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Mental disorders among college students in the World Health Organization World Mental Health Surveys

  • R. P. Auerbach (a1) (a2), J. Alonso (a3) (a4) (a5), W. G. Axinn (a6), P. Cuijpers (a7) (a8), D. D. Ebert (a9), J. G. Green (a10), I. Hwang (a11), R. C. Kessler (a11), H. Liu (a12), P. Mortier (a13), M. K. Nock (a14), S. Pinder-Amaker (a1) (a2), N. A. Sampson (a11), S. Aguilar-Gaxiola (a15), A. Al-Hamzawi (a16), L. H. Andrade (a17), C. Benjet (a18), J. M. Caldas-de-Almeida (a19), K. Demyttenaere (a20), S. Florescu (a21), G. de Girolamo (a22), O. Gureje (a23), J. M. Haro (a24), E. G. Karam (a25) (a26) (a27), A. Kiejna (a28), V. Kovess-Masfety (a29), S. Lee (a30), J. J. McGrath (a31) (a32), S. O'Neill (a33), B.-E. Pennell (a34), K. Scott (a35), M. ten Have (a36) (a37), Y. Torres (a38), A. M. Zaslavsky (a11), Z. Zarkov (a39) and R. Bruffaerts (a40)...
  • Please note a correction has been issued for this article.
Abstract
Background

Although mental disorders are significant predictors of educational attainment throughout the entire educational career, most research on mental disorders among students has focused on the primary and secondary school years.

Method

The World Health Organization World Mental Health Surveys were used to examine the associations of mental disorders with college entry and attrition by comparing college students (n = 1572) and non-students in the same age range (18–22 years; n = 4178), including non-students who recently left college without graduating (n = 702) based on surveys in 21 countries (four low/lower-middle income, five upper-middle-income, one lower-middle or upper-middle at the times of two different surveys, and 11 high income). Lifetime and 12-month prevalence and age-of-onset of DSM-IV anxiety, mood, behavioral and substance disorders were assessed with the Composite International Diagnostic Interview (CIDI).

Results

One-fifth (20.3%) of college students had 12-month DSM-IV/CIDI disorders; 83.1% of these cases had pre-matriculation onsets. Disorders with pre-matriculation onsets were more important than those with post-matriculation onsets in predicting subsequent college attrition, with substance disorders and, among women, major depression the most important such disorders. Only 16.4% of students with 12-month disorders received any 12-month healthcare treatment for their mental disorders.

Conclusions

Mental disorders are common among college students, have onsets that mostly occur prior to college entry, in the case of pre-matriculation disorders are associated with college attrition, and are typically untreated. Detection and effective treatment of these disorders early in the college career might reduce attrition and improve educational and psychosocial functioning.

