Persistence and course of mental health problems from childhood into adolescence: results of a 10-year longitudinal study
Tóm tắt
Mental health problems (MHP) in children and adolescents (CA) are common. This longitudinal study analyzed the prevalence, course, and persistence of MHP over 10 years from childhood into adolescence based on a sample from the Future Family project (N = 230). At the pre-assessment point the children were on average 5 (SE = 1) and the mothers 35 (SE = 5) years old. Descriptive methods, Chi2-tests, binary logistic regression, and different analytical approaches (number chains, transition probability) were used. Approximately 24% of the CA suffered from borderline clinical or clinically relevant MHP. The largest proportion of the sample was stable healthy (70%), whereas 15% of the CA showed chronic mentally ill, 8% transient, 4% negative and 4% positive courses. The mental health of the mother proved to be a decisive predictor for chronic mentally ill courses. Short-term persistence rates ranged between 60 and 70% from one assessment point to the next one. On the other hand, long-term persistence rates (from childhood into adolescence) were lower (51–59%). One in seven children in this sample suffered from chronic MHP, while only one third of the CA in Germany with clinically relevant MHP take advantage of psychological or psychiatric care. Prevention programs should be considered as an effective and economic approach to reduce childhood suffering in Germany.
Tài liệu tham khảo
Polanczyk GV, Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psych. 2015;56:345–65. https://doi.org/10.1111/jcpp.12381.
Barkmann C, Schulte-Markwort M. Prevalence of emotional and behavioural disorders in German children and adolescents: a meta-analysis. J Epidemiol Community Health. 2012;66:194–203. https://doi.org/10.1136/jech.2009.102467.
Klipker K, Baumgarten F, Göbel K, Lampert T, Hölling H. Mental health problems in children and adolescents in Germany. Results of the cross-sectional KiGGS wave 2 study and trends. J Health Monit. 2018;3:34–41. https://doi.org/10.17886/RKI-GBE-2018-084.
Esser G, Ihle W, Schmidt MH, Blanz B. Der Verlauf psychischer Störungen vom Kindes- zum Erwachsenenalter [The course of psychological disorders from childhood to adulthood]. Z Klin Psychol Psychother. 2000;29:276–83. https://doi.org/10.1026//0084-5345.29.4.276.
Ravens-Sieberer U, Otto C, Kriston L, Rothenberger A, Döpfner M, Herpertz-Dahlmann B, et al. The longitudinal BELLA study: design, methods and first results on the course of mental health problems. Eur Child Adolesc Psychiatry. 2015;24:651–63. https://doi.org/10.1007/s00787-014-0638-4.
Baumgarten F, Klipker K, Göbel K, Janitza S, Hölling H. Der Verlauf psychischer Auffälligkeiten bei Kindern und Jugendlichen – Ergebnisse der KiGGS-Kohorte [The course of mental health problems in children and adolescents—results of the KiGGS cohort]. J Health Monit. 2018;3:60–5. https://doi.org/10.17886/RKI-GBE-2018-011.
Ihle W, Esser G. Epidemiologie psychischer Störungen im Kindes- und Jugendalter: Prävalenz, Verlauf, Komorbidität und Geschlechtsunterschiede [Epidemiology of mental disorders in childhood and adolescence: prevalence, course, comorbidity and gender differences]. Psychol Rundsch. 2002;53:159–69. https://doi.org/10.1026//0033-3042.53.4.159.
Costello EJ, Copeland W, Angold A. Trends in psychopathology across the adolescent years: what changes when children become adolescents, and when adolescents become adults? J Child Psychol Psychiatry. 2011;52:1015–25. https://doi.org/10.1111/j.1469-7610.2011.02446.x.
Ihle W, Esser G, Laucht M, Schmidt MH. Depressive Störungen und aggressiv-dissoziale Störungen im Kindes- und Jugendalter. Prävalenz, Verlauf und Risikofaktoren [Depressive disorders and conduct disorders in childhood and adolescence. Prevalence, course, and risk factors]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2004;47:728–35. https://doi.org/10.1007/s00103-004-0882-8.
Klasen F, Petermann F, Meyrose A-K, Barkmann C, Otto C, Haller A-C, et al. Verlauf psychischer Auffälligkeiten von Kindern und Jugendlichen [Trajectories of mental health problems in children and adolescents: results of the BELLA cohort study]. Kindh Entwick. 2016;25:10–20. https://doi.org/10.1026/09425403/a000184.
Hölling H, Schlack R, Petermann F, Ravens-Sieberer U, Mauz E. Psychische Auffälligkeiten und psychosoziale Beeinträchtigungen bei Kindern und Jugendlichen im Alter von 3 bis 17 Jahren in Deutschland - Prävalenz und zeitliche Trends zu 2 Erhebungszeitpunkten (2003-2006 und 2009-2012): Ergebnisse der KiGGS-Studie - Erste Folgebefragung (KiGGS Welle 1) [Psychopathological problems and psychosocial impairment in children and adolescents aged 3-17 in the German population: Prevalence and time trends at two measurement points (2003-2006 and 2009-2012). Results of the KiGGS study: First follow-up (KiGGS Wave 1)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014;57:807–19. https://doi.org/10.1007/s00103-014-1979-3.
Ravens-Sieberer U, Wille N, Bettge S, Erhart M. Psychische Gesundheit von Kindern und Jugendlichen in Deutschland. Ergebnisse aus der BELLA-Studie im Kinder- und Jugendgesundheitssurvey (KiGGS) [Mental health of children and adolescents in Germany. Results from the BELLA study within German Health Interview and Examination Survey for Children and Adolescents (KiGGS)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007;50:871–8. https://doi.org/10.1007/s00103-007-0250-6.
Granat A, Gadassi R, Gilboa-Schlechtman E, Feldman R. Maternal depression and anxiety, social synchrony, and infant regulation of negative and positive emotions. Emotion. 2017;17:11–27. https://doi.org/10.1037/emo0000204.
Moore GF, Cox R, Evans RE, Hallingberg B, Hawkins J, Littlecott HJ, Long SJ, Murphy S. School, peer and family relationships and adolescent substance use, subjective wellbeing and mental health symptoms in Wales: a cross sectional study. Child Ind Res. 2018;11:1951–65. https://doi.org/10.1007/s12187-017-9524-1.
Taraban L, Shaw DS. Parenting in context: revisiting Belsky’s classic process of parenting model in early childhood. Dev Rev. 2018;48:55–81. https://doi.org/10.1016/j.dr.2018.03.006.
Beardslee W, Gladstone TRG, O’Connor EE. Transmission and prevention of mood disorders among children of affectively ill parents: a review. J Am Acad Child Adolesc Psychiatry. 2011;50:1098–109. https://doi.org/10.1016/j.jaac.2011.07.020.
O’Connor C, Reulbach U, Gavin B, McNicholas F. A prospective longitudinal investigation of the (dis)continuity of mental health difficulties between mid- to late-childhood and the predictive role of familial factors. Eur Child Adolesc Psychiatry. 2018;27:289–300. https://doi.org/10.1007/s00787-017-1044-5.
Heinrichs N, Hahlweg K, Bertram H, Kuschel A, Naumann S, Harstick S. Die langfristige Wirksamkeit eines Elterntrainings zur universellen Prävention kindlicher Verhaltensstörungen [The 1-year efficacy of a parent-training in the universal prevention of child-behavior problems: Results from the mothers and fathers]. Z Klin Psychol Psychother. 2006;35:82–96. https://doi.org/10.1026/1616-3443.35.2.82.
Hahlweg K, Schulz W. Universelle Prävention kindlicher Verhaltensstörungen durch Elterntrainings - Wirksamkeit nach 10 Jahren aus Sicht der Mütter, Väter, und Jugendlichen [Universal prevention of child behavioral disorders by parent training: 10-year effectiveness from mothers’, fathers’, and adolescents’ perspectives]. Z Klin Psychol Psychother. 2018;47:1–15. https://doi.org/10.1026/1616-3443/a000462.
Sanders MR. Development, evaluation, and multinational dissemination of the Triple P- Positive Parenting Program. Annu Rev Clin Psychol. 2012;8:345–79.
Belsky J. The determinants of parenting: a process model. Child Dev. 1984;55:83–96. https://doi.org/10.2307/1129836.
O’Connell ME, Boat T, Warner KE. Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities. Washington: National Academies Press; 2009.
Sanders MR, Mazzucchelli TG. The power of positive parenting. Transforming the lifes of children, parents, and communities using the Triple P system. Oxford: Oxford University Press; 2018.
Döpfner M, Plück J, Kinnen C. Arbeitsgruppe Deutsche Child Behavior Checklist. Deutsche Schulalter-Formen der Child Behavior Checklist von Thomas M. Achenbach [Manual for the Child Behavior Checklist 6-18R]. Göttingen: Hogrefe Verlag; 2014.
Achenbach TM, Rescorla LA. Manual for the ASEBA school age forms and profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families; 2001.
Arbeitsgruppe Deutsche Child Behavior Checklist. Elternfragebogen für Klein- und Vorschulkinder (CBCL 1 ½ -5). [Manual for the Child Behavior Checklist 1 ½ -5]. Cologne: Arbeitsgruppe Kinder-, Jugend- und Familiendiagnostik; 2000.
Arbeitsgruppe Deutsche Child Behavior Checklist. Elternfragebogen über das Verhalten von Kindern und Jugendlichen; deutsche Bearbeitung der Child Behavior Checklist (CBCL/4-18). Einführung und Anleitung zur Handauswertung. 2. Auflage mit deutschen Normen. [Manual for the Child Behavior Checklist 4-18]. Cologne: Hogrefe - Arbeitsgruppe Kinder-, Jugend- und Familiendiagnostik (KJFD); 1998.
Köppe E. Glückliche Eltern, liebe Kinder: Auswirkungen von Partnerschaft und psychischer Symptomatik der Eltern auf das Verhalten ihrer Kinder. [Effects of marital relationship and parents’ psychological symptoms on the behavior of their children]. Dissertation, Brunswick: Technical University Brunswick; 2001.
Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety inventories. Behav ResTher. 1995;33:335–43. https://doi.org/10.1016/0005-7967(94)00075-U.
Naumann S, Bertram H, Kuschel A, Heinrichs N, Hahlweg K, Döpfner M. Der Erziehungsfragebogen (EFB) - Ein Fragebogen zur Erfassung elterlicher Verhaltenstendenzen in schwierigen Erziehungssituationen [The Erziehungsfragebogen (EFB): an instrument to assess parental behavioral tendencies in discipline situations with her children]. Diagnostica. 2010;56:144–57. https://doi.org/10.1026/0012-1924/a000018.
Arnold DS, O’Leary SG, Wolff LS, Acker MM. The Parenting Scale: a measure of dysfunctional parenting in discipline situations. Psychol Assess. 1993;5:137–44. https://doi.org/10.1037/1040-3590.5.2.137.
Melchers P, Preuß U. Kaufman-Assessment Battery for Children (K-ABC). Deutschsprachige Fassung (5. Aufl.). Leiden; PITS; 2001.
Kaufman AS, Kaufman NL. Kaufman assessment battery for children. Circle Pines: American Guidance Service; 1983.
van Buuren S, Groothuis-Oudshoorn K. Mice: multivariate imputation by chained equations in R. J Stat Softw. 2011;45:1–67. https://doi.org/10.18637/jss.v045.i03.
R Core Team. R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2019.
Basten M, Tiemeier H, Althoff RR, van de Schoot R, Jaddoe VWW, Hofman A, et al. The stability of problem behavior across preschool years: an empirical approach in the general population. J Abnorm Child Psychol. 2016;44:393–404. https://doi.org/10.1007/s10802-015-9993-y.
Hintzpeter B, Klasen F, Schön G, Voss C, Hölling H, Ravens-Sieberer U, et al. Mental health care use among children and adolescents in Germany: results of the longitudinal BELLA study. Eur Child Adolesc Psychiatry. 2015;24:705–13. https://doi.org/10.1007/s00787-015-0676-6.
Heckman JJ, Moon SH, Pinto R, Savelyev PA, Yavitz A. The rate of return to the HighScope Perry Preschool Program. J Public Econ. 2010;94:114–28. https://doi.org/10.1016/j.jpubeco.2009.11.001.
Sampaio F, Barendregt JJ, Feldman I, Lee YY, Sawyer MG, Dadds MR, et al. Population cost-effectiveness of the Triple P parenting programme for the treatment of conduct disorder: an economic modelling study. Eur Child Adolesc Psychiatry. 2018;27:933–44. https://doi.org/10.1007/s00787-017-1100-1.