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The role impairment associated with common mental disorders among first-year university students in South Africa
Thesis (MA)--Stellenbosch University, 2021.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2021
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| _version_ | 1867613906092949504 |
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| access_status_str | Open Access |
| author | Mostert, Frederik |
| author2 | Bantjes, Jason |
| author_browse | Bantjes, Jason Mostert, Frederik |
| author_facet | Bantjes, Jason Mostert, Frederik |
| author_sort | Mostert, Frederik |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MA)--Stellenbosch University, 2021. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/123749 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:35.067Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/123749 The role impairment associated with common mental disorders among first-year university students in South Africa Mostert, Frederik Bantjes, Jason Saal, Wylene Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology. Mental health Mental disorders University students -- South Africa Thesis (MA)--Stellenbosch University, 2021. ENGLISH ABSTRACT: Rationale: Mental health statistics, such as the prevalence of CMDs and role impairment, are used to estimate the need for mental healthcare and are therefore central to the planning of services and interventions. Previous studies have determined the rates of 12-month CMDs among first-year students in South Africa, yet it is unclear what proportion of these students are severely impaired by their disorders. Aims: The purpose with the study is to determine the need for mental healthcare among first- year university students in South Africa. The study has the following aims: 1. To determine the prevalence and severity of role impairment among first-year university students. 2. To determine if there are statistically significant differences in the prevalence of role impairment between students with and without 12-month CMDs. 3. To explore associations between severe role impairment and CMDs, when controlling for sociodemographic factors. 4. To identify which CMDs are the most impairing and prevalent in the population. Methods: Web-based, self-report surveys were used to screen incoming first-year students at SUN and UCT (n = 1402) for DSM-IV mental disorders and health-related role impairment (Sheehan Disability Scale). Impairment was assessed in four domains: home management, university-related work, close relationships and social life. Results: Findings showed that 42.7% of students had at least one 12-month CMD. Furthermore, 25.7% of students reported severe impairment in at least one domain of functioning (42.2% of students with at least one 12-month CMD vs. 13.3% of students without a 12-month CMD, p < 0.01). In total, 18% of students had 12-month CMDs and were severely impaired by their disorders. Multiple logistic regression showed that BP (aOR = 7.00; 95% CI = 1.70-28.91), DUD (aOR = 6.20; 95% CI = 2.77-13.88), and GAD (aOR = 5.60; 95% CI = 3.59-8.74) were associated with the highest odds of severe role impairment. However, when both role impairment and the prevalence of disorders were taken into account, ADHD, GAD and MDD were shown to account for the largest proportion of the need for care in the student population. Certain subgroups of students, such as sexual minority students, self-identified Black students, and older first-generation students, were more likely to report severe role impairment than their peers, independently of CMDs. Conclusion: About a quarter of first-year university students in South Africa reported severe role impairment, and 12-month CMDs were strongly associated with severe role impairment. Mental health-related impairment has the potential to severely disrupt the development of young people, and contributes to academic failure. It is therefore critical that the South African government and institutions of higher education invest in student mental health. AFRIKAANSE OPSOMMING: Rasionaal: Statistieke oor geestesgesondheid, soos die voorkoms van CMD’s en rolgestremdheid, is belangrike aanwysers van die behoefte aan geestesgesondheidsorg en is dus sentraal tot die toekenning van hulpbronne in die beplanning van dienste en intervensies. Vorige studies het getoon dat die persentasie van 12-maand CMD’s onder eerstejaarstudente in SA hoog is, maar dit is onduidelik watter persentasie van hierdie studente ernstig benadeel word deur hul afwykings. Doelstellings: Die doel van die studie is om die behoefte aan geestesgesondheidsorg by eerstejaarstudente in Suid-Afrika te bepaal. Die studie het die volgende doelstellings: 1. Om die voorkoms en erns van rolgestremdheid by eerstejaarstudente te bepaal. 