Variations in Trauma Exposure,Minority Status,and Considerations in Course Reduction in Mississippi University System

Abstract

Although college enrollment remains steady, rates of course reduction continue to rise. Most attrition research has focused on individual's precollege characteristics, but recent evidence shows that potentially traumatic events (PTEs) and/or mental health conditions are linked to college dropout. Although, little research has explored how the number of specific types of trauma exposures affects college retention. The present study examined how these types of traumatic exposures, mental health symptoms, and minority and employment status differentially relate to mental health and academic outcomes in Mississippi university samples (N = 1,831). Those who endorsed multiple PTE exposures showed the highest likelihood of considering reducing course load. Further, students with any PTE, and who also reported mental health symptoms, were within certain minority groups, and faced higher employment burdens were at a greater likelihood of considering course reduction. Recommendations include implementing evidence-based treatment protocols, utilizing trauma-informed programming, and reducing minority prejudice.

Keywords

potentially traumatic events retention attrition trauma mental health

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References

Alon

Tienda

(2005). Assessing the “mismatch” hypothesis: Differences in college graduation rates by institutional selectivity. Sociology of Education, 78(4), 294–315. https://doi.org/10.1177/003804070507800402

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

Ancis

J. R.

Sedlacek

W. E.

Mohr

J. J.

(2000). Student perceptions of campus cultural climate by race. Journal of Counseling & Development, 78(2), 180–185. https://doi.org/10.1002/j.1556-6676.2000.tb02576.x

Arria

A. M.

Caldeira

K. M.

Vincent

K. B.

Winick

E. R.

Baron

R. A.

O’Grady

K. E.

(2013). Discontinuous college enrollment: Associations with substance use and mental health. Psychiatric Services, 64(2), 165–172. https://doi.org/10.1176/appi.ps.201200106

Banyard

V. L.

Moynihan

M. M.

Plante

E. G.

(2007). Sexual violence prevention through bystander education: An experimental evaluation. Journal of Community Psychology, 35(4), 463–481. https://doi.org/10.1002/jcop.20159

Bean

(1980). Dropouts and turnover: The synthesis and test of a causal model of student attrition. Research in Higher Education, 12(2), 155–187. https://doi.org/10.1007/BF00976194

Bravo

A. J.

Villarosa-Hurlocker

M. C.

Pearson

M. R.

(2018). College student mental health: An evaluation of the DSM–5 self-rated level 1 cross-cutting symptom measure. Psychological Assessment, 30(10), 1382. https://doi.org/10.1037/pas0000628

Breslau

Lane

Sampson

Kessler

R. C.

(2008). Mental disorders and subsequent educational attainment in a US national sample. Journal of Psychiatric Research, 42(9), 708–716. https://doi.org/10.1016/j.jpsychires.2008.01.016

Bryant

D. J.

Damian

A. J.

(2020). The rise of adverse childhood experiences during the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S193. https://doi.org/10.1037/tra0000711

10.

Charles

N. E.

Strong

S. J.

Burns

L. C.

Bullerjahn

M. R.

Serafine

K. M.

(2021). Increased mood disorder symptoms, perceived stress, and alcohol use among college students during the COVID-19 pandemic. Psychiatry Research, 296, 113706. https://doi.org/10.1016/j.psychres.2021.113706

11.

Chi

D. L.

Randall

C. L.

Hill

C. M.

(2021). Dental trainees’ mental health and intention to leave their programs during the COVID-19 pandemic. The Journal of the American Dental Association, 152(7), 526–534. https://doi.org/10.1016/j.adaj.2021.02.012

12.

Chi

Becker

Willeit

Jiao

Huang

Mahhub Hossain

Grabovac

Yeung

Lin

Veronese

Wang

Zhou

Doig

S. R.

Liu

Carvalho

A. F.

Yang

Xiao

Zou

Solmi

(2020). Prevalence and psychosocial correlates of mental health outcomes among Chinese college students during the coronavirus disease (COVID-19) pandemic. Frontiers in Psychiatry, 11, 803. https://doi.org/10.3389/fpsyt.2020.00803

13.

Conron

K. J.

O’Neill

K. K.

Marzullo

M. A.

(2022). Community college and the experiences of LGBTQ people. Findings from a national probability sample. UCLA School of Law Williams Institute. https://escholarship.org/uc/item/5m29h5n2

14.

Crane

P. R.

Swaringen

K. S.

Rivas-Koehl

M. M.

Foster

A. M.

T. H.

Weiser

D. A.

Talley

A. E.

(2022). Come out, get out: Relations among sexual minority identification, microaggressions, and retention in higher education. Journal of Interpersonal Violence, 37(9–10), NP8237–NP8248. https://doi.org/10.1177/0886260520967126

15.

