ArticleInternational journal of methods in psychiatric research2019
The role impairment associated with mental disorder risk profiles in the WHO World Mental Health International College Student Initiative.
Article in International journal of methods in psychiatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed, 82 citations in OpenAlex.
- Psychological and Socioeconomic Determinants of Mental Health in Higher Education Students: A Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Mental disorders & self-injurious thoughts and behaviors predict high risk of role impairment among university students - results from the world mental health international college student initiative.Journal of affective disorders · 2026Article
- Developing, piloting, and evaluating a psychological first aid training for medical students in South Africa.BMC medical education · 2026Article
- Sleep-Related Concerns Mediate the Association Between Cyber-Sexual Victimization and Psychological Distress Among Diverse University Students.Cyberpsychology, behavior and social networking · 2025Article
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- Neuronal Synaptic Communication and Mitochondrial Energetics in Human Health and Disease.Advances in experimental medicine and biology · 2025Review
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- Impact of campus closure during COVID-19 on lifestyle, educational performance, and anxiety levels of college students in China.BMC public health · 2024Article
- Effects of Transition from Remote to In-Person Learning in University Students: A Longitudinal Study.European journal of investigation in health, psychology and education · 2024Article
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- Treatment rates and barriers to mental health service utilisation among university students in South Africa.International journal of mental health systems · 2023Article
- Adaptation of a mobile app for early anxiety and depression intervention in university students in Chile: participatory study.BJPsych international · 2023Review
- Anxious, Depressed, and Suicidal: Crisis Narratives in University Student Mental Health and the Need for a Balanced Approach to Student Wellness.International journal of environmental research and public health · 2023Article
- South African university students' experiences of online group cognitive behavioural therapy: Implications for delivering digital mental health interventions to young people.Global mental health (Cambridge, England) · 2023Article
- Suicide attempts among students of higher education, Nelson Mandela Bay Municipality, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Interventions in Chinese Undergraduate Students' Mental Health: Systematic Review.Interactive journal of medical research · 2022Review
- Article
- ADHD Comorbidity Structure and Impairment: Results of the WHO World Mental Health Surveys International College Student Project (WMH-ICS).Journal of attention disorders · 2022Article
- The comparative importance of mental and physical disorders for health-related days out of role in the general population of Saudi Arabia.BMC public health · 2022Article
- A Web-Based Group Cognitive Behavioral Therapy Intervention for Symptoms of Anxiety and Depression Among University Students: Open-Label, Pragmatic Trial.JMIR mental health · 2021Article
Corrections and comments
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Authors and funding
20 authors at 11 institutions in 9 countries.
Funding
Abstract
objectiveThe objective of this study is to assess the contribution of mental comorbidity to role impairment among college students.
methodsWeb-based self-report surveys from 14,348 first-year college students (Response Rate [RR] = 45.5%): 19 universities, eight countries of the World Mental Health International College Student Initiative. We assessed impairment (Sheehan Disability Scales and number of days out of role [DOR] in the past 30 days) and seven 12-month DSM-IV disorders. We defined six multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARPs) of impairment.
resultsHighest prevalence of role impairment was highest among the 1.9% of students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs. 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%.
conclusionsComorbid mental disorders account for a substantial part of role impairment in college students.
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