Mental health of college students and their non-college-attending peers: results from the National Epidemiologic Study on Alcohol and Related Conditions.

Mental health of college students and their non-college-attending peers: results from the National Epidemiologic Study on Alcohol and Related Conditions.
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DOI:
10.1001/archpsyc.65.12.1429
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发表时间:
2008-12
影响因子:
--
通讯作者:
Olfson, Mark
Olfson, Mark
中科院分区:
其他
文献类型:
--
作者:
Blanco, Carlos;Okuda, Mayumi;Wright, Crystal;Hasin, Deborah S.;Grant, Bridget F.;Liu, Shang-Min;Olfson, Mark

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虽然青年期的特点往往是快速的智力和社会发展,大学年龄的个人也经常暴露于环境,使他们处于精神疾病的风险。评估12个月的精神疾病患病率,社会人口统计学相关性,以及在美国上大学的个人和他们的非大学同龄人的治疗率。面对面访谈在2001-2002年全国酒精和相关疾病流行病学调查([NESARC] n= 43,093)中进行。对大学年龄段的个体进行了分析,定义为19-25岁的人,他们在前一年都在上大学(n= 2,188)和没有上大学(n= 2,904)。社会人口统计学相关性和患病率的12个月DSM-IV精神疾病,物质使用和治疗寻求在大学就读的个人和他们的非大学就读的同龄人。在过去的一年里,几乎一半的大学年龄段的人患有精神疾病。精神疾病的总体发病率在大学生和非大学生之间没有差异。未调整的酒精使用障碍的风险是显着更大的大学生比他们的非大学参加的同龄人(OR:1.25,95%,CI:1.04-1.50),虽然没有调整后的背景社会人口特征(AOR:1.19,95%:0.98-1.44)。大学生(未经调整和调整)被诊断为药物使用障碍或尼古丁依赖或使用烟草的可能性明显低于非大学生。双相情感障碍在上大学的人中不太常见。大学生在过去一年中接受酒精/药物使用障碍治疗的可能性明显低于非大学生。精神疾病,特别是酒精使用障碍,在大学年龄人群中很常见。虽然治疗率因疾病而异,但总体而言,不到25%的精神障碍患者在调查前一年寻求治疗。这些研究结果强调了大学年龄段人群中治疗和预防干预的重要性。
Although young adulthood is often characterized by rapid intellectual and social development, college-age individuals are also commonly exposed to circumstances that place them at risk for psychiatric disorders. To assess 12-month prevalence of psychiatric disorders, sociodemographic correlates, and rates of treatment among individuals attending college and their non-college attending peers in the United States. Face-to-face interviews were conducted in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions ([NESARC] n=43,093). Analyses were done for the subsample of college-age individuals, defined as those aged 19-25 that were both attending (n=2,188) and not attending college (n=2,904) in the previous year. Sociodemographic correlates and prevalence of 12-month DSM-IV psychiatric disorders, substance use, and treatment seeking among college-attending individuals and their non-college attending peers. Almost half of college-age individuals had a psychiatric disorder in the past year. The overall rate of psychiatric disorders was not different between college-attending individuals and their non-college attending peers. The unadjusted risk of alcohol use disorders was significantly greater for college students than their non-college attending peers (OR: 1.25, 95%, CI:1.04-1.50), though not after adjusting for background socio-demographic characteristics (AOR: 1.19, 95%: 0.98-1.44). College students were significantly less likely (unadjusted and adjusted) to have a diagnosis of drug use disorder or nicotine dependence or have used tobacco than their non-college-attending peers. Bipolar disorder was less common in individuals attending college. College students were significantly less likely to receive past year treatment for alcohol/drug use disorders than their non-college-attending peers. Psychiatric disorders, particularly alcohol use disorders, are common in the college-age population. Although treatment rates varied across disorders, overall, less than 25% of individuals with a mental disorder sought treatment in the year prior to the survey. These findings underscore the importance of treatment and prevention interventions among college-age individuals.
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