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David Daniel Ebert - One of the best experts on this subject based on the ideXlab platform.

  • the role impairment associated with mental disorder risk profiles in the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Gemma Vilagut, Pim Cuijpers, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, David Daniel Ebert
    Abstract:

    OBJECTIVE: The objective of this study is to assess the contribution of mental comorbidity to role impairment among College Students. METHODS: Web-based self-report surveys from 14,348 first-year College Students (Response Rate [RR] = 45.5%): 19 universities, eight countries of the World Mental Health International College Student Initiative. We assessed impairment (Sheehan Disability Scales and number of days out of role [DOR] in the past 30 days) and seven 12-month DSM-IV disorders. We defined six multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARPs) of impairment. RESULTS: Highest prevalence of role impairment was highest among the 1.9% of Students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs. 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%. CONCLUSIONS: Comorbid mental disorders account for a substantial part of role impairment in College Students. © 2018 John Wiley & Sons, Ltd.

  • mental disorder comorbidity and suicidal thoughts and behaviors in the world health organization world mental health surveys international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Randy P Auerbach, Pim Cuijpers, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, Jennifer Greif Green, Penelope Hasking
    Abstract:

    Objectives: Comorbidity is a common feature of mental disorders. However, needs assessment surveys focus largely on individual disorders rather than on comorbidity even though the latter is more important for predicting suicidal thoughts and behaviors. In the current report, we take a step beyond this conventional approach by presenting data on the prevalence and correlates (sociodemographic factors, College-related factors, and suicidal thoughts and behaviors) of the main multivariate profiles of common comorbid Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV disorders among Students participating in the first phase of the World Health Organization World Mental Health International College Student initiative. Method: A web-based mental health survey was administered to first year Students in 19 Colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States; 45.5% pooled response rate) to screen for seven common DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, attention-deficit/hyperactivity disorder, alcohol use disorder, and drug use disorder. We focus on the 14,348 respondents who provided complete data; 38.4% screened positive for at least one 12-month disorder. Results: Multivariate disorder profiles were detected using latent class analysis (LCA). The least common class (C1; 1.9% of Students) was made up of Students with high comorbidity (four or more disorders, the majority including mania/hypomania). The remaining 12-month cases had profiles of internalizing–externalizing comorbidity (C2; 5.8%), internalizing comorbidity (C3; 14.6%), and pure disorders (C4; 16.1%). The 1.9% of Students in C1 had much higher prevalence of suicidal thoughts and behaviors than other Students. Specifically, 15.4% of Students in C1 made a suicide attempt in the 12 months before the survey compared with 1.3–2.6% of Students with disorders in C2–4, 0.2% of Students with lifetime disorders but no 12-month disorders (C5), and 0.1% of Students with no lifetime disorders (C6). Conclusions: In line with prior research, comorbid mental disorders were common; however, sociodemographic correlates of LCA profiles were modest. The high level of comorbidity underscores the need to develop and test transdiagnostic approaches for treatment in College Students.

  • barriers of mental health treatment utilization among first year College Students first cross national results from the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: David Daniel Ebert, Gemma Vilagut, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Fanny Kaehlke, Harald Baumeister, Kalina Martinez, Christine Lochner
    Abstract:

    Background: Although mental disorders and suicidal thoughts-behaviors (suicidal thoughts and behaviors) are common among university Students, the majority of Students with these problems remain untreated. It is unclear what the barriers are to these Students seeking treatment. Aims: The aim of this study is to examine the barriers to future help-seeking and the associations of clinical characteristics with these barriers in a cross-national sample of first-year College Students. Method: As part of the World Mental Health International College Student (WMH-ICS) initiative, web-based self-report surveys were obtained from 13,984 first-year Students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio-demographic, College-, and treatment-related variables were used to examine correlates of help-seeking intention and barriers to seeking treatment. Results: Only 24.6% of Students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among Students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among Students who failed to report that they would definitely seek help. Having 12-month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. Conclusions: The majority of first-year College Students in the WMH-ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help-seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular Student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet-based psychological treatments, which can be accessed privately and are often build as self-help approaches, would be more acceptable than other types of treatments to Student who report hesitation about seeking treatment.

  • introduction to the special issue the who world mental health international College Student wmh ics initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Most mental disorders have their first onset in early adulthood. Epidemiological research, as well as research on preventive and early interventions, is therefore very important. This thematic issue focuses on one of the first systematic attempts to develop such services for College Students. The WHO World Mental Health International College Student (WMH-ICS) initiative is based on the largest and continuously growing epidemiological dataset ever collected in College Students. Based on these results, the initiative has now started to implement internet-based interventions for common mental disorders and emotional problems. In this special issue, a general paper about the initiative is presented, as well as a paper on the implementation of the WMH-ICS initiative in low and middle income countries. It also includes several papers with core epidemiological results of the initiative, a meta-analysis of internet-based interventions for mental health problems in College Students and the first results of trials conducted as part of the initiative. Taken together, the papers in this special issue show that WMH-ICS is on its way to becoming a major initiative in addressing the problem of unmet need for treatment of mental health problems among College Students.

  • the world health organization world mental health international College Student initiative an overview
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Objectives: The College years are a developmentally crucial period and a peak age for the onset of mental disorders. Methods: The World Health Organization World Mental Health International College Student (WMH-ICS) initiative is aimed at developing and implementing a system for improving prevention and early interventions for mental health problems among College Students. Results: The initiative consists of three core elements. The first element is a web-based survey to assess the magnitude and nature of emotional problems, the effects of these problems on Students' functioning, and barriers to seeking treatment. All first-year Students in participating Colleges are invited to participate, and we plan to expand the survey to all Students in the future. The second element is an infrastructure to test internet-based interventions aimed at the prevention and early intervention in mental health problems. Participating Colleges can develop and test internet-based interventions in randomized trials. The first pilot tests on such interventions now been done. The third element is the dissemination and continuous quality improvement monitoring of the evidence-based interventions developed in WMH-ICS. Conclusions: By addressing these three core elements, the WMH-ICS aims to integrate epidemiological and clinical research to offer scalable and effective evidence-based interventions for mental health problems at a critical life course stage.

Randy P Auerbach - One of the best experts on this subject based on the ideXlab platform.

  • the role impairment associated with mental disorder risk profiles in the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Gemma Vilagut, Pim Cuijpers, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, David Daniel Ebert
    Abstract:

    OBJECTIVE: The objective of this study is to assess the contribution of mental comorbidity to role impairment among College Students. METHODS: Web-based self-report surveys from 14,348 first-year College Students (Response Rate [RR] = 45.5%): 19 universities, eight countries of the World Mental Health International College Student Initiative. We assessed impairment (Sheehan Disability Scales and number of days out of role [DOR] in the past 30 days) and seven 12-month DSM-IV disorders. We defined six multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARPs) of impairment. RESULTS: Highest prevalence of role impairment was highest among the 1.9% of Students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs. 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%. CONCLUSIONS: Comorbid mental disorders account for a substantial part of role impairment in College Students. © 2018 John Wiley & Sons, Ltd.

  • mental disorder comorbidity and suicidal thoughts and behaviors in the world health organization world mental health surveys international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Randy P Auerbach, Pim Cuijpers, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, Jennifer Greif Green, Penelope Hasking
    Abstract:

    Objectives: Comorbidity is a common feature of mental disorders. However, needs assessment surveys focus largely on individual disorders rather than on comorbidity even though the latter is more important for predicting suicidal thoughts and behaviors. In the current report, we take a step beyond this conventional approach by presenting data on the prevalence and correlates (sociodemographic factors, College-related factors, and suicidal thoughts and behaviors) of the main multivariate profiles of common comorbid Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV disorders among Students participating in the first phase of the World Health Organization World Mental Health International College Student initiative. Method: A web-based mental health survey was administered to first year Students in 19 Colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States; 45.5% pooled response rate) to screen for seven common DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, attention-deficit/hyperactivity disorder, alcohol use disorder, and drug use disorder. We focus on the 14,348 respondents who provided complete data; 38.4% screened positive for at least one 12-month disorder. Results: Multivariate disorder profiles were detected using latent class analysis (LCA). The least common class (C1; 1.9% of Students) was made up of Students with high comorbidity (four or more disorders, the majority including mania/hypomania). The remaining 12-month cases had profiles of internalizing–externalizing comorbidity (C2; 5.8%), internalizing comorbidity (C3; 14.6%), and pure disorders (C4; 16.1%). The 1.9% of Students in C1 had much higher prevalence of suicidal thoughts and behaviors than other Students. Specifically, 15.4% of Students in C1 made a suicide attempt in the 12 months before the survey compared with 1.3–2.6% of Students with disorders in C2–4, 0.2% of Students with lifetime disorders but no 12-month disorders (C5), and 0.1% of Students with no lifetime disorders (C6). Conclusions: In line with prior research, comorbid mental disorders were common; however, sociodemographic correlates of LCA profiles were modest. The high level of comorbidity underscores the need to develop and test transdiagnostic approaches for treatment in College Students.

  • barriers of mental health treatment utilization among first year College Students first cross national results from the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: David Daniel Ebert, Gemma Vilagut, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Fanny Kaehlke, Harald Baumeister, Kalina Martinez, Christine Lochner
    Abstract:

    Background: Although mental disorders and suicidal thoughts-behaviors (suicidal thoughts and behaviors) are common among university Students, the majority of Students with these problems remain untreated. It is unclear what the barriers are to these Students seeking treatment. Aims: The aim of this study is to examine the barriers to future help-seeking and the associations of clinical characteristics with these barriers in a cross-national sample of first-year College Students. Method: As part of the World Mental Health International College Student (WMH-ICS) initiative, web-based self-report surveys were obtained from 13,984 first-year Students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio-demographic, College-, and treatment-related variables were used to examine correlates of help-seeking intention and barriers to seeking treatment. Results: Only 24.6% of Students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among Students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among Students who failed to report that they would definitely seek help. Having 12-month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. Conclusions: The majority of first-year College Students in the WMH-ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help-seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular Student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet-based psychological treatments, which can be accessed privately and are often build as self-help approaches, would be more acceptable than other types of treatments to Student who report hesitation about seeking treatment.

  • introduction to the special issue the who world mental health international College Student wmh ics initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Most mental disorders have their first onset in early adulthood. Epidemiological research, as well as research on preventive and early interventions, is therefore very important. This thematic issue focuses on one of the first systematic attempts to develop such services for College Students. The WHO World Mental Health International College Student (WMH-ICS) initiative is based on the largest and continuously growing epidemiological dataset ever collected in College Students. Based on these results, the initiative has now started to implement internet-based interventions for common mental disorders and emotional problems. In this special issue, a general paper about the initiative is presented, as well as a paper on the implementation of the WMH-ICS initiative in low and middle income countries. It also includes several papers with core epidemiological results of the initiative, a meta-analysis of internet-based interventions for mental health problems in College Students and the first results of trials conducted as part of the initiative. Taken together, the papers in this special issue show that WMH-ICS is on its way to becoming a major initiative in addressing the problem of unmet need for treatment of mental health problems among College Students.

  • the world health organization world mental health international College Student initiative an overview
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Objectives: The College years are a developmentally crucial period and a peak age for the onset of mental disorders. Methods: The World Health Organization World Mental Health International College Student (WMH-ICS) initiative is aimed at developing and implementing a system for improving prevention and early interventions for mental health problems among College Students. Results: The initiative consists of three core elements. The first element is a web-based survey to assess the magnitude and nature of emotional problems, the effects of these problems on Students' functioning, and barriers to seeking treatment. All first-year Students in participating Colleges are invited to participate, and we plan to expand the survey to all Students in the future. The second element is an infrastructure to test internet-based interventions aimed at the prevention and early intervention in mental health problems. Participating Colleges can develop and test internet-based interventions in randomized trials. The first pilot tests on such interventions now been done. The third element is the dissemination and continuous quality improvement monitoring of the evidence-based interventions developed in WMH-ICS. Conclusions: By addressing these three core elements, the WMH-ICS aims to integrate epidemiological and clinical research to offer scalable and effective evidence-based interventions for mental health problems at a critical life course stage.

Ronny Bruffaerts - One of the best experts on this subject based on the ideXlab platform.

  • the role impairment associated with mental disorder risk profiles in the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Gemma Vilagut, Pim Cuijpers, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, David Daniel Ebert
    Abstract:

    OBJECTIVE: The objective of this study is to assess the contribution of mental comorbidity to role impairment among College Students. METHODS: Web-based self-report surveys from 14,348 first-year College Students (Response Rate [RR] = 45.5%): 19 universities, eight countries of the World Mental Health International College Student Initiative. We assessed impairment (Sheehan Disability Scales and number of days out of role [DOR] in the past 30 days) and seven 12-month DSM-IV disorders. We defined six multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARPs) of impairment. RESULTS: Highest prevalence of role impairment was highest among the 1.9% of Students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs. 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%. CONCLUSIONS: Comorbid mental disorders account for a substantial part of role impairment in College Students. © 2018 John Wiley & Sons, Ltd.

  • mental disorder comorbidity and suicidal thoughts and behaviors in the world health organization world mental health surveys international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Randy P Auerbach, Pim Cuijpers, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, Jennifer Greif Green, Penelope Hasking
    Abstract:

    Objectives: Comorbidity is a common feature of mental disorders. However, needs assessment surveys focus largely on individual disorders rather than on comorbidity even though the latter is more important for predicting suicidal thoughts and behaviors. In the current report, we take a step beyond this conventional approach by presenting data on the prevalence and correlates (sociodemographic factors, College-related factors, and suicidal thoughts and behaviors) of the main multivariate profiles of common comorbid Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV disorders among Students participating in the first phase of the World Health Organization World Mental Health International College Student initiative. Method: A web-based mental health survey was administered to first year Students in 19 Colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States; 45.5% pooled response rate) to screen for seven common DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, attention-deficit/hyperactivity disorder, alcohol use disorder, and drug use disorder. We focus on the 14,348 respondents who provided complete data; 38.4% screened positive for at least one 12-month disorder. Results: Multivariate disorder profiles were detected using latent class analysis (LCA). The least common class (C1; 1.9% of Students) was made up of Students with high comorbidity (four or more disorders, the majority including mania/hypomania). The remaining 12-month cases had profiles of internalizing–externalizing comorbidity (C2; 5.8%), internalizing comorbidity (C3; 14.6%), and pure disorders (C4; 16.1%). The 1.9% of Students in C1 had much higher prevalence of suicidal thoughts and behaviors than other Students. Specifically, 15.4% of Students in C1 made a suicide attempt in the 12 months before the survey compared with 1.3–2.6% of Students with disorders in C2–4, 0.2% of Students with lifetime disorders but no 12-month disorders (C5), and 0.1% of Students with no lifetime disorders (C6). Conclusions: In line with prior research, comorbid mental disorders were common; however, sociodemographic correlates of LCA profiles were modest. The high level of comorbidity underscores the need to develop and test transdiagnostic approaches for treatment in College Students.

  • barriers of mental health treatment utilization among first year College Students first cross national results from the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: David Daniel Ebert, Gemma Vilagut, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Fanny Kaehlke, Harald Baumeister, Kalina Martinez, Christine Lochner
    Abstract:

    Background: Although mental disorders and suicidal thoughts-behaviors (suicidal thoughts and behaviors) are common among university Students, the majority of Students with these problems remain untreated. It is unclear what the barriers are to these Students seeking treatment. Aims: The aim of this study is to examine the barriers to future help-seeking and the associations of clinical characteristics with these barriers in a cross-national sample of first-year College Students. Method: As part of the World Mental Health International College Student (WMH-ICS) initiative, web-based self-report surveys were obtained from 13,984 first-year Students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio-demographic, College-, and treatment-related variables were used to examine correlates of help-seeking intention and barriers to seeking treatment. Results: Only 24.6% of Students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among Students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among Students who failed to report that they would definitely seek help. Having 12-month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. Conclusions: The majority of first-year College Students in the WMH-ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help-seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular Student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet-based psychological treatments, which can be accessed privately and are often build as self-help approaches, would be more acceptable than other types of treatments to Student who report hesitation about seeking treatment.

