Today's Youth Have Serious
Mental Health Issues
A new study has found that five times as many high school and college
students in the U.S. are dealing with anxiety and other mental health
issues than youth of the same age who were studied in the Great
The findings, culled from responses to a popular psychological
questionnaire used as far back as 1938, confirm what counsellors
on campuses nationwide have long suspected as more students struggle
with the stresses of school and life in general.
"It's another piece of the puzzle - that yes, this does
seem to be a problem, that there are more young people who report
anxiety and depression," says Jean Twenge, a San Diego State
University psychology professor and the study's lead author. "The
next question is: what do we do about it?"
Though the study, released Monday, does not provide a definitive
correlation, Twenge and mental health professionals speculate
that a popular culture increasingly focused on the external -
from wealth to looks and status - has contributed to the uptick
in mental health issues.
Pulling together the data for the study was no small task. Led
by Twenge, researchers at five universities analyzed the responses
of 77,576 high school or college students who, from 1938 through
2007, took the Minnesota Multiphasic Personality Inventory, or
MMPI. The results will be published in a future issue of the Clinical
Overall, an average of five times as many students in 2007 surpassed
thresholds in one or more mental health categories, compared with
those who did so in 1938. A few individual categories increased
at an even greater rate - with six times as many scoring high
in two areas:
-"hypomania," a measure of anxiety and unrealistic
optimism (from 5 per cent of students in 1938 to 31 per cent in
-and depression (from 1 per cent to 6 per cent).
Twenge said the most current numbers may even be low given all
the students taking antidepressants and other psychotropic medications,
which help alleviate symptoms the survey asks about.
The study also showed increases in "psychopathic deviation,"
which is loosely related to psychopathic behaviour in a much milder
form and is defined as having trouble with authority and feeling
as though the rules don't apply to you. The percentage of young
people who scored high in that category increased from 5 per cent
in 1938 to 24 per cent in 2007.
Twenge previously documented the influence of pop culture pressures
on young people's mental health in her 2006 book "Generation
Me: Why Today's Young Americans Are More Confident, Assertive,
Entitled - and More Miserable Than Ever Before." Several
studies also have captured the growing interest in being rich,
with 77 per cent of those questioned for UCLA's 2008 national
survey of college freshmen saying it was "essential"
or "very important" to be financially well off.
Experts say such high expectations are a recipe for disappointment.
Meanwhile, they also note some well-meaning but overprotective
parents have left their children with few real-world coping skills,
whether that means doing their own budget or confronting professors
on their own.
"If you don't have these skills, then it's very normal to
become anxious," says Dr. Elizabeth Alderman, an adolescent
medicine specialist at Montefiore Medical Center in New York City
who hopes the new study will be a wake-up call to those parents.
Students themselves point to everything from pressure to succeed
- self-imposed and otherwise - to a fast-paced world that's only
sped up by the technology they love so much.
Sarah Ann Slater, a 21-year-old junior at the University of Miami,
says she feels pressure to be financially successful, even when
she doesn't want to.
"The unrealistic feelings that are ingrained in us from
a young age - that we need to have massive amounts of money to
be considered a success - not only lead us to a higher likelihood
of feeling inadequate, anxious or depressed, but also make us
think that the only value in getting an education is to make a
lot of money, which is the wrong way to look at it," says
Slater, an international studies major who plans to go to graduate
The study is not without its skeptics, among them Richard Shadick,
a psychologist who directs the counsellingcentre at Pace University
in New York. He says, for instance, that the sample data weren't
necessarily representative of all college students. (Many who
answered the MMPI questionnaire were students in introductory
psychology courses at four-year institutions.)
Shadick says his own experience leaves little doubt more students
are seeking mental health services. But he and others think that
may be due in part to heightened awareness of such services. Twenge
notes the MMPI isn't given only to those who seek services.
Others, meanwhile, say the research helps advance the conversation
with hard numbers.
"It actually provides some support to the observations,"
says Scott Hunter, director of pediatric neuropsychology at the
University of Chicago's Comer Children's Hospital. Before his
current post, Hunter was at the University of Virginia, where
his work included counselling a growing number of students with
mental health concerns.
While even Twenge concedes more research is needed to pinpoint
a cause, Hunter says the study "also helps us understand
what some of the reasons behind it might be." He notes Twenge's
inclusion of data showing that factors such as materialism among
young people have had a similar upswing. She also noted that divorce
rates for their parents have gone up, which may lead to less stability.
Amid it all, Hunter says this latest generation has been raised
in a "you can do anything atmosphere." And that, he
says, "sets up a lot of false expectation" that inevitably
leads to distress for some.
It's also meant heartache for parents.
"I don't remember it being this hard," says a mother
from northern New Jersey, whose 15-year-old daughter is being
treated for depression. She asked not to be identified to respect
her daughter's privacy.
"We all wanted to be popular, but there wasn't this emphasis
on being perfect and being super skinny," she says. "In
addition, it's 'How much do your parents make?'
"I'd like to think that's not relevant, but I can't imagine
that doesn't play a role."
January 13, 2010