Artigo Acesso aberto Produção Nacional Revisado por pares

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

2016; Cambridge University Press; Volume: 46; Issue: 14 Linguagem: Inglês

10.1017/s0033291716001665

ISSN

1469-8978

Autores

Randy P. Auerbach, Jordi Alonso, William G. Axinn, Pim Cuijpers, David Daniel Ebert, Jennifer Green, I. Hwang, Ronald C. Kessler, Howard Liu, Philippe Mortier, Matthew K. Nock, Arthur D. P. Mak, Nancy A. Sampson, Sergio Aguilar‐Gaxiola, Amit Malik, Laura Helena Andrade, Corina Benjet, José Miguel Caldas‐de‐Almeida, Koen Demyttenaere, Silvia Florescu, Giovanni de Girolamo, Oye Gureje, Josep María Haro, Elie G. Karam, Andrzej Kiejna, Viviane Kovess–Masféty, S. Lee, John J. McGrath, Siobhan O’Neill, B.‐E. Pennell, Kate M. Scott, M. ten Have, Yolanda Torres, Alan M. Zaslavsky, Zahari Zarkov, Ronny Bruffaerts,

Tópico(s)

Health disparities and outcomes

Resumo

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.

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