  • introduction to the special issue the who world mental health international College Student wmh ics initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Most mental disorders have their first onset in early adulthood. Epidemiological research, as well as research on preventive and early interventions, is therefore very important. This thematic issue focuses on one of the first systematic attempts to develop such services for College Students. The WHO World Mental Health International College Student (WMH-ICS) initiative is based on the largest and continuously growing epidemiological dataset ever collected in College Students. Based on these results, the initiative has now started to implement internet-based interventions for common mental disorders and emotional problems. In this special issue, a general paper about the initiative is presented, as well as a paper on the implementation of the WMH-ICS initiative in low and middle income countries. It also includes several papers with core epidemiological results of the initiative, a meta-analysis of internet-based interventions for mental health problems in College Students and the first results of trials conducted as part of the initiative. Taken together, the papers in this special issue show that WMH-ICS is on its way to becoming a major initiative in addressing the problem of unmet need for treatment of mental health problems among College Students.

  • the world health organization world mental health international College Student initiative an overview
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Objectives: The College years are a developmentally crucial period and a peak age for the onset of mental disorders. Methods: The World Health Organization World Mental Health International College Student (WMH-ICS) initiative is aimed at developing and implementing a system for improving prevention and early interventions for mental health problems among College Students. Results: The initiative consists of three core elements. The first element is a web-based survey to assess the magnitude and nature of emotional problems, the effects of these problems on Students' functioning, and barriers to seeking treatment. All first-year Students in participating Colleges are invited to participate, and we plan to expand the survey to all Students in the future. The second element is an infrastructure to test internet-based interventions aimed at the prevention and early intervention in mental health problems. Participating Colleges can develop and test internet-based interventions in randomized trials. The first pilot tests on such interventions now been done. The third element is the dissemination and continuous quality improvement monitoring of the evidence-based interventions developed in WMH-ICS. Conclusions: By addressing these three core elements, the WMH-ICS aims to integrate epidemiological and clinical research to offer scalable and effective evidence-based interventions for mental health problems at a critical life course stage.

Pim Cuijpers - One of the best experts on this subject based on the ideXlab platform.

  • the role impairment associated with mental disorder risk profiles in the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Gemma Vilagut, Pim Cuijpers, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, David Daniel Ebert
    Abstract:

    OBJECTIVE: The objective of this study is to assess the contribution of mental comorbidity to role impairment among College Students. METHODS: Web-based self-report surveys from 14,348 first-year College Students (Response Rate [RR] = 45.5%): 19 universities, eight countries of the World Mental Health International College Student Initiative. We assessed impairment (Sheehan Disability Scales and number of days out of role [DOR] in the past 30 days) and seven 12-month DSM-IV disorders. We defined six multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARPs) of impairment. RESULTS: Highest prevalence of role impairment was highest among the 1.9% of Students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs. 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%. CONCLUSIONS: Comorbid mental disorders account for a substantial part of role impairment in College Students. © 2018 John Wiley & Sons, Ltd.

  • mental disorder comorbidity and suicidal thoughts and behaviors in the world health organization world mental health surveys international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Randy P Auerbach, Pim Cuijpers, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, Jennifer Greif Green, Penelope Hasking
    Abstract:

