Discontinuous college enrollment: associations with substance use and mental health.
Discontinuous college enrollment: associations with substance use and mental health.
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DOI：
10.1176/appi.ps.201200106
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发表时间：
2013-02-01
期刊：
影响因子：
--
通讯作者：
O'Grady KE
中科院分区：
文献类型：
--
作者：
Arria AM;Caldeira KM;Vincent KB;Winick ER;Baron RA;O'Grady KE
目的：探讨药物使用和心理健康问题与大学不连续入学风险的潜在关系。参与者是一所大型公立大学的1145名大学生，从大学入学（一年级）开始，每年接受一次采访。不连续入学被定义为一个或多个学期的入学间隔，并被操作为“早”（即前两年）和“晚”（即后两年）与“无”（即在整个大学期间连续入学）。第一年测量的解释变量是贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、儿童行为问题、大麻使用、非法药物使用数量和酒精消费。在第3-4年，参与者报告了临床诊断为ADD/ADHD、抑郁和/或焦虑的终生病史，包括诊断时的年龄。建立多项逻辑回归模型来评估自变量与不连续入组之间的关系，并保持恒定的背景特征。较高的BDI分数预测早期不连续，但不能预测晚期不连续，而大麻和酒精使用预测晚期不连续，但不能预测早期不连续。在大学期间接受抑郁症诊断与早期和晚期的不连续性有关。一旦考虑到背景特征，自我报告的大学前诊断与不连续入学无关。在大学期间经历抑郁症状和/或寻求抑郁症治疗的学生可能面临大学入学中断的风险。吸食大麻和大量饮酒似乎增加了这种风险。已经有精神疾病诊断的学生进入大学并不一定有入学中断的风险。
To examine the prospective relationship of substance use and mental health problems with risk for discontinuous enrollment during college. Participants were 1,145 college students interviewed annually at one large public university, beginning at college entry (year 1). Discontinuous enrollment was defined as a gap in enrollment of one or more semesters and operationalized as “early” (i.e., during the first two years) and “late” (i.e., during the second two years) versus “none” (i.e., continuously enrolled throughout college). Explanatory variables measured in year 1 were the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), childhood conduct problems, cannabis use, number of illicit drugs used, and alcohol consumption. In years 3–4, participants reported lifetime history of clinically diagnosed ADD/ADHD, depression, and/or anxiety, including age at diagnosis. Multinomial logistic regression models were developed to evaluate the association between the independent variables and discontinuous enrollment, holding constant background characteristics. Higher BDI scores predicted early discontinuity but not late discontinuity, whereas cannabis and alcohol use predicted late discontinuity but not early discontinuity. Receiving a depression diagnosis during college was associated with both early and late discontinuity. None of the self-reported pre-college diagnoses were related to discontinuous enrollment once background characteristics were taken into account. Students experiencing depressive symptoms and/or seeking treatment for depression during college might be at risk for interruptions in their college enrollment. Cannabis use and heavy drinking appear to add to this risk. Students entering college with pre-existing psychiatric diagnoses are not necessarily at risk for enrollment interruptions.
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影响因子：
2.1
作者：
Ishitani, Terry T.
通讯作者：
Ishitani, Terry T.
影响因子：
3.5
作者：
Arria, Amelia M.;Caldeira, Kimberly M.;Wish, Eric D.
通讯作者：
Wish, Eric D.
影响因子：
2.7
作者：
Nurco, DN;Blatchley, RJ;O'Grady, KE
通讯作者：
O'Grady, KE
影响因子：
1.7
作者：
Arria AM
通讯作者：
Arria AM
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE