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Title: Mental disorders among college students in the World Health Organization World Mental Health Surveys
Authors: 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, Elie 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
Affiliations: Faculty of Medicine 
Keywords: College attrition
College dropout
Mental illness
Issue Date: 2016
Publisher: National Library of Medicine
Part of: Psychological Medicine
Volume: 46
Issue: 14
Start page: 2955
End page: 2970
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.

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.

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.

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.
ISSN: 00332917
DOI: 10.1017/S0033291716001665
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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