Changes in the adult consequences of adolescent mental ill-health: findings from the 1958 and 1970 British birth cohorts

Adolescent mental health difficulties are increasing over time. However, it is not known whether their adulthood health and socio-economic sequelae are changing over time. Participants ( = 31 349) are from two prospective national birth cohort studies: 1958 National Child Development Study ( = 16 09...

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Veröffentlicht in:Psychological medicine 2023-02, Vol.53 (3), p.1074-1083
Hauptverfasser: Thompson, Ellen J., Richards, Marcus, Ploubidis, George B., Fonagy, Peter, Patalay, Praveetha
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container_end_page 1083
container_issue 3
container_start_page 1074
container_title Psychological medicine
container_volume 53
creator Thompson, Ellen J.
Richards, Marcus
Ploubidis, George B.
Fonagy, Peter
Patalay, Praveetha
description Adolescent mental health difficulties are increasing over time. However, it is not known whether their adulthood health and socio-economic sequelae are changing over time. Participants ( = 31 349) are from two prospective national birth cohort studies: 1958 National Child Development Study ( = 16 091) and the 1970 British Cohort Study ( = 15 258). Adolescent mental health was operationalised both as traditional internalising and externalising factors and a hierarchical bi-factor. Associations between adolescent psychopathology and age 42 health and wellbeing (mental health, general health, life satisfaction), social (cohabitation, voting behaviour) and economic (education and employment) outcomes are estimated using linear and logistic multivariable regressions across cohorts, controlling for a wide range of early life potential confounding factors. The prevalence of adolescent mental health difficulties increased and their associations with midlife health, wellbeing, social and economic outcomes became more severe or remained similar between those born in 1958 and 1970. For instance, a stronger association with adolescent mental health difficulties was found for those born in 1970 for midlife psychological distress [odds ratio (OR) 1970 = 1.82 (1.65-1.99), OR 1958 = 1.60 (1.43-1.79)], cohabitation [OR 1970 = 0.64 (0.59-0.70), OR 1958 = 0.79 (0.72-0.87)], and professional occupations [OR 1970 = 0.75 (0.67-0.84), OR 1958 = 1.05 (0.88-1.24)]. The associations of externalising symptoms with later outcomes were mainly explained by their shared variance with internalising symptoms. The widening of mental health-based inequalities in midlife outcomes further supports the need to recognise that secular increases in adolescent mental health symptoms is a public health challenge with measurable negative consequences through the life-course. Increased public health efforts to minimise adverse outcomes are needed.
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The associations of externalising symptoms with later outcomes were mainly explained by their shared variance with internalising symptoms. The widening of mental health-based inequalities in midlife outcomes further supports the need to recognise that secular increases in adolescent mental health symptoms is a public health challenge with measurable negative consequences through the life-course. Increased public health efforts to minimise adverse outcomes are needed.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>34282721</pmid><doi>10.1017/S0033291721002506</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5341-3461</orcidid><orcidid>https://orcid.org/0000-0003-2118-821X</orcidid><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Cambridge University Press Journals Complete
subjects Adolescent
Adolescents
Adult
Adults
Age
Aged
Anxiety
Birth Cohort
Child
Child & adolescent mental health
Child development
Childbirth & labor
Cohabitation
Cohort analysis
Cohort Studies
Complications
Confounding factors
Economic wellbeing
Employment
Health disparities
Humans
Internalization
Investigations
Life course
Life satisfaction
Longitudinal Studies
Mental disorders
Mental Health
Midlife
Occupations
Original Article
Prospective Studies
Psychological distress
Psychopathology
Public health
Social behavior
Socioeconomic factors
Symptoms
Teenagers
Voter behavior
title Changes in the adult consequences of adolescent mental ill-health: findings from the 1958 and 1970 British birth cohorts
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