There has been an alarming increase in the prevalence of mental health concerns amongst undergraduate students. Engineering students experiencing mental health distress are less likely to seek professional help than are non-engineering students. Lack of treatment can result in the escalation of mental health symptoms among engineering students. This study, supported by an NSF Research Initiation in Engineering Formation grant, focused on characterizing engineering students’ beliefs about seeking help for a mental health concern. Using the integrated behavioral model as a framework, 33 semi-structured qualitative interviews were conducted with engineering students from a wide range of majors, years of study, and social identity groups. Interviews were analyzed through deductive coding to identify key beliefs associated with help-seeking as defined by the integrated behavioral model. The beliefs identified include a desire among engineering students to fix their own problems, to avoid admitting imperfection, and fear of being seen by others when seeking help for a mental health concern. These results were used to create an engineering mental health help-seeking instrument containing items related to perceived outcomes/attributes, experiential (i.e., affective) beliefs, barriers/facilitators, and perceived norms associated with help seeking. This instrument is currently being refined through cognitive interviews, and pilot data will be collected to examine evidence of instrument reliability and validity. The finalized instrument will be used to identify those beliefs that are predictive of help-seeking intention and behavior. These beliefs are prime targets for future interventions designed to increase mental health help-seeking in the undergraduate engineering student population.
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Mental health in undergraduate engineering students: Identifying facilitators and barriers to seeking help
Engineering students encounter high levels of stress, which may negatively impact their mental health. Nevertheless, engineering students who experience mental health distress are less likely than their peers to seek professional help, even when controlling for gender and race/ethnicity.
We examined beliefs that undergraduate engineering students have about barriers and facilitators to seeking professional help for their mental health. We also sought to identify cultural and systemic factors within and beyond engineering that might affect help‐seeking. Together, these beliefs influence students' sense of personal agency around seeking mental health care.
We implemented a pragmatic qualitative design that incorporated the integrated behavioral model to investigate engineering students' (
We identified four themes: Navigating the system impacts personal agency; sacrifices associated with help‐seeking act as a barrier; engineering culture acts as a barrier to help‐seeking; and student confidence in help‐seeking varies significantly. These themes portray the effect of perceived barriers and facilitators on students' personal agency for accessing mental health care. Our findings have implications for engineering departments and university counseling centers that want to minimize barriers to help‐seeking.
Engineering stakeholders must improve access to professional help for engineering students. Implementing changes to normalize help‐seeking behaviors, enhance personal agency, and facilitate engagement with mental health resources will create better conditions for engineers. Further research is necessary to understand how other beliefs (e.g., attitudes, perceived norms) inform the relationships between student mental health, professional help seeking, and engineering culture.
- NSF-PAR ID:
- 10441911
- Publisher / Repository:
- Wiley Blackwell (John Wiley & Sons)
- Date Published:
- Journal Name:
- Journal of Engineering Education
- Volume:
- 112
- Issue:
- 4
- ISSN:
- 1069-4730
- Format(s):
- Medium: X Size: p. 963-986
- Size(s):
- ["p. 963-986"]
- Sponsoring Org:
- National Science Foundation
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Abstract Background Mental health for engineering undergraduates is an urgent topic for engineering educators. Narratives of engineering education requiring suffering may create or exacerbate problematic perceptions around stress and mental health in engineering. This study explored the roles of stress and mental health in engineering culture. We sought to explore: (1) how engineering students describe their experiences related to stress and mental health and (2) norms and expectations engineering students share about stress and mental health. Qualitative interview data were collected from 30 students who had previously responded to a college-wide survey.
Results Codes related to experiences with stress and mental health in engineering were organized in a bioecological systems model and analyzed for emergent themes depicting engineering culture. The study identified three themes related to stress and mental health in engineering culture: (1) engineering workload as a defining stressor, (2) specific barriers that prevent engineering students from seeking help for mental health concerns, and (3) reliance on peers to cope with stress and mental health distress.
Conclusions Our analysis provided insight into how engineering students perceive norms around stress and mental health in engineering and how this impacts help-seeking for mental health challenges. These findings have important implications for developing interventions and positive cultures that support student mental health.
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