Centre for Research on Ageing, Health and Wellbeing, The Australian National University, ACT, Australia.
Psychiatry Res. 2012 Aug 30;199(1):51-7. doi: 10.1016/j.psychres.2012.03.040. Epub 2012 Apr 14.
Early onset mental disorders may lead to the early termination of education and thereby have long term adverse social and economic consequences on outcomes such as employment and financial security. This issue is important to address as governments seek to develop new ways to minimise the impacts of mental health problems and maximise workforce participation. The current investigation examines the impact of early onset affective, anxiety and substance use disorders on the early termination of secondary school education in Australia. The analyses used data from those aged between 20 and 34 in the 2007 Australian National Survey of Mental Health and Wellbeing (NSMHWB) (n=2055). The NSMHWB is a population based survey administered by the Australian Bureau of Statics and included a WMH-CIDI 3.0 assessment to determine whether respondents met diagnostic criteria for any lifetime affective, anxiety, and/or substance use disorder as well as age of onset information. The results show that early onset mental disorders are significantly associated with the termination of secondary education in Australia, particularly early onset substance use disorders such as alcohol, cannabis and stimulant use. These disorders were most likely to disrupt completion in the middle years of high school (year 10 completion), in comparison to the final year 12 milestone. Policies and interventions promoting prevention and early intervention and offering educational support for young people with psychiatric illness and substance use problems, should intervene prior to the middle years of high school to help prevent adverse social and economic consequences.
早期发作的精神障碍可能导致教育提前终止,从而对就业和财务安全等结果产生长期的不利社会和经济后果。由于政府寻求开发新的方法来最大程度地减少心理健康问题的影响并最大程度地提高劳动力参与率,因此解决这个问题非常重要。目前的研究调查了早期发作的情感、焦虑和物质使用障碍对澳大利亚中学教育提前终止的影响。该分析使用了澳大利亚国家心理健康和幸福感调查(NSMHWB)中 20 至 34 岁人群的数据(n=2055)。NSMHWB 是由澳大利亚统计局进行的一项基于人群的调查,其中包括 WMH-CIDI 3.0 评估,以确定受访者是否符合任何终生情感、焦虑和/或物质使用障碍的诊断标准以及发病年龄信息。结果表明,早期发作的精神障碍与澳大利亚中学教育的提前终止显著相关,特别是早期发作的物质使用障碍,如酒精、大麻和兴奋剂的使用。与最后一年 12 年级的里程碑相比,这些障碍最有可能中断高中的中间几年(10 年级完成)。促进预防和早期干预并为有精神疾病和物质使用问题的年轻人提供教育支持的政策和干预措施,应在高中的中间几年之前进行干预,以防止产生不利的社会和经济后果。