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Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project

机译：与精神障碍相关的严重障碍：世界卫生组织世界心理健康调查国际大学生项目的结果

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Background >College entrance is a stressful period with a high prevalence of mental disorders. </section> <section xml:id="da22778-sec-0020"> <title type="main">Aims >To assess the role impairment associated with 12‐month mental disorders among incoming first‐year college students within a large cross‐national sample. </section> <section xml:id="da22778-sec-0030"> <title type="main">Methods >Web‐based self‐report surveys assessing the prevalence of DSM‐IV mental disorders and health‐related role impairment (Sheehan Disability Scale) were obtained and analyzed from 13,984 incoming first‐year college students (Response?=?45.5%), across 19 universities in eight countries. Impairment was assessed in the following domains: home management, work (e.g., college‐related problems), close personal relationships, and social life. </section> <section xml:id="da22778-sec-0040"> <title type="main">Results > Mean age of the sample was 19.3 ( SD ?=?0.59) and 54.4% were female. Findings showed that 20.4% of students reported any severe role impairment (10% of those without a mental disorder vs. 42.9% of those with at least one disorder, P ?<?0.01). In bivariate analyses, panic disorder, and mania were associated most frequently with severe impairment (60.6% and 57.5%, respectively). Students reporting three or more mental disorders had almost fivefold more frequently severe impairment relative to those without mental disorders. Multiple logistic regression showed that major depression (OR?=?4.0; 95%CI = 3.3, 4.8), generalized anxiety (OR?=?3.9; 95%CI = 3.1, 4.8), and panic disorder (OR?=?2.9; 95%CI 2.4, 4.2) were associated with the highest odds </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract Type =“main”XML：lang =“en”> <部分XML：ID =“da22778-sec-0010”> <标题类型=“main”>背景</ title> >学院入口是一个压力患有精神障碍患病率高的时期。</ p> </ section> <section xml：id =“da22778-sec-0020”> <标题类型=“main”> AIMS </ TITE> <P>以评估在大型跨国样本中的传入第一年大学生中12个月精神障碍相关的角色损伤。</ p> </ section> <section xml：id =“da22778-sec-0030”> <标题类型= “主要”>方法</ title> >基于网络的自我报告调查评估DSM-IV精神障碍和健康相关的角色损伤（Sheehan残疾人规模）的患病率从13,984名来到一年级学院分析学生（回复？=？45.5％），八个国家的19所大学。在以下域名中评估了损伤：家庭管理，工作（例如，与大学相关问题），密切的个人关系和社会生活。</ p> </ section> <section XML：ID =“DA22778-SEC-0040” > <标题类型=“main”>结果</标题> >样品的平均年龄为19.3（ sd </ i>？=？0.59）和54.4％是女性。调查结果表明，20.4％的学生报告了任何严重的角色损害（其中10％没有精神障碍的那些，其中42.9％，其中至少一种病症， P </ i>？<？0.01）。在双抗体分析中，恐慌症和躁狂症最常见于严重损伤（分别为60.6％和57.5％）。报告三种或更多的精神障碍的学生几乎具有与没有精神障碍的人相比更严重的严重损伤。多元逻辑回归显示重大抑郁（或？= 4.0; 95％CI = 3.3,4.8），广义焦虑（或？= 3.9; 95％CI = 3.1,4.8）和恐慌症（或？=？2.9 ; 95％CI 2.4,4.2）与最高赔率有关 </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-32884/'>《Depression and anxiety》</a> <b style="margin: 0 2px;">|</b><span>2018年第9期</span><b style="margin: 0 2px;">|</b><span>共13页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Alonso Jordi&option=202" target="_blank" rel="nofollow">Alonso Jordi;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Mortier Philippe&option=202" target="_blank" rel="nofollow">Mortier Philippe;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Auerbach Randy P.&option=202" target="_blank" rel="nofollow">Auerbach Randy P.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Bruffaerts Ronny&option=202" target="_blank" rel="nofollow">Bruffaerts Ronny;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Vilagut Gemma&option=202" target="_blank" rel="nofollow">Vilagut Gemma;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Cuijpers Pim&option=202" target="_blank" rel="nofollow">Cuijpers Pim;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Demyttenaere Koen&option=202" target="_blank" rel="nofollow">Demyttenaere Koen;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Ebert David D.&option=202" target="_blank" rel="nofollow">Ebert David D.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Ennis Edel&option=202" target="_blank" rel="nofollow">Ennis Edel;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Gutiérrez‐García Raul A.&option=202" target="_blank" rel="nofollow">Gutiérrez‐García Raul A.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Green Jennifer Greif&option=202" target="_blank" rel="nofollow">Green Jennifer Greif;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Hasking Penelope&option=202" target="_blank" rel="nofollow">Hasking Penelope;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Lochner Christine&option=202" target="_blank" rel="nofollow">Lochner Christine;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Nock Matthew K.&option=202" target="_blank" rel="nofollow">Nock Matthew K.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Pinder‐Amaker Stephanie&option=202" target="_blank" rel="nofollow">Pinder‐Amaker Stephanie;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Sampson Nancy A.&option=202" target="_blank" rel="nofollow">Sampson Nancy A.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Zaslavsky Alan M.&option=202" target="_blank" rel="nofollow">Zaslavsky Alan M.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Kessler Ronald C.&option=202" target="_blank" rel="nofollow">Kessler Ronald C.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=WHO WMH‐ICS Collaborators&option=202" target="_blank" rel="nofollow">WHO WMH‐ICS Collaborators;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Health Services Research GroupIMIM (Hospital del Mar Medical Research Institute)Barcelona Spain;</p> <p>Universitair Psychiatrisch Centrum–Katholieke Universiteit Leuven (UPC–KUL)Campus GasthuisbergLeuven Belgium;</p> <p>Department of PsychiatryHarvard Medical SchoolBoston MA USA;</p> <p>Universitair Psychiatrisch Centrum–Katholieke Universiteit Leuven (UPC–KUL)Campus GasthuisbergLeuven Belgium;</p> <p>Health Services Research GroupIMIM (Hospital del Mar Medical Research Institute)Barcelona Spain;</p> <p>Department of Clinical Neuro and Developmental PsychologyVrije Universiteit AmsterdamAmsterdam the Netherlands;</p> <p>Universitair Psychiatrisch Centrum–Katholieke Universiteit Leuven (UPC–KUL)Campus GasthuisbergLeuven Belgium;</p> <p>Department for PsychologyClinical Psychology and Psychotherapy Friedrich‐Alexander University Erlangen NurembergErlangen Germany;</p> <p>School of PsychologyUlster UniversityLondonderry United Kingdom;</p> <p>Campus SalamancaDe La Salle Bajio UniversityLeón Mexico;</p> <p>School of EducationBoston UniversityBoston MA USA;</p> <p>School of Psychology &</p> <p>Speech PathologyCurtin UniversityPerth Australia;</p> <p>SAMRC/UCT/SU Unit on Risk &</p> <p>Resilience in Mental DisordersStellenbosch UniversityStellenbosch South Africa;</p> <p>Department of PsychologyHarvard UniversityCambridge MA USA;</p> <p>Department of PsychiatryHarvard Medical SchoolBoston MA USA;</p> <p>Department of Health Care PolicyHarvard Medical SchoolBoston MA USA;</p> <p>Department of Health Care PolicyHarvard Medical SchoolBoston MA USA;</p> <p>Department of Health Care PolicyHarvard Medical SchoolBoston MA USA;</p> <p>Health Services Research GroupIMIM (Hospital del Mar Medical Research Institute)Barcelona Spain;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span>R749.72; </span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=anxiety disorders&option=203" rel="nofollow">anxiety disorders;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=depression&option=203" rel="nofollow">depression;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=disability&option=203" rel="nofollow">disability;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=drug use disorders&option=203" rel="nofollow">drug use disorders;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=intimate relationships&option=203" rel="nofollow">intimate relationships;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=role impairment&option=203" rel="nofollow">role impairment;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=social function&option=203" rel="nofollow">social function;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=suicide/self‐harm&option=203" rel="nofollow">suicide/self‐harm;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=university students&option=203" rel="nofollow">university students;</a> </p> <div class="translation"> 机译：焦虑症;抑郁症;残疾;药物使用障碍;亲密关系;角色障碍;社会功能;自杀/自我伤害;大学生; </div> </li> <li> <span class="lefttit">入库时间</span> <span>2022-08-20 08:16:46</span> </li> </ul> </div> </div> <div class="literature cardcommon"> <div class="similarity "> <h3 class="all_title" id="enpatent66">相似文献</h3> <div class="similaritytab clearfix"> 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rel="nofollow" class="tuijian_auth tuijian_authcolor">Philippe Mortier,</a> <span>2018</span> </span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：世界卫生组织世界精神卫生国际大学生倡议的精神障碍风险概况相关的作用障碍</span> </p> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/academic-journal-cn_american-medical-association-magazine-chinese-version_thesis/0201256806348.html">世界卫生组织世界精神卫生调查所示精神障碍的患病率、严重性和治疗不足状况</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=张继志&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 张继志</a> <span> <a href="/journal-cn-6753/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 美国医学会杂志：中文版 </a> </span> <span> . 2005</span><span>,第003期</span> </span> </div> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/academic-journal-cn_chinese-general-practice_thesis/0201271480342.html">湖南省严重精神障碍患者在国家重性精神障碍管理治疗项目中的诊断可靠性研究</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=王东欣&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 王东欣</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=付文彬&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,付文彬</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=刘畅&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,刘畅</a> <span> <a href="/journal-cn-16641/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 中国全科医学 </a> </span> <span> . 