Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative
Background: Mental disorders are highly prevalent among students worldwide. This study aims to examine comorbidity and temporal associations between mental disorders among students. Methods: The study included 72,288 students from 18 countries as part of the World Mental Health International College...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Fundació Sant Joan de Déu |
| Repositorio: | r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
| OAI Identifier: | oai:fsjd.fundanetsuite.com:p28818 |
| Acceso en línea: | https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28818 |
| Access Level: | acceso abierto |
| Palabra clave: | Internalizing Externalizing Comorbidity College students Substance use disorders |
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Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiativeRoest AMde Vries YAPozuelo JRPetukhova MVLee SSampson NAAlbor YAlhadi ANAlonso JAl-Saud NAltwaijri YAndersson CAtwoli LAuerbach RPMuaka CABáez-Mansur PMBallester LBantjes JBaumeister HBendtsen MBenjet CBerman AHBruffaerts RCarrasco PChan SCNCohut ICouder MACDCrockett MACuijpers PDavid OADong DEbert DDGaete JForero CGGili MGutiérrez-García RHaro JMHasking PHunt XHusky MMJaguga FLanger ÁILéniz ILiu YMac-Ginty SMartínez VMcLafferty MMiranda AMonroy-Velasco IRMurray EKMusyoka CMNedelcea CNúñez DO'Neill SMPiqueras JAPopescu CAPrescivalli APRapsey CRobinson KRodriguez-Jimenez TSaal WSiu OLStein DJStruijs SYTomoiaga CTValdés-García KPVargas-Contreras EVigo DVWang AYWong SYSKessler RCInternalizingExternalizingComorbidityCollege studentsSubstance use disordersBackground: Mental disorders are highly prevalent among students worldwide. This study aims to examine comorbidity and temporal associations between mental disorders among students. Methods: The study included 72,288 students from 18 countries as part of the World Mental Health International College Student (WMH-ICS) Initiative, with cross-sectional data collected between 2017 and 2023. Screening for common DSM-5 disorders was conducted using validated screening measures. Latent variables were examined using exploratory principal axis factor analysis on a correlation matrix among the lifetime mental disorders. Based on age-of-onset information, multivariable poisson regression models were used to examine associations of prior disorders with the first onset of other disorders. Results: 27.0 % of students screened positive for only one lifetime disorder, 17.1 % for two, 10.9 % for three, and 10.6 % for 4+ disorders. In the factor analysis, three latent variables were found, comprising: internalizing disorders (generalized anxiety disorder, major depressive episode, post-traumatic stress disorder, and panic disorder), substance use disorders (drug use disorder and alcohol use disorder), and externalizing disorders (attention deficit/hyperactivity disorder and mania/hypomania). Prior internalizing and externalizing disorders were associated with the subsequent first onset of all other disorders with risk ratios ranging from 1.5-7.5. Substance use disorders were less consistently associated with the subsequent first onset of other disorders, but alcohol use disorder was associated with the first onset of drug use disorder and vice versa. Conclusions: Mental disorder comorbidity is common among students, and students with disorders across the internalizing and externalizing spectrum have an increased risk of future mental disorder comorbidities.ELSEVIER IRELAND LTD2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28818PSYCHIATRY RESEARCHISSN: 01651781ISSNe: 18727123reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p288182026-05-27T12:37:41Z |
| dc.title.none.fl_str_mv |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative |
| title |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative |
| spellingShingle |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative Roest AM Internalizing Externalizing Comorbidity College students Substance use disorders |
| title_short |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative |
| title_full |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative |
| title_fullStr |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative |
| title_full_unstemmed |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative |
| title_sort |
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative |
| dc.creator.none.fl_str_mv |
Roest AM de Vries YA Pozuelo JR Petukhova MV Lee S Sampson NA Albor Y Alhadi AN Alonso J Al-Saud N Altwaijri Y Andersson C Atwoli L Auerbach RP Muaka CA Báez-Mansur PM Ballester L Bantjes J Baumeister H Bendtsen M Benjet C Berman AH Bruffaerts R Carrasco P Chan SCN Cohut I Couder MACD Crockett MA Cuijpers P David OA Dong D Ebert DD Gaete J Forero CG Gili M Gutiérrez-García R Haro JM Hasking P Hunt X Husky MM Jaguga F Langer ÁI Léniz I Liu Y Mac-Ginty S Martínez V McLafferty M Miranda A Monroy-Velasco IR Murray EK Musyoka CM Nedelcea C Núñez D O'Neill SM Piqueras JA Popescu CA Prescivalli AP Rapsey C Robinson K Rodriguez-Jimenez T Saal W Siu OL Stein DJ Struijs SY Tomoiaga CT Valdés-García KP Vargas-Contreras E Vigo DV Wang AY Wong SYS Kessler RC |