2. Om vas te stel of daar statisties beduidende verskille is in die voorkoms van rolgestremdheid tussen studente met en sonder 12-maand CMD's. 3. Om assosiasies tussen ernstige rolgestremdheid en CMD's te ondersoek, terwyl assosiasies met sosiodemografiese faktore konstant gehou word. 4. Om vas te stel watter CMD’s lei na die mees ernstige rolgestremdheid en kom mees algemeen in die bevolking voor. Metodes: Webgebaseerde, selfrapporteringsopnames is gebruik om DSM-IV- geestesversteurings en gesondheidsverwante rolgestremdheid (Sheehan Disability Scale) te ondersoek onder inkomende eerstejaarstudente aan SUN en UCT (n = 1402), wat ‘n deelnamekoers van 10.8% gelewer het. Rolgestremdheid is in vier domeine beoordeel: huisbestuur, universiteitsverwante werk, hegte verhoudings en sosiale lewe. Resultate: Bevindinge het getoon dat 42.7% van studente minstens een 12-maand CMD gehad het. Verder het 25.7% van studente ernstige verswakking in ten minste een funksioneringsgebied aangedui (13.3% van studente sonder 'n geestesversteuring, teenoor 42.2% van studente met minstens een 12-maandelikse CMD, p<0.01). Veelvuldige logistieke regressie analise het getoon dat BP (aOR = 7.00; 95% GI = 1.70-28.91), DUD (aOR = 6.20; 95% GI = 2.77-13.88) en GAD (aOR = 5.60; 95% GI = 3.59-8.74) assosieer word met die grootste kans op ernstige rolgestremdheid. Wanneer die voorkoms van CMDs in ag geneem is, is daar egter getoon dat ADHD, GAD en MDD die grootste deel van die behoefte aan sorg in die studentepopulasie uitmaak. Bevindinge het verder getoon dat sekere subgroepe, soos seksuele minderhede, self-geïdentifiseerde Swart studente, en ouer eerste-generasie studente, ‘n groter kans op ernstige rolgestremdheid as hul eweknieë het, ongeag CMD's. Gevolgtrekking: Die persentasie eerstejaarstudente in Suid-Afrika wat ernstige rolgestremdhede rapporteer was hoog, en 12-maandelikse CMD's het sterk verband gehou met ernstige rolgestremdheid. Probleme met geestesgesondheid kan die ontwikkeling van jongmense ernstig ontwrig, en dra ondermeer by tot akademiese mislukking. Dit is dus van kritieke belang dat die Suid-Afrikaanse regering en instellings vir hoër onderwys intervensies ondersteun wat gerig is op geestesversteurings en gepaardgaande rolgestremdhede. Masters 2021-11-10T13:33:43Z 2021-12-22T14:19:15Z 2021-11-10T13:33:43Z 2021-12-22T14:19:15Z 2021-12 Thesis http://hdl.handle.net/10019.1/123749 en_ZA Stellenbosch University 179 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Mental health Mental disorders University students -- South Africa Mostert, Frederik The role impairment associated with common mental disorders among first-year university students in South Africa |
| title | The role impairment associated with common mental disorders among first-year university students in South Africa |
| title_full | The role impairment associated with common mental disorders among first-year university students in South Africa |
| title_fullStr | The role impairment associated with common mental disorders among first-year university students in South Africa |
| title_full_unstemmed | The role impairment associated with common mental disorders among first-year university students in South Africa |
| title_short | The role impairment associated with common mental disorders among first-year university students in South Africa |
| title_sort | role impairment associated with common mental disorders among first year university students in south africa |
| topic | Mental health Mental disorders University students -- South Africa |
| url | http://hdl.handle.net/10019.1/123749 |
| work_keys_str_mv | AT mostertfrederik theroleimpairmentassociatedwithcommonmentaldisordersamongfirstyearuniversitystudentsinsouthafrica AT mostertfrederik roleimpairmentassociatedwithcommonmentaldisordersamongfirstyearuniversitystudentsinsouthafrica |