Factors associated with anxiety and depression among U.S. doctoral students: Evidence from the gradSERU survey

References

• Evans TM, Bira L, Gastelum JB, Weiss LT, Vanderford NL. Evidence for a mental health crisis in graduate education. Nat Biotechnol. 2018;36(3):282–284. doi:10.1038/nbt.4089.
   PubMed Web of Science ®Google Scholar
• Downs A, Boucher LA, Campbell DG, Polyakov A. Using the WHO–5 Well-Being Index to identify college students at risk for mental health problems. J. Coll. Stud. Dev. 2017;58(1):113–117. doi:10.1353/csd.2017.0008.
   Web of Science ®Google Scholar
• Downs NS, Alderman T, Schneiber K, Swerdlow NR. Treat and teach our students well: college mental health and collaborative campus communities. Psychiatr Serv. 2016;67(9):957–963. doi:10.1176/appi.ps.201500465.
   PubMed Web of Science ®Google Scholar
• Furr SR, Westefeld JS, McConnell GN, Jenkins JM. Suicide and depression among college students: a decade later. Professional Psychology: Research and Practice. 2001;32(1):97–100. doi:10.1037//0735-7028.32.1.97.
   Web of Science ®Google Scholar
• Kerr DL, Santurri L, Peters P. A comparison of lesbian, bisexual, and heterosexual college undergraduate women on selected mental health issues. J Am Coll Health. 2013;61(4):185–194. doi:10.1080/07448481.2013.787619.
   PubMed Web of Science ®Google Scholar
• Nurmi J-E, Salmela-Aro K. Goal construction, reconstruction and depressive symptoms in a life-span context: the transition from school to work. J Pers. 2002;70(3):385–420. doi:10.1111/1467-6494.05009.
   PubMed Web of Science ®Google Scholar
• Oswalt SB, Lederer AM, Chestnut-Steich K, Day C, Halbritter A, Ortiz D. Trends in college students’ mental health diagnoses and utilization of services, 2009-2015. J Am Coll Health. 2020;68(1):41–51. doi:10.1080/07448481.2018.1515748.
   PubMed Web of Science ®Google Scholar
• Garcia-Williams AG, Moffitt L, Kaslow NJ. Mental health and suicidal behavior among graduate students. Acad Psychiatry. 2014;38(5):554–560. doi:10.1007/s40596-014-0041-y.
   PubMed Web of Science ®Google Scholar
• Bertocci D, Hirsch E, Sommer W, Williams A. Student mental health needs: survey results and implications for service. J Am Coll Health. 1992;41(1):3–10. doi:10.1080/07448481.1992.9936300.
   PubMedGoogle Scholar
• Chen AC, Szalacha LA, Menon U. Perceived discrimination and its associations with mental health and substance use among Asian American and Pacific Islander undergraduate and graduate students. J Am Coll Health. 2014;62(6):390–398. doi:10.1080/07448481.2014.917648.
   PubMed Web of Science ®Google Scholar
• Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Health. 2010;46(1):3–10. doi:10.1016/j.jadohealth.2009.08.008.
   PubMed Web of Science ®Google Scholar
• Lilly F, Owens J, Bailey TC, Ramirez A, Brown W, Clawson C. The influence of racial microaggressions and social rank on risk for depression among minority graduate and professional students. College Student Journal. 2018;52(1):86–104.
   Google Scholar
• Lipson SK, Lattie EG, Eisenberg D. Increased rates of mental health service utilization by U.S. college students: 10-year population-level trends (2007–2017). Psychiatr Serv. 2019;70(1):60–63. doi:10.1176/appi.ps.201800332.
   PubMed Web of Science ®Google Scholar
• Hyun JK, Quinn BC, Madon T, Lustig S. Graduate student mental health: needs assessment and utilization of counseling services. Journal of College Student Development. 2006;47(3):247–266. doi:10.1353/csd.2006.0030.
   Web of Science ®Google Scholar
• Haynes C, Bulosan M, Citty J, Grant-Harris M, Hudson JC, Koro-Ljungberg M. My world is not my doctoral program. Or is it? Female students’ perceptions of well-being. IJDS. 2012;7:001– 017. doi:10.28945/1555.
   Google Scholar
• Holley KA, Gardner S. Navigating the pipeline: how socio-cultural influences impact first-generation doctoral students. Journal of Diversity in Higher Education. 2012;5(2):112–121. doi:10.1037/a0026840.
   Web of Science ®Google Scholar
• El-Ghoroury NH, Galpber DI, Sawaqdeh A, Bufka LF. Stress, coping, and barriers to wellness among psychology graduate students. Training and Education in Professional Psychology. 2012;6(2):122–134. doi:10.1037/a0028768.
   Web of Science ®Google Scholar
• Myers SB, Sweeney AC, Popick V, Wesley K, Bordfeld A, Fingerhut R. Self-care practices and perceived stress levels among psychology graduate students. Training and Education in Professional Psychology. 2012;6(1):55–66. doi:10.1037/a0026534.
   Web of Science ®Google Scholar
• Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, Sloan JA. Personal life events and medical student burnout: a multicenter study. Acad. Med. 2006;81(4):374–384. doi:10.1097/00001888-200604000-00010.
   PubMed Web of Science ®Google Scholar
• 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;81(4):354–373. doi:10.1097/00001888-200604000-00009.
   PubMed Web of Science ®Google Scholar
• Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80(12):1613–1622. doi:10.4065/80.12.1613.
   PubMed Web of Science ®Google Scholar
• Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008;149(5):334–341. doi:10.7326/0003-4819-149-5-200809020-00008.
   PubMed Web of Science ®Google Scholar
• Givens JL, Tjia J. Depressed medical students' use of mental health services and barriers to use. Acad Med. 2002;77(9):918–921. doi:10.1097/00001888-200209000-00024.
   PubMed Web of Science ®Google Scholar
• Tjia J, Givens JL, Shea JA. Factors associated with undertreatment of medical student depression. J Am Coll Health. 2005;53(5):219–224. doi:10.3200/JACH.53.5.219-224.
   PubMed Web of Science ®Google Scholar
• Toews JA, Lockyer JM, Dobson DJ, Brownell AK. Stress among residents, medical students, and graduate science (MSc/PhD) students. Acad Med. 1993;68(10 Suppl):S46–S48. doi:10.1097/00001888-199310000-00042.
   PubMed Web of Science ®Google Scholar
• Levecque K, Anseel F, De Beuckelaer A, Van der Heyden J, Gisle L. Work organization and mental health problems in PhD students. Research Policy. 2017;46(4):868–879. doi:10.1016/j.respol.2017.02.008.
   Web of Science ®Google Scholar
• Allen HK, Lilly F, Green KM, Zanjani F, Vincent KB, Arria AM. Substance use and mental health problems among graduate students: individual and program-level correlates. J Am Coll Health. 2020. doi:10.1080/07448481.2020.1725020.
   Web of Science ®Google Scholar
• Dahlin M, Nilsson C, Stotzer E, Runeson B. Mental distress, alcohol use and help-seeking among medical and business students: a cross-sectional comparative study. BMC Med Educ. 2011;11(1):92. doi:10.1186/1472-6920-11-92.
   PubMed Web of Science ®Google Scholar
• Hyun J, Quinn B, Madon T, Lustig S. Mental health need, awareness, and use of counseling services among international graduate students. J Am Coll Health. 2007;56(2):109–118. doi:10.3200/JACH.56.2.109-118.
   PubMed Web of Science ®Google Scholar
• Morra DJ, Regehr G, Ginsburg S. Anticipated debt and financial stress in medical students. Med Teach. 2008;30(3):313–315. doi:10.1080/01421590801953000.
   PubMed Web of Science ®Google Scholar
• Przedworski JM, Dovidio JF, Hardeman RR, et al. A comparison of the mental health and well-being of sexual minority and heterosexual first-year medical students: a report from medical student CHANGES. Academic Medicine. 2015;90(5):652–659. doi:10.1097/ACM.0000000000000658.
   PubMed Web of Science ®Google Scholar
• Marconi A, Ranum N, Van Orman S, Hanson B, Donovan V, Borenitsch E. Demographic differences in response rates for PHQ9 in a university student population. J Am Coll Health. 2019;67(3):283–289. doi:10.1080/07448481.2018.1481073.
   PubMed Web of Science ®Google Scholar
• Oswalt SB, Riddock CC. What to do about being overwhelmed: graduate students, stress, and university services. Coll Stud Aff J. 2007;27(1):24–44.
   Google Scholar
• Stecker T. Well-being in an academic environment. Med Educ. 2004;38(5):465–478. doi:10.1046/j.1365-2929.2004.01812.x.
