Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study

被引：115

作者：

Lee, S. ^{[1
]}

Tsang, A. ^{[2
]}

Breslau, J. ^{[3
]}

Aguilar-Gaxiola, S. ^{[3
]}

Angermeyer, M. ^{[4
]}

Borges, G. ^{[5
,6
]}

Bromet, E. ^{[7
]}

Bruffaerts, R. ^{[8
]}

de Girolamo, G. ^{[9
]}

Fayyad, J.

Gureje, O. ^{[10
]}

Haro, J. M. ^{[11
]}

Kawakami, N. ^{[12
]}

Levinson, D.

Browne, M. A. Oakley ^{[13
]}

Ormel, J. ^{[14
]}

Posada-Villa, J. ^{[15
]}

Williams, D. R. ^{[16
]}

Kessler, R. C. ^{[17
]}

机构：

[1] Chinese Univ Hong Kong, Dept Psychiat, Hong Kong, Hong Kong, Peoples R China

[2] Chinese Univ Hong Kong, Hong Kong Mood Disorders Ctr, Hong Kong, Hong Kong, Peoples R China

[3] Calif State Univ Sacramento, Dept Internal Med, Ctr Reducing Hlth Dispar, Sacramento, CA 95819 USA

[4] Univ Leipzig, Dept Psychiat, Leipzig, Germany

[5] Inst Nacl Psiquiatria, Mexico City, DF, Mexico

[6] Univ Autonoma Metropolitana Xochimilco Calzada Me, Unidad Xochimilco, Mexico City, DF, Mexico

[7] SUNY Stony Brook, Stony Brook, NY 11794 USA

[8] Univ Hosp Gasthuisberg, Dept Neurosci & Psychiat, B-3000 Louvain, Belgium

[9] IRCCS Ctr S Giovanni di Dio Fatebebenefratelli Br, San Giovanni Rotondo, Italy

[10] Univ Coll Ibadan Hosp, Dept Psychiat, Ibadan, Nigeria

[11] Inst Salud Carlos III, Barcelona Ciber Salud Mental, St Joan de Deu SSM, Barcelona, Spain

[12] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Tokyo 1138654, Japan

[13] Monash Univ, Dept Rural & Indigenous Hlth, Sch Rural Hlth, Fac Med Nursing & Hlth Sci, Moe, Vic, Australia

[14] Univ Groningen, Univ Med Ctr Groningen, Dept Social Psychiat & Psychiat Epidemiol, Groningen, Netherlands

[15] Cundinamarca Univ, Colegia Mayor, Minist Social Protect, Bogota, Colombia

[16] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA

[17] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2009年 / 194卷 / 05期

关键词：

WORLD-HEALTH-ORGANIZATION; SOCIOECONOMIC-STATUS; SURVIVAL ANALYSIS; PREVALENCE; SELECTION; ONSET; CAUSATION; CHILDHOOD; FAILURE; NEED;

D O I：

10.1192/bjp.bp.108.054841

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background Studies of the impact of mental disorders on educational attainment are rare in both high-income and low- and middle-income (LAMI) countries. Aims To examine the association between early-onset mental disorder and subsequent termination of education. Method Sixteen countries taking part in the world Health Organization World Mental Health Survey Initiative were surveyed with the Composite international Diagnostic Interview (n=41 688). Survival models were Used to estimate associations between DSM-lV mental disorders and Subsequent non-attainment of educational milestones. Results In high-income countries, prior substance use disorders were associated with non-completion at all stages of education (OR 1.4-15.2). Anxiety disorders (OR=1.3), mood disorders (OR=1.4) and impulse control disorders (OR=2.2) were associated with early termination of secondary education in LAMI countries, impulse control disorders (OR=1.3) and substance Use disorders (OR=1.5) were associated with early termination of secondary education. Conclusions Onset of mental disorder and subsequent non-completion of education are consistently associated in both high-income and LAW countries.

引用

页码：411 / 417

页数：7

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