Factors that influence mental health of university and college students in the UK: a systematic review

Abstract Background Worsening mental health of students in higher education is a public policy concern and the impact of measures to reduce transmission of COVID-19 has heightened awareness of this issue. Preventing poor mental health and supporting positive mental wellbeing needs to be based on an...

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Bibliographic Details
Published in:	BMC public health 2022-09, Vol.22 (1), p.1-1778, Article 1778
Main Authors:	Campbell, Fiona, Blank, Lindsay, Cantrell, Anna, Baxter, Susan, Blackmore, Christopher, Dixon, Jan, Goyder, Elizabeth
Format:	Article
Language:	eng
Subjects:	Anxiety At risk students Autism Children College students Colleges & universities Continuing education Coronaviruses Counseling services COVID-19 Design factors Distance learning Education Education, Higher Foreign students Health aspects Heterogeneity Higher education Mental depression Mental health Mental wellbeing Pandemics Psychiatric services Psychological aspects Public policy Rapid review Recreation Risk factors Social aspects Social networks Social organization Student mental health Students Systematic review Teaching methods Trauma Young adults
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Summary:	Abstract Background Worsening mental health of students in higher education is a public policy concern and the impact of measures to reduce transmission of COVID-19 has heightened awareness of this issue. Preventing poor mental health and supporting positive mental wellbeing needs to be based on an evidence informed understanding what factors influence the mental health of students. Objectives To identify factors associated with mental health of students in higher education. Methods We undertook a systematic review of observational studies that measured factors associated with student mental wellbeing and poor mental health. Extensive searches were undertaken across five databases. We included studies undertaken in the UK and published within the last decade (2010–2020). Due to heterogeneity of factors, and diversity of outcomes used to measure wellbeing and poor mental health the findings were analysed and described narratively. Findings We included 31 studies, most of which were cross sectional in design. Those factors most strongly and consistently associated with increased risk of developing poor mental health included students with experiences of trauma in childhood, those that identify as LGBTQ and students with autism. Factors that promote wellbeing include developing strong and supportive social networks. Students who are prepared and able to adjust to the changes that moving into higher education presents also experience better mental health. Some behaviours that are associated with poor mental health include lack of engagement both with learning and leisure activities and poor mental health literacy. Conclusion Improved knowledge of factors associated with poor mental health and also those that increase mental wellbeing can provide a foundation for designing strategies and specific interventions that can prevent poor mental health and ensuring targeted support is available for students at increased risk.
ISSN:	1471-2458 1471-2458