Title: Mental disorders and termination of education in high-income and low- and middle-income countries: epidemiological study
Authors: Lee, S ×
Tsang, A
Breslau, J
Aguilar-Gaxiola, S
Angermeyer, M
Borges, G
Bromet, E
Bruffaerts, Ronny
de Girolamo, G
Fayyad, J
Gureje, O
Haro, J M
Kawakami, N
Levinson, D
Oakley Browne, M A
Ormel, J
Posada-Villa, J
Williams, D R
Kessler, R C #
Issue Date: May-2009
Publisher: Royal Medico-Psychological Association
Series Title: British Journal of Psychiatry vol:194 issue:5 pages:411-7
Abstract: 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-IV 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 LAMI countries.
ISSN: 0007-1250
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Psychiatry
× corresponding author
# (joint) last author

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