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Cross‐cohort change in adolescent outcomes for children with mental health problems
BACKGROUND: Child mental health problems are common. Previous studies have examined secular changes in their prevalence but have not assessed whether later outcomes have changed. We therefore aimed to test whether outcomes of child mental health problems have changed over a 40‐year period. METHODS:...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617990/ https://www.ncbi.nlm.nih.gov/pubmed/30989670 http://dx.doi.org/10.1111/jcpp.13029 |
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author | Sellers, Ruth Warne, Naomi Pickles, Andrew Maughan, Barbara Thapar, Anita Collishaw, Stephan |
author_facet | Sellers, Ruth Warne, Naomi Pickles, Andrew Maughan, Barbara Thapar, Anita Collishaw, Stephan |
author_sort | Sellers, Ruth |
collection | PubMed |
description | BACKGROUND: Child mental health problems are common. Previous studies have examined secular changes in their prevalence but have not assessed whether later outcomes have changed. We therefore aimed to test whether outcomes of child mental health problems have changed over a 40‐year period. METHODS: Three cohorts were utilized: The National Child Development Study (NCDS: N = 14,544, aged 7 in 1965), the Avon Longitudinal Study of Parents and Children (ALSPAC: N = 8,188, aged 7 in 1998), and the Millennium Cohort Study (MCS: N = 13,192, aged 7 in 2008). Mental health problems at age 7 were identified using the parent‐reported Rutter‐A scale (NCDS) and Strengths and Difficulties Questionnaire (ALSPAC and MCS). Associated outcomes were compared across cohorts: age 11 social functioning, age 16 exam attainment and age 16 mental health. RESULTS: Child mental health problems were common in each cohort (boys: 7.0%–9.7%; girls: 5.4%–8.4%). Child mental health problems became more strongly associated with social functioning problems (boys: NCDS OR = 1.95 (1.50, 2.53), MCS OR = 3.77 (2.89, 4.92); interaction p < .001; girls: NCDS OR = 1.69 (1.22, 2.33), MCS OR = 3.99 (3.04, 5.25), interaction p < .001), lower academic attainment for boys (NCDS OR = 0.49 (0.31, 0.78), ALSPAC OR = 0.30 (0.22, 0.41), interaction p = .009), and age 16 mental health problems (boys: NCDS d′ = 0.55 (0.38, 0.72), ALSPAC d′ = 0.95 (0.73, 1.16); interaction p = .004; girls: NCDS d′ = 0.50 (0.34, 0.65), ALSPAC d′ = 0.99 (0.78, 1.20); interaction p < .001). CONCLUSIONS: Child mental health problems have become more strongly associated with negative social, educational and mental health outcomes in recent generations. |
format | Online Article Text |
id | pubmed-6617990 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66179902019-07-22 Cross‐cohort change in adolescent outcomes for children with mental health problems Sellers, Ruth Warne, Naomi Pickles, Andrew Maughan, Barbara Thapar, Anita Collishaw, Stephan J Child Psychol Psychiatry Original Articles BACKGROUND: Child mental health problems are common. Previous studies have examined secular changes in their prevalence but have not assessed whether later outcomes have changed. We therefore aimed to test whether outcomes of child mental health problems have changed over a 40‐year period. METHODS: Three cohorts were utilized: The National Child Development Study (NCDS: N = 14,544, aged 7 in 1965), the Avon Longitudinal Study of Parents and Children (ALSPAC: N = 8,188, aged 7 in 1998), and the Millennium Cohort Study (MCS: N = 13,192, aged 7 in 2008). Mental health problems at age 7 were identified using the parent‐reported Rutter‐A scale (NCDS) and Strengths and Difficulties Questionnaire (ALSPAC and MCS). Associated outcomes were compared across cohorts: age 11 social functioning, age 16 exam attainment and age 16 mental health. RESULTS: Child mental health problems were common in each cohort (boys: 7.0%–9.7%; girls: 5.4%–8.4%). Child mental health problems became more strongly associated with social functioning problems (boys: NCDS OR = 1.95 (1.50, 2.53), MCS OR = 3.77 (2.89, 4.92); interaction p < .001; girls: NCDS OR = 1.69 (1.22, 2.33), MCS OR = 3.99 (3.04, 5.25), interaction p < .001), lower academic attainment for boys (NCDS OR = 0.49 (0.31, 0.78), ALSPAC OR = 0.30 (0.22, 0.41), interaction p = .009), and age 16 mental health problems (boys: NCDS d′ = 0.55 (0.38, 0.72), ALSPAC d′ = 0.95 (0.73, 1.16); interaction p = .004; girls: NCDS d′ = 0.50 (0.34, 0.65), ALSPAC d′ = 0.99 (0.78, 1.20); interaction p < .001). CONCLUSIONS: Child mental health problems have become more strongly associated with negative social, educational and mental health outcomes in recent generations. John Wiley and Sons Inc. 2019-04-15 2019-07 /pmc/articles/PMC6617990/ /pubmed/30989670 http://dx.doi.org/10.1111/jcpp.13029 Text en © 2019 The Authors. Journal of Child Psychology and Psychiatry published by John Wiley & Sons Ltd on behalf of Association for Child and Adolescent Mental Health. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Sellers, Ruth Warne, Naomi Pickles, Andrew Maughan, Barbara Thapar, Anita Collishaw, Stephan Cross‐cohort change in adolescent outcomes for children with mental health problems |
title | Cross‐cohort change in adolescent outcomes for children with mental health problems |
title_full | Cross‐cohort change in adolescent outcomes for children with mental health problems |
title_fullStr | Cross‐cohort change in adolescent outcomes for children with mental health problems |
title_full_unstemmed | Cross‐cohort change in adolescent outcomes for children with mental health problems |
title_short | Cross‐cohort change in adolescent outcomes for children with mental health problems |
title_sort | cross‐cohort change in adolescent outcomes for children with mental health problems |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617990/ https://www.ncbi.nlm.nih.gov/pubmed/30989670 http://dx.doi.org/10.1111/jcpp.13029 |
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