Mental health knowledge and awareness among university students in Bangladesh

Unraveling Internet Addiction Among Adolescents in Bangladesh and Its Association With the Risk of Eating Disorders, Body Mass Index, and Other Factors: A Cross-Sectional Study

Background and Aims

Internet-related disorders for example, internet addiction (IA) seem to be frequent among adolescents all over the world. However, there could be a possible link between body mass index (BMI) and the risk of eating disorders (EDs) in connection with IA. This study aimed to determine the relationship between risk of EDs, BMI, and IA among Bangladeshi adolescents, as well as factors associated with IA.

Methodology

A cross-sectional study was carried out among 2147 individuals, using a stratified random sampling method, aged 13-19, from various selected schools and colleges spread across Bangladesh using a Google form questionnaire consisting of sections on socio-demographic factors, body mass index (BMI), eating attitude test scale, and internet addiction test scale. Descriptive analysis, Pearson Chi-square test, logistic regression model, and a bivariate correlation analysis were fit to determine the relationship and factors.

Results

We found that 24.1% of students had IA, 23.2% were at risk of EDs, 6.6% were underweight, 1.9% were overweight, 24% were obese and the remainder were normal. The relationship between IA, BMI, and risk of EDs was significant and positively co-related. Moreover, we found gender, the purpose of internet use, daily internet usage, physical exercise, literature reading habits, and victims of bullying were significantly associated with IA.

Conclusion

The findings highlight the need for further research and strategies to diagnose and treat EDs and IA, among adolescents. Promoting physical activity, healthy habits, and awareness at the institutional and parental levels is crucial for mitigating these risks and addressing sociodemographic, internet usage, and emotional health factors.

Determining the Mental Health Literacy Level of University Students and Examining Their Attitudes Towards Seeking Psychological Help

This descriptive study examined the mental health literacy levels and attitudes towards seeking psychological help among university students. The study was conducted with 317 students from a university in Türkiye. Data were collected via an online platform using a Personal Information Form, the Mental Health Literacy Scale (MHLS) and the Attitudes Toward Seeking Professional Psychological Help Scale-Short Form (ATSPPHS-SF). Participants, with an average age of 20 ± 1, were predominantly female (89%). Most had previously sought psychological support (75.1%) and believed the psychology information obtained online was accurate (61.2%). Significant differences were found between residential location (p = 0.034) and maternal education level (p = 0.017) with the Knowledge Subscale of MHLS, and between history of seeking psychological support (p = 0.010) with the Resource Subscale of MHLS. Additionally, there was a significant difference between seeking psychological support history and mean ATSPPHS-SF scores (p = 0.060). The scores on MHLS (13.15 ± 3.38) and ATSPPHS-SF (18.38 ± 3.77) indicated moderate levels, with a positive and significant relationship between the scales' total scores (p = 0.000). The study concluded that mental health literacy is crucial for increasing the rate of seeking psychological help. Addressing the lack of knowledge regarding mental health is essential for early diagnosis, prevention and maintenance of mental health. It is recommended incorporating mental health literacy content into university curricula, initiating efforts to provide information about psychological help resources and engaging psychiatric nurses in educational roles on campus through multidisciplinary planning.

Knowledge and Perception Towards Psychotropic Drugs Among the General Population in Saudi Arabia

Background

Mental health is crucial to overall well-being. Despite an increase in mental disorders over the past few decades, public awareness remains slow-growing, and stigmatization towards psychotropic medications persists. Therefore, this study aimed to identify knowledge and perceptions of psychotropic drugs among the general population in the Makkah Region, Saudi Arabia.

Methods

A questionnaire-based cross-sectional study was conducted among adults aged 18 years old and older, living in the Makkah Region, Saudi Arabia, from 1 January to 30 April 2024. Descriptive statistics were used to describe participants' characteristics, and categorical variables were reported as frequencies and percentages. A Chi-square test was used to examine the relationships between variables.