| author |
Roest AM |
| author_facet |
Roest AM de Vries YA Pozuelo JR Petukhova MV Lee S Sampson NA Albor Y Alhadi AN Alonso J Al-Saud N Altwaijri Y Andersson C Atwoli L Auerbach RP Muaka CA Báez-Mansur PM Ballester L Bantjes J Baumeister H Bendtsen M Benjet C Berman AH Bruffaerts R Carrasco P Chan SCN Cohut I Couder MACD Crockett MA Cuijpers P David OA Dong D Ebert DD Gaete J Forero CG Gili M Gutiérrez-García R Haro JM Hasking P Hunt X Husky MM Jaguga F Langer ÁI Léniz I Liu Y Mac-Ginty S Martínez V McLafferty M Miranda A Monroy-Velasco IR Murray EK Musyoka CM Nedelcea C Núñez D O'Neill SM Piqueras JA Popescu CA Prescivalli AP Rapsey C Robinson K Rodriguez-Jimenez T Saal W Siu OL Stein DJ Struijs SY Tomoiaga CT Valdés-García KP Vargas-Contreras E Vigo DV Wang AY Wong SYS Kessler RC |
| author_role |
author |
| author2 |
de Vries YA Pozuelo JR Petukhova MV Lee S Sampson NA Albor Y Alhadi AN Alonso J Al-Saud N Altwaijri Y Andersson C Atwoli L Auerbach RP Muaka CA Báez-Mansur PM Ballester L Bantjes J Baumeister H Bendtsen M Benjet C Berman AH Bruffaerts R Carrasco P Chan SCN Cohut I Couder MACD Crockett MA Cuijpers P David OA Dong D Ebert DD Gaete J Forero CG Gili M Gutiérrez-García R Haro JM Hasking P Hunt X Husky MM Jaguga F Langer ÁI Léniz I Liu Y Mac-Ginty S Martínez V McLafferty M Miranda A Monroy-Velasco IR Murray EK Musyoka CM Nedelcea C Núñez D O'Neill SM Piqueras JA Popescu CA Prescivalli AP Rapsey C Robinson K Rodriguez-Jimenez T Saal W Siu OL Stein DJ Struijs SY Tomoiaga CT Valdés-García KP Vargas-Contreras E Vigo DV Wang AY Wong SYS Kessler RC |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Internalizing Externalizing Comorbidity College students Substance use disorders |
| topic |
Internalizing Externalizing Comorbidity College students Substance use disorders |
| description |
Background: Mental disorders are highly prevalent among students worldwide. This study aims to examine comorbidity and temporal associations between mental disorders among students. Methods: The study included 72,288 students from 18 countries as part of the World Mental Health International College Student (WMH-ICS) Initiative, with cross-sectional data collected between 2017 and 2023. Screening for common DSM-5 disorders was conducted using validated screening measures. Latent variables were examined using exploratory principal axis factor analysis on a correlation matrix among the lifetime mental disorders. Based on age-of-onset information, multivariable poisson regression models were used to examine associations of prior disorders with the first onset of other disorders. Results: 27.0 % of students screened positive for only one lifetime disorder, 17.1 % for two, 10.9 % for three, and 10.6 % for 4+ disorders. In the factor analysis, three latent variables were found, comprising: internalizing disorders (generalized anxiety disorder, major depressive episode, post-traumatic stress disorder, and panic disorder), substance use disorders (drug use disorder and alcohol use disorder), and externalizing disorders (attention deficit/hyperactivity disorder and mania/hypomania). Prior internalizing and externalizing disorders were associated with the subsequent first onset of all other disorders with risk ratios ranging from 1.5-7.5. Substance use disorders were less consistently associated with the subsequent first onset of other disorders, but alcohol use disorder was associated with the first onset of drug use disorder and vice versa. Conclusions: Mental disorder comorbidity is common among students, and students with disorders across the internalizing and externalizing spectrum have an increased risk of future mental disorder comorbidities. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28818 |
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https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28818 |
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Inglés |
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Inglés |
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info:eu-repo/semantics/openAccess |
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openAccess |
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ELSEVIER IRELAND LTD |
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ELSEVIER IRELAND LTD |
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PSYCHIATRY RESEARCH ISSN: 01651781 ISSNe: 18727123 reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu instname:Fundació Sant Joan de Déu |
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Fundació Sant Joan de Déu |
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r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
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r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu |
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