    Objectives: Comorbidity is a common feature of mental disorders. However, needs assessment surveys focus largely on individual disorders rather than on comorbidity even though the latter is more important for predicting suicidal thoughts and behaviors. In the current report, we take a step beyond this conventional approach by presenting data on the prevalence and correlates (sociodemographic factors, College-related factors, and suicidal thoughts and behaviors) of the main multivariate profiles of common comorbid Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV disorders among Students participating in the first phase of the World Health Organization World Mental Health International College Student initiative. Method: A web-based mental health survey was administered to first year Students in 19 Colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States; 45.5% pooled response rate) to screen for seven common DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, attention-deficit/hyperactivity disorder, alcohol use disorder, and drug use disorder. We focus on the 14,348 respondents who provided complete data; 38.4% screened positive for at least one 12-month disorder. Results: Multivariate disorder profiles were detected using latent class analysis (LCA). The least common class (C1; 1.9% of Students) was made up of Students with high comorbidity (four or more disorders, the majority including mania/hypomania). The remaining 12-month cases had profiles of internalizing–externalizing comorbidity (C2; 5.8%), internalizing comorbidity (C3; 14.6%), and pure disorders (C4; 16.1%). The 1.9% of Students in C1 had much higher prevalence of suicidal thoughts and behaviors than other Students. Specifically, 15.4% of Students in C1 made a suicide attempt in the 12 months before the survey compared with 1.3–2.6% of Students with disorders in C2–4, 0.2% of Students with lifetime disorders but no 12-month disorders (C5), and 0.1% of Students with no lifetime disorders (C6). Conclusions: In line with prior research, comorbid mental disorders were common; however, sociodemographic correlates of LCA profiles were modest. The high level of comorbidity underscores the need to develop and test transdiagnostic approaches for treatment in College Students.

  • introduction to the special issue the who world mental health international College Student wmh ics initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Most mental disorders have their first onset in early adulthood. Epidemiological research, as well as research on preventive and early interventions, is therefore very important. This thematic issue focuses on one of the first systematic attempts to develop such services for College Students. The WHO World Mental Health International College Student (WMH-ICS) initiative is based on the largest and continuously growing epidemiological dataset ever collected in College Students. Based on these results, the initiative has now started to implement internet-based interventions for common mental disorders and emotional problems. In this special issue, a general paper about the initiative is presented, as well as a paper on the implementation of the WMH-ICS initiative in low and middle income countries. It also includes several papers with core epidemiological results of the initiative, a meta-analysis of internet-based interventions for mental health problems in College Students and the first results of trials conducted as part of the initiative. Taken together, the papers in this special issue show that WMH-ICS is on its way to becoming a major initiative in addressing the problem of unmet need for treatment of mental health problems among College Students.

  • the world health organization world mental health international College Student initiative an overview
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Pim Cuijpers, Randy P Auerbach, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Eirini Karyotaki, Ronald C Kessler
    Abstract:

    Objectives: The College years are a developmentally crucial period and a peak age for the onset of mental disorders. Methods: The World Health Organization World Mental Health International College Student (WMH-ICS) initiative is aimed at developing and implementing a system for improving prevention and early interventions for mental health problems among College Students. Results: The initiative consists of three core elements. The first element is a web-based survey to assess the magnitude and nature of emotional problems, the effects of these problems on Students' functioning, and barriers to seeking treatment. All first-year Students in participating Colleges are invited to participate, and we plan to expand the survey to all Students in the future. The second element is an infrastructure to test internet-based interventions aimed at the prevention and early intervention in mental health problems. Participating Colleges can develop and test internet-based interventions in randomized trials. The first pilot tests on such interventions now been done. The third element is the dissemination and continuous quality improvement monitoring of the evidence-based interventions developed in WMH-ICS. Conclusions: By addressing these three core elements, the WMH-ICS aims to integrate epidemiological and clinical research to offer scalable and effective evidence-based interventions for mental health problems at a critical life course stage.

  • who world mental health surveys international College Student project prevalence and distribution of mental disorders
    Journal of Abnormal Psychology, 2018
    Co-Authors: Randy P Auerbach, Pim Cuijpers, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, Jennifer Greif Green, Penelope Hasking
    Abstract:

    : Increasingly, Colleges across the world are contending with rising rates of mental disorders, and in many cases, the demand for services on campus far exceeds the available resources. The present study reports initial results from the first stage of the WHO World Mental Health International College Student project, in which a series of surveys in 19 Colleges across 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States) were carried out with the aim of estimating prevalence and basic sociodemographic correlates of common mental disorders among first-year College Students. Web-based self-report questionnaires administered to incoming first-year Students (45.5% pooled response rate) screened for six common lifetime and 12-month DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, alcohol use disorder, and substance use disorder. We focus on the 13,984 respondents who were full-time Students: 35% of whom screened positive for at least one of the common lifetime disorders assessed and 31% screened positive for at least one 12-month disorder. Syndromes typically had onsets in early to middle adolescence and persisted into the year of the survey. Although relatively modest, the strongest correlates of screening positive were older age, female sex, unmarried-deceased parents, no religious affiliation, nonheterosexual identification and behavior, low secondary school ranking, and extrinsic motivation for College enrollment. The weakness of these associations means that the syndromes considered are widely distributed with respect to these variables in the Student population. Although the extent to which cost-effective treatment would reduce these risks is unclear, the high level of need for mental health services implied by these results represents a major challenge to institutions of higher education and governments. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

