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

Journal article


Publication Details

Author(s): Alonso J, Vilagut G, Mortier P, Auerbach RP, Bruffaerts R, Cuijpers P, Demyttenaere K, Ebert D, Ennis E, Gutiérrez-García RA, Green JG, Hasking P, Lee S, Bantjes J, Nock MK, Pinder-Amaker S, Sampson NA, Zaslavsky AM, Kessler RC
Journal: International Journal of Methods in Psychiatric Research
Publication year: 2019
Volume: 28
Journal issue: 2
ISSN: 1049-8931


Abstract

Objective: The objective of this study is to assess the contribution of mental comorbidity to role impairment among college students. Methods: Web-based self-report surveys from 14,348 first-year college students (Response Rate [RR] = 45.5%): 19 universities, eight countries of the World Mental Health International College Student 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 six multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARPs) 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.


FAU Authors / FAU Editors

Ebert, David Dr.
Lehrstuhl für Klinische Psychologie und Psychotherapie


External institutions with authors

Boston University
Columbia University
Curtin University
Harvard University
Hospital del Mar
Universidad De La Salle Bajío
University Hospital Leuven (UZ) / Universitaire ziekenhuizen Leuven
University of Stellenbosch / Universiteit van Stellenbosch
University of Ulster
Veterans Affairs Healthcare System Boston and Harvard Medical School
Vrije Universiteit Amsterdam (VU) / University Amsterdam


How to cite

APA:
Alonso, J., Vilagut, G., Mortier, P., Auerbach, R.P., Bruffaerts, R., Cuijpers, P.,... Kessler, R.C. (2019). 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, 28(2). https://dx.doi.org/10.1002/mpr.1750

MLA:
Alonso, Jordi, et al. "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 28.2 (2019).

BibTeX: 

Last updated on 2019-29-05 at 20:08