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

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Title:	Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project.
Authors:	Alonso, Jordi, Mortier, Philippe, Auerbach, Randy P., Bruffaerts, Ronny, Vilagut, Gemma, Cuijpers, Pim, Demyttenaere, Koen, Ebert, David D., Ennis, Edel, Gutiérrez‐García, Raul A., Green, Jennifer Greif, Hasking, Penelope, Lochner, Christine, Nock, Matthew K., Pinder‐Amaker, Stephanie, Sampson, Nancy A., Zaslavsky, Alan M., Kessler, Ronald C., WHO WMH‐ICS Collaborators, Gutiérrez-García, Raul A (AUTHOR)
Source:	Depression & Anxiety (1091-4269). Sep2018, Vol. 35 Issue 9, p802-814. 13p. 6 Charts.
Subjects:	Psychiatric epidemiology, Higher education statistics, Mental illness, Comparative studies, Research methodology, Medical cooperation, Mental health, Research, Research funding, Social role, Students, Surveys, World health, World Health Organization, Evaluation research
Abstract:	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. [ABSTRACT FROM AUTHOR]
	Copyright of Depression & Anxiety (1091-4269) is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	Psychology and Behavioral Sciences Collection
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