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Web End = Soc Psychiatry Psychiatr Epidemiol (2015) 50:15771591 DOI 10.1007/s00127-015-1083-5
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Web End = Long-term effects of mental disorders on educational attainment in the National Comorbidity Survey ten-year follow-up
Ramin Mojtabai1 Elizabeth A. Stuart1 Irving Hwang2 William W. Eaton1
Nancy Sampson2 Ronald C. Kessler2
Received: 17 March 2015 / Accepted: 10 June 2015 / Published online: 17 June 2015 Springer-Verlag Berlin Heidelberg 2015
AbstractPurpose The study sought to examine the association of mental disorders with educational attainment in a community sample.
Methods Data were from 5001 respondents aged 1554 in the 19901992 National Comorbidity Survey (NCS), re-interviewed in the 20012003 NCS follow-up (NCS-2). Discrete-time survival analysis was used to examine the association of disorders present at baseline (NCS) or having rst onset after the baseline (assessed in NCS-2) with educational outcomes among 3954 eligible respondents. Mental disorders were categorized into internalizing fear disorders (simple phobia, social phobia, panic disorder with/without agoraphobia and agoraphobia without panic disorder), internalizing anxiety-misery disorders (major depressive disorder, generalized anxiety disorder and post-traumatic stress disorder), externalizing disorders (alcohol and drug use disorders, conduct disorder) and bipolar disorder. Analyses were conducted separately in students and non-students at baseline.
Results Among students, baseline bipolar and externalizing disorders, as well as fear, anxiety-misery and externalizing disorders with onset after baseline were associated with lower odds of high school graduation; baseline anxiety-misery disorders with lower odds of going to college; and baseline externalizing disorders and bipolar disorder
with onset after baseline with lower odds of college graduation. Among non-students, baseline fear disorders were associated with lower odds of high school graduation and bipolar disorder with lower odds of going to college. Assuming that the regression coefcients represent causal effects, mental disorders accounted for 5.811.0 % of high school and 3.211.4 % of college non-completion. Conclusions Expanding access to mental health services for youth might have a net positive societal value by helping to prevent some of these adverse educational outcomes.
Keywords Mental illness Education Social
consequences Epidemiology Burden of mental illness
Introduction
Virtually, all young people in the US...