The Status of Mental Disorder and to Identify the Barriers of Psychological Treatment among University Student
DOI:
https://doi.org/10.54392/ajir2441Keywords:
Depression, Anxiety, Stress, Barriers, Psychological TreatmentAbstract
Depression, anxiety, and stress are widespread mental health concerns among modern university students, and these conditions appear to be increasing. This study aimed to examine the prevalence of mental health issues, and also to identify the barriers of psychological treatment. The study's sample size was 344 students drawn at random from Rajshahi University. To assess the extent to which the participants suffered from mental illness, the Bangla version of the Depression Anxiety, and Stress Scale (DASS-21) was administered, and the translated Bangla adaptation of Perceived Barriers to Psychological Treatment Scale (PBPT) was also applied to the same participants to identify the barriers of psychological treatment. The acquired data were analyzed with descriptive statistics in IBM SPSS Version 25.0. It was determined that 50.57% of respondents demonstrated moderate to extremely severe stress symptoms, 72.97% of students exhibited moderate to extremely severe anxiety symptoms, and 56.7% exhibited moderate to extremely severe depressive symptoms, respectively. Study participants cited two major barriers to seeking mental health treatment: a lack of available services (51.5%) and the difficulty in finding a counselor (41.3%). This study helps in understanding the mental states of students and planning activities related to offering counseling services.
References
Ahmed, O., Faisal, R.A., Alim, S.M.A.H.M., Sharker, T., &Hiramoni, F.A. (2022). The psychometric properties of the Depression Anxiety Stress Scale-21 (DASS-21) Bangla version. Actapsychologica, 223, 103509. https://doi.org/10.1016/j.actpsy.2022.103509
Alim, S.A.H.M., Kibria, S.M.E., Uddin, M.Z., Nessa, M., Wahab, M.A. (2014). Translation of DASS 21 into Bangla and validation among medical students. Bangladesh Journal of Psychiatry, 28(2), 67-70. https://doi.org/10.3329/bjpsy.v28i2.32740
Alim, S.A.H.M., Rabbani, M.G., Karim, E., Mullick, M.S.I., Al Mamun, A., Khan, M.Z.R. (2015). Assessment of depression, anxiety and stress among first year MBBS students of a public medical college, Bangladesh. Bangladesh Journal of Psychiatry, 29(1), 23-29. https://doi.org/10.3329/bjpsy.v29i1.32748
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders. American Psychiatric Publishing, Arlington. https://psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
Anjum, A., Hossain, S., Sikder, T., Uddin, M.E., Rahim, D.A. (2019). Investigating the prevalence of and factors associated with depressive symptoms among urban and semi-urban school adolescents in Bangladesh: a pilot study. International health, 14(4), 354–362. https://doi.org/10.1093/inthealth/ihz092
Banna, M.H.A., Sayeed, A., Kundu, S., Christopher, E., Hasan, M.T., Begum, M.R., Kormoker, T., Islam Dola, S.T., Hassan, M., Chowdhury, S., Khan, I.S., (2022). The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: a nationwide cross-sectional study. International Journal of Environmental Health Research, 32(4), 850-861. https://doi.org/10.1080/09603123.2020.1802409
Bearse, J.L., McMinn, M.R., Seegobin, W., Free, K. (2013). Barriers to psychologists seeking mental health care. Professional Psychology: Research and Practice, 44(3), 150-157. https://psycnet.apa.org/doi/10.1037/a0031182
Bilican, F.I. (2013). Help-seeking attitudes and behaviors regarding mental health among Turkish college students. International Journal of Mental Health, 42(2-3), 43-59. https://doi.org/10.2753/IMH0020-7411420203
Choudhry, F.R., & Bokharey, I.Z. (2013). Perception of mental health in Pakistani nomads: An interpretative phenomenological analyses. International Journal of Qualitative Studies on Health and well-being, 8(1), 22469. https://doi.org/10.3402/qhw.v8i0.22469
Das, R., Hasan, M.R., Daria, S., & Islam, M.R. (2021). Impact of COVID-19 pandemic on mental health among general Bangladeshi population: a cross-sectional study. BMJ open, 11(4), e045727. https://doi.org/10.1136/bmjopen-2020-045727
Faisal, R.A., Jobe, M.C., Ahmed, O., & Sharker, T. (2022). Mental health status, anxiety, and depression levels of Bangladeshi university students during the COVID-19 pandemic. International journal of mental health and addiction, 20(3), 1500-1515. https://doi.org/10.1007/s11469-020-00458-y
Giasuddin, N.A., Chowdhury, N.F., Hashimoto, N., Fujisawa, D., & Waheed, S. (2012). Pathways to psychiatric care in Bangladesh. Social psychiatry and psychiatric epidemiology, 47, 129-136. https://doi.org/10.1007/s00127-010-0315-y
Hasan, M.T., Anwar, T., Christopher, E., Hossain, S., Hossain, M.M., Koly, K.N., Saif-Ur-Rahman, K.M., Ahmed, H.U., Arman, N., Hossain, S.W. (2021). The current state of mental healthcare in Bangladesh: part 1–an updated country profile. British Journal of Psychiatry International, 18(4), 78-82. https://doi.org/10.1192/bji.2021.41
Heinig, I., Wittchen, H.U., &Knappe, S. (2021). Help-seeking behavior and treatment barriers in anxiety disorders: results from a representative German community survey. Community mental health journal, 57(8), 1505-1517. https://doi.org/10.1007/s10597-020-00767-5
Hossain, M.D., Ahmed, H.U., Chowdhury, W.A., Niessen, L.W., Alam, D.S. (2014). Mental disorders in Bangladesh: a systematic review. BMC psychiatry, 14(1), 1-8. https://doi.org/10.1186/s12888-014-0216-9
Islam, M.S., Rahman, M.E., Moonajilin, M.S., van Os, J. (2021). Prevalence of depression, anxiety and associated factors among school going adolescents in Bangladesh: Findings from a cross-sectional study. PloS one, 16(4), e0247898. https://doi.org/10.1371/journal.pone.0247898
Khan, A., Ahmed, R., & Burton, N.W. (2020). Prevalence and correlates of depressive symptoms in secondary school children in Dhaka city, Bangladesh. Ethnicity & Health, 25(1), 34-46. https://doi.org/10.1080/13557858.2017.1398313
Koly, K.N., Abdullah, R., Shammi, F.A., Akter, T., Hasan, M.T., Eaton, J., & Ryan, G.K. (2021). Mental health and community-based rehabilitation: a qualitative description of the experiences and perspectives of service users and carers in Bangladesh. Community mental health journal, 58(1), 52-66. https://doi.org/10.1007/s10597-021-00790-0
Kulhara, P., Avasthi, A., & Sharma, A. (2000). Magico-religious beliefs in schizophrenia: A study from North India. Psychopathology, 33(2), 62-68. https://doi.org/10.1159/000029122
Limone, P., Toto, G.A. (2022). Factors That Predispose Undergraduates to Mental Issues: A Cumulative Literature Review for Future Research Perspectives. Frontiers in public health, 10, 831349. https://doi.org/10.3389/fpubh.2022.831349
Lovibond, P.F., &Lovibond, S.H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-U
Lu, S.H., Dear, B.F., Johnston, L., Wootton, B.M., Titov, N. (2014). An Internet survey of emotional health, treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia. Counselling Psychology Quarterly, 27(1), 96–108. https://doi.org/10.1080/09515070.2013.824408
Mamun, M.A., Bhuiyan, A.I., &Manzar, M.D. (2020). The first COVID-19 infanticide-suicide case: Financial crisis and fear of COVID-19 infection are the causative factors. Asian journal of psychiatry, 54, 102365. https://doi.org/10.1016/j.ajp.2020.102365
Mamun, M.A., Hossain, M.S., & Griffiths, M.D. (2022). Mental health problems and associated predictors among Bangladeshi students. International Journal of Mental Health and Addiction, 20(2), 657-671. https://doi.org/10.1016/j.ajp.2020.102365
Mamun, M.A., Hossain, M.S., Griffiths, M.D. (2019). Mental health problems and associated predictors among Bangladeshi students. International Journal of Mental Health and Addiction, 1-15.
Mohr, D.C., Ho, J., Duffecy, J., Baron, K.G., Lehman, K.A., Jin, L., Reifler, D. (2010). Perceived barriers to psychological treatments and their relationship to depression. Journal of clinical psychology, 66(4), 394–409. https://doi.org/10.1002/jclp.20659
Nahar, Z., Sohan, M., Supti, K.F., Hossain, M.J., Shahriar, M., Bhuiyan, M.A., Islam, M.R. (2022). Prevalence and associated risk factors for mental health problems among female university students during COVID-19 pandemic: A cross-sectional study findings from Dhaka, Bangladesh. Heliyon, 8(10), e10890. https://doi.org/10.1016/j.heliyon.2022.e10890
National Institute of Mental Health, Dhaka. National Mental Health Survey of Bungladesh, 2018-19 Provisional Fact Sheet, https://www.who.int/docs-/default-source/searo/bangladesh/pdf-reports/cat-2/nimh-fact-sheet-5-11-19.pdf;2019
Nuri, N.N., Sarker, M., Ahmed, H.U., Hossain, M.D., Beiersmann, C., Jahn, A. (2018). Pathways to care of patients with mental health problems in Bangladesh. International journal of mental health systems, 12(1), 1-12. https://doi.org/10.1186/s13033-018-0218-y
Pepin, R., Segal, D.L., & Coolidge, F.L. (2009). Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults. Aging & Mental Health, 13(5), 769-777. https://doi.org/10.1080/13607860902918231
Rahman, M.M., Khan, S.J., Sakib, M.S., Chakma, S., Procheta, N.F., Mamun, Z.A., Arony, A., Rahman, M.M. (2021). Assessing the psychological condition among general people of Bangladesh during COVID-19 pandemic. Journal of Human Behavior in the Social Environment, 31(1-4), 449-463. https://doi.org/10.1080/10911359.2020.1848688
Repon, M.A.U., Pakhe, S.A., Quaiyum, S., Das, R., Daria, S., Islam, M.R. (2021). Effect of COVID-19 pandemic on mental health among Bangladeshi healthcare professionals: a cross-sectional study. Science Progress, 104(2), 00368504211026409. https://doi.org/10.1177/00368504211026409
Saha, D., & Siddique, N.M. (2021). Translated Bangla version of Perceived Barrier to Psychological Treatment. (Unpublished manuscript).
Salaheddin, K., Mason, B. (2016). Identifying barriers to mental health help-seeking among young adults in the UK: a cross-sectional survey. British Journal of General Practice, 66(651), e686-e692. https://doi.org/10.3399/bjgp16X687313
Sayeed, A., Kundu, S., Al Banna, M.H., Hasan, M.T., Begum, M.R., & Khan, M.S.I. (2020). Mental health outcomes during the COVID-19 and perceptions towards the pandemic: findings from a cross sectional study among Bangladeshi students. Children and youth services review, 119, 105658. https://doi.org/10.1016/j.childyouth.2020.105658
Selye, Hans (1956). The stress of life. McGraw-Hill.
Smith, S., Paparo, J., & Wootton, B.M. (2021). Understanding psychological treatment barriers, preferences and histories of individuals with clinically significant depressive symptoms in Australia: a preliminary study. Clinical Psychologist, 25(2), 223-233. https://doi.org/10.1080/13284207.2021.1892453
Storrie, K., Ahern, K., Tuckett, A. (2010). A systematic review: students with mental health problems—a growing problem. International journal of nursing practice, 16(1), 1-6. https://doi.org/10.1111/j.1440-172X.2009.01813.x
ul Haq, M.A., Dar, I.S., Aslam, M., & Mahmood, Q.K. (2018). Psychometric study of depression, anxiety and stress among university students. Journal of Public Health, 26, 211-217. https://doi.org/10.1007/s10389-017-0856-6
Vidourek, R.A., King, K.A., Nabors, L.A., Merianos, A.L. (2014). Students' benefits and barriers to mental health help-seeking. Health psychology and behavioral medicine, 2(1), 1009–1022. https://doi.org/10.1080/21642850.2014.963586
World Health Organisation Bangladesh (2006). Mental health & substance abuse. Electronic document.
World Health Organization (2014). CalousteGulbenkian Foundation. Social determinants of mental health. World Health Organization, Geneva
World Health Organization. (2007). WHO-AIMS Report on Mental Health System in Bangladesh. World Health Organization.
Wuthrich, V.M., &Frei, J. (2015). Barriers to treatment for older adults seeking psychological therapy. International Psychogeriatrics, 27(7), 1227-1236. https://doi.org/10.1017/S1041610215000241
Zinzow, H.M., Britt, T.W.,Pury, C.L., Raymond, M.A., McFadden, A.C., Burnette, C.M. (2013). Barriers and facilitators of mental health treatment seeking among active-duty army personnel. Military Psychology, 25(5), 514-535. https://doi.org/10.1037/mil0000015
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