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Corresponding author
*Address for correspondence: R. C. Kessler, Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA. (Email: kessler@hcp.med.harvard.edu)
References
Hide All
Blanco, C, Okuda, M, Wright, C, Hasin, DS, Grant, BF, Liu, SM, Olfson, M (2008). Mental health of college students and their non-college-attending peers: results from the National Epidemiologic Study on Alcohol and Related Conditions. Archives of General Psychiatry 65, 14291437.
Cho, SB, Llaneza, DC, Adkins, AE, Cooke, M, Kendler, KS, Clark, SL, Dick, DM (2015). Patterns of substance use across the first year of college and associated risk factors. Frontiers in Psychiatry 6, 152.
Costello, EJ, Egger, H, Angold, A (2005). 10-Year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child and Adolescent Psychiatry 44, 972986.
Costello, EJ, Pine, DS, Hammen, C, March, JS, Plotsky, PM, Weissman, MM, Biederman, J, Goldsmith, HH, Kaufman, J, Lewinsohn, PM, Hellander, M, Hoagwood, K, Koretz, DS, Nelson, CA, Leckman, JF (2002). Development and natural history of mood disorders. Biological Psychiatry 52, 529542.
Eisenberg, D, Golberstein, E, Hunt, J (2009). Mental health and academic success in college. B.E. Journal of Economic Analysis and Policy 9, 40.
Eisenberg, D, Gollust, SE, Golberstein, E, Hefner, JL (2007). Prevalence and correlates of depression, anxiety, and suicidality among university students. American Journal of Orthopsychiatry 77, 534542.
Fazel, M, Hoagwood, K, Stephan, S, Ford, T (2014 a). Mental health interventions in schools 1: mental health interventions in schools in high-income countries. Lancet Psychiatry 1, 377387.
Fazel, M, Patel, V, Thomas, S, Tol, W (2014 b). Mental health interventions in schools in low-income and middle-income countries. Lancet Psychiatry 1, 388398.
Fergusson, DM, Horwood, LJ (1998). Early conduct problems and later life opportunities. Journal of Child Psychology and Psychiatry, and Allied Disciplines 39, 10971108.
Fergusson, DM, Woodward, LJ (2002). Mental health, educational, and social role outcomes of adolescents with depression. Archives of General Psychiatry 59, 225231.
First, M, Spitzer, R, Gibbon, M, Williams, B (1994). Structured Clinical Interview for Axis I DSM-IV Disorders. New York State Psychiatric Institute: Biometrics Research Department: New York.
Fletcher, JM (2008). Adolescent depression: diagnosis, treatment, and educational attainment. Health Economics 17, 12151235.
Harkness, J, Pennell, B, Villar, A, Gebler, N, Aguilar-Gaxiola, S, Bilgen, I (2008). Translation procedures and translation assessment in the World Mental Health Survey Initiative. In The WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders (ed. Kessler, R. C.), pp. 91113. Cambridge University Press: New York.
Haro, JM, Arbabzadeh-Bouchez, S, Brugha, TS, de Girolamo, G, Guyer, ME, Jin, R, Lepine, JP, Mazzi, F, Reneses, B, Vilagut, G, Sampson, NA, Kessler, RC (2006). Concordance of the Composite International Diagnostic Interview version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health surveys. International Journal of Methods in Psychiatric Research 15, 167180.
Hartley, MT (2010). Increasing resilience: strategies for reducing dropout rates for college students with psychiatric disabilities. American Journal of Psychiatric Rehabilitation 13, 295315.
Heeringa, S, Wells, E, Hubbard, F, Mneimneh, Z, Chiu, W, Sampson, N, Berglund, P (2008). Sample designs and sampling procedures. In The WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders (ed. Kessler, R. C.), pp. 1432. Cambridge University Press: New York.
Hunt, J, Eisenberg, D, Kilbourne, AM (2010). Consequences of receipt of a psychiatric diagnosis for completion of college. Psychiatric Services 61, 399404.
Ishitani, T, DesJardins, S (2002). A longitudinal investigation of dropout from college in the United States. Journal of College Student Retention: Research, Theory and Practice 4, 173201.
Johnson, JG, Cohen, P, Dohrenwend, BP, Link, BG, Brook, JS (1999). A longitudinal investigation of social causation and social selection processes involved in the association between socioeconomic status and psychiatric disorders. Journal of Abnormal Psychology 108, 490499.
