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

WHO WMH-ICS Collaborators, Jordi Alonso*, Gemma Vilagut, Philippe Mortier, Randy P. Auerbach, Ronny Bruffaerts, Pim Cuijpers, Koen Demyttenaere, David D. Ebert, Edel Ennis, Raul A. Gutiérrez-García, Jennifer Greif Green, Penelope Hasking, Sue Lee, Jason Bantjes, Matthew K. Nock, Stephanie Pinder-Amaker, Nancy A. Sampson, Alan M. Zaslavsky, Ronald C. Kessler & 1 others Oi Ling SIU

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

2 Citations (Scopus)

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.

Original languageEnglish
Article numbere1750
Pages (from-to)e1750
JournalInternational Journal of Methods in Psychiatric Research
Volume28
Issue number2
Early online date20 Jan 2019
DOIs
Publication statusPublished - 1 Jun 2019

Fingerprint

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

Bibliographical note

Prof. SIU Oi-ling is one of the WHO WMH-ICS Collaborators

Keywords

  • college students
  • disability
  • role impairment

Cite this

WHO WMH-ICS Collaborators ; Alonso, Jordi ; Vilagut, Gemma ; Mortier, Philippe ; Auerbach, Randy P. ; Bruffaerts, Ronny ; Cuijpers, Pim ; Demyttenaere, Koen ; Ebert, David D. ; Ennis, Edel ; Gutiérrez-García, Raul A. ; Green, Jennifer Greif ; Hasking, Penelope ; Lee, Sue ; Bantjes, Jason ; Nock, Matthew K. ; Pinder-Amaker, Stephanie ; Sampson, Nancy A. ; Zaslavsky, Alan M. ; Kessler, Ronald C. ; SIU, Oi Ling. / 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. 2019 ; Vol. 28, No. 2. pp. e1750.
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title = "The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative",
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.",
keywords = "college students, disability, role impairment",
author = "{WHO WMH-ICS Collaborators} and Jordi Alonso and Gemma Vilagut and Philippe Mortier and Auerbach, {Randy P.} and Ronny Bruffaerts and Pim Cuijpers and Koen Demyttenaere and Ebert, {David D.} and Edel Ennis and Guti{\'e}rrez-Garc{\'i}a, {Raul A.} and Green, {Jennifer Greif} and Penelope Hasking and Sue Lee and Jason Bantjes and Nock, {Matthew K.} and Stephanie Pinder-Amaker and Sampson, {Nancy A.} and Zaslavsky, {Alan M.} and Kessler, {Ronald C.} and SIU, {Oi Ling}",
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WHO WMH-ICS Collaborators, Alonso, J, Vilagut, G, Mortier, P, Auerbach, RP, Bruffaerts, R, Cuijpers, P, Demyttenaere, K, Ebert, DD, Ennis, E, Gutiérrez-García, RA, Green, JG, Hasking, P, Lee, S, Bantjes, J, Nock, MK, Pinder-Amaker, S, Sampson, NA, Zaslavsky, AM, Kessler, RC & SIU, OL 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, vol. 28, no. 2, e1750, pp. e1750. https://doi.org/10.1002/mpr.1750

The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative. / WHO WMH-ICS Collaborators; Alonso, Jordi; Vilagut, Gemma; Mortier, Philippe; Auerbach, Randy P.; Bruffaerts, Ronny; Cuijpers, Pim; Demyttenaere, Koen; Ebert, David D.; Ennis, Edel; Gutiérrez-García, Raul A.; Green, Jennifer Greif; Hasking, Penelope; Lee, Sue; Bantjes, Jason; Nock, Matthew K.; Pinder-Amaker, Stephanie; Sampson, Nancy A.; Zaslavsky, Alan M.; Kessler, Ronald C.; SIU, Oi Ling (Collaborator).

In: International Journal of Methods in Psychiatric Research, Vol. 28, No. 2, e1750, 01.06.2019, p. e1750.

Research output: Journal PublicationsJournal Article (refereed)Researchpeer-review

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AU - Alonso, Jordi

AU - Vilagut, Gemma

AU - Mortier, Philippe

AU - Auerbach, Randy P.

AU - Bruffaerts, Ronny

AU - Cuijpers, Pim

AU - Demyttenaere, Koen

AU - Ebert, David D.

AU - Ennis, Edel

AU - Gutiérrez-García, Raul A.

AU - Green, Jennifer Greif

AU - Hasking, Penelope

AU - Lee, Sue

AU - Bantjes, Jason

AU - Nock, Matthew K.

AU - Pinder-Amaker, Stephanie

AU - Sampson, Nancy A.

AU - Zaslavsky, Alan M.

AU - Kessler, Ronald C.

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N2 - 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.

AB - 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.

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