Sellers_et_al-2019-Journal_of_Child_Psychology_and_Psychiatry.pdf (197.51 kB)
Cross-cohort change in adolescent outcomes for children with mental health problems
Version 2 2023-06-12, 08:58
Version 1 2023-06-09, 16:37
journal contribution
posted on 2023-06-12, 08:58 authored by Ruth Sellers, Naomi Warne, Andrew Pickles, Barbara Maughan, Anita Thapar, Stephan CollishawBackground 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 utilised: the National Child Development Study (NCDS: N = 14544, aged 7 in 1965), the Avon Longitudinal Study of Parents and Children (ALSPAC: N = 8188, aged 7 in 1998), and the Millennium Cohort Study (MCS: N = 13192, 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), ALSAPC 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.
History
Publication status
- Published
File Version
- Published version
Journal
Journal of Child Psychology and PsychiatryISSN
0021-9630Publisher
WileyExternal DOI
Department affiliated with
- Psychology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2019-01-25First Open Access (FOA) Date
2019-05-29First Compliant Deposit (FCD) Date
2019-01-24Usage metrics
Categories
No categories selectedLicence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC