Severe role impairment associated with mental disorders: results of the WHO World Mental Health Surveys International College Student Project

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• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author Vilagut Saiz, Gemma, 1975-
• dc.contributor.author WHO World Mental Health Survey Collaborators
• dc.date.accessioned 2019-04-01T07:34:25Z
• dc.date.issued 2018
• dc.description.abstract BACKGROUND: College entrance is a stressful period with a high prevalence of mental disorders. AIMS: To assess the role impairment associated with 12-month mental disorders among incoming first-year college students within a large cross-national sample. METHODS: 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. ESULTS: 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. CONCLUSION: 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Alonso J, Mortier P, Auerbach RP, Bruffaerts R, Vilagut G, Cuijpers P et al. Severe role impairment associated with mental disorders: results of the WHO World Mental Health Surveys International College Student Project. Depress Anxiety. 2018;35(9):802-14. DOI: 10.1002/da.22778
• dc.identifier.doi http://dx.doi.org/10.1002/da.22778
• dc.identifier.issn 1091-4269
• dc.identifier.uri http://hdl.handle.net/10230/37011
• dc.language.iso eng
• dc.publisher Wiley
• dc.relation.ispartof Depress Anxiety. 2018;35(9):802-14
• dc.rights This is the peer reviewed version of the following article: Alonso J, Mortier P, Auerbach RP, Bruffaerts R, Vilagut G, Cuijpers P, Demyttenaere K, Ebert DD, Ennis E, Gutiérrez-García RA, Green JG, Hasking P, Lochner C, Nock MK, Pinder-Amaker S, Sampson NA, Zaslavsky AM, Kessler RC; WHO WMH-ICS Collaborators. Severe role impairment associated with mental disorders: results of the WHO World Mental Health Surveys International College Student Project. Depress Anxiety. 2018; 35(9):802-814. DOI 10.1002/da.22778, which has been published in final form at http://dx.doi.org/10.1002/da.22778. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Anxiety disorders
• dc.subject.keyword Depression
• dc.subject.keyword Disability
• dc.subject.keyword Drug use disorders
• dc.subject.keyword Intimate relationships
• dc.subject.keyword Role impairment
• dc.subject.keyword Social function
• dc.subject.keyword Suicide/self-harm
• dc.subject.keyword University students
• dc.subject.other Ansietat
• dc.subject.other Suïcidi
• dc.subject.other Depressió psíquica
• dc.title Severe role impairment associated with mental disorders: results of the WHO World Mental Health Surveys International College Student Project
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion