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首页> 外文期刊>Frontiers in Psychology >Sources of Stress and Their Associations With Mental Disorders Among College Students: Results of the World Health Organization World Mental Health Surveys International College Student Initiative
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Sources of Stress and Their Associations With Mental Disorders Among College Students: Results of the World Health Organization World Mental Health Surveys International College Student Initiative

机译：大学生心理障碍的压力和伴侣的关系：世界卫生组织世界心理健康调查国际大学生倡议的结果

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摘要

The college years are stressful for many students. Identifying the sources of stress and their relative importance in leading to clinically significant emotional problems may assist in the development of targeted stress management interventions. The current report examines the distribution and associations of perceived stress across major life areas with 12-month prevalence of common mental disorders in a cross-national sample of first-year college students. The 20,842 respondents were from 24 universities in 9 countries that participated in the World Health Organization World Mental Health International College Student Initiative. Logistic regression analysis examined associations of current perceived stress in 6 life areas (financial situation, health, love life, relationships with family, relationships at work/school, problems experienced by loved ones) with 6 types of 12-month mental disorders (major depressive disorder, bipolar disorder, generalized anxiety disorder, panic disorder, alcohol use disorder, drug use disorder). Population attributable risk proportions (PARPs) were calculated to estimate the upper-bound potential effects of interventions focused on perceived stress in reducing prevalence of mental disorders. The majority of students (93.7%) reported at least some stress in at least 1 of the 6 areas. A significant dose-response association was found between extent of stress in each life area and increased odds of at least 1 of the 6 disorders. The multivariable models that included all stress measures were significant for all disorders (F=20.6-70.6, p.001). Interpretation of PARPs as representing causal effects of stresses on disorders suggests that up to 46.9-80.0% of 12-month disorder prevalence might be eliminated if stress prevention interventions were developed to block the associations of stress with these disorders.
机译：大学岁月对许多学生有压力。识别应力的来源及其相对重要的导致临床显着的情绪问题可能有助于发展有针对性的压力管理干预措施。目前的报告审查了主要生活区跨越普通精神障碍的主要生命领域的感知压力的分布和协会在一年的一年大学生的跨国样本中进行了12个月的普遍性。 20,842名受访者来自9个国家的24所大学，参加了世界卫生组织世界精神卫生国际大学生倡议。逻辑回归分析检查了6个生命区域的当前感知压力的协会（财务状况，健康，爱情生活，与家庭关系的关系，在工作/学校的关系，亲人经历的问题）具有6种12个月的精神障碍（主要抑郁症紊乱，双相障碍，广义焦虑症，恐慌症，酒精使用障碍，吸毒障碍）。计算人口可归因的风险比例（PARP）以估计涉及患有精神障碍患病率的感知应激的干预措施的上限势效应。大多数学生（93.7％）报告了至少有6个地区的至少一个至少有一些压力。在每个生命面积的应力范围内发现显着的剂量 - 反应关联，并且至少有6个疾病的含量增加。包括所有压力措施的多变量模型对于所有疾病都具有重要意义（F = 20.6-70.6，P <.001）。解释PARPS作为对疾病的应激因果效应的解释表明，如果开发压力预防干预措施以阻止对这些疾病的应激协会，则可能会消除高达46.9-80.0％的12个月疾病患病率。

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