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  • mental disorder comorbidity and suicidal thoughts and behaviors in the world health organization world mental health surveys international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Randy P Auerbach, Pim Cuijpers, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, Jennifer Greif Green, Penelope Hasking
    Abstract:

    Objectives: Comorbidity is a common feature of mental disorders. However, needs assessment surveys focus largely on individual disorders rather than on comorbidity even though the latter is more important for predicting suicidal thoughts and behaviors. In the current report, we take a step beyond this conventional approach by presenting data on the prevalence and correlates (sociodemographic factors, College-related factors, and suicidal thoughts and behaviors) of the main multivariate profiles of common comorbid Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV disorders among Students participating in the first phase of the World Health Organization World Mental Health International College Student initiative. Method: A web-based mental health survey was administered to first year Students in 19 Colleges across eight countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States; 45.5% pooled response rate) to screen for seven common DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, attention-deficit/hyperactivity disorder, alcohol use disorder, and drug use disorder. We focus on the 14,348 respondents who provided complete data; 38.4% screened positive for at least one 12-month disorder. Results: Multivariate disorder profiles were detected using latent class analysis (LCA). The least common class (C1; 1.9% of Students) was made up of Students with high comorbidity (four or more disorders, the majority including mania/hypomania). The remaining 12-month cases had profiles of internalizing–externalizing comorbidity (C2; 5.8%), internalizing comorbidity (C3; 14.6%), and pure disorders (C4; 16.1%). The 1.9% of Students in C1 had much higher prevalence of suicidal thoughts and behaviors than other Students. Specifically, 15.4% of Students in C1 made a suicide attempt in the 12 months before the survey compared with 1.3–2.6% of Students with disorders in C2–4, 0.2% of Students with lifetime disorders but no 12-month disorders (C5), and 0.1% of Students with no lifetime disorders (C6). Conclusions: In line with prior research, comorbid mental disorders were common; however, sociodemographic correlates of LCA profiles were modest. The high level of comorbidity underscores the need to develop and test transdiagnostic approaches for treatment in College Students.

  • the role impairment associated with mental disorder risk profiles in the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: Gemma Vilagut, Pim Cuijpers, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, David Daniel Ebert
    Abstract:

    OBJECTIVE: The objective of this study is to assess the contribution of mental comorbidity to role impairment among College Students. METHODS: Web-based self-report surveys from 14,348 first-year College Students (Response Rate [RR] = 45.5%): 19 universities, eight countries of the World Mental Health International College Student Initiative. We assessed impairment (Sheehan Disability Scales and number of days out of role [DOR] in the past 30 days) and seven 12-month DSM-IV disorders. We defined six multivariate mental disorder classes using latent class analysis (LCA). We simulated population attributable risk proportions (PARPs) of impairment. RESULTS: Highest prevalence of role impairment was highest among the 1.9% of Students in the LCA class with very high comorbidity and bipolar disorder (C1): 78.3% of them had severe role impairment (vs. 20.8%, total sample). Impairment was lower in two other comorbid classes (C2 and C3) and successively lower in the rest. A similar monotonic pattern was found for DOR. Both LCA classes and some mental disorders (major depression and panic, in particular) were significant predictors of role impairment. PARP analyses suggest that eliminating all mental disorders might reduce severe role impairment by 64.6% and DOR by 44.3%. CONCLUSIONS: Comorbid mental disorders account for a substantial part of role impairment in College Students. © 2018 John Wiley & Sons, Ltd.

  • barriers of mental health treatment utilization among first year College Students first cross national results from the who world mental health international College Student initiative
    International Journal of Methods in Psychiatric Research, 2019
    Co-Authors: David Daniel Ebert, Gemma Vilagut, Randy P Auerbach, Ronny Bruffaerts, Philippe Mortier, Jordi Alonso, Fanny Kaehlke, Harald Baumeister, Kalina Martinez, Christine Lochner
    Abstract:

    Background: Although mental disorders and suicidal thoughts-behaviors (suicidal thoughts and behaviors) are common among university Students, the majority of Students with these problems remain untreated. It is unclear what the barriers are to these Students seeking treatment. Aims: The aim of this study is to examine the barriers to future help-seeking and the associations of clinical characteristics with these barriers in a cross-national sample of first-year College Students. Method: As part of the World Mental Health International College Student (WMH-ICS) initiative, web-based self-report surveys were obtained from 13,984 first-year Students in eight countries across the world. Clinical characteristics examined included screens for common mental disorders and reports about suicidal thoughts and behaviors. Multivariate regression models adjusted for socio-demographic, College-, and treatment-related variables were used to examine correlates of help-seeking intention and barriers to seeking treatment. Results: Only 24.6% of Students reported that they would definitely seek treatment if they had a future emotional problem. The most commonly reported reasons not to seek treatment among Students who failed to report that they would definitely seek help were the preference to handle the problem alone (56.4%) and wanting to talk with friends or relatives instead (48.0%). Preference to handle the problem alone and feeling too embarrassed were also associated with significantly reduced odds of having at least some intention to seek help among Students who failed to report that they would definitely seek help. Having 12-month major depression, alcohol use disorder, and suicidal thoughts and behaviors were also associated with significantly reduced reported odds of the latter outcome. Conclusions: The majority of first-year College Students in the WMH-ICS surveys report that they would be hesitant to seek help in case of future emotional problems. Attitudinal barriers and not structural barriers were found to be the most important reported reasons for this hesitation. Experimental research is needed to determine whether intention to seek help and, more importantly, actual help-seeking behavior could be increased with the extent to which intervention strategies need to be tailored to particular Student characteristics. Given that the preference to handle problems alone and stigma and appear to be critical, there could be value in determining if internet-based psychological treatments, which can be accessed privately and are often build as self-help approaches, would be more acceptable than other types of treatments to Student who report hesitation about seeking treatment.

  • who world mental health surveys international College Student project prevalence and distribution of mental disorders
    Journal of Abnormal Psychology, 2018
    Co-Authors: Randy P Auerbach, Pim Cuijpers, Corina Benjet, Ronny Bruffaerts, David Daniel Ebert, Philippe Mortier, Jordi Alonso, Koen Demyttenaere, Jennifer Greif Green, Penelope Hasking
    Abstract:

    : Increasingly, Colleges across the world are contending with rising rates of mental disorders, and in many cases, the demand for services on campus far exceeds the available resources. The present study reports initial results from the first stage of the WHO World Mental Health International College Student project, in which a series of surveys in 19 Colleges across 8 countries (Australia, Belgium, Germany, Mexico, Northern Ireland, South Africa, Spain, United States) were carried out with the aim of estimating prevalence and basic sociodemographic correlates of common mental disorders among first-year College Students. Web-based self-report questionnaires administered to incoming first-year Students (45.5% pooled response rate) screened for six common lifetime and 12-month DSM-IV mental disorders: major depression, mania/hypomania, generalized anxiety disorder, panic disorder, alcohol use disorder, and substance use disorder. We focus on the 13,984 respondents who were full-time Students: 35% of whom screened positive for at least one of the common lifetime disorders assessed and 31% screened positive for at least one 12-month disorder. Syndromes typically had onsets in early to middle adolescence and persisted into the year of the survey. Although relatively modest, the strongest correlates of screening positive were older age, female sex, unmarried-deceased parents, no religious affiliation, nonheterosexual identification and behavior, low secondary school ranking, and extrinsic motivation for College enrollment. The weakness of these associations means that the syndromes considered are widely distributed with respect to these variables in the Student population. Although the extent to which cost-effective treatment would reduce these risks is unclear, the high level of need for mental health services implied by these results represents a major challenge to institutions of higher education and governments. (PsycINFO Database Record (c) 2018 APA, all rights reserved).