Open AccessAssociation between mental health and academic performance among university undergraduates: The interacting role of lifestyle behaviors
Author(s) -
Chu Tianshu,
Liu Xin,
Takayanagi Shigemi,
Matsushita Tomoko,
Kishimoto Hiro
Publication year - 2023
Publication title -
international journal of methods in psychiatric research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.275
H-Index - 73
eISSN - 1557-0657
pISSN - 1049-8931
DOI - 10.1002/mpr.1938
Subject(s) - mental health , association (psychology) , hazard ratio , psychology , clinical psychology , academic achievement , psychological intervention , distress , mental distress , confidence interval , scale (ratio) , proportional hazards model , gerontology , medicine , demography , psychiatry , developmental psychology , physics , quantum mechanics , sociology , psychotherapist
Objectives Impaired mental health status tends to be associated with poor academic performance, but few prospective studies have examined the association between mental health and academic performance among undergraduates while considering the interacting roles of multiple lifestyle behaviors. Participants and Methods A total of 1823 Japanese undergraduate students (67% men) were followed up for 4 years. Their mental health status was measured by the six‐item Kessler Psychological Distress Scale (K6). We defined poor academic performance as a grade point average (GPA) <2.0. Cox proportional hazards models were used to determine the relationship between the students' mental health status and the incident risk of poor academic performance. Results Our analyses revealed that impaired mental health status in the first semester of university study significantly predicted an increased incident risk of poor academic performance during the overall undergraduate period. This association remained significant when the health lifestyle behaviors were adjusted, and the hazard ratio (95% confidence interval) for poor academic performance was 1.62 (1.18–2.23). This significant association disappeared in the low‐lifestyle‐behavior‐risk group. Conclusion Impaired mental health status in the first semester significantly predicts an increased incident risk of poor academic performance during the undergraduate period.