Psychiatric disorders in students in six French universities: 12-month prevalence, comorbidity, impairment and help-seeking
Abstract
Purpose Few studies have explored the prevalence of psychiatric disorders (PD) among university students. This article aims to study 12-month prevalence of PD in university students, their socio-economic correlates, impairment in daily life and help-seeking behaviours.Methods Cross-sectional study of randomly selected first-year students aged 18-24 years, enrolled in one of the six universities in south-eastern France in 2005-2006. We used the WHO CIDI-Short Form to derive DSM-IV diagnoses and the Sheehan disability scale to evaluate impairment. We studied their correlates with multiple logistic regressions.Results The 12-month prevalence of major depressive disorder (MDD), anxiety disorders (AD) and substance use disorders (SUD) were 8.9% (95% CI: 7.2-10.9), 15.7% (95% CI: 13.5-18.2) and 8.1% (95% CI: 6.7-9.8), respectively. MDD was associated with precarious economic situation (OR = 1.83; 95% CI: 1.03-3.23), AD with a precarious job or unemployment of the father (OR = 2.08; 95% CI: 1.04-4.14) and SUD with higher educational level of father (OR = 2.17; 95% CI: 1.28-3.67) or having a paid job (OR = 1.82; 95% CI: 1.06-3.13). "Marked" or "extreme" impairment (score > or =7 for at least one of the domains in the Sheehan scale) was noted for 51.7% of students presenting a PD and was even more frequent in the presence of MDD/AD comorbidity. Only 30.5% of the students with a PD had sought professional help in the past 12 months.Conclusions This study provides new results regarding university students suggesting a link between precarious economic situations and MDD. The frequent impairment arising from PD alongside low rates of help-seeking suggests that PD could be one of the factors in academic failure in first year of university. These results should be used to improve prevention and care of PD in university students in France.
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Mental disorders are a significant contributor to disability in the general population.
“Mental disorders are a significant contributor to disability in the general population (Ormel et al., 2008; Verger, Guagliardo, Gilbert, Rouillon, & Kovess-Masfetty, 2010).”
From Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project (2018) · cites this paper as Verger et al., 2010
A French study reported that the presence of any 12-month mental disorder was associated with a 10-fold likelihood of "marked" or "extreme" impairment in the Sheehan Disability Scale.
“A French study reported that the presence of any 12-month mental disorder was associated with a 10-fold likelihood of “marked” or “extreme” impairment in the Sheehan Disability Scale (Verger et al., 2010).”
From Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project (2018) · cites this paper as Verger et al., 2010
The amount and type of disability associated with mental disorders among university students has been assessed only in a few, single country studies.
“Nevertheless, the amount and type of disability associated with mental disorders among university students has been assessed only in a few, single country studies (Klemenc-Ketis, Kersnik, Eder, & Colaric, 2011; Verger et al., 2010).”
From Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project (2018) · cites this paper as Verger et al., 2010
The combination of a high prevalence and high impact makes major depressive episode and GAD a major source of role impairment among first-year university students.
“The combination of a high prevalence and high impact makes them a major source of role impairment among first year university students (Ormel et al., 2008; Verger et al., 2010).”
From Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project (2018) · cites this paper as Verger et al., 2010
The finding that social life, close relationships, and college-related and other work domains are very frequently impaired among students with mental disorders is consistent with results of a previous study in French universities (n=1,025).
“The finding that social life, close relationships, and college-related and other work domains are very frequently impaired among students with mental disorders is consistent with results of a previous study carried out in French universities (n = 1,025) (Verger et al., 2010).”
From Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project (2018) · cites this paper as Verger et al., 2010
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- Authors
- Verger, P., Guagliardo, V., Gilbert, F., Rouillon, F., & Kovess-Masfety, V.
- Affiliations
- Inserm (FR)
- Université Paris Descartes (FR)
- Centre Hospitalier Sainte-Anne (FR)
- Corresponding author
- Verger, Pierre
- ORCID
- Verger, Pierre
- Venue
- Social Psychiatry and Psychiatric Epidemiology
- Published
- 2009-04-19
- Volume
- 45
- Issue
- 2
- Pages
- 189-199
- ISSN
- 0933-7954 (ISSN-L)
- 1433-9285
- OpenAlex
- W2088843227
- Cited by
- 178
- References
- 38
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 14 · 2023: 18 · 2022: 15 · 2021: 18 · 2020: 13 · 2019: 19 · 2018: 12 · 2017: 6 · 2016: 11 · 2015: 7 · 2014: 7 · 2013: 7 · 2012: 8
- FWCI
- 6.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Funders
- National Institutes of Health
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- mental illness, university students, prevalence, major depressive disorder, anxiety disorders, substance use disorders, comorbidities, functional disability, help-seeking, school failure, first-year students
- MeSH terms
- Adolescent, Anxiety Disorders, Mental Disorders, Cross-Sectional Studies, Major Depressive Disorder, Educational Status, Female, France, Humans, Male, Patient Acceptance of Health Care, Psychiatric Status Rating Scales, Surveys and Questionnaires, Social Class, Socioeconomic Factors, Students, Universities, Comorbidity, Prevalence, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders, White People, Young Adult
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