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Reciprocal associations between affective decision-making and mental health in adolescence

Poor affective decision-making has been shown to associate cross-sectionally with poor mental health in clinical populations. However, evidence from general population samples is scarce. Moreover, whether decision-making is prospectively linked to mental health in youth in the general population and...

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Autores principales: Bentivegna, Francesca, Flouri, Eirini, Papachristou, Efstathios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10682223/
https://www.ncbi.nlm.nih.gov/pubmed/36251079
http://dx.doi.org/10.1007/s00787-022-02096-2
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author Bentivegna, Francesca
Flouri, Eirini
Papachristou, Efstathios
author_facet Bentivegna, Francesca
Flouri, Eirini
Papachristou, Efstathios
author_sort Bentivegna, Francesca
collection PubMed
description Poor affective decision-making has been shown to associate cross-sectionally with poor mental health in clinical populations. However, evidence from general population samples is scarce. Moreover, whether decision-making is prospectively linked to mental health in youth in the general population and whether such associations are reciprocal have yet to be examined. The present study examined bidirectional associations between various aspects of affective decision-making and emotional and behavioural problems at ages 11 and 14 years in 13,366 members of the Millennium Cohort Study. Decision-making (delay aversion, deliberation time, quality of decision-making, risk adjustment, risk-taking) and emotional (emotional symptoms, peer problems) and behavioural (conduct problems, hyperactivity/inattention) problems were measured using the Cambridge Gambling Task and the Strengths and Difficulties Questionnaire, respectively. Results of cross-lagged panel models adjusted for confounding revealed a negative reciprocal association between hyperactivity and quality of decision-making but also positive reciprocal associations between conduct problems and delay aversion, and between peer problems and deliberation time. Emotional problems and peer problems predicted a decrease in risk-taking, conduct problems predicted an increase in risk-taking, and hyperactivity predicted an increase in delay aversion and deliberation time. Furthermore, hyperactivity and conduct problems predicted less risk adjustment, and risk adjustment predicted fewer peer problems. The results suggest that behavioural problems are prospectively linked to greater risk-taking and lower risk adjustment in adolescence. Moreover, adolescents with behavioural problems tend to make poorer decisions and be more delay-averse, but also poorer quality of decision-making and increased delay aversion are associated with more behavioural problems over time. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00787-022-02096-2.
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spelling pubmed-106822232023-11-30 Reciprocal associations between affective decision-making and mental health in adolescence Bentivegna, Francesca Flouri, Eirini Papachristou, Efstathios Eur Child Adolesc Psychiatry Original Contribution Poor affective decision-making has been shown to associate cross-sectionally with poor mental health in clinical populations. However, evidence from general population samples is scarce. Moreover, whether decision-making is prospectively linked to mental health in youth in the general population and whether such associations are reciprocal have yet to be examined. The present study examined bidirectional associations between various aspects of affective decision-making and emotional and behavioural problems at ages 11 and 14 years in 13,366 members of the Millennium Cohort Study. Decision-making (delay aversion, deliberation time, quality of decision-making, risk adjustment, risk-taking) and emotional (emotional symptoms, peer problems) and behavioural (conduct problems, hyperactivity/inattention) problems were measured using the Cambridge Gambling Task and the Strengths and Difficulties Questionnaire, respectively. Results of cross-lagged panel models adjusted for confounding revealed a negative reciprocal association between hyperactivity and quality of decision-making but also positive reciprocal associations between conduct problems and delay aversion, and between peer problems and deliberation time. Emotional problems and peer problems predicted a decrease in risk-taking, conduct problems predicted an increase in risk-taking, and hyperactivity predicted an increase in delay aversion and deliberation time. Furthermore, hyperactivity and conduct problems predicted less risk adjustment, and risk adjustment predicted fewer peer problems. The results suggest that behavioural problems are prospectively linked to greater risk-taking and lower risk adjustment in adolescence. Moreover, adolescents with behavioural problems tend to make poorer decisions and be more delay-averse, but also poorer quality of decision-making and increased delay aversion are associated with more behavioural problems over time. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00787-022-02096-2. Springer Berlin Heidelberg 2022-10-17 2023 /pmc/articles/PMC10682223/ /pubmed/36251079 http://dx.doi.org/10.1007/s00787-022-02096-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Contribution
Bentivegna, Francesca
Flouri, Eirini
Papachristou, Efstathios
Reciprocal associations between affective decision-making and mental health in adolescence
title Reciprocal associations between affective decision-making and mental health in adolescence
title_full Reciprocal associations between affective decision-making and mental health in adolescence
title_fullStr Reciprocal associations between affective decision-making and mental health in adolescence
title_full_unstemmed Reciprocal associations between affective decision-making and mental health in adolescence
title_short Reciprocal associations between affective decision-making and mental health in adolescence
title_sort reciprocal associations between affective decision-making and mental health in adolescence
topic Original Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10682223/
https://www.ncbi.nlm.nih.gov/pubmed/36251079
http://dx.doi.org/10.1007/s00787-022-02096-2
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