Educational Attainment As A Protective Factor For Psychiatric Disorders: Findings From A Nationally Representative Longitudinal Study
Published online on April 20, 2016
Abstract
Objective
This study examined cross‐sectional and longitudinal relationships between educational attainment and psychiatric disorders (i.e., mood, anxiety, substance use, and personality disorders) using a nationally representative survey of US adults.
Method
We used data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N = 34,653). Bivariate and multiple logistic regressions examined cross‐sectional and longitudinal associations between educational attainment and a variety of past‐year and incident anxiety, mood, and substance use disorders, controlling for sociodemographics and psychiatric disorder comorbidity.
Results
Adjusted cross‐sectional data indicated that educational attainment below a graduate or professional degree at Wave 2 was associated with significantly higher odds of substance use and/or dependence disorders (adjusted odds ratio range (AORR = 1.55–2.55, P < 0.001). Longitudinal adjusted regression analyses indicated that individuals reporting less than a college education at Wave 1 were at significantly higher odds of experiencing any incident mood (AORR 1.49–1.64, P < 0.01), anxiety (AORR 1.35–1.69, P < 0.01), and substance use disorder (AORR 1.50–2.02, P < 0.01) at Wave 2 even after controlling for other sociodemographic variables and psychiatric comorbidity.
Conclusion
Findings lend support to other published research demonstrating that educational attainment is protective against developing a spectrum of psychiatric disorders. Mechanisms underlying this relationship are speculative and in need of additional research.