   PubMed Web of Science ®Google Scholar
• Goodboy A, Martin M, Johnson Z. The relationship between workplace bullying by graduate faculty with graduate students’ burnout and organizational citizenship behaviors. Commun Res Rep. 2015;32(3):272–280. doi:10.1080/08824096.2015.1052904.
   Web of Science ®Google Scholar
• Hunter KH, Devine K. Doctoral students’ emotional exhaustion and intentions to leave academia. IJDS. 2016;11:035–061. doi:10.28945/3396.
   Google Scholar
• Rigg J, Day J, Adler H. Emotional exhaustion in graduate students: the role of engagement, self-efficacy, and social support. JEDP. 2013;3(2):138–152. doi:10.5539/jedp.v3n2p138.
   Google Scholar
• Stubb J, Pyhalto K, Lonka K. Balancing between inspiration and exhaustion: PhD students’ experienced socio-psychological well-being. Studies in Continuing Education. 2011;33(1):33–50. doi:10.1080/0158037X.2010.515572.
   Web of Science ®Google Scholar
• Silverman MM, Meyer PM, Sloane F, Raffel M, Pratt DM. The Big Ten student suicide study: a 10-year study of suicides on Midwestern university campuses. Suicide and Life-Threat Behav. 1997;27(3):285–303. PMID: 9357084.
   PubMed Web of Science ®Google Scholar
• Eisenberg D, Golberstein E, Hunt JB. Mental health and academic success in college. B.E. J Econ Anal Policy. 2009;9(1):1–37. doi:10.2202/1935-1682.2191.
   PubMed Web of Science ®Google Scholar
• Kessler RC, Foster CL, Saunders WB, Stang PE. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry. 1995;152(7):1026–1032. doi:10.1176/ajp.152.7.1026.
   PubMed Web of Science ®Google Scholar
• Kristanto T, Chen WS, Thoo YY. Academic burnout and eating disorder among students in Monash University Malaysia. Eat Behav. 2016;22:96–100. doi:10.1016/j.eatbeh.2016.03.029.
   PubMed Web of Science ®Google Scholar
• LeViness P, Bershad C, Gorman K. The Association for University and College Counseling Center Directors Annual Survey. Indianapolis, IN: Association for University and College Counseling Center Directors; 2017.
   Google Scholar
• Wyatt T, Oswalt SB. Comparing mental health issues among undergraduate and graduate students. American Journal of Health Education. 2013;44(2):96–107. doi:10.1080/19325037.2013.764248.
   Google Scholar
• Jones-White D, Horner O, Thomson G. Graduate Student Experience in the Research University Survey. Minneapolis, MN: SERU Consortium; 2018.
   Google Scholar
• Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–1292. doi:10.1097/01.MLR.0000093487.78664.3C.
   PubMed Web of Science ®Google Scholar
• Arrieta J, Aguerrebere M, Raviola G, et al. Validity and utility of the Patient Health Questionnaire (PHQ)-2 and PHQ-9 for screening and diagnosis of depression in rural Chiapas, Mexico: a cross-sectional study. J Clin Psychol. 2017;73(9):1076–1090. doi:10.1002/jclp.22390.
   PubMed Web of Science ®Google Scholar
• Kroenke K, Spitzer RL, Williams JB, Monahan PO, Lowe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146(5):317–325. doi:10.7326/0003-4819-146-5-200703060-00004.
   PubMed Web of Science ®Google Scholar
• García-Campayo J, Zamorano E, Ruiz MA, Pérez-Páramo M, López-Gómez V, Rejas J. The assessment of generalized anxiety disorder: psychometric validation of the Spanish version of the self-administered GAD-2 scale in daily medical practice. Health Qual Life Outcomes. 2012;10(1):114. doi:10.1186/1477-7525-10-114.
   PubMedGoogle Scholar
• Astin AW, Astin HS, Lindholm JA. Cultivating the Spirit: How College Can Enhance Students’ Inner Lives. San Francisco, CA: Jossey-Bass; 2010.
   Google Scholar
• Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55. doi:10.1080/10705519909540118.
   Web of Science ®Google Scholar
• StataCorp. Stata Statistical Software: Release 16. College Station, TX: StataCorp LLC; 2019.
   Google Scholar
• Long JS, Freese J. Regression Models for Categorical Dependent Variables Using Stata. College Station, TX: Stata Press; 2006.
   Google Scholar
• Hwang W, Goto S. The impact of perceived racial discrimination on the mental health of Asian American and Latino college students. Cultur Divers Ethnic Minor Psychol. 2008;14(4):326–335. doi:10.1037/1099-9809.14.4.326.
   PubMed Web of Science ®Google Scholar
• Hagerty BMK, Lynch-Sauer J, Patusky KL, Bousema M, Collier P. Sense of belonging: a vital mental health concept. Arch Psychiatr Nurs. 1992;6(3):172–177. doi:10.1016/0883-9417(92)90028-H.
   PubMedGoogle Scholar
• Soria KM, Lingren Clark B, Coffin Koch L. Investigating the academic and social benefits of extended new student orientations for first-year students. J Coll Orientat Transition. 2013;20(2):33–45.
   Google Scholar
• Ostrove JM, Stewart AJ, Curtin NL. Social class and belonging: implications for graduate students’ career aspirations. J High Educ. 2011;82(6):748–774. doi:10.1080/00221546.2011.11777226.
   Web of Science ®Google Scholar
• Hausmann LRM, Schofield JW, Woods RL. Sense of belonging as a predictor of intentions to persist among African American and White first-year college students. Res High Educ. 2007;48(7):803–839. doi:10.1007/s11162-007-9052-9.
   Web of Science ®Google Scholar
• Nelson NG, Dell’Oliver C, Koch C, Buckler R. Stress, coping, and success among graduate students in clinical psychology. Psychol Rep. 2001;88(3 Pt 1):759–767. doi:10.2466/pr0.2001.88.3.759.
   PubMed Web of Science ®Google Scholar
• Farrer LM, Gulliver A, Bennett K, Fassnacht DB, Griffiths KM. Demographic and psychosocial predictors of major depression and generalised anxiety disorder in Australian university students. BMC Psychiatry. 2016;16(241):241–249. doi:10.1186/s12888-016-0961-z.
   PubMedGoogle Scholar
• Boren JP. Co-rumination partially mediates the relationship between social support and emotional exhaustion among graduate students. Commun Q. 2013;61(3):253–267. doi:10.1080/01463373.2012.751436.
   Google Scholar
• Heins M, Fahey SN, Leiden LI. Perceived stress in medical, law, and graduate students. J Med Educ. 1984;59(3):169–179. doi:10.1097/00001888-198403000-00003.
   PubMedGoogle Scholar
• Levey RE. Sources of stress for residents and recommendations for programs to assist them. Acad Med. 2001;76(2):142–150. doi:10.1097/00001888-200102000-00010.
   PubMed Web of Science ®Google Scholar
• Eaton NR, Keyes KM, Krueger RF, et al. An invariant dimensional liability model of gender differences in mental disorder prevalence: evidence from a national sample. J Abnorm Psychol. 2012;121(1):282–288. doi:10.1037/a0024780.
   PubMed Web of Science ®Google Scholar
• Przedworski JM, VanKim NA, Eisenberg ME, McAlpine DD, Lust KA, Laska MN. Self-reported mental disorders and distress by sexual orientation: results of the Minnesota College Student Health Survey. Am J Preventative Med. 2015;49(1):29–40. doi:10.1016/j.amepre.2015.01.024.
   PubMed Web of Science ®Google Scholar
• Baams L, De Luca SM, Brownson C. Use of mental health services among college students by sexual orientation. LGBT Health. 2018;5(7):421–430. doi:10.1089/lgbt.2017.0225.
   PubMed Web of Science ®Google Scholar
• Said D, Kypri K, Bowman J. Risk factors for mental disorder among university students in Australia: findings from a web-based cross-sectional survey. Soc Psychiatry Psychiatr Epidemiol. 2013;48(6):935–944. doi:10.1007/s00127-012-0574-x.
   PubMed Web of Science ®Google Scholar
• Folkman S, Lazarus RS, Pimley S, Novacek J. Age differences in stress and coping processes. Psychol Aging. 1987;2(2):171–184. doi:10.1037/0882-7974.2.2.171.
   PubMed Web of Science ®Google Scholar
• Hudson SA, O’Regan J. Stress and the graduate psychology student. J Clin Psychol. 1994;50(6):973–977. doi:10.1002/1097-4679(199411)50:6 < 973::aid-jclp2270500623 > 3.0.co;2-q.
   PubMed Web of Science ®Google Scholar
• Craddock AE. Relational resources as buffers against the impact of stress: a longitudinal study of seminary students and their partners. J Psychol Theol. 1996;24(1):38–46. doi:10.1177/009164719602400104.
   Web of Science ®Google Scholar