000162138 001__ 162138
000162138 005__ 20251017144644.0
000162138 0247_ $$2doi$$a10.1016/j.psychres.2025.116605
000162138 0248_ $$2sideral$$a144722
000162138 037__ $$aART-2025-144722
000162138 041__ $$aeng
000162138 100__ $$aRoest, Annelieke M.
000162138 245__ $$aComorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative
000162138 260__ $$c2025
000162138 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162138 5203_ $$aBackground. Mental disorders are highly prevalent among students worldwide. This study aims to examine comorbidity and temporal associations between mental disorders among students.
Methods. The study included 72,288 students from 18 countries as part of the World Mental Health International College Student (WMH-ICS) Initiative, with cross-sectional data collected between 2017 and 2023. Screening for common DSM-5 disorders was conducted using validated screening measures. Latent variables were examined using exploratory principal axis factor analysis on a correlation matrix among the lifetime mental disorders. Based on age-of-onset information, multivariable poisson regression models were used to examine associations of prior disorders with the first onset of other disorders.
Results. 27.0 % of students screened positive for only one lifetime disorder, 17.1 % for two, 10.9 % for three, and 10.6 % for 4+ disorders. In the factor analysis, three latent variables were found, comprising: internalizing disorders (generalized anxiety disorder, major depressive episode, post-traumatic stress disorder, and panic disorder), substance use disorders (drug use disorder and alcohol use disorder), and externalizing disorders (attention deficit/hyperactivity disorder and mania/hypomania). Prior internalizing and externalizing disorders were associated with the subsequent first onset of all other disorders with risk ratios ranging from 1.5–7.5. Substance use disorders were less consistently associated with the subsequent first onset of other disorders, but alcohol use disorder was associated with the first onset of drug use disorder and vice versa.
Conclusions. Mental disorder comorbidity is common among students, and students with disorders across the internalizing and externalizing spectrum have an increased risk of future mental disorder comorbidities.
000162138 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162138 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162138 700__ $$ade Vries, Ymkje Anna
000162138 700__ $$aPozuelo, Julia R.
000162138 700__ $$aPetukhova, Maria V.
000162138 700__ $$aLee, Sue
000162138 700__ $$aSampson, Nancy A
000162138 700__ $$aAlbor, Yesica
000162138 700__ $$aAlhadi, Ahmad N.
000162138 700__ $$aAlonso, Jordi
000162138 700__ $$aAl-Saud, Nouf
000162138 700__ $$aAltwaijri, Yasmin
000162138 700__ $$aAndersson, Claes
000162138 700__ $$aAtwoli, Lukoye
000162138 700__ $$aAuerbach, Randy P.
000162138 700__ $$aMuaka, Caroline Ayuya
000162138 700__ $$aBáez-Mansur, Patricia M.
000162138 700__ $$aBallester, Laura
000162138 700__ $$aBantjes, Jason
000162138 700__ $$aBaumeister, Harald
000162138 700__ $$aBendtsen, Marcus
000162138 700__ $$aBenjet, Corina
000162138 700__ $$aBerman, Anne H.
000162138 700__ $$aBruffaerts, Ronny
000162138 700__ $$aCarrasco, Paula
000162138 700__ $$aChan, Silver C.N.
000162138 700__ $$aCohut, Irina
000162138 700__ $$aCouder, María Anabell Covarrubias Díaz
000162138 700__ $$aCrockett, Marcelo A.
000162138 700__ $$aCuijpers, Pim
000162138 700__ $$aDavid, Oana A.
000162138 700__ $$aDong, Dong
000162138 700__ $$aEbert, David D.
000162138 700__ $$aGaete, Jorge
000162138 700__ $$aForero, Carlos García
000162138 700__ $$aGili, Margalida
000162138 700__ $$aGutiérrez-García, Raúl
000162138 700__ $$aHaro, Josep Maria
000162138 700__ $$aHasking, Penelope
000162138 700__ $$aHunt, Xanthe
000162138 700__ $$aHusky, Mathilde M.
