Program

Education Doctorate

Number of Pages

128

Year Approved

2025

First Advisor

Dr. Katrina Wu, Ph.D., APRN, CNM

Second Reader

Dr. Joel Frederickson, Ph.D.

Third Reader

Dr. Mary Michener, Ed.D.

Abstract

Substance use and mental health challenges are prevalent among college students, raising concerns about their impact on academic success. Using secondary data from the 2022–2023 Healthy Minds Study (N = 76,406), this study examined associations between depression, anxiety, alcohol use, marijuana use, and academic outcomes in undergraduate students. Multiple zero-inflated Poisson regressions were used to assess the relationships between depression, anxiety, alcohol use, and marijuana use. Ordinary least squares and ordered logit regressions evaluated links with academic success. Sample numbers varied across analyses (n = 23,629 to n = 47,355). Findings revealed modest but consistent associations between mental health, substance use, and academic outcomes. Depression was significantly linked to both alcohol and marijuana use, while anxiety also predicted alcohol use. Anxiety slightly reduced the effect of depression on alcohol consumption. Depression and frequent marijuana use were associated with lower self-reported grades, while anxiety correlated with slightly higher grade categories. Across all analyses, depression emerged as the most consistent factor influencing both substance use and academic success, despite small effect sizes. These results underscore the importance of integrated campus interventions that address both mental health and substance use. Programs should include screening, early identification, and culturally competent, stigma-free support services, especially for vulnerable student populations. Future research should use longitudinal designs and explore factors such as coping mechanisms and social support to inform intervention strategies.

Degree Name

Education Doctorate

Document Type

Doctoral dissertation

Terms of Use and License Information

Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

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