Sources of stress and their associations with mental disorders among college students: results of the World Health Organization World Mental Health Surveys International College Student Initiative

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• dc.contributor.author Karyotaki, Eirini
• dc.contributor.author Cuijpers, Pim
• dc.contributor.author Albor, Yesica
• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author Auerbach, Randy P.
• dc.contributor.author Bantjes, Jason
• dc.contributor.author Bruffaerts, Ronny
• dc.contributor.author Ebert, David Daniel
• dc.contributor.author Hasking, Penelope
• dc.contributor.author Kiekens, Glenn
• dc.contributor.author Lee, Sue
• dc.contributor.author McLafferty, Margaret
• dc.contributor.author Mak, Arthur
• dc.contributor.author Mortier, Philippe
• dc.contributor.author Sampson, Nancy A.
• dc.contributor.author Stein, Dan J.
• dc.contributor.author Vilagut Saiz, Gemma, 1975-
• dc.contributor.author Kessler, Ronald C.
• dc.contributor.author WHO World Mental Health Survey Collaborators
• dc.date.accessioned 2020-09-23T06:02:54Z
• dc.date.available 2020-09-23T06:02:54Z
• dc.date.issued 2020
• dc.description.abstract The college years are stressful for many students. Identifying the sources of stress and their relative importance in leading to clinically significant emotional problems may assist in the development of targeted stress management interventions. The current report examines the distribution and associations of perceived stress across major life areas with 12-month prevalence of common mental disorders in a cross-national sample of first-year college students. The 20,842 respondents were from 24 universities in 9 countries that participated in the World Health Organization World Mental Health International College Student Initiative. Logistic regression analysis examined associations of current perceived stress in six life areas (financial situation, health, love life, relationships with family, relationships at work/school, problems experienced by loved ones) with six types of 12-month mental disorders (major depressive disorder, bipolar disorder, generalized anxiety disorder, panic disorder, alcohol use disorder, drug use disorder). Population attributable risk proportions (PARPs) were calculated to estimate the upper-bound potential effects of interventions focused on perceived stress in reducing prevalence of mental disorders. The majority of students (93.7%) reported at least some stress in at least one of the six areas. A significant dose-response association was found between extent of stress in each life area and increased odds of at least one of the six disorders. The multivariable models that included all stress measures were significant for all disorders (F = 20.6-70.6, p < 0.001). Interpretation of PARPs as representing causal effects of stresses on disorders suggests that up to 46.9-80.0% of 12-month disorder prevalence might be eliminated if stress prevention interventions were developed to block the associations of stress with these disorders.
• dc.format.mimetype application/pdf
• dc.identifier.citation Karyotaki E, Cuijpers P, Albor Y, Alonso J, Auerbach RP, Bantjes J, Bruffaerts R, Ebert DD, Hasking P, Kiekens G, Lee S, McLafferty M, Mak A, Mortier P, Sampson NA, Stein DJ, Vilagut G, Kessler RC. Sources of stress and their associations with mental disorders among college students: results of the World Health Organization World Mental Health Surveys International College Student Initiative. Front Psychol. 2020; 11:1759. DOI: 10.3389/fpsyg.2020.01759
• dc.identifier.doi http://dx.doi.org/10.3389/fpsyg.2020.01759
• dc.identifier.issn 1664-1078
• dc.identifier.uri http://hdl.handle.net/10230/45328
• dc.language.iso eng
• dc.publisher Frontiers
• dc.relation.ispartof Front Psychol. 2020; 11:1759
• dc.rights © 2020 Karyotaki, Cuijpers, Albor, Alonso, Auerbach, Bantjes, Bruffaerts, Ebert, Hasking, Kiekens, Lee, McLafferty, Mak, Mortier, Sampson, Stein, Vilagut and Kessler. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Anxiety disorders
• dc.subject.keyword College students
• dc.subject.keyword Mental disorder
• dc.subject.keyword Mood disorders
• dc.subject.keyword Stress
• dc.subject.keyword Substance use disorders
• dc.title Sources of stress and their associations with mental disorders among college students: results of the World Health Organization World Mental Health Surveys International College Student Initiative
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion