TY  - JOUR
PY  - 2023//
TI  - Childhood adversities and mental disorders in first-year college students: results from the World Mental Health International College Student Initiative
JO  - Psychological medicine
A1  - Husky, Mathilde M.
A1  - Sadikova, Ekaterina
A1  - Lee, Sue
A1  - Alonso, Jordi
A1  - Auerbach, Randy P.
A1  - Bantjes, Jason
A1  - Bruffaerts, Ronny
A1  - Cuijpers, Pim
A1  - Ebert, David D.
A1  - Garcia, Raùl Gutiérrez
A1  - Hasking, Penelope
A1  - Mak, Arthur
A1  - McLafferty, Margaret
A1  - Sampson, Nancy A.
A1  - Stein, Dan J.
A1  - Kessler, Ronald C.
SP  - 2963
EP  - 2973
VL  - 53
IS  - 7
N2  - 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. <br><br>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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0033-2917
UR  - http://dx.doi.org/10.1017/S0033291721004980
ID  - ref1
ER  -