Mental disorders and subsequent educational attainment in a US national sample

Mental disorders and subsequent educational attainment in a US national sample As part of a larger investigation of the adverse effects of mental disorders on role functioning, we examined the associations of early-onset mental disorders with subsequent educational attainment in a large nationally representative survey of the US adult population. Diagnoses and age of onset for each of 17 DSM-IV disorders were assessed through retrospective self-report with the fully structured WHO Composite International Diagnostic Instrument (CIDI). Survival analysis was used to examine the associations between early-onset DSM-IV/CIDI disorders and subsequent termination of schooling with controls for socio-demographic characteristics and childhood adversities (i.e. childhood traumatic events, childhood neglect, parental mental illness, family disruption, and low parental educational attainment). Mental disorders were found to be significantly associated with termination of schooling prior to completion of each of four educational milestones (primary school graduation, high school graduation, college entry, college graduation), with odds ratios in the range of 1.3–7.0. The proportion of school terminations attributable to mental disorders was largest for high school graduation (10.2%) but also meaningful for primary school graduation (3.8%), college entry (4.4%) and college graduation (2.6%). These results add to a growing body of evidence documenting a wide variety of adverse life course effects of mental disorders. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Psychiatric Research Elsevier

Mental disorders and subsequent educational attainment in a US national sample

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Publisher
Elsevier
Copyright
Copyright © 2008 Elsevier Ltd
ISSN
0022-3956
D.O.I.
10.1016/j.jpsychires.2008.01.016
Publisher site
See Article on Publisher Site

Abstract

As part of a larger investigation of the adverse effects of mental disorders on role functioning, we examined the associations of early-onset mental disorders with subsequent educational attainment in a large nationally representative survey of the US adult population. Diagnoses and age of onset for each of 17 DSM-IV disorders were assessed through retrospective self-report with the fully structured WHO Composite International Diagnostic Instrument (CIDI). Survival analysis was used to examine the associations between early-onset DSM-IV/CIDI disorders and subsequent termination of schooling with controls for socio-demographic characteristics and childhood adversities (i.e. childhood traumatic events, childhood neglect, parental mental illness, family disruption, and low parental educational attainment). Mental disorders were found to be significantly associated with termination of schooling prior to completion of each of four educational milestones (primary school graduation, high school graduation, college entry, college graduation), with odds ratios in the range of 1.3–7.0. The proportion of school terminations attributable to mental disorders was largest for high school graduation (10.2%) but also meaningful for primary school graduation (3.8%), college entry (4.4%) and college graduation (2.6%). These results add to a growing body of evidence documenting a wide variety of adverse life course effects of mental disorders.

Journal

Journal of Psychiatric ResearchElsevier

Published: Jul 1, 2008

References

  • The labor market consequences of childhood maladjustment
    Fronstin, P.; Greenberg, D.H.; Robins, P.K.
  • The National Comorbidity Survey Replication (NCS-R): background and aims
    Kessler, R.C.; Merikangas, K.R.
  • The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)
    Kessler, R.C.; Ustun, T.B.
  • The US National Comorbidity Survey Replication (NCS-R): design and field procedures
    Kessler, R.C.; Berglund, P.; Chiu, W.T.; Demler, O.; Heeringa, S.; Hiripi, E.
  • Health behavior-based selection into educational tracks starts in early adolescence
    Koivusilta, L.K.; Rimpela, A.H.; Rimpela, M.; Vikat, A.

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