Cusack

Jonas

D. E.

Forneris

C. A.

Wines

Sonis

Middleton

J. C.

Feltner

Brownley

K. A.

Olmsted

K. R.

Greenblatt

Weil

Gaynes

B. N.

(2016). Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. Clinical Psychology Review, 43, 128–141. https://doi.org/10.1016/j.cpr.2015.10.003

16.

Cusack

S. E.

Hicks

T. A.

Bourdon

Sheerin

C. M.

Overstreet

C. M.

Kendler

K. S.

Dick

D. M.

Amstadter

A. B.

(2018). Prevalence and predictors of PTSD among a college sample. Journal of American College Health, 67(2), 123–131. https://doi.org/10.1080/07448481.2018.1462824

17.

DeBaun

(2019). Form your future FAFSA tracker. National College Attainment Network.

18.

DeGue

Valle

L. A.

Holt

M. K.

Massetti

G. M.

Matjasko

J. L.

Tharp

A. T.

(2014). A systematic review of primary prevention strategies for sexual violence perpetration. Aggression and Violent Behavior, 19(4), 346–362. https://doi.org/10.1016/j.avb.2014.05.004

19.

Duncan

R. D.

(2000). Childhood maltreatment and college drop-out rates: Implications for child abuse researchers. Journal of Interpersonal Violence, 15(9), 987–995. https://doi.org/10.1177/088626000015009005

20.

Eisenberg

Lipson

S. K.

Heinze

(2020). Healthy Minds Study among Colleges and Universities, 2020. Healthy Minds Network, University of Michigan, University of California Los Angeles, Boston University, and Wayne State University. https://healthymindsnetwork.org/reserach/data-for-researchers

21.

Fruehwirth

J. C.

Biswas

Perreira

K. M.

(2021). The COVID-19 pandemic and mental health of first-year college students: Examining the effect of COVID-19 stressors using longitudinal data. PLoS ONE, 16(3), e0247999. https://doi.org/10.1371/journal.pone.0247999

22.

Gerber

M. M.

Frankfurt

S. B.

Contractor

A. A.

Oudshoorn

Dranger

Brown

L. A.

(2018). Influence of multiple traumatic event types on mental health outcomes: Does count matter? Journal of Psychopathology and Behavioral Assessment, 40, 645–654. https://doi.org/10.1007/s10862-018-9682-6

23.

Gruttadaro

Crudo

(2012). College students speak: A survey report on mental health. NAMI, the National Alliance on Mental Illness.

24.

Gurantz

Wielga

(2021). How have FAFSA submissions differed during COVID-19? Educational Researcher, 50(4), 256–260. https://doi.org/10.3102/0013189X21992059

25.

Hadjar

Becker

(2004). Warum einige Studierende ihr Soziologie-Studium abbrechen wollen. Studienwahlmotive, Informationsdefizite und wahrgenommene Berufsaussichten als Determinanten der Abbruchneigung. Soziologie, 33, 47–65. https://doi.org/10.1007/978-3-322-80512-6_19

26.

Harris

P. A.

Taylor

Thielke

Payne

Gonzalez

Conde

J. G.

(2009). Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381. https://doi.org/10.1016/j.jbi.2008.08.010

27.

Hawn

S. E.

Cusack

S. E.

Amstadter

A. B.

(2020). A systematic review of the self-medication hypothesis in the context of posttraumatic stress disorder and comorbid problematic alcohol use. Journal of Traumatic Stress, 33(5), 699–708. https://doi.org/10.1002/jts.22521

28.

Hovdhaugen

(2015). Working while studying: The impact of term-time employment on dropout rates. Journal of Education and Work, 28(6), 631–651. https://doi.org/10.1080/13639080.2013.869311

29.

Hughes

B. E.

(2018). Coming out in STEM: Factors affecting retention of sexual minority STEM students. Science Advances, 4(3), eaao6373. https://doi.org/10.1126/sciadv.aao6373

30.

Humphreys

K. L.

Myint

M. T.

Zeanah

C. H.

(2020). Increased risk for family violence during the COVID-19 pandemic. Pediatrics, 146(1), e20200982. https://doi.org/10.1542/peds.2020-0982

31.

Klein

S. J.

Brandtner

A. K.

Lehner

G. F.

Ulmer

Bagshaw

S. M.

Wiedermann

C. J.

Joannidis

(2018). Biomarkers for prediction of renal replacement therapy in acute kidney injury: A systematic review and meta-analysis. Intensive Care Medicine, 44, 323–336. https://doi.org/10.1007/s00134-018-5126-8

32.

Kulkarni

M. R.

Graham-Bermann

Rauch

S. A.

Seng

(2011). Witnessing versus experiencing direct violence in childhood as correlates of adulthood PTSD. Journal of Interpersonal Violence, 26(6), 1264–1281. https://doi.org/10.1177/0886260510368159

33.

Lau

L. K.

(2003). Institutional factors affecting student retention. Education, 124(1), 126–136.

34.

Lecy

Osteen

(2022). The effects of childhood trauma on college completion. Research in Higher Education, 63(6), 1058–1072. https://doi.org/10.1007/s11162-022-09677-9

35.

Legg

Cofino

Sanlo

(2020). Lesbian, gay, bisexual, and transgender college students: Revisiting retention. Journal of College Student Retention: Research, Theory & Practice, 21(4), 417–430. https://doi.org/10.1177/1521025119895513

36.

Lipson

S. K.

Eisenberg

(2018). Mental health and academic attitudes and expectations in university populations: Results from the healthy minds study. Journal of Mental Health, 27(3), 205–213. https://doi.org/10.1080/09638237.2017.1417567

37.

Lynch

Engle

(2010). Big gaps, small gaps: Some colleges and universities do better than others in graduating Hispanic students. College Results Online. Education Trust.

38.

Mahoney

M. R.

Farmer

Sinclair

Sung

Dehaut

Chung

J. Y.

(2020). Utilization of the DSM-5 self-rated level 1 cross-cutting symptom measure-adult to screen healthy volunteers for research studies. Psychiatry Research, 286, 112822. https://doi.org/10.1016/j.psychres.2020.112822

39.

May

C. L.

Wisco

B. E.

(2016). Defining trauma: How level of exposure and proximity affect risk for posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy, 8(2), 233–240. https://doi.org/10.1037/tra0000077

40.

McAfee

N. W.

Schumacher

J. A.

Kelly

C. A.

(2023). Sexual and gender minority college student retention: The unique effects of mental health and campus environment on the potential for dropout. Building Healthy Academic Communities Journal, 7(1), 49–61. https://doi.org/10.18061/bhac.v7i1.9426

41.

McGruder-Johnson

A. K.

Davidson

E. S.

Gleaves

D. H.

Stock

Finch

J. F.

(2000). Interpersonal violence and posttraumatic symptomatology: The effects of ethnicity, gender, and exposure to violent events. Journal of Interpersonal Violence, 15(2), 205–221. https://doi.org/10.1177/088626000015002006

42.

Mengo

Black

B. M.

(2016). Violence victimization on a college campus: Impact on GPA and school dropout. Journal of College Student Retention: Research, Theory & Practice, 18(2), 234–248. https://doi.org/10.1177/1521025115584750

43.

Miller

Tancredi

D. J.

McCauley

H. L.

Decker

M. R.

Virata

M. C. D.

Anderson

H. A.

Stetkevich

Brown

E. W.

Moideen

Silverman

J. G.

(2012). “Coaching boys into men”: A cluster-randomized controlled trial of a dating violence prevention program. Journal of Adolescent Health, 51(5), 431–438. https://doi.org/10.1016/j.jadohealth.2012.01.018

44.

Morissette

S. B.

Ryan-Gonzalez

Blessing

Judkins

Crabtree

Hernandez

M. F.

Wiltsey-Stirman

Sloan

D. M.

(2023). Delivery of written exposure therapy for PTSD in a university counseling center. Psychological Services, 20(1), 122–136. https://doi.org/10.1037/ser0000608

45.

Moulin

Doray

Laplante

Street

M. C.

(2012). Work intensity and non-completion of university: Longitudinal approach and causal inference. Journal of Education and Work, 26(3), 333–356. https://doi.org/10.1080/13639080.2011.653554

46.

Ozer

E. J.

Weiss

D. S.

(2004). Who develops posttraumatic stress disorder? Current Directions in Psychological Science, 13(4), 169–172. https://doi.org/10.1111/j.0963-7214.2004.00300.x

47.

Pratt

I. S.

Harwood

H. B.

Cavazos

J. T.

Ditzfeld

C. P.

(2019). Should I stay or should I go? Retention in first-generation college students. Journal of College Student Retention: Research, Theory & Practice, 21(1), 105–118. https://doi.org/10.1177/1521025117690868

48.