2018</span><span>,第035期</span> </span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/academic-journal-cn_journal-psychiatry_thesis/0201290061925.html">雅安市精神障碍流行病学调查严重精神障碍流行病学分析</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=郑在江&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 郑在江</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=邹开庆&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,邹开庆</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=吴俊林&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,吴俊林</a> <span> <a href="/journal-cn-6249/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 精神医学杂志 </a> </span> <span> . 2021</span><span>,第002期</span> </span> </div> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/academic-journal-cn_detail_thesis/0201295183014.html">中国药物依赖性研究所主办世界卫生组织国际合作项目—阿片依赖替代治疗和HIV/AIDS预防项目总结会暨阿片依赖治疗研讨会</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . </a> <span> <a href="/journal-cn-57126/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 中国药物依赖性杂志 </a> </span> <span> . 2006</span><span>,第3期</span> </span> </div> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/academic-journal-cn_chinese-journal-rehabilitation-theory-practice_thesis/0201279140332.html">基于世界卫生组织国际分类家族构建儿童交流障碍诊断与干预理论架构与方法</a> <b>[J]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=庾晓萌&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 庾晓萌</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=邱卓英&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,邱卓英</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=李孝洁&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor">,李孝洁</a> <span> <a href="/journal-cn-5877/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 中国康复理论与实践 </a> </span> <span> . 2020</span><span>,第001期</span> </span> </div> </li> <li> <div> <b>6. </b><a class="enjiyixqcontent" href="/academic-conference-cn_meeting-64436_thesis/020222638468.html">国际社会有关残疾发展的重要文件--世界卫生组织、世界银行共同发布首份《世界残疾报告》</a> <b>[C]</b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=邱卓英&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 邱卓英</a> <span> <a href="/conference-cn-64436/" target="_blank" rel="nofollow" class="tuijian_authcolor"> . 第六届北京国际康复论坛 </a> <span> <span> . 2011</span> </span> </div> </li> <li> <div> <b>7. </b><a class="enjiyixqcontent" href="/academic-degree-domestic_mphd_thesis/020315271917.html">个案管理在精神障碍患者社会支持中的应用--以S市严重精神障碍亲情照护项目为例</a> <b>[A] </b> <span> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=汪璇&option=202" target="_blank" rel="nofollow" class="tuijian_auth tuijian_authcolor"> . 汪璇</a> <span> . 2019</span> </span> </div> </li> </ul> <ul style="display: none;"> <li> <div> <b>1. </b><a class="enjiyixqcontent" href="/patent-detail/06120111649778.html">严重精神障碍患者信息上报及管理系统</a> <b>[P]</b> . <span> 中国专利： CN112071383A </span> <span> . 2020-12-11</span> </div> </li> <li> <div> <b>2. </b><a class="enjiyixqcontent" href="/patent-detail/06120111828218.html">社区严重精神障碍患者危险性行为的风险预警评估方法</a> <b>[P]</b> . <span> 中国专利： CN111785373A </span> <span> . 2020-10-16</span> </div> </li> <li> <div> <b>3. </b><a class="enjiyixqcontent" href="/patent-detail/06130400966602.html">Stop.S.T.A.Y ( Stop Suicide In Teens and Youths ) A service that grants a wish for a young person who has been in the mental health system, who has suffered or still is suffering with moderate to severe mental health condition. Hoping that we can break the cycle and bring a spark of joy for the young person and their family.</a> <b>[P]</b> . <span> 外国专利：  AU2020100652A4 </span> <span> . 2020-06-04</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：Stop.S.T.A.Y（青少年停止自杀）一种服务，旨在向处于精神健康系统中，正在遭受或仍处于中度至严重精神健康状况的年轻人提供愿望。希望我们可以打破这一循环，为年轻人及其家人带来欢乐。 </span> </p> </li> <li> <div> <b>4. </b><a class="enjiyixqcontent" href="/patent-detail/06130406272982.html">Lift me UP, the mental health services App, underpinned in philosophy by the Litchfield Counselling Model, is designed to offer simple, practical advice to help support individuals and employees through their daily mental health challenges, and link users to available mental health professionals. Lift me UP will use sophisticated technology to: • assist in the patient assessment process • monitor amp; support daily routine • refer users to available mental health professionals • create a uniquely customised experience compared to anything on the market.</a> <b>[P]</b> . <span> 外国专利：  AU2018100584A4 </span> <span> . 2018-08-23</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：Litchfield心理咨询模型以哲学为基础，将精神健康服务应用程序Lift Up UP，旨在提供简单，实用的建议，以帮助个人和员工应对日常的精神健康挑战，并将用户与现有的精神健康专业人员联系起来。 Lift me UP将使用先进的技术来：•协助患者评估过程•监控和支持日常工作•将用户推荐给可用的心理健康专家•与市场上的任何产品相比，创造独特的定制体验。 </span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/patent-detail/06130409092838.html">SIMULTANEOUS CO-TREATMENT OF PHYSICAL AND MENTAL SYMPTOMS RELATED TO SEVERE MENTAL DISORDERS BY A SPECIALLY FERMENTED SOY FORMULATION (FSWW08)</a> <b>[P]</b> . <span> 外国专利：  WO2012078932A9 </span> 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