Mental Health of College Students and Their Non-college-attending Peers: Results from the National Epidemiologic Study on Alcohol and Related Conditions

By Carlos Blanco, Mayumi Okuda, C. Wright, D. Hasin, B. Grant, Shang-min Liu, Mark Olfson. Archives of General Psychiatry, 2008

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Context Although young adulthood is often characterized by rapid intellectual and social development, college-age individuals are also commonly exposed to circumstances that place them at risk for psychiatric disorders. Objective To assess 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. Design, Setting, Participants Face-to-face interviews were conducted in the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions ([NESARC] n=43,093). Analyses were done for the subsample of college-age individuals, defined as those aged 19-25 that were both attending (n=2,188) and not attending college (n=2,904) in the previous year. Main Outcome Measure 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. Results Almost half of college-age 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 their non-college attending peers (OR: 1.25, 95%, CI:1.04-1.50), though not after adjusting for background socio-demographic characteristics (AOR: 1.19, 95%: 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 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/drug use disorders than their non-college-attending peers. Conclusions Psychiatric disorders, particularly alcohol use disorders, are common in the college-age population. Although treatment rates varied across disorders, overall, less 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-age individuals.

Subfields: Education, Epidemiology, Social Psychology

View Paper: https://www.semanticscholar.org/paper/236cd0019521a3857c3662de1dd6f77b71be8f79

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