The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative

J Alonso, Gemma Vilagut, Philippe Mortier, Randy Auerbach, R Bruffaerts, P Cuijpers, Koen Demyttenaere, David Ebert, Edel Ennis, Raul Gutiérrez-García, Jennifer Greif Green, Penelope Hasking, Sue Lee, Jason Bantjes, Matt Nock, Stephanie Pinder-Amaker, N Sampson, Alan Zaslavsky, R Kessler

Research output: Contribution to journalArticle

Abstract

ABSTRACT

Objective:
To assess the contribution of mental comorbidity to role impairment among college students.

Methods: Web-based self-report surveys from14,348 first-year college students (RR= 45.5%): 19 universities, 8 countries of the WorldMental Health International College Student (WMH-ICS) Initiative.
We assessed impairment (Sheehan Disability Scales and number of days out of role (DOR) in the past 30 days) and seven 12-month DSM-IV disorders. We defined 6 multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARP) of impairment.

Results: Highest prevalence of role impairment was highest among the 1.9% of students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%.

Conclusions: Comorbid mental disorders account for a substantial part of role impairment in college students
LanguageEnglish
JournalInternational Journal of Methods in Psychiatric Research
Publication statusAccepted/In press - 12 Oct 2018

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Mental Disorders
Mental Health
Students
Comorbidity
Panic
Bipolar Disorder
Diagnostic and Statistical Manual of Mental Disorders
Self Report
Population
Global Health
Depression
Health

Keywords

  • college students
  • disability
  • role impairment

Cite this

Alonso, J ; Vilagut, Gemma ; Mortier, Philippe ; Auerbach, Randy ; Bruffaerts, R ; Cuijpers, P ; Demyttenaere, Koen ; Ebert, David ; Ennis, Edel ; Gutiérrez-García, Raul ; Greif Green, Jennifer ; Hasking, Penelope ; Lee, Sue ; Bantjes, Jason ; Nock, Matt ; Pinder-Amaker, Stephanie ; Sampson, N ; Zaslavsky, Alan ; Kessler, R. / The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative. In: International Journal of Methods in Psychiatric Research . 2018.
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abstract = "ABSTRACTObjective:To assess the contribution of mental comorbidity to role impairment among college students.Methods: Web-based self-report surveys from14,348 first-year college students (RR= 45.5{\%}): 19 universities, 8 countries of the WorldMental Health International College Student (WMH-ICS) Initiative.We assessed impairment (Sheehan Disability Scales and number of days out of role (DOR) in the past 30 days) and seven 12-month DSM-IV disorders. We defined 6 multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARP) of impairment.Results: Highest prevalence of role impairment was highest among the 1.9{\%} of students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3{\%} of them had severe role impairment (vs 20.8{\%}, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6{\%} and DOR by 44.3{\%}.Conclusions: Comorbid mental disorders account for a substantial part of role impairment in college students",
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Alonso, J, Vilagut, G, Mortier, P, Auerbach, R, Bruffaerts, R, Cuijpers, P, Demyttenaere, K, Ebert, D, Ennis, E, Gutiérrez-García, R, Greif Green, J, Hasking, P, Lee, S, Bantjes, J, Nock, M, Pinder-Amaker, S, Sampson, N, Zaslavsky, A & Kessler, R 2018, 'The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative', International Journal of Methods in Psychiatric Research .

The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative. / Alonso, J; Vilagut, Gemma; Mortier, Philippe; Auerbach, Randy; Bruffaerts, R; Cuijpers, P; Demyttenaere, Koen; Ebert, David; Ennis, Edel; Gutiérrez-García, Raul; Greif Green, Jennifer; Hasking, Penelope; Lee, Sue; Bantjes, Jason; Nock, Matt; Pinder-Amaker, Stephanie; Sampson, N; Zaslavsky, Alan; Kessler, R.

In: International Journal of Methods in Psychiatric Research , 12.10.2018.

Research output: Contribution to journalArticle

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T1 - The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative

AU - Alonso, J

AU - Vilagut, Gemma

AU - Mortier, Philippe

AU - Auerbach, Randy

AU - Bruffaerts, R

AU - Cuijpers, P

AU - Demyttenaere, Koen

AU - Ebert, David

AU - Ennis, Edel

AU - Gutiérrez-García, Raul

AU - Greif Green, Jennifer

AU - Hasking, Penelope

AU - Lee, Sue

AU - Bantjes, Jason

AU - Nock, Matt

AU - Pinder-Amaker, Stephanie

AU - Sampson, N

AU - Zaslavsky, Alan

AU - Kessler, R

PY - 2018/10/12

Y1 - 2018/10/12

N2 - ABSTRACTObjective:To assess the contribution of mental comorbidity to role impairment among college students.Methods: Web-based self-report surveys from14,348 first-year college students (RR= 45.5%): 19 universities, 8 countries of the WorldMental Health International College Student (WMH-ICS) Initiative.We assessed impairment (Sheehan Disability Scales and number of days out of role (DOR) in the past 30 days) and seven 12-month DSM-IV disorders. We defined 6 multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARP) of impairment.Results: Highest prevalence of role impairment was highest among the 1.9% of students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%.Conclusions: Comorbid mental disorders account for a substantial part of role impairment in college students

AB - ABSTRACTObjective:To assess the contribution of mental comorbidity to role impairment among college students.Methods: Web-based self-report surveys from14,348 first-year college students (RR= 45.5%): 19 universities, 8 countries of the WorldMental Health International College Student (WMH-ICS) Initiative.We assessed impairment (Sheehan Disability Scales and number of days out of role (DOR) in the past 30 days) and seven 12-month DSM-IV disorders. We defined 6 multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARP) of impairment.Results: Highest prevalence of role impairment was highest among the 1.9% of students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%.Conclusions: Comorbid mental disorders account for a substantial part of role impairment in college students

KW - college students

KW - disability

KW - role impairment

M3 - Article

JO - International Journal of Methods in Psychiatric Research

T2 - International Journal of Methods in Psychiatric Research

JF - International Journal of Methods in Psychiatric Research

SN - 1049-8931

ER -