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

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 assessi...

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Detalles Bibliográficos
Autores: Alonso, J, Mortier, P, Auerbach, RP, Bruffaerts, R, Vilagut, G, Cuijpers, P, Demyttenaere, K, Ebert, DD, Ennis, E, Green, JG, Hasking, P, Nock, MK, Pinder-Amaker, S, Sampson, NA, Zaslavsky, AM, Kessler, RC, Boyes, M, Kiekens, G, Baumeister, H, Kaehlke, F, Berking, M, Ramírez, AA, Benjet, C, Borges, G, Díaz, AC, Durán, MS, González, RG, Gutiérrez-García, RA, de la Torre, AEH, Martínez, KIM, Medina-Mora, ME, Zarazúa, HM, Tarango, GP, Berbena, MAZ, O'Neill, S, Bjourson, T, Lochner, C, Saal, W, Stein, D, Almenara, J, Ballester, L, Barbaglia, G, Blasco, MJ, Castellví, P, Cebrià, AI, Echeburúa, E, Gabilondo, A, García-Forero, C, Iruin, A, Lagares, C, Miranda-Mendizábal, A, Parès-Badell, O, Pérez-Vázquez, MT, Piqueras, JA, Roca, M, Rodríguez-Marín, J, Gili, M, Soto-Sanz, V, Vives, M, Alayo, I, Roos, J, Taljaard, L
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p6150
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/6150
Access Level:acceso abierto
Palabra clave:anxiety disorders
depression
disability
drug use disorders
intimate relationships
role impairment
social function
suicide/self-harm
university students
Descripción
Sumario: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. Results: 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.

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