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

Published online by Cambridge University Press:  11 January 2022

Mathilde M. Husky
Affiliation:
Laboratoire de Psychologie EA4139, Université de Bordeaux, Bordeaux, France
Ekaterina Sadikova
Affiliation:
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
Sue Lee
Affiliation:
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Jordi Alonso
Affiliation:
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
Randy P. Auerbach
Affiliation:
Department of Psychiatry, Columbia University, New York, New York, USA
Jason Bantjes
Affiliation:
Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, South Africa
Ronny Bruffaerts
Affiliation:
Universitair Psychiatrisch Centrum – Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Leuven, Belgium
Pim Cuijpers
Affiliation:
Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
David D. Ebert
Affiliation:
Department for Sport and Health Sciences, Chair for Psychology & Digital Mental Health Care, Technical University Munich, Munich, Germany
Raùl Gutiérrez Garcia
Affiliation:
Department of Social Sciences and Humanities, De La Salle Bajio University, Salamanca, Guanajuato, Mexico
Penelope Hasking
Affiliation:
School of Population Health, Curtin University, Perth, Western Australia, Australia
Arthur Mak
Affiliation:
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR
Margaret McLafferty
Affiliation:
Psychology Research Institute, Ulster University, Coleraine, UK
Nancy A. Sampson
Affiliation:
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Dan J. Stein
Affiliation:
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
Ronald C. Kessler*
Affiliation:
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
*
Author for correspondence: Ronald C. Kessler, E-mail: kessler@hcp.med.harvard.edu

Abstract

Background

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.

Methods

Data come from the World Mental Health International College Student Initiative (WMH-ICS). Web-based surveys conducted in nine countries (n = 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.

Results

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.

Conclusion

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.

Type
Original Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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