Childhood adversities and mental disorders in first-year college students: results from the World Mental Health International College Student Initiative

This study investigates associations of several dimensions of childhood adversities (CAs) with lifetime mental disorders, 12-month disorder persistence, and impairment among incoming college students. Data come from the World Mental Health International College Student Initiative (WMH-ICS). Web-base...

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Veröffentlicht in:Psychological medicine 2023-05, Vol.53 (7), p.2963-2973
Hauptverfasser: Husky, Mathilde M., Sadikova, Ekaterina, Lee, Sue, Alonso, Jordi, Auerbach, Randy P., Bantjes, Jason, Bruffaerts, Ronny, Cuijpers, Pim, Ebert, David D., Garcia, Raùl Gutiérrez, Hasking, Penelope, Mak, Arthur, McLafferty, Margaret, Sampson, Nancy A., Stein, Dan J., Kessler, Ronald C.
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container_end_page 2973
container_issue 7
container_start_page 2963
container_title Psychological medicine
container_volume 53
creator Husky, Mathilde M.
Sadikova, Ekaterina
Lee, Sue
Alonso, Jordi
Auerbach, Randy P.
Bantjes, Jason
Bruffaerts, Ronny
Cuijpers, Pim
Ebert, David D.
Garcia, Raùl Gutiérrez
Hasking, Penelope
Mak, Arthur
McLafferty, Margaret
Sampson, Nancy A.
Stein, Dan J.
Kessler, Ronald C.
description This study investigates associations of several dimensions of childhood adversities (CAs) with lifetime mental disorders, 12-month disorder persistence, and impairment among incoming college students. Data come from the World Mental Health International College Student Initiative (WMH-ICS). Web-based surveys conducted in nine countries ( = 20 427) assessed lifetime and 12-month mental disorders, 12-month role impairment, and seven types of CAs occurring before the age of 18: parental psychopathology, emotional, physical, and sexual abuse, neglect, bullying victimization, and dating violence. Poisson regressions estimated associations using three dimensions of CA exposure: type, number, and frequency. Overall, 75.8% of students reported exposure to at least one CA. In multivariate regression models, lifetime onset and 12-month mood, anxiety, and substance use disorders were all associated with either the type, number, or frequency of CAs. In contrast, none of these associations was significant when predicting disorder persistence. Of the three CA dimensions examined, only frequency was associated with severe role impairment among students with 12-month disorders. Population-attributable risk simulations suggest that 18.7-57.5% of 12-month disorders and 16.3% of severe role impairment among those with disorders were associated with these CAs. CAs are associated with an elevated risk of onset and impairment among 12-month cases of diverse mental disorders but are not involved in disorder persistence. Future research on the associations of CAs with psychopathology should include fine-grained assessments of CA exposure and attempt to trace out modifiable intervention targets linked to mechanisms of associations with lifetime psychopathology and burden of 12-month mental disorders.
doi_str_mv 10.1017/S0033291721004980
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Data come from the World Mental Health International College Student Initiative (WMH-ICS). Web-based surveys conducted in nine countries ( = 20 427) assessed lifetime and 12-month mental disorders, 12-month role impairment, and seven types of CAs occurring before the age of 18: parental psychopathology, emotional, physical, and sexual abuse, neglect, bullying victimization, and dating violence. Poisson regressions estimated associations using three dimensions of CA exposure: type, number, and frequency. Overall, 75.8% of students reported exposure to at least one CA. In multivariate regression models, lifetime onset and 12-month mood, anxiety, and substance use disorders were all associated with either the type, number, or frequency of CAs. In contrast, none of these associations was significant when predicting disorder persistence. Of the three CA dimensions examined, only frequency was associated with severe role impairment among students with 12-month disorders. 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Sadikova, Ekaterina ; Lee, Sue ; Alonso, Jordi ; Auerbach, Randy P. ; Bantjes, Jason ; Bruffaerts, Ronny ; Cuijpers, Pim ; Ebert, David D. ; Garcia, Raùl Gutiérrez ; Hasking, Penelope ; Mak, Arthur ; McLafferty, Margaret ; Sampson, Nancy A. ; Stein, Dan J. ; Kessler, Ronald C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-650785490e3099db0f61eae618cfe0f430bde566ffa4ff89b7df1d964ec7348f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adverse childhood experiences</topic><topic>Anxiety disorders</topic><topic>Anxiety Disorders - psychology</topic><topic>Associations</topic><topic>Bullying</topic><topic>Childhood</topic><topic>Children</topic><topic>College students</topic><topic>Dating</topic><topic>Emotional abuse</topic><topic>Emotions</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Internet</topic><topic>Intimate partner violence</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Mental Health</topic><topic>Original Article</topic><topic>Polls &amp; 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language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10349206
source MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Cambridge Journals - CAUL Collection
subjects Adverse childhood experiences
Anxiety disorders
Anxiety Disorders - psychology
Associations
Bullying
Childhood
Children
College students
Dating
Emotional abuse
Emotions
Humanities and Social Sciences
Humans
Internet
Intimate partner violence
Mental disorders
Mental Disorders - epidemiology
Mental Disorders - psychology
Mental Health
Original Article
Polls & surveys
Psychology
Psychopathology
Regression analysis
Sexual abuse
Sexual violence
Students - psychology
Substance abuse
Substance use
Substance use disorder
Substance-Related Disorders - psychology
Suicides & suicide attempts
Victimization
title Childhood adversities and mental disorders in first-year college students: results from the World Mental Health International College Student Initiative
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