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

Autor/inn/en	Husky, Mathilde M.; Sadikova, Ekaterina; Lee, Sue; Alonso, Jordi; Auerbach, Randy P.; Bantjes, Jason; Bruffaerts, Ronny; Ebert, David D.; Gutiérrez Garcia, Raùl; Mak, Arthur; McLafferty, Margaret; Sampson, Nancy A.; Stein, Dan J.; Kessler, Ronald C.; Cuijpers, Pim; Hasking, Penelope
Titel	Childhood adversities and mental disorders in first-year college students: Results from the World Mental Health International College Student Initiative. Gefälligkeitsübersetzung: Widrige Umstände in der Kindheit und psychische Störungen bei Studienanfängern: Ergebnisse der World Mental Health International College Student Initiative.
Quelle	In: Psychological medicine, (2023) 53, S. 2963-2973 PDF als Volltext Link als defekt meldenVerfügbarkeit
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
ISSN	0033-2917; 1469-8978
DOI	10.1017/S0033291721004980
Schlagwörter	Psychische Störung; Kindheitsgeschichte; Epidemiologie; Bachelor-Studiengang; Student; Studentin
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. (ZPID).
Erfasst von	Leibniz-Institut für Psychologie, Trier
Update	2024/2