Kendler, KS, Myers, J, Dick, D (2015). The stability and predictors of peer group deviance in university students. Social Psychiatry and Psychiatric Epidemiology 50, 14631470.
Kessler, R, Üstun, T (2011). The WHO World Mental Health Surveys: Global Perspectives on the Epidemiology of Mental Disorders. Cambridge University Press: Cambridge.
Kessler, RC, Akiskal, HS, Angst, J, Guyer, M, Hirschfeld, RM, Merikangas, KR, Stang, PE (2006). Validity of the assessment of bipolar spectrum disorders in the WHO CIDI 3.0. Journal of Affective Disorders 96, 259269.
Kessler, RC, Foster, CL, Saunders, WB, Stang, PE (1995). Social consequences of psychiatric disorders, I: educational attainment. American Journal of Psychiatry 152, 10261032.
Kessler, RC, Ustun, TB (2004). The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). International Journal of Methods in Psychiatric Research 13, 93121.
Kilpatrick, DG, Acierno, R, Saunders, B, Resnick, HS, Best, CL, Schnurr, PP (2000). Risk factors for adolescent substance abuse and dependence: data from a national sample. Journal of Consulting and Clinical Psychology 68, 1930.
Knäuper, B, Cannell, CF, Schwarz, N, Bruce, ML, Kessler, RC (1999). Improving accuracy of major depression age-of-onset reports in the US National Comorbidity Survey. International Journal of Methods in Psychiatric Research 8, 3948.
Kraemer, HC, Kazdin, AE, Offord, DR, Kessler, RC, Jensen, PS, Kupfer, DJ (1997). Coming to terms with the terms of risk. Archives of General Psychiatry 54, 337343.
Lee, S, Tsang, A, Breslau, J, Aguilar-Gaxiola, S, Angermeyer, M, Borges, G, Bromet, E, Bruffaerts, R, de Girolamo, G, Fayyad, J, Gureje, O, Haro, JM, Kawakami, N, Levinson, D, Oakley Browne, MA, Ormel, J, Posada-Villa, J, Williams, DR, Kessler, RC (2009). Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study. British Journal of Psychiatry: the Journal of Mental Science 194, 411417.
Lewinsohn, PM, Rohde, P, Seeley, JR (1998). Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clinical Psychology Review 18, 765794.
Merikangas, KR, Nakamura, EF, Kessler, RC (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience 11, 720.
Miech, RA, Caspi, A, Moffitt, TE, Wright, BRE, Silva, PA (1999). Low socioeconomic status and mental disorders: a longitudinal study of selection and causation during young adulthood. American Journal of Sociology 104, 10961131.
Mojtabai, R, Stuart, EA, Hwang, I, Susukida, R, Eaton, WW, Sampson, N, Kessler, RC (2015). Long-term effects of mental disorders on employment in the national comorbidity survey ten-year follow-up. Social Psychiatry and Psychiatric Epidemiology 50, 16571668.
SAS Institute Inc. (2010). SAS/STATR Software. SAS Institute Inc.: Cary, NC.
Scott, KM, Al-Hamzawi, AO, Andrade, LH, Borges, G, Caldas-de-Almeida, JM, Fiestas, F, Gureje, O, Hu, C, Karam, EG, Kawakami, N, Lee, S, Levinson, D, Lim, CC, Navarro-Mateu, F, Okoliyski, M, Posada-Villa, J, Torres, Y, Williams, DR, Zakhozha, V, Kessler, RC (2014). Associations between subjective social status and DSM-IV mental disorders: results from the World Mental Health Surveys. JAMA Psychiatry 71, 14001408.
Stratton, SL, O'Toole, MD, Wetzel, NJ (2006). Are the factors affecting dropout behavior related to initial enrollment intensity for college undergraduates? Research in Higher Education 48, 453485.
Ten Have, M, Nuyen, J, Beekman, A, de Graaf, R (2013). Common mental disorder severity and its association with treatment contact and treatment intensity for mental health problems. Psychological Medicine 43, 22032213.
The World Bank (2012). Data: countries and economies (http://data.worldbank.org/country).
Wang, PS, Aguilar-Gaxiola, S, Alonso, J, Angermeyer, MC, Borges, G, Bromet, EJ, Bruffaerts, R, de Girolamo, G, de Graaf, R, Gureje, O, Haro, JM, Karam, EG, Kessler, RC, Kovess, V, Lane, MC, Lee, S, Levinson, D, Ono, Y, Petukhova, M, Posada-Villa, J, Seedat, S, Wells, JE (2007). Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO World Mental Health surveys. Lancet 370, 841850.
Wolter, K (1985). Introduction to Variance Estimation. Springer-Verlag: New York.
Woodward, LJ, Fergusson, DM (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry 40, 10861093.
World Health Organization (2015). Mental Health Atlas 2014. World Health Organization: Geneva.
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Psychological Medicine
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