go to PubMed...
  4. Vázquez FL, BlancoV. Symptoms of depression and related factors among Spanish university students. Psychol Rep. 2006 Oct;99(2):583-90. Go to original source... Go to PubMed...
  5. Verger P, Combes JB, Kovess-Masfety V, Choquet M, Guagliardo V, Rouillon F, et al. Psychological distress in first year university students: socioeconomic and academic stressors, mastery and social support in young men and women. Soc Psychiatry Psychiatr Epidemiol. 2009 Aug;44(8):643-50. Go to original source... Go to PubMed...
  6. Adlaf EM, Gliksman L, DemersA, Newton-Taylor B. The prevalence of elevated psychological distress among Canadian undergraduates: findings from the 1998 Canadian Campus Survey. J Am Coll Health. 2001 Sep;50(2):67-72. Go to original source... Go to PubMed...
  7. Stallman HM. Psychological distress in university students: a comparison with general population data. Aust Psychol. 2010 Nov;45(4):249-57. Go to original source...
  8. Bernhardsdóttir J, Vilhjálmsson R. Psychological distress among university female students and their need for mental health services. J Psychiatr Ment Health Nurs. 2013 Oct;20(8):672-8. Go to original source... Go to PubMed...
  9. Nerdrum P, Rustøen T, Rønnestad MH. Student psychological distress: a psychometric study of 1750 Norwegian 1st-year undergraduate students. Scand J Educ Res. 2006 Feb;50(1):95-109. Go to original source...
  10. Eisenberg D, Golberstein E, Gollust SE. Help-seeking and access to mental health care in a university student population. Med Care. 2007 Jul;45(7):594-601. Go to original source... Go to PubMed...
  11. Patel V, FlisherAJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet. 2007Apr 14;369(9569):1302-13. Go to original source... Go to PubMed...
  12. Tosevski DL, Milovancevic MP, Gajic SD. Personality and psychopathology of university students. Curr Opin Psychiatry. 2010 Jan;23(1):48-52. Go to original source... Go to PubMed...
  13. Vuorenkoski L, Mladovsky P, Mossialos E; World Health Organization; European Observatory on Health Systems and Policies. Finland: health system review. Health Systems in Transition, vol.10, no. 4. Copenhagen: WHO; 2008.
  14. Piha K. Can you stand it ? Young people on the threshold of the working life. Publication of Finnish Business and Policy Forum. Helsinki: University Press; 2009. (In Finnish.)
  15. Oksanen AM, Laimi K, Löyttyniemi E, Kunttu K. Trends of weekly musculoskeletal pain from 2000 to 2012: National study of Finnish university students. Eur J Pain. 2014 Oct;18(9):1316-22. Go to original source... Go to PubMed...
  16. Goldberg D. The detection of psychiatric illness by questionnaire: a technique for the identification and assessment of non-psychotic psychiatric illness. London, New York: Oxford University Press; 1972.
  17. Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997 Jan;27(1):191-7. Go to original source... Go to PubMed...
  18. Holi MM, Marttunen M, Aalberg V. Comparison of the GHQ-36, the GHQ-12 and the SCL-90 as psychiatric screening instruments in the Finnish population. Nord J Psychiatry. 2003;57(3):233-8. Go to original source... Go to PubMed...
  19. Penninkilampi-Kerola V, Miettunen J, Ebeling H. A comparative assessment of the factor structures and psychometric properties of the GHQ-12 and the GHQ-20 based on data from a Finnish population-based sample. Scand J Psychol. 2006 Oct;47(5):431-40. Go to original source... Go to PubMed...
  20. Bue Bjorner J, Søndergaard Kristensen T, Ort-Gomẻr K, Tibblin G, Sullivan M, Westerholm P. Self-related health: a useful concept in research, prevention and clinical medicine. Report / Forskningsrådsnämnden 96:9. Stockholm: Swedish Council for Planning and Coordination of Research; 1996.
  21. Manderbacka K. Questions on survey questions on health. Stockholm: Swedish institute for social research; 1998.
  22. Kunttu K, Huttunen T. Student Health Survey 2000: a national survey among Finnish university students. Helsinki: Finnish Student Health Service; 2001. (In Finnish.)
  23. Kunttu K, Huttunen T. Student Health Survey 2004: a national survey among Finnish university students. Helsinki: Finnish Student Health Service; 2005. (In Finnish.)
  24. Kunttu K, Huttunen T. Student Health Survey 2008: a national survey among Finnish university students [Internet]. Helsinki: Finnish Student Health Service; 2009 [cited 2016 Aug 16]. Available from: http://www.yths.fi/filebank/354-Kunttu_OTT_2008.pdf. (In Finnish.)
  25. Kunttu K, Pesonen T. Student Health Survey 2012: a national survey among Finnish university students [Internet]. Helsinki: Finnish Student Health Service; 2013 [cited 2016 Aug 16]. Available from: http://www.yths.fi/filebank/1864-KOTT_2012_verkkoon.pdf. (In Finnish.)
  26. De Heer W. International response trends: results of an international survey. J Off Stat. 1999;15(2):129-42.
  27. Tolonen H, Helakorpi S, Talala K, Helasoja V, Martelin T, Prättälä R. 25year trends and socio-demographic differences in response rates: Finnish adult health behaviour survey. Eur J Epidemiol. 2006;21(6):409-15. Go to original source... Go to PubMed...
  28. Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008 Aug;43(8):667-72. Go to original source... Go to PubMed...
  29. Wong JG, Cheung EP, Chan KK, Ma KK, Tang SW. Web-based survey of depression, anxiety and stress in first-year tertiary education students in Hong Kong. Aust N Z J Psychiatry. 2006 Sep;40(9):777-82. Go to original source... Go to PubMed...