Mental disorders and subsequent educational attainment in a US national sample
Mental disorders and subsequent educational attainment in a US national sample
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DOI：
10.1016/j.jpsychires.2008.01.016
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发表时间：
2008-07-01
影响因子：
4.8
通讯作者：
Kessler, Ronald C.
中科院分区：
文献类型：
--
作者：
Breslau, Joshua;Lane, Michael;Kessler, Ronald C.
作为一个更大的调查的精神障碍对角色功能的不良影响的一部分，我们研究了早发性精神障碍与随后的教育程度在一个大型的全国性代表性调查的美国成年人。17种DSM-IV疾病的诊断和发病年龄通过回顾性自我报告进行评估，采用结构完整的WHO复合国际诊断工具（CIDI）。生存分析被用来检查早发性DSM-IV/CIDI疾病和随后终止学校教育与控制的社会人口特征和童年逆境（即童年创伤事件，童年忽视，父母的精神疾病，家庭破裂，和低父母的教育程度）之间的关联。研究发现，精神障碍与在完成四个教育里程碑（小学毕业、高中毕业、大学入学、大学毕业）之前终止学业显著相关，比值比在1.3-7.0之间。由于精神障碍而终止学业的比例在高中毕业时最大（10.2%），但在小学毕业（3.8%）、大学入学（4.4%）和大学毕业（2.6%）时也很有意义。这些结果增加了越来越多的证据，记录了精神障碍对生活过程的各种不利影响。(C)2008爱思唯尔有限公司版权所有。
As part of a larger investigation of the adverse effects of mental disorders on role functioning, we examined the associations of early-onset mental disorders with subsequent educational attainment in a large nationally representative survey of the US adult population. Diagnoses and age of onset for each of 17 DSM-IV disorders were assessed through retrospective self-report with the fully structured WHO Composite International Diagnostic Instrument (CIDI). Survival analysis was used to examine the associations between early-onset DSM-IV/CIDI disorders and subsequent termination of schooling with controls for socio-demographic characteristics and childhood adversities (i.e. childhood traumatic events, childhood neglect, parental mental illness, family disruption, and low parental educational attainment). Mental disorders were found to be significantly associated with termination of schooling prior to completion of each of four educational milestones (primary school graduation, high school graduation, college entry, college graduation), with odds ratios in the range of 1.3-7.0. The proportion of school terminations attributable to mental disorders was largest for high school graduation (10.2%) but also meaningful for primary school graduation (3.8%), college entry (4.4%) and college graduation (2.6%). These results add to a growing body of evidence documenting a wide variety of adverse life course effects of mental disorders. (C) 2008 Elsevier Ltd. All rights reserved.