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

Siobhan O'Neill, RP Auerbach, J Alonso, WG Axinn, P Cuijpers, DD Ebert, JG Green, I Hwang, RC Kessler, H Liu, P Mortier

Research output: Contribution to journalArticle

141 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.
Methods. 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 = 1,572) and nonstudents in the same age range (18-22; n = 4,178), including nonstudents who recently left college without graduating (n = 702) based on surveys in 21 countries (4 low/lower-middle income, 5 upper middle-income, 1 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, behavioural and substance disorders were assessed with the Composite International Diagnostic Interview.
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.
LanguageEnglish
Pages2955-2970
JournalPsychological Medicine
Volume46
Issue number14
Early online date3 Aug 2016
DOIs
Publication statusPublished - Oct 2016

Fingerprint

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

Keywords

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

Cite this

O'Neill, S., Auerbach, RP., Alonso, J., Axinn, WG., Cuijpers, P., Ebert, DD., ... Mortier, P. (2016). Mental disorders among college students in the WHO World Mental Health Surveys. Psychological Medicine, 46(14), 2955-2970. https://doi.org/10.1017/S0033291716001665
O'Neill, Siobhan ; Auerbach, RP ; Alonso, J ; Axinn, WG ; Cuijpers, P ; Ebert, DD ; Green, JG ; Hwang, I ; Kessler, RC ; Liu, H ; Mortier, P. / Mental disorders among college students in the WHO World Mental Health Surveys. In: Psychological Medicine. 2016 ; Vol. 46, No. 14. pp. 2955-2970.
@article{9b9b6738b8244d33ac6a63d4c1b01462,
title = "Mental disorders among college students in the WHO World Mental Health Surveys",
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. Methods. 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 = 1,572) and nonstudents in the same age range (18-22; n = 4,178), including nonstudents who recently left college without graduating (n = 702) based on surveys in 21 countries (4 low/lower-middle income, 5 upper middle-income, 1 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, behavioural and substance disorders were assessed with the Composite International Diagnostic Interview. 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.",
keywords = "College attrition, college dropout, education, epidemiology, mental illness",
author = "Siobhan O'Neill and RP Auerbach and J Alonso and WG Axinn and P Cuijpers and DD Ebert and JG Green and I Hwang and RC Kessler and H Liu and P Mortier",
year = "2016",
month = "10",
doi = "10.1017/S0033291716001665",
language = "English",
volume = "46",
pages = "2955--2970",
journal = "Psychological Medicine",
issn = "0033-2917",
publisher = "Cambridge University Press",
number = "14",

}

O'Neill, S, Auerbach, RP, Alonso, J, Axinn, WG, Cuijpers, P, Ebert, DD, Green, JG, Hwang, I, Kessler, RC, Liu, H & Mortier, P 2016, 'Mental disorders among college students in the WHO World Mental Health Surveys', Psychological Medicine, vol. 46, no. 14, pp. 2955-2970. https://doi.org/10.1017/S0033291716001665

Mental disorders among college students in the WHO World Mental Health Surveys. / O'Neill, Siobhan; Auerbach, RP; Alonso, J; Axinn, WG; Cuijpers, P; Ebert, DD; Green, JG; Hwang, I; Kessler, RC; Liu, H; Mortier, P.

In: Psychological Medicine, Vol. 46, No. 14, 10.2016, p. 2955-2970.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Mental disorders among college students in the WHO World Mental Health Surveys

AU - O'Neill, Siobhan

AU - Auerbach, RP

AU - Alonso, J

AU - Axinn, WG

AU - Cuijpers, P

AU - Ebert, DD

AU - Green, JG

AU - Hwang, I

AU - Kessler, RC

AU - Liu, H

AU - Mortier, P

PY - 2016/10

Y1 - 2016/10

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. Methods. 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 = 1,572) and nonstudents in the same age range (18-22; n = 4,178), including nonstudents who recently left college without graduating (n = 702) based on surveys in 21 countries (4 low/lower-middle income, 5 upper middle-income, 1 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, behavioural and substance disorders were assessed with the Composite International Diagnostic Interview. 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. Methods. 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 = 1,572) and nonstudents in the same age range (18-22; n = 4,178), including nonstudents who recently left college without graduating (n = 702) based on surveys in 21 countries (4 low/lower-middle income, 5 upper middle-income, 1 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, behavioural and substance disorders were assessed with the Composite International Diagnostic Interview. 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

U2 - 10.1017/S0033291716001665

DO - 10.1017/S0033291716001665

M3 - Article

VL - 46

SP - 2955

EP - 2970

JO - Psychological Medicine

T2 - Psychological Medicine

JF - Psychological Medicine

SN - 0033-2917

IS - 14

ER -