Mental Health of College Students and Their Non-College-Attending Peers Results From the National Epidemiologic Study on Alcohol and Related Conditions

New York State Psychiatric Institute/Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, USA.
Archives of general psychiatry (Impact Factor: 14.48). 01/2009; 65(12):1429-37. DOI: 10.1001/archpsyc.65.12.1429
Source: PubMed


Although young adulthood is often characterized by rapid intellectual and social development, college-aged individuals are also commonly exposed to circumstances that place them at risk for psychiatric disorders.
To assess the 12-month prevalence of psychiatric disorders, sociodemographic correlates, and rates of treatment among individuals attending college and their non-college-attending peers in the United States.
Face-to-face interviews were conducted in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (N = 43,093). Analyses were done for the subsample of college-aged individuals, defined as those aged 19 to 25 years who were both attending (n = 2188) and not attending (n = 2904) college in the previous year.
Sociodemographic correlates and prevalence of 12-month DSM-IV psychiatric disorders, substance use, and treatment seeking among college-attending individuals and their non-college-attending peers.
Almost half of college-aged individuals had a psychiatric disorder in the past year. The overall rate of psychiatric disorders was not different between college-attending individuals and their non-college-attending peers. The unadjusted risk of alcohol use disorders was significantly greater for college students than for their non-college-attending peers (odds ratio = 1.25; 95% confidence interval, 1.04-1.50), although not after adjusting for background sociodemographic characteristics (adjusted odds ratio = 1.19; 95% confidence interval, 0.98-1.44). College students were significantly less likely (unadjusted and adjusted) to have a diagnosis of drug use disorder or nicotine dependence or to have used tobacco than their non-college-attending peers. Bipolar disorder was less common in individuals attending college. College students were significantly less likely to receive past-year treatment for alcohol or drug use disorders than their non-college-attending peers.
Psychiatric disorders, particularly alcohol use disorders, are common in the college-aged population. Although treatment rates varied across disorders, overall fewer than 25% of individuals with a mental disorder sought treatment in the year prior to the survey. These findings underscore the importance of treatment and prevention interventions among college-aged individuals.

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    • "The most commonly reported disorders in this population are substance use disorders, personality disorders, depression, anxiety disorders, and eating disorders[3]. Risk factors for developing a mental disorder among university students include experience of a stressful life event, living away from home, and experience of financial stress[2,3]. Despite the severity of the negative outcomes associated with untreated mental disorders, including poorer interpersonal relationships, lower engagement in campus activities, and increased risk of educational dropout[4], very few students receive appropriate mental health care[1]. "
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    • "ere unable to examine within - person effects of the tendency to act impulsively when experiencing negative emotions on drink - ing to cope and drinking quantity . Moreover , research examining this model has focused largely on college students ; given that this population inhabits a unique social environment in which heavy drinking is normative ( Blanco et al . , 2008 ) , the generalization of these findings is unclear ."
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    • "c o m of college students meet diagnostic criteria for a psychiatric disorder [8]. However, only about a third of college students with a mood disorder report taking psychotropic medications or going to counseling in the previous year [8] [9]. Therefore, campus-wide efforts to engage college students in mental health treatment may be warranted. "
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