WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders.

WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders.
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DOI:
10.1037/abn0000362
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发表时间:
2018-10
影响因子:
4.6
通讯作者:
WHO WMH-ICS Collaborators
WHO WMH-ICS Collaborators
中科院分区:
心理学1区
文献类型:
--
作者:
Auerbach RP;Mortier P;Bruffaerts R;Alonso J;Benjet C;Cuijpers P;Demyttenaere K;Ebert DD;Green JG;Hasking P;Murray E;Nock MK;Pinder-Amaker S;Sampson NA;Stein DJ;Vilagut G;Zaslavsky AM;Kessler RC;WHO WMH-ICS Collaborators

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世界各地的大学越来越多地与精神障碍的发病率上升作斗争,在许多情况下,对校园服务的需求远远超过了可用的资源。本研究报告了世卫组织世界精神卫生国际大学生项目第一阶段的初步结果,该项目在8个国家的19所大学进行了一系列调查,(澳大利亚、比利时、德国、墨西哥、北爱尔兰、南非、西班牙、美国)进行的目的是估计患病率和基本的社会人口统计学相关的常见精神疾病的第一,年大学生。基于网络的自我报告问卷管理的新生一年级学生(45.5%的汇总应答率)筛选六个常见的终身和12个月的DSM-IV精神障碍:重性抑郁症,躁狂/轻躁狂,广泛性焦虑症,惊恐障碍,酒精使用障碍和物质使用障碍。我们专注于13,984名全日制学生的受访者:其中35%的人至少对一种常见的终身疾病进行了筛查,31%的人至少对一种12个月的疾病进行了筛查。Syndrome通常在青春期早期和中期发作,并持续到调查的那一年。虽然相对温和,筛查阳性的最强相关因素是年龄较大,女性,未婚已故的父母,没有宗教信仰,非异性恋的身份和行为,低中学排名,和大学入学的外在动机。这些协会的弱点意味着,综合征被认为是广泛分布在学生群体中的这些变量。虽然在何种程度上具有成本效益的治疗将减少这些风险还不清楚,这些结果所暗示的精神卫生服务的高水平的需求是一个重大挑战,高等教育机构和政府。在8个国家的19所大学中,大约三分之一的一年级学生参加了一项自我报告调查,他们对至少一种常见的DSM-IV焦虑,情绪或物质障碍进行了筛查(35.3%终身,31.4% 12个月)。基本的社会人口统计学相关性是适度的,表明综合征广泛分布,而不是集中在一小部分学生群体。
Increasingly, colleges across the world are contending with rising rates of mental disorders, and in many cases, the demand for services on campus far exceeds the available resources. The present study reports initial results from the first stage of the WHO World Mental Health International College Student project, in which a series of surveys in 19 colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern-Ireland, South-Africa, Spain, United States) were carried out with the aim of estimating prevalence and basic socio-demographic correlates of common mental disorders among first-year college students. Web-based self-report questionnaires administered to incoming first-year students (45.5% pooled response rate) screened for six common lifetime and 12-month DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, alcohol use disorder, and substance use disorder. We focus on the 13,984 respondents who were full-time students: 35% of whom screened positive for at least one of the common lifetime disorders assessed and 31% screened positive for at least one 12-month disorder. Syndromes typically had onsets in early-middle adolescence and persisted into the year of the survey. Although relatively modest, the strongest correlates of screening positive were older age, female sex, unmarried-deceased parents, no religious affiliation, non-heterosexual identification and behavior, low secondary school ranking, and extrinsic motivation for college enrollment. The weakness of these associations means that the syndromes considered are widely distributed with respect to these variables in the student population. Although the extent to which cost-effective treatment would reduce these risks is unclear, the high level of need for mental health services implied by these results represents a major challenge to institutions of higher education and governments. Roughly one-third of first-year students in 19 colleges across 8 countries who participated in a self-report survey screened positive for at least one common DSM-IV anxiety, mood, or substance disorder (35.3% lifetime, 31.4% 12 months). Basic socio-demographic correlates were modest, showing that the syndromes were widely-distributed rather than concentrated in one small segment of the student population.
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