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, S., 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. and Bruffaerts, R. (2016) Mental disorders among college students in the World Health Organization world mental health surveys. Psychological Medicine, 1-16. doi:10.1017/S0033291716001665

Author 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, S.
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.
Title Mental disorders among college students in the World Health Organization world mental health surveys
Journal name Psychological Medicine   Check publisher's open access policy
ISSN 1469-8978
Publication date 2016-08-03
Sub-type Article (original research)
DOI 10.1017/S0033291716001665
Open Access Status Not yet assessed
Start page 1
End page 16
Total pages 16
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2017
Language eng
Formatted 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.
Keyword College attrition
College dropout
Mental illness
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Queensland Brain Institute Publications
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