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

R. P. Auerbach, J. Alonso, W. G. Axinn, P. Cuijpers, D. D. Ebert, J. G. Green, I. Hwang, R. C. Kessler, H. Liu, P. Mortier, M. K. Nock, S. Pinder-Amaker, N. A. Sampson, Sergio Aguilar-Gaxiola, A. Al-Hamzawi, L. H. Andrade, C. Benjet, J. M. Caldas-de-Almeida, K. Demyttenaere, S. FlorescuG. de Girolamo, O. Gureje, J. M. Haro, E. G. Karam, A. Kiejna, V. Kovess-Masfety, S. Lee, J. J. McGrath, S. O'Neill, B. E. Pennell, K. Scott, M. ten Have, Y. Torres, A. M. Zaslavsky, Z. Zarkov, R. Bruffaerts

Research output: Contribution to journalArticle

116 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1-16
Number of pages16
JournalPsychological Medicine
DOIs
StateAccepted/In press - Aug 3 2016

Fingerprint

Health Surveys
Mental Disorders
Mental Health
Students
Diagnostic and Statistical Manual of Mental Disorders
Interviews
Age of Onset
Anxiety
Global Health
Depression
Delivery of Health Care
Therapeutics
Research
Surveys and Questionnaires

Keywords

  • College attrition
  • college dropout
  • education
  • epidemiology
  • mental illness

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., ... Bruffaerts, R. (Accepted/In press). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological Medicine, 1-16. https://doi.org/10.1017/S0033291716001665

Mental disorders among college students in the World Health Organization World Mental Health Surveys. / Auerbach, R. P.; Alonso, J.; Axinn, W. G.; Cuijpers, P.; Ebert, D. D.; Green, J. G.; Hwang, I.; Kessler, R. C.; Liu, H.; Mortier, P.; Nock, M. K.; Pinder-Amaker, S.; Sampson, N. A.; Aguilar-Gaxiola, Sergio; Al-Hamzawi, A.; Andrade, L. H.; Benjet, C.; Caldas-de-Almeida, J. M.; Demyttenaere, K.; Florescu, S.; de Girolamo, G.; Gureje, O.; Haro, J. M.; Karam, E. G.; Kiejna, A.; Kovess-Masfety, V.; Lee, S.; McGrath, J. J.; O'Neill, S.; Pennell, B. E.; Scott, K.; ten Have, M.; Torres, Y.; Zaslavsky, A. M.; Zarkov, Z.; Bruffaerts, R.

In: Psychological Medicine, 03.08.2016, p. 1-16.

Research output: Contribution to journalArticle

Auerbach, RP, Alonso, J, Axinn, WG, Cuijpers, P, Ebert, DD, Green, JG, Hwang, I, Kessler, RC, Liu, H, Mortier, P, Nock, MK, Pinder-Amaker, S, Sampson, NA, Aguilar-Gaxiola, S, Al-Hamzawi, A, Andrade, LH, Benjet, C, Caldas-de-Almeida, JM, Demyttenaere, K, Florescu, S, de Girolamo, G, Gureje, O, Haro, JM, Karam, EG, Kiejna, A, Kovess-Masfety, V, Lee, S, McGrath, JJ, O'Neill, S, Pennell, BE, Scott, K, ten Have, M, Torres, Y, Zaslavsky, AM, Zarkov, Z & Bruffaerts, R 2016, 'Mental disorders among college students in the World Health Organization World Mental Health Surveys', Psychological Medicine, pp. 1-16. https://doi.org/10.1017/S0033291716001665
Auerbach, R. P. ; Alonso, J. ; Axinn, W. G. ; Cuijpers, P. ; Ebert, D. D. ; Green, J. G. ; Hwang, I. ; Kessler, R. C. ; Liu, H. ; Mortier, P. ; Nock, M. K. ; Pinder-Amaker, S. ; Sampson, N. A. ; Aguilar-Gaxiola, Sergio ; Al-Hamzawi, A. ; Andrade, L. H. ; Benjet, C. ; Caldas-de-Almeida, J. M. ; Demyttenaere, K. ; Florescu, S. ; de Girolamo, G. ; Gureje, O. ; Haro, J. M. ; Karam, E. G. ; Kiejna, A. ; Kovess-Masfety, V. ; Lee, S. ; McGrath, J. J. ; O'Neill, S. ; Pennell, B. E. ; Scott, K. ; ten Have, M. ; Torres, Y. ; Zaslavsky, A. M. ; Zarkov, Z. ; Bruffaerts, R. / Mental disorders among college students in the World Health Organization World Mental Health Surveys. In: Psychological Medicine. 2016 ; pp. 1-16.
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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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author = "Auerbach, {R. P.} and J. Alonso and Axinn, {W. G.} and P. Cuijpers and Ebert, {D. D.} and Green, {J. G.} and I. Hwang and Kessler, {R. C.} and H. Liu and P. Mortier and Nock, {M. K.} and S. Pinder-Amaker and Sampson, {N. A.} and Sergio Aguilar-Gaxiola and A. Al-Hamzawi and Andrade, {L. H.} and C. Benjet and Caldas-de-Almeida, {J. M.} and K. Demyttenaere and S. Florescu and {de Girolamo}, G. and O. Gureje and Haro, {J. M.} and Karam, {E. G.} and A. Kiejna and V. Kovess-Masfety and S. Lee and McGrath, {J. J.} and S. O'Neill and Pennell, {B. E.} and K. Scott and {ten Have}, M. and Y. Torres and Zaslavsky, {A. M.} and Z. Zarkov and R. Bruffaerts",
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T1 - Mental disorders among college students in the World Health Organization World Mental Health Surveys

AU - Auerbach, R. P.

AU - Alonso, J.

AU - Axinn, W. G.

AU - Cuijpers, P.

AU - Ebert, D. D.

AU - Green, J. G.

AU - Hwang, I.

AU - Kessler, R. C.

AU - Liu, H.

AU - Mortier, P.

AU - Nock, M. K.

AU - Pinder-Amaker, S.

AU - Sampson, N. A.

AU - Aguilar-Gaxiola, Sergio

AU - Al-Hamzawi, A.

AU - Andrade, L. H.

AU - Benjet, C.

AU - Caldas-de-Almeida, J. M.

AU - Demyttenaere, K.

AU - Florescu, S.

AU - de Girolamo, G.

AU - Gureje, O.

AU - Haro, J. M.

AU - Karam, E. G.

AU - Kiejna, A.

AU - Kovess-Masfety, V.

AU - Lee, S.

AU - McGrath, J. J.

AU - O'Neill, S.

AU - Pennell, B. E.

AU - Scott, K.

AU - ten Have, M.

AU - Torres, Y.

AU - Zaslavsky, A. M.

AU - Zarkov, Z.

AU - Bruffaerts, R.

PY - 2016/8/3

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N2 - 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.

AB - 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.

KW - College attrition

KW - college dropout

KW - education

KW - epidemiology

KW - mental illness

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