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 |
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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 |
format | Article |
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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. 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.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291721004980</identifier><identifier>PMID: 37449483</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>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</subject><ispartof>Psychological medicine, 2023-05, Vol.53 (7), p.2963-2973</ispartof><rights>Copyright © The Author(s), 2022. Published by Cambridge University Press</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-650785490e3099db0f61eae618cfe0f430bde566ffa4ff89b7df1d964ec7348f3</citedby><cites>FETCH-LOGICAL-c560t-650785490e3099db0f61eae618cfe0f430bde566ffa4ff89b7df1d964ec7348f3</cites><orcidid>0000-0003-4831-2305 ; 0000-0001-5314-1403</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0033291721004980/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,230,315,781,785,886,12851,27349,27929,27930,31004,33779,55633</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37449483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03958102$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Husky, Mathilde M.</creatorcontrib><creatorcontrib>Sadikova, Ekaterina</creatorcontrib><creatorcontrib>Lee, Sue</creatorcontrib><creatorcontrib>Alonso, Jordi</creatorcontrib><creatorcontrib>Auerbach, Randy P.</creatorcontrib><creatorcontrib>Bantjes, Jason</creatorcontrib><creatorcontrib>Bruffaerts, Ronny</creatorcontrib><creatorcontrib>Cuijpers, Pim</creatorcontrib><creatorcontrib>Ebert, David D.</creatorcontrib><creatorcontrib>Garcia, Raùl Gutiérrez</creatorcontrib><creatorcontrib>Hasking, Penelope</creatorcontrib><creatorcontrib>Mak, Arthur</creatorcontrib><creatorcontrib>McLafferty, Margaret</creatorcontrib><creatorcontrib>Sampson, Nancy A.</creatorcontrib><creatorcontrib>Stein, Dan J.</creatorcontrib><creatorcontrib>Kessler, Ronald C.</creatorcontrib><creatorcontrib>WHO WMH-ICS collaborators</creatorcontrib><creatorcontrib>WHO WMH-ICS collaborators</creatorcontrib><title>Childhood adversities and mental disorders in first-year college students: results from the World Mental Health International College Student Initiative</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><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.</description><subject>Adverse childhood experiences</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - psychology</subject><subject>Associations</subject><subject>Bullying</subject><subject>Childhood</subject><subject>Children</subject><subject>College students</subject><subject>Dating</subject><subject>Emotional abuse</subject><subject>Emotions</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Internet</subject><subject>Intimate partner violence</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Mental Health</subject><subject>Original Article</subject><subject>Polls & surveys</subject><subject>Psychology</subject><subject>Psychopathology</subject><subject>Regression analysis</subject><subject>Sexual abuse</subject><subject>Sexual violence</subject><subject>Students - psychology</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Substance use disorder</subject><subject>Substance-Related Disorders - psychology</subject><subject>Suicides & suicide attempts</subject><subject>Victimization</subject><issn>0033-2917</issn><issn>1469-8978</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kkGL1DAUx4Mo7jj6AbxIwIseqkmTtomXZRnUWRjxsIrHkmleplnSZk3Sgf0mflxTOq664imQ_-_93kt4CD2n5A0ltHl7RQhjpaRNSQnhUpAHaEV5LQshG_EQrea4mPMz9CTGa0Ioo7x8jM5Yw7nkgq3Qj01vne6911jpI4Rok4WI1ajxAGNSDmsbfdA5wXbExoaYiltQAXfeOTgAjmnSmYzvcIA4uRSxCX7AqQf8zQen8afFswXlUo8vxwRhVMn6MV9uTpKrRZLT3D-HR3iKHhnlIjw7nWv09cP7L5ttsfv88XJzsSu6qiapqCvSiIpLAoxIqffE1BQU1FR0BojhjOw1VHVtjOLGCLlvtKFa1hy6hnFh2BqdL96baT-A7vIUQbn2JthBhdvWK9v-nYy2bw_-2FLCuCxJnQ2vF0N_r257sWvnO8JkJSgpjzSzr07dgv8-QUztYGMHzqkR_BTbUjBRVpRm-Rq9vIde-yn_nJupkrKmkvVM0YXqgo8xgLmbgJJ2XpL2nyXJNS_-fPJdxa-tyAA7SdWwD1Yf4Hfv_2t_AlWtyY0</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Husky, Mathilde M.