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- Title
Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project.
- Authors
Alonso, Jordi; Mortier, Philippe; Auerbach, Randy P.; Bruffaerts, Ronny; Vilagut, Gemma; Cuijpers, Pim; Demyttenaere, Koen; Ebert, David D.; Ennis, Edel; Gutiérrez‐García, Raul A.; Green, Jennifer Greif; Hasking, Penelope; Lochner, Christine; Nock, Matthew K.; Pinder‐Amaker, Stephanie; Sampson, Nancy A.; Zaslavsky, Alan M.; Kessler, Ronald C.; WHO WMH‐ICS Collaborators; Gutiérrez-García, Raul A
- Abstract
<bold>Background: </bold>College entrance is a stressful period with a high prevalence of mental disorders.<bold>Aims: </bold>To assess the role impairment associated with 12-month mental disorders among incoming first-year college students within a large cross-national sample.<bold>Methods: </bold>Web-based self-report surveys assessing the prevalence of DSM-IV mental disorders and health-related role impairment (Sheehan Disability Scale) were obtained and analyzed from 13,984 incoming first-year college students (Response = 45.5%), across 19 universities in eight countries. Impairment was assessed in the following domains: home management, work (e.g., college-related problems), close personal relationships, and social life.<bold>Results: </bold>Mean age of the sample was 19.3 (SD = 0.59) and 54.4% were female. Findings showed that 20.4% of students reported any severe role impairment (10% of those without a mental disorder vs. 42.9% of those with at least one disorder, P < 0.01). In bivariate analyses, panic disorder, and mania were associated most frequently with severe impairment (60.6% and 57.5%, respectively). Students reporting three or more mental disorders had almost fivefold more frequently severe impairment relative to those without mental disorders. Multiple logistic regression showed that major depression (OR = 4.0; 95%CI = 3.3, 4.8), generalized anxiety (OR = 3.9; 95%CI = 3.1, 4.8), and panic disorder (OR = 2.9; 95%CI 2.4, 4.2) were associated with the highest odds of severe impairment. Only minimal deviations from these overall associations were found across countries.<bold>Conclusion: </bold>Mental disorders among first-year college students are associated with substantial role impairment. Providing preventative interventions targeting mental disorders and associated impairments is a critical need for institutions to address.
- Subjects
PSYCHIATRIC epidemiology; HIGHER education statistics; MENTAL illness; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; MENTAL health; RESEARCH; RESEARCH funding; SOCIAL role; STUDENTS; SURVEYS; WORLD health; WORLD Health Organization; EVALUATION research
- Publication
Depression & Anxiety (1091-4269), 2018, Vol 35, Issue 9, p802
- ISSN
1091-4269
- Publication type
journal article
- DOI
10.1002/da.22778