Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project. Alonso, J., Mortier, P., Auerbach, R., P., Bruffaerts, R., Vilagut, G., Cuijpers, P., Demyttenaere, K., Ebert, D., D., Ennis, E., Gutiérrez-García, R., A., Green, J., G., Hasking, P., Lochner, C., Nock, M., K., Pinder-Amaker, S., Sampson, N., A., Zaslavsky, A., M., Kessler, R., C., & Collaborators, W., H., O., W. Depression and Anxiety, 35(9):802-814, 2018.
Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project [link]Website  abstract   bibtex   
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.
@article{
 title = {Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project},
 type = {article},
 year = {2018},
 identifiers = {[object Object]},
 keywords = {Adolescent,Adult,Female,Global Health,Health Surveys,Humans,Male,Mental Disorders,Mental Health,Students,Universities,World Health Organization,Young Adult,anxiety disorders,depression,disability,drug use disorders,intimate relationships,role impairment,social function,suicide/self-harm,university students},
 pages = {802-814},
 volume = {35},
 websites = {http://files/599/Alonso et al. - 2018 - Severe role impairment associated with mental diso.pdf,http://www.ncbi.nlm.nih.gov/pubmed/29847006},
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 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.},
 bibtype = {article},
 author = {Alonso, Jordi and Mortier, Philippe and Auerbach, Randy P and Bruffaerts, Ronny and Vilagut, Gemma and Cuijpers, Pim and Demyttenaere, Koen and Ebert, David D and Ennis, Edel and Gutiérrez-García, Raul A and Green, Jennifer Greif and Hasking, Penelope and Lochner, Christine and Nock, Matthew K and Pinder-Amaker, Stephanie and Sampson, Nancy A and Zaslavsky, Alan M and Kessler, Ronald C and Collaborators, W H O WMH-ICS},
 journal = {Depression and Anxiety},
 number = {9}
}
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