Prevalence, age-of-onset, and course of mental disorders among 72,288 first-year university students from 18 countries in the World Mental Health International College Student (WMH-ICS) initiative.
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Mason Andre, Rapsey Charlene, Sampson Nancy, Lee Sue, Albor Yesica, Al-Hadi Ahmad N, Alonso Jordi, Al-Saud Nouf, Altwaijri Yasmin, Andersson Claes, Atwoli Lukoye, Auerbach Randy P, Ayuya Caroline, Báez-Mansur Patricia M, Ballester Laura, Bantjes Jason, Baumeister Harald, Bendtsen Marcus, Benjet Corina, Berman Anne H, Bootsma Erik, Chan Silver C N, Cohut Irina, Covarrubias Díaz Couder María Anabell, Cuijpers Pim, David Oana, Dong Dong, Ebert David D, Nobrega Mireia Felez, Gaete Jorge, Forero Carlos García, Gili Margalida, Gutiérrez-García Raúl, Haro Josep Maria, Hasking Penelope, Hudec Kristen, Hunt Xanthe, Hurks Petra, Husky Mathilde, Jaguga Florence, Jansen Leontien, Kählke Fanny, Klinkenberg Elisabeth, Küchler Ann-Marie, Langer Álvaro I, Léniz Irene, Liu Yan, Mac-Ginty Scarlett, Martínez Vania, Mathai Muthoni, McLafferty Margaret, Miranda-Mendizabal Andrea, Murray Elaine, Musyoka Catherine M, Nedelcea Catalin, Ngai Chun Ho, Núñez Daniel, O'Neill Siobhan, Piqueras Jose A, Popescu Codruta A, Robinson Kealagh, Rodriguez-Jimenez Tiscar, Scarf Damian, Siu Oi Ling, Stein Dan J, Struijs Sascha Y, Tomoiaga Cristina, Valdés-García Karla Patricia, van Luenen Sanne, Vigo Daniel V, Wang Angel Y, Wiers Reinout, Wong Samuel Y S, Kessler Ronald C, Bruffaerts Ronny, WMH-ICS collaborators
Аннотация
METHODS: Data were collected 2017-2023 in the World Mental Health International College Student Initiative with n = 72,288 university students. Online surveys assessed alcohol use, attention-deficit/hyperactivity, bipolar, drug use, generalized anxiety, major depression, panic, and post-traumatic stress disorders with validated screening scales. Socio-demographics included student age, sex at birth, gender modality, sexual orientation, and parent education.
RESULTS: The weighted mean response rate was 20.8%. Data were calibrated for differential response rates by sex at birth and age. 65.2% of respondents screened positive for lifetime mental disorders and 57.4% for 12-month mental disorders. Females had higher prevalence of internalizing disorders and males of substance and attention-deficit/hyperactivity disorders. Older age was associated with lower prevalence of most 12-month but not lifetime mental disorders. Non-heterosexual sexual orientation and identifying as transgender were associated with highest prevalence of most mental disorders. Parent education was for the most part uncorrelated with prevalence.
CONCLUSIONS: Although prevalence might have been overestimated due to the low response rate and possible screening scale miscalibration, results nonetheless suggest that mental disorders are highly prevalent among first-year university students worldwide and are widely distributed with respect to socio-demographic characteristics. These findings highlight the need to implement effective interventions to better support first-year university student mental health.