TY - JOUR
PY - 2016//
TI - Educational attainment as a protective factor for psychiatric disorders: findings from a nationally representative longitudinal study
JO - Depression and anxiety
A1 - Erickson, Julie
A1 - El-Gabalawy, Renee
A1 - Palitsky, Daniel
A1 - Patten, Scott
A1 - Mackenzie, Corey S.
A1 - Stein, Murray B.
A1 - Sareen, Jitender
SP - 1013
EP - 1022
VL - 33
IS - 11
N2 - OBJECTIVE: This study examined cross-sectional and longitudinal relationships between educational attainment and psychiatric disorders (i.e., mood, anxiety, substance use, and personality disorders) using a nationally representative survey of US adults.
METHOD: We used data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N = 34,653). Bivariate and multiple logistic regressions examined cross-sectional and longitudinal associations between educational attainment and a variety of past-year and incident anxiety, mood, and substance use disorders, controlling for sociodemographics and psychiatric disorder comorbidity.
RESULTS: Adjusted cross-sectional data indicated that educational attainment below a graduate or professional degree at Wave 2 was associated with significantly higher odds of substance use and/or dependence disorders (adjusted odds ratio range (AORR = 1.55-2.55, P < 0.001). Longitudinal adjusted regression analyses indicated that individuals reporting less than a college education at Wave 1 were at significantly higher odds of experiencing any incident mood (AORR 1.49-1.64, P < 0.01), anxiety (AORR 1.35-1.69, P < 0.01), and substance use disorder (AORR 1.50-2.02, P < 0.01) at Wave 2 even after controlling for other sociodemographic variables and psychiatric comorbidity.
CONCLUSION: Findings lend support to other published research demonstrating that educational attainment is protective against developing a spectrum of psychiatric disorders. Mechanisms underlying this relationship are speculative and in need of additional research.
© 2016 Wiley Periodicals, Inc.
Language: en
LA - en SN - 1091-4269 UR - http://dx.doi.org/10.1002/da.22515 ID - ref1 ER -