Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study

Abstract Background Mental health associations with students’ academic outcomes are critical for students’ well-being and excellent performance, particularly among tertiary students in their educational trajectory. This study investigated the relationship between mental health incidence and academic...

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Main Authors: Andrew Nketsia Arthur, Joanne Fraikue, Bijoux Adu-Amankwah, Richard Ofori, Dorcas Sekyi, Abena Afrakomah Boateng, Elsie Asamoah, Seth Christopher Yaw Appiah
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Mental Health
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Online Access:https://doi.org/10.1007/s44192-025-00130-8
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author Andrew Nketsia Arthur
Joanne Fraikue
Bijoux Adu-Amankwah
Richard Ofori
Dorcas Sekyi
Abena Afrakomah Boateng
Elsie Asamoah
Seth Christopher Yaw Appiah
author_facet Andrew Nketsia Arthur
Joanne Fraikue
Bijoux Adu-Amankwah
Richard Ofori
Dorcas Sekyi
Abena Afrakomah Boateng
Elsie Asamoah
Seth Christopher Yaw Appiah
author_sort Andrew Nketsia Arthur
collection DOAJ
description Abstract Background Mental health associations with students’ academic outcomes are critical for students’ well-being and excellent performance, particularly among tertiary students in their educational trajectory. This study investigated the relationship between mental health incidence and academic performance among university students in a public university in Ghana. Additionally, we study students’ level of mental health awareness. Methods The study adopted a quantitative study with an analytical cross-sectional design. Through the multistage sampling technique, structured questionnaires were administered to 384 undergraduate students at Kwame Nkrumah University of Science and Technology (KNUST). Data management and analysis were performed using SPSS v.27. Descriptive data are presented in tables and reported as frequencies. Inferential analysis was conducted using a multilevel logistic regression model and a p-value of 0.05 was considered to indicate statistical significance. Results Severe depression (p = 0.016, ϰ2 = 0.784) was significantly associated with students’ academic performance. Severe anxiety (p = 0.020, ϰ2 = 11.700), gender (p = 0.014, ϰ2 = 5.999) and self-efficacy (p = 0.015, ϰ2 = 5.939), were found to have a statistically significant association with academic performance (p < 0.05). According the multilevel analysis, females experiencing mental health had reduced likelihood of achieving high academic performance compared to male students (AOR = 0.343, 95% CI 0.144–0.813, p = 0.015). Severely depressed students (AOR = 0.264, 95% CI 0.084-0.830, p = 0.23) are significantly less likely to increase their Cumulative Weighted Average (CWA). Self-efficacious students (AOR = 3.325, 95% CI 1.421-7.784, p = 0.06) were three times more likely to increase their CWA. Conclusion Severe depression causes a reduction in students’ academic performance, while high academic self-efficacy among students serves as a protective factor by facilitating an increase in students’ CWA when they encounter mental health issues.
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spelling doaj-art-436a902e1dc245d5b4841194800346cc2025-01-26T12:17:25ZengSpringerDiscover Mental Health2731-43832025-01-015111110.1007/s44192-025-00130-8Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional studyAndrew Nketsia Arthur0Joanne Fraikue1Bijoux Adu-Amankwah2Richard Ofori3Dorcas Sekyi4Abena Afrakomah Boateng5Elsie Asamoah6Seth Christopher Yaw Appiah7Department of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Sociology and Social Work, Faculty of Social Sciences, Kwame Nkrumah University of Science and TechnologyAbstract Background Mental health associations with students’ academic outcomes are critical for students’ well-being and excellent performance, particularly among tertiary students in their educational trajectory. This study investigated the relationship between mental health incidence and academic performance among university students in a public university in Ghana. Additionally, we study students’ level of mental health awareness. Methods The study adopted a quantitative study with an analytical cross-sectional design. Through the multistage sampling technique, structured questionnaires were administered to 384 undergraduate students at Kwame Nkrumah University of Science and Technology (KNUST). Data management and analysis were performed using SPSS v.27. Descriptive data are presented in tables and reported as frequencies. Inferential analysis was conducted using a multilevel logistic regression model and a p-value of 0.05 was considered to indicate statistical significance. Results Severe depression (p = 0.016, ϰ2 = 0.784) was significantly associated with students’ academic performance. Severe anxiety (p = 0.020, ϰ2 = 11.700), gender (p = 0.014, ϰ2 = 5.999) and self-efficacy (p = 0.015, ϰ2 = 5.939), were found to have a statistically significant association with academic performance (p < 0.05). According the multilevel analysis, females experiencing mental health had reduced likelihood of achieving high academic performance compared to male students (AOR = 0.343, 95% CI 0.144–0.813, p = 0.015). Severely depressed students (AOR = 0.264, 95% CI 0.084-0.830, p = 0.23) are significantly less likely to increase their Cumulative Weighted Average (CWA). Self-efficacious students (AOR = 3.325, 95% CI 1.421-7.784, p = 0.06) were three times more likely to increase their CWA. Conclusion Severe depression causes a reduction in students’ academic performance, while high academic self-efficacy among students serves as a protective factor by facilitating an increase in students’ CWA when they encounter mental health issues.https://doi.org/10.1007/s44192-025-00130-8DepressionAnxietyStressCumulative Weighted Average (CWA)Academic self-efficacy
spellingShingle Andrew Nketsia Arthur
Joanne Fraikue
Bijoux Adu-Amankwah
Richard Ofori
Dorcas Sekyi
Abena Afrakomah Boateng
Elsie Asamoah
Seth Christopher Yaw Appiah
Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study
Discover Mental Health
Depression
Anxiety
Stress
Cumulative Weighted Average (CWA)
Academic self-efficacy
title Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study
title_full Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study
title_fullStr Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study
title_full_unstemmed Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study
title_short Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study
title_sort exploring the relationship between mental health issues and academic performance of undergraduate students in a ghanaian tertiary institution a cross sectional study
topic Depression
Anxiety
Stress
Cumulative Weighted Average (CWA)
Academic self-efficacy
url https://doi.org/10.1007/s44192-025-00130-8
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