000162138 700__ $$aJaguga, Florence
000162138 700__ $$aLanger, Álvaro I.
000162138 700__ $$aLéniz, Irene
000162138 700__ $$aLiu, Yan
000162138 700__ $$aMac-Ginty, Scarlett
000162138 700__ $$aMartínez, Vania
000162138 700__ $$aMcLafferty, Margaret
000162138 700__ $$aMiranda, Andrea
000162138 700__ $$aMonroy-Velasco, Iris Ruby
000162138 700__ $$aMurray, Elaine K.
000162138 700__ $$aMusyoka, Catherine M.
000162138 700__ $$aNedelcea, Catalin
000162138 700__ $$aNúñez, Daniel
000162138 700__ $$aO’Neill, Siobhan M.
000162138 700__ $$aPiqueras, José A.
000162138 700__ $$aPopescu, Codruta A.
000162138 700__ $$aPrescivalli, Ana Paula
000162138 700__ $$aRapsey, Charlene
000162138 700__ $$aRobinson, Kealagh
000162138 700__ $$aRodriguez-Jimenez, Tiscar$$uUniversidad de Zaragoza
000162138 700__ $$aSaal, Wylene
000162138 700__ $$aSiu, Oi-ling
000162138 700__ $$aStein, Dan J.
000162138 700__ $$aStruijs, Sascha Y.
000162138 700__ $$aTomoiaga, Cristina T.
000162138 700__ $$aValdés-García, Karla Patricia
000162138 700__ $$aVargas-Contreras, Eunice
000162138 700__ $$aVigo, Daniel V.
000162138 700__ $$aWang, Angel Y.
000162138 700__ $$aWong, Samuel Y.S.
000162138 700__ $$aKessler, Ronald C.
000162138 700__ $$aBoffo, Marilisa
000162138 700__ $$aBorges, Guilherme
000162138 700__ $$aBreet, Elsie
000162138 700__ $$aCristóbal-Narvaez, Paula
000162138 700__ $$aCruz-Hernández, Sergio
000162138 700__ $$aGarnefski, Nadia
000162138 700__ $$aUribe, Praxedis Cristina Hernández
000162138 700__ $$aHurks, Petra
000162138 700__ $$aJacobs, Karen
000162138 700__ $$aJansen, Leontien
000162138 700__ $$aJiménez-Pérez, Ana Lucía
000162138 700__ $$aKlinkenberg, Elisabeth F.
000162138 700__ $$aKraaij, Vivian
000162138 700__ $$aLima, Rodrigo Antunes
000162138 700__ $$aLochner, Christine
000162138 700__ $$aOwuor, Francisca Ongecha
000162138 700__ $$aMedina-Mora, Maria Elena
000162138 700__ $$aMori, Tiana
000162138 700__ $$aMunro, Lonna
000162138 700__ $$aMunthali, Richard J.
000162138 700__ $$aNooij, Jessica
000162138 700__ $$aPaz-Peréz, Maria Abigail
000162138 700__ $$aRebagliato, Marisa
000162138 700__ $$aRemmerswaal, Danielle
000162138 700__ $$aRoca, Miquel
000162138 700__ $$aSalemink, Elske
000162138 700__ $$avan der Heijde, Claudia
000162138 700__ $$aVoorspoels, Wouter
000162138 700__ $$aWiers, Reinout W.
000162138 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000162138 773__ $$g351 (2025), 116605 [13 pp.]$$pPsychiatry res.$$tPSYCHIATRY RESEARCH$$x0165-1781
000162138 8564_ $$s1464926$$uhttps://zaguan.unizar.es/record/162138/files/texto_completo.pdf$$yVersión publicada
000162138 8564_ $$s2365855$$uhttps://zaguan.unizar.es/record/162138/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162138 909CO $$ooai:zaguan.unizar.es:162138$$particulos$$pdriver
000162138 951__ $$a2025-10-17-14:33:22
000162138 980__ $$aARTICLE