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Prevalence Psychological Distress 80 70 60 50 %40 30 20 Low Moderate High Very high 10 0 2008 (N = 6449) 2009 (N = 2593) NHS (2007-‐08) d = .09

Prevalence Psychological Distress 80 70 60 50 %40 30 20 Low Moderate High Very high 10 0 2008 (N = 6449) 2009 (N = 2593) NHS (2007-‐08) d = .09

Changes during semester 25 20 15 10 Week 2 Week 12 5 0 Stress Distress Sleep problems Alcohol problems (Stallman, Hurst, & Appleton, in prep)