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

Journal: Psychological medicine

Volume: 53

Issue: 7

Year of Publication: 2023

Affiliated Institutions:  Laboratoire de Psychologie EA, Université de Bordeaux, Bordeaux, France. Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA. Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute; Pompeu Fabra University (UPF); and CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. Department of Psychiatry, Columbia University, New York, New York, USA. Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, South Africa. Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Leuven, Belgium. Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. Department for Sport and Health Sciences, Chair for Psychology & Digital Mental Health Care, Technical University Munich, Munich, Germany. Department of Social Sciences and Humanities, De La Salle Bajio University, Salamanca, Guanajuato, Mexico. School of Population Health, Curtin University, Perth, Western Australia, Australia. Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR. Psychology Research Institute, Ulster University, Coleraine, UK. Department of Psychiatry & Mental Health and South African Medical Council Research Unit on Risk and Resilience in Mental Disorders, University of Cape Town and Groote Schuur Hospital, Cape Town, Republic of South Africa.

Abstract summary 

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.

Authors & Co-authors:  Husky Mathilde M MM Sadikova Ekaterina E Lee Sue S Alonso Jordi J Auerbach Randy P RP Bantjes Jason J Bruffaerts Ronny R Cuijpers Pim P Ebert David D DD Garcia Raùl Gutiérrez RG Hasking Penelope P Mak Arthur A McLafferty Margaret M Sampson Nancy A NA Stein Dan J DJ Kessler Ronald C RC

Study Outcome 

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Statistics
Citations :  Afifi TO, Enns MW, Cox BJ, Asmundson GJG, Stein MB, & Sareen J (2008). Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences. American Journal of Public Health, 98(5), 946–952. doi:10.2105/AJPH.2007.120253
Authors :  17
Identifiers
Doi : 10.1017/S0033291721004980
SSN : 1469-8978
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Anxiety;childhood adversities;college students;depression;impairment;substance use disorders
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England