Results

A total of 717 participants were involved in the study: (52%) were from Jeddah, (25.9%) were from Taif, and (22%) were from Makkah. The mean age was 33.9 years, and 67.1% were females. Among the participants, (20.8%) had experienced a psychiatric illness, (41.7%) had a member of the family who suffered from a psychiatric illness, (39.5%) had a family member who used a psychiatric drug, and only 25 (7%) had a child suffering from a psychiatric illness. Specifically, 20.8% of those with a psychiatric illness demonstrated good knowledge (P=0.001), 16.1% of those with a family history of psychiatric illness had good knowledge (P=0.007), 16.3% with family use of psychiatric drugs had good knowledge (P=0.006), and 24.5% of those who used psychiatric drugs had high knowledge (P=0.001). Overall, (40.6%) of participants had a low level of knowledge and perception about psychotropic drugs, (47.8%) had a moderate knowledge and perception level, and only (11.6%) had high knowledge and perception.

Conclusion

Psychological well-being is crucial for health, but misconceptions persist, acting as barriers that impede people from seeking and accepting necessary psychiatric care. The findings highlight the need for targeted public education and healthcare professional training to improve Confirmed understanding and reduce stigma around psychotropic drugs in Saudi Arabia. A multifaceted approach involving policy development, community outreach, and ongoing research is essential for enhancing mental health outcomes and treatment accessibility.

Mental health characteristics of re-entering dropout Indian students

Education plays a pivotal role in shaping individual development and societal progress, yet dropout rates remain a significant challenge, particularly in developing countries like India. Dropout decisions often stem from complex social, economic and psychological factors, impacting students' mental health. This comparative descriptive study assessed and compared the mental health characteristics of 30 re-entering dropout students and 30 regular students from Integral Coach Factory (ICF) Hr. Sec. School, Ayanavaram, Chennai. Data collection utilized a structured questionnaire capturing demographic variables and the modified Abraham and Prasanna Mental Health Characteristics Scale. Re-entering dropout students exhibited lower mental health scores across physical, intellectual, familial, social, and psychological dimensions compared to regular students (p < 0.001). Significant associations were observed between mental health and father's education level among re-entering dropouts (p < 0.001), emphasizing its influence on well-being The study underscores disparities in mental health between re-entering dropout students and their peers, highlighting the need for targeted interventions and supportive environments in educational settings. Addressing these disparities can enhance overall well-being and academic success among re-entering dropout students.

Knowledge, attitude, and practice of depression among university students

INTRODUCTION

This study aimed to investigate the knowledge, attitude, and practice (KAP) of depression among university students.

METHODS

A cross-sectional survey was carried out across randomly selected universities in Shandong Province from October 25, 2023, to November 8, 2023. Demographic information and KAP scores were assessed through the administration of questionnaires. The reliability of the questionnaire was confirmed with a Cronbach's alpha coefficient of 0.816 and the Kaiser-Meyer-Olkin measure of 0.894.

RESULTS

This study included 2448 university students, with 1489 (60.8%) females. The median scores for KAP were 20 (Interquartile Range (IQR): 17-21), 26 (IQR: 23-28), and 35 (IQR: 32-38), respectively. Multivariate regression analysis indicated that being a junior (odds ratio [OR] = 0.720, 95% Confidence Interval (CI): 0.538-0.965, p = .028), senior or above (OR = 0.474, 95% CI: 0.325-0.691, p < .001), having divorced parents (OR = 0.618, 95% CI: 0.409-0.933, p = .022), having direct relatives with depression (OR = 0.710, 95% CI: 0.589-0.856, p < .001), and lacking intimate friends (OR = 0.344, 95% CI: 0.245-0.484, p < .001) were negatively associated with practice. Only having an attitude score of ≥26 (OR = 5.076, 95% CI: 4.230-6.091, p < .001) was significantly and positively associated with practice.

CONCLUSION

University students had insufficient knowledge, positive attitude, and passive practice toward depression. Clinical interventions should focus on enhancing the understanding and management of depression among university students, particularly through targeted educational programs and support groups, to bridge the gap between knowledge and practice and foster a proactive approach to mental health care.

