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Really interesting data. I think normalisation of manifesting symptoms and help seeking is a good hypothesis (and for conditions where symptom IS the disorder, like EDs, this effect should be stronger).

There's also a possibility that having a classmate with psychiatric disorder is itself a stressor.

It'd be cool to see whether being aware of the diagnosis influenced this relationship and how.

And doing matched classes comparisons would provide extra control on top of controlling for certain variables.

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All very interesting points. I'm sure you're right that having a having a classmate with psychiatric disorder is itself a stressor!

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