Price

Szafranski

D. D.

van Stolk-Cooke

Gros

D. F.

(2016). Investigation of abbreviated 4 and 8 item versions of the PTSD checklist 5. Psychiatry Research, 239, 124–130. https://doi.org/10.1016/j.psychres.2016.03.014

49.

Read

J. P.

Colder

C. R.

Merrill

J. E.

Ouimette

White

Swartout

(2012). Trauma and posttraumatic stress symptoms predict alcohol and other drug consequence trajectories in the first year of college. Journal of Consulting and Clinical Psychology, 80(3), 426. https://doi.org/10.1037/a0028210

50.

Roksa

(2011). Differentiation and work: Inequality in degree attainment in US higher education. Higher Education, 61, 293–308. https://doi.org/10.1007/s10734-010-9378-7

51.

Rytwinski

N. K.

Scur

M. D.

Feeny

N. C.

Youngstrom

E. A.

(2013). The co-occurrence of major depressive disorder among individuals with posttraumatic stress disorder: A meta-analysis. Journal of Traumatic Stress, 26(3), 299–309. https://doi.org/10.1002/jts.21814

52.

Schroeder

Sinko

Ibrahim

Sarwer

D. B.

(2023). Supporting student learning and development through trauma-informed campuses. Journal of American College Health, 1–9. https://doi.org/10.1080/07448481.2023.2187647

53.

SHADAC analysis of State Health Compare. (2022). State Health Access Data Assistance Center (SHADAC). University of Minnesota. statehealthcompare.shadac.org. Accessed July 18^th, 2023.

54.

Shapiro

Dundar

Huie

Wakhungu

P. K.

Yuan

Nathan

Hwang

(2017). Tracking transfer: Measures of effectiveness in helping community college students to complete bachelor’s degrees (Signature Report No. 13). In National Student Clearinghouse. National Student Clearinghouse. https://eric.ed.gov/?id=ED580214.

55.

Sloan

D. M.

Marx

B. P.

(2019). Written exposure therapy for PTSD: A brief treatment approach for mental health professionals. American Psychological Association.

56.

Son

Hegde

Smith

Wang

Sasangohar

(2020). Effects of COVID-19 on college Students’ mental health in the United States: Interview survey study. Journal of Medical Internet Research, 22(9), e21279. https://doi.org/10.2196/21279

57.

Spinhoven

Penninx

B. W.

van Hemert

A. M.

de Rooij

Elzinga

B. M.

(2014). Comorbidity of PTSD in anxiety and depressive disorders: Prevalence and shared risk factors. Child Abuse & Neglect, 38(8), 1320–1330. https://doi.org/10.1016/j.chiabu.2014.01.017

58.

Tinto

(1975). Dropout from higher education: A theoretical synthesis of recent research. Review of Educational Research, 45(1), 89–125. https://doi.org/10.3102/00346543045001089

59.

United Health Foundation (2022). America’s Health Rankings. Annual Report 2022. https://assets.americashealthrankings.org/app/uploads/ahr_2022annualreport.pdf.

60.

United Way (2022). Children in financial hardship: Mississippi. https://www.unitedwaysems.org/sites/unitedwaysems/files/ALICE/ALICE-in-Focus-Children-Mississippi.pdf.

61.

Valentine

S. E.

Shipherd

J. C.

(2018). A systematic review of social stress and mental health among transgender and gender non-conforming people in the United States. Clinical Psychology Review, 66, 24–38. https://doi.org/10.1016/j.cpr.2018.03.003

62.

Wang

Hegde

Son

Keller

Smith

Sasangohar

(2020). Investigating mental health of US college students during the COVID-19 pandemic: Cross-sectional survey study. Journal of Medical Internet Research, 22(9), e22817. https://doi.org/10.2196/22817

63.

Ward

T. J.

(2017). Out in the rural: A Mississippi health center and its war on poverty. Oxford University Press.

64.

Welsh

J. W.

Shentu

Sarvey

D. B.

(2019). Substance use among college students. FOCUS, A Journal of the American Psychiatric Association, 17(2), 117–127. https://doi.org/10.1176/appi.focus.20180037

65.

Widom

C. S.

Czaja

S. J.

Dutton

M. A.

(2008). Childhood victimization and lifetime revictimization. Child Abuse & Neglect, 32(8), 785–796. https://doi.org/10.1016/j.chiabu.2007.12.006

66.

Wilkinson-Truong

Wacha-Montes

von Linden

(2020). Implementing cognitive processing therapy for posttraumatic stress disorder in a university counseling center. Professional Psychology: Research and Practice, 51(2), 163. https://doi.org/10.1037/pro0000259