</creator><creator>Sadikova, Ekaterina</creator><creator>Lee, Sue</creator><creator>Alonso, Jordi</creator><creator>Auerbach, Randy P.</creator><creator>Bantjes, Jason</creator><creator>Bruffaerts, Ronny</creator><creator>Cuijpers, Pim</creator><creator>Ebert, David D.</creator><creator>Garcia, Raùl Gutiérrez</creator><creator>Hasking, Penelope</creator><creator>Mak, Arthur</creator><creator>McLafferty, Margaret</creator><creator>Sampson, Nancy A.</creator><creator>Stein, Dan J.</creator><creator>Kessler, Ronald C.</creator><general>Cambridge University Press</general><general>Cambridge University Press (CUP)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7TK</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>1XC</scope><scope>BXJBU</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4831-2305</orcidid><orcidid>https://orcid.org/0000-0001-5314-1403</orcidid></search><sort><creationdate>20230501</creationdate><title>Childhood adversities and mental disorders in first-year college students: results from the World Mental Health International College Student Initiative</title><author>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.</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 & surveys</topic><topic>Psychology</topic><topic>Psychopathology</topic><topic>Regression analysis</topic><topic>Sexual abuse</topic><topic>Sexual violence</topic><topic>Students - psychology</topic><topic>Substance abuse</topic><topic>Substance use</topic><topic>Substance use disorder</topic><topic>Substance-Related Disorders - psychology</topic><topic>Suicides & suicide attempts</topic><topic>Victimization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Husky, Mathilde M.</creatorcontrib><creatorcontrib>Sadikova, Ekaterina</creatorcontrib><creatorcontrib>Lee, Sue</creatorcontrib><creatorcontrib>Alonso, Jordi</creatorcontrib><creatorcontrib>Auerbach, Randy P.</creatorcontrib><creatorcontrib>Bantjes, Jason</creatorcontrib><creatorcontrib>Bruffaerts, Ronny</creatorcontrib><creatorcontrib>Cuijpers, Pim</creatorcontrib><creatorcontrib>Ebert, David D.</creatorcontrib><creatorcontrib>Garcia, Raùl Gutiérrez</creatorcontrib><creatorcontrib>Hasking, Penelope</creatorcontrib><creatorcontrib>Mak, Arthur</creatorcontrib><creatorcontrib>McLafferty, Margaret</creatorcontrib><creatorcontrib>Sampson, Nancy A.</creatorcontrib><creatorcontrib>Stein, Dan J.</creatorcontrib><creatorcontrib>Kessler, Ronald C.</creatorcontrib><creatorcontrib>WHO WMH-ICS collaborators</creatorcontrib><creatorcontrib>WHO WMH-ICS collaborators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Social Services Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Husky, Mathilde M.</au><au>Sadikova, Ekaterina</au><au>Lee, Sue</au><au>Alonso, Jordi</au><au>Auerbach, Randy P.</au><au>Bantjes, Jason</au><au>Bruffaerts, Ronny</au><au>Cuijpers, Pim</au><au>Ebert, David D.</au><au>Garcia, Raùl Gutiérrez</au><au>Hasking, Penelope</au><au>Mak, Arthur</au><au>McLafferty, Margaret</au><au>Sampson, Nancy A.</au><au>Stein, Dan J.</au><au>Kessler, Ronald C.</au><aucorp>WHO WMH-ICS collaborators</aucorp><aucorp>WHO WMH-ICS collaborators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Childhood adversities and mental disorders in first-year college students: results from the World Mental Health International College Student Initiative</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>53</volume><issue>7</issue><spage>2963</spage><epage>2973</epage><pages>2963-2973</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><abstract>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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>37449483</pmid><doi>10.1017/S0033291721004980</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4831-2305</orcidid><orcidid>https://orcid.org/0000-0001-5314-1403</orcidid><oa>free_for_read</oa></addata></record> |
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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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