Understanding and Treating Nightmares: A Comprehensive Review of Psychosocial Strategies for Adults and Children

Nightmares are distressing dreams that evoke strong negative emotions, such as fear or anxiety, often leading to waking from sleep and subsequent sleep disruption. They are prevalent across various age groups, with significant psychological and physiological health implications. This review explores the nature of nightmares, distinguishing them from other sleep disturbances like night terrors and sleep paralysis. It examines the prevalence of nightmares in children and adults, highlighting their impact on mental health and daily functioning. The review also emphasizes the importance of addressing nightmares through effective treatment strategies. While pharmacological options are available, psychosocial interventions offer promising non-pharmacological solutions. Cognitive behavioral therapy (CBT), imagery rehearsal therapy (IRT), and mindfulness-based therapies are discussed as key approaches for managing nightmares. These strategies focus on altering maladaptive thought patterns and emotional responses, reducing nightmares' frequency and intensity, and improving overall sleep quality. Psychosocial interventions provide a comprehensive approach to treating nightmares by addressing the underlying cognitive and emotional factors, benefitting individuals across different age groups. This review aims to highlight the efficacy of these strategies and their role in enhancing the quality of life for those affected by persistent nightmares.

Mental Health Stigma and Mental Health Literacy in Russia: Their Prevalence and Associations with Somatic, Anxiety, and Depressive Symptoms

Background

Mental health stigma and mental health literacy can be potential targets of public education and health development. These areas are culturally specific and have so far been almost unexplored in Russia.

Objective

This study aimed at examining mental health stigma and mental health literacy in Russia, their prevalence, and their associations with somatic, anxiety, and depressive symptoms.

Design

The participants were 1,068 Russian adults. They completed the online questionnaire with measures assessing their mental health stigma (Perceived Devaluation and Discrimination Scale; Link et al., 2001); somatic symptoms (Somatic Symptom Scale-8; Gierk et al., 2014); anxiety symptoms (Generalized Anxiety Disorder-7; Spitzer et al., 2006); and depressive symptoms (Patient Health Questionnaire-9; Kroenke et al., 2001). To examine their mental health literacy, we used a series of questions exploring a person's awareness of mental health and mental health problems.

Results

Mental health stigma was found in 67% of the participants, who were less confident that most mental disorders can be prevented and more confident that mental disorders can be cured in most cases. Higher devaluation, discrimination, and mental health stigma were related to more severe somatic symptoms. Lower mental health literacy and higher devaluation, discrimination, and mental health stigma were associated with more severe anxiety and depressive symptoms. These associations were the same when adding covariates such as sex, age, partnership, parenthood, and educational background.

Conclusion

This study highlighted the obvious need for measures to reduce mental health stigma and improve mental health literacy in Russian society. In general, these measures can contribute to the promotion of better mental health in Russia.

Predicting anxiety, depression, and insomnia among Bangladeshi university students using tree-based machine learning models

Background and Aims

Mental health problem is a rising public health concern. People of all ages, specially Bangladeshi university students, are more affected by this burden. Thus, the objective of the study was to use tree-based machine learning (ML) models to identify major risk factors and predict anxiety, depression, and insomnia in university students.

Methods

A social media-based cross-sectional survey was employed for data collection. We used Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9) and Insomnia Severity Index (ISI-7) scale for measuring students' anxiety, depression and insomnia problems. The tree-based supervised decision tree (DT), random forest (RF) and robust eXtreme Gradient Boosting (XGBoost) ML algorithms were used to build the prediction models and their predictive performance was evaluated using confusion matrix and receiver operating characteristic (ROC) curves.

Results

Of the 1250 students surveyed, 64.7% were male and 35.3% were female. The students' ages ranged from 18 to 26 years old, with an average age of 22.24 years (SD = 1.30). Majority of the students (72.6%) were from rural areas and social media addicted (56.6%). Almost 83.3% of the students had moderate to severe anxiety, 84.7% had moderate to severe depression and 76.5% had moderate to severe insomnia problems. Students' social media addiction, age, academic performance, smoking status, monthly family income and morningness-eveningness are the main risk factors of anxiety, depression and insomnia. The highest predictive performance was observed from the XGBoost model for anxiety, depression and insomnia.

Conclusion

The study findings offer valuable insights for stakeholders, families and policymakers enabling a more profound comprehension of the pressing mental health disorders. This understanding can guide the formulation of improved policy strategies, initiatives for mental health promotion, and the development of effective counseling services within university campus. Additionally, our proposed model might play a critical role in diagnosing and predicting mental health problems among Bangladeshi university students and similar settings.

Assessment of mental wellbeing of university students in Bangladesh using Goldberg's GHQ-12: A cross-sectional study

Background and Aims

The mental well-being of university students is a primary public health concern worldwide, including in Bangladesh. The objective of this study was to determine the prevalence of the overall mental health status among Bangladeshi university students. The study used larger and more diverse sample compared to previous studies, and also explored factors associated with the mental health well-being of those students.

Methods

Data were collected through an online questionnaire, utilizing the proportional allocation method, from students in various universities across Bangladesh. The sample included 2036 participants. The study applied Goldberg's General Health Questionnaire (GHQ-12) using the GHQ2+ threshold (i.e., having more than two symptoms). A binary outcome variable was created with two levels: "good mental health" and "poor mental health," to assess the mental health status of the university students. The explanatory variables were age, gender, academic year, type of university, and sources of personal expenses. Exploratory data analysis, association tests, and binary logistic regression models were used to identify factors influencing the outcome variable.

Results

A total of 55.9% of students (male: 52.6% and female: 62.8%) exhibited poor mental health status. Female students' mental health was found to be worse (odds ratio [OR]: 1.49, 95% confidence interval [CI]: 1.23-1.81) compared to that of males. Similarly, public university students displayed a worse mental health condition than their counterparts in private universities (OR: 1.29, 95% CI: 1.03-1.61).

Conclusion

The overall mental health of university students in Bangladesh is concerning. There is a pressing need for effective mental health policies and interventions to bolster the mental well-being of university students, with a specific focus on students from public universities and females.

Mindfulness to improve the mental health of university students. A systematic review and meta-analysis

Objectives

This systematic review and meta-analysis was to analyze the effects of a mindfulness program on mental health in university students.

Methods

A systematic review was conducted using the databases Pubmed, Scopus, Web of Science and CINAHL. The selected studies had to incorporate a mindfulness intervention in university students. The methodological quality of the collected articles was evaluated using the PEDro scale.

Results

We initially identified 321 studies, of which 21 were included in this review. The interventions focused on mindfulness with durations ranging from 8 weeks to 3 months. The results demonstrated significant effects of a mindfulness intervention on mental health in university students.

Conclusion

This systematic review and meta-analysis found that mindfulness is effective for improving the mental health of college students.

Systematic Review Registration

identifier: CRD42023441453.

Resilience, Perceived Stress from Adapted Medical Education Related to Depression among Medical Students during the COVID-19 Pandemic

The COVID-19 pandemic disrupted several routine teaching methods in clinical settings which causing psychological distress among medical students. This study aims to explore the association of perceived stress related to the adapted medical education, resilience, and depression among medical students at a medical school in northern Thailand during the COVID-19 outbreak. A total of 437 medical students were recruited in January 2022. Data were obtained using self-administered online questionnaires, including demographic data, perceived challenges in learning online classes, the Resilience Inventory (RI-9), and the Patient Health Questionnaire 9 (PHQ-9). Binary logistic regression analysis was employed to explore factors associated with depression (PHQ-9 ≥ 9). A total of 27% of the participants were identified as having depression. Logistic regression revealed that the presence of previous psychiatric conditions (ß = 2.80, p < 0.05), stress from lack of in-person contact with peers (ß = 1.48, p < 0.05), stress from lack of in-person communication with teachers (ß = 1.49, p < 0.05), and level of resilience (ß = 0.88, p < 0.001) were independently associated factors for depression among medical students. Level of resilience was negatively correlated with depressive symptoms (r = −0.436, p < 0.001). The rate of depression among medical students was higher during the pandemic. Resilience was associated with depression. Strengthening resilience might have an important implication for depression among medical students.