Mental ills common in young, study says
Extensive work determines few get needed psychiatric treatment

BY THE ASSOCIATED PRESS

Published: December 2, 2008

CHICAGO — Almost one in five young adults in the United States has a personality disorder that interferes with everyday life, and even more of them abuse alcohol or drugs, researchers reported Monday in the most extensive study of its kind.

The disorders include problems such as obsessive or compulsive tendencies and anti-social behavior that can sometimes lead to violence. The study also found that fewer than 25 percent of college-aged Americans with mental problems get treatment.

One expert said personality disorders may be overdiagnosed. But others said the results were not surprising since previous evidence has suggested mental problems are common on college campuses and elsewhere.

Experts praised the study’s scope — face-to-face interviews about numerous disorders with more than 5,000 young people ages 19 to 25 — and said it spotlights a problem college administrators need to address.

Study co-author Dr. Mark Olfson of Columbia University and New York State Psychiatric Institute called the widespread lack of treatment particularly worrisome. He said it should alert not only "students and parents, but also deans and people who run college mental health services about the need to extend access to treatment.”

Counting substance abuse, the study found that nearly half of young people surveyed have some sort of psychiatric condition, including students and non-students.

Personality disorders were the second most common problem behind drug or alcohol abuse as a single category. The disorders include obsessive, anti-social and paranoid behaviors that are not quirks but interfere with ordinary functioning.

Authors noted recent tragedies such as fatal shootings at Northern Illinois University and Virginia Tech have raised awareness about the prevalence of mental illness on college campuses. They also suggest that this age group might be particularly vulnerable.

For many young adults, circumstances such as college, finding a job, relationships, and parenthood can result in stress that triggers the start or recurrence of psychiatric problems, study authors said.

The study was released Monday in Archives of General Psychiatry. It was based on interviews with 5,092 young adults.

The study was funded with research grants from the National Institutes of Health, the American Foundation for Suicide Prevention and the New York Psychiatric Institute.

Dr. Sharon Hirsch, a University of Chicago psychiatrist not involved in the study, praised it for raising awareness about the problem and the high numbers of affected people who don’t get help.

The results highlight the need for mental health services to be housed with other medical services on college campuses, to erase the stigma and make it more likely that people will seek help, she said.

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