In 1974 an article appeared in Science magazine with the dry-sounding title “Judgment Under Uncertainty: Heuristics and Biases” by a pair of psychologists who were not well known outside their discipline of decision theory. In it Amos Tversky and Daniel Kahneman introduced the world to Prospect Theory, which mapped out how humans actually behave when faced with decisions about gains and losses, in contrast to how economists assumed that people behave. Prospect Theory turned Economics on its head by demonstrating through a series of ingenious experiments that people are much more concerned with losses than they are with gains, and that framing a choice from one perspective or the other will result in decisions that are exactly the opposite of each other, even if the outcomes are monetarily the same. Prospect Theory led cognitive psychology in a new direction that began to uncover other human biases in thinking that are probably not learned but are part of our brain’s wiring.

Thinking fast and slow.

The detection of psychiatric illness by questionnaire

Measuring Health: A Guide to Rating Scales and Questionnaires

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Mental health among university students represents an important and growing public health concern for which epidemiological data are needed. A Web-based survey was administered to a random sample at a large public university with a demographic profile similar to the national student population. Depressive and anxiety disorders were assessed with the Patient Health Questionnaire (R. L. Spitzer, K. Kroenke, J. B. W. Williams, & the Patient Health Questionnaire Primary Care Study Group, 1999). Nonresponse weights were constructed with administrative data and a brief non-respondent survey. The response rate was 56.6% (N = 2,843). The estimated prevalence of any depressive or anxiety disorder was 15.6% for undergraduates and 13.0% for graduate students. Suicidal ideation in the past 4 weeks was reported by 2% of students. Students reporting financial struggles were at higher risk for mental health problems (odds ratios = 1.6-9.0). These findings highlight the need to address mental health in young adult populations, particularly among those of lower socioeconomic status. Campus communities reach over half of young adults and thus represent unique opportunities to address mental health issues in this important age group.

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Prevalence and Correlates of Depression, Anxiety, and Suicidality Among University Students

Three-hundred sixty British university students completed a questionnaire providing information on demographic characteristics, financial circumstances, smoking, and drug and alcohol use. A 14-item inventory of physical symptoms, the short form 36 health survey (SF-36), and the General Health Questionnaire (GHQ-12) were used to assess their physical and psychological well-being. Except for physical functioning, all subscales of the SF-36 and the GHQ indicated levels of health significantly below population norms matched for age and sex. Poorer mental health was related to longer working hours outside the university and difficulty in paying bills. Students who had considered abandoning study for financial reasons had poorer mental health, lower levels of social functioning and vitality, and poorer physical health as indicated by variables on the SF-36. They were also heavier smokers. Students' personal debt was significantly associated with their knowing people involved in prostitution, crime, or ...

The effects of economic circumstances on British students' mental and physical health.

The impostor phenomenon in British university students: relationships between self-esteem, mental health, parental rearing style and socioeconomic status

Objective: The incidence of prostate cancer has risen sharply in the last decade, yet knowledge about the psychological health of men with this disease is still limited. A study was therefore undertaken to identify (1) the prevalence of psychological distress in these males, and (2) factors predicting psychological distress.



Design: Retrospective cross-sectional survey design by means of a self-administered questionnaire.



Method: A sample of 94 men with various stages of prostate cancer completed the Functional Assessment of Cancer Therapy—Prostate Instrument (FACT-P), the Hospital Anxiety Depression Scale (HADS) and items measuring satisfaction with medical care.



Results: We detected a prevalence rate of 38% of participants reporting psychological distress corresponding to a HADS cut-off score at or above 15. A standard multivariate regression analysis revealed social/family well-being, physical well-being and functional well-being as significant inverse predictors of psychological distress.



Conclusions: Health professionals should be aware of the potential for psychological distress in patients exhibiting poor physical functioning and those with apparent deficits in social or family support in this under-studied group of patients. Strategies for psychosocial intervention are implied.

The prevalence and predictors of psychological distress in men with prostate cancer who are seeking support.

Objectives. To investigate the relationship between the physical, social and psychological health of students and their financial circumstances. Design. A survey design was used. Methods. An opportunity sample of 482 university students from two London universities (one old and one new) completed a questionnaire providing information on demographic characteriscics, financial circumstances, smoking, drug and alcohol use. Physical and psychological well-being were assessed using a 14-item inventory of physical symptoms, the SF-36 and General Health Questionnaire (GHQ-12). Results. All sub-scales of the SF-36 (except Physical Functioning) and the GHQ indicated levels of health significantly below population norms. Poorer mental health was related to longer working hours outside university and difficulty paying bills. Those who had considered abandoning study for financial reasons had poorer mental health, social functioning, vitality and physical health and were also heavier smokers. Being in debt was associated with knowing people involved in prostitution, crime or drug dealing to help support themselves financially. Conclusion. Results suggest that the financial circumstances of students may be having an adverse impact on their health.

Mental and physical health in students: The role of economic circumstances

Objective: Osteoporosis in eating-disordered women is well established, but factors predictive of this condition have proved elusive. The roles of behavioral factors, weight, menstrual status, and the degree of bone mineral density change over the clinical course of the eating disorder were investigated. Method: A cohort of 56 eating-disordered women was subjected to bone mineral density measurement at Scan 1 and were followed up between 9 and 51 months later for repeat measurement (n = 10) at Scan 2. Results: High levels of reduced bone mineral density were observed. Total duration of amenorrhea, body mass index, frequency of vomiting, and cigarette and alcohol consumption accounted for 40% of the variance in spinal bone mineral density measurement at Scan 1. No significant changes in bone mineral density were observed at Scan 2 despite increases in body mass index. Discussion: The results suggest that increases in weight appear not to be sufficient to increase bone mineral density.

Tony Towell

Papers

The effects of economic circumstances on British students' mental and physical health.

The impostor phenomenon in British university students: relationships between self-esteem, mental health, parental rearing style and socioeconomic status

The prevalence and predictors of psychological distress in men with prostate cancer who are seeking support.

Mental and physical health in students: The role of economic circumstances

Factors predictive of bone mineral density in eating-disordered women: a longitudinal study.