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 |
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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. |
doi_str_mv | 10.1017/S0033291721002506 |
format | Article |
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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.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291721002506</identifier><identifier>PMID: 34282721</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>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</subject><ispartof>Psychological medicine, 2023-02, Vol.53 (3), p.1074-1083</ispartof><rights>Copyright © The Author(s), 2021. Published by Cambridge University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c482t-78ed3dc230ed9a71a3662107fcf2199503ee625e54c711ff4a7b4e21f8b695943</citedby><cites>FETCH-LOGICAL-c482t-78ed3dc230ed9a71a3662107fcf2199503ee625e54c711ff4a7b4e21f8b695943</cites><orcidid>0000-0002-5341-3461 ; 0000-0003-2118-821X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0033291721002506/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,12825,27901,27902,30976,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34282721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thompson, Ellen J.</creatorcontrib><creatorcontrib>Richards, Marcus</creatorcontrib><creatorcontrib>Ploubidis, George B.</creatorcontrib><creatorcontrib>Fonagy, Peter</creatorcontrib><creatorcontrib>Patalay, Praveetha</creatorcontrib><title>Changes in the adult consequences of adolescent mental ill-health: findings from the 1958 and 1970 British birth cohorts</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><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.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult</subject><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Birth Cohort</subject><subject>Child</subject><subject>Child & adolescent mental health</subject><subject>Child development</subject><subject>Childbirth & labor</subject><subject>Cohabitation</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Complications</subject><subject>Confounding factors</subject><subject>Economic wellbeing</subject><subject>Employment</subject><subject>Health disparities</subject><subject>Humans</subject><subject>Internalization</subject><subject>Investigations</subject><subject>Life course</subject><subject>Life satisfaction</subject><subject>Longitudinal Studies</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>Midlife</subject><subject>Occupations</subject><subject>Original Article</subject><subject>Prospective Studies</subject><subject>Psychological distress</subject><subject>Psychopathology</subject><subject>Public health</subject><subject>Social behavior</subject><subject>Socioeconomic factors</subject><subject>Symptoms</subject><subject>Teenagers</subject><subject>Voter 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in the adult consequences of adolescent mental ill-health: findings from the 1958 and 1970 British birth cohorts</title><author>Thompson, Ellen J. ; Richards, Marcus ; Ploubidis, George B. ; Fonagy, Peter ; Patalay, Praveetha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c482t-78ed3dc230ed9a71a3662107fcf2199503ee625e54c711ff4a7b4e21f8b695943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult</topic><topic>Adults</topic><topic>Age</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Birth Cohort</topic><topic>Child</topic><topic>Child & adolescent mental health</topic><topic>Child development</topic><topic>Childbirth & labor</topic><topic>Cohabitation</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Complications</topic><topic>Confounding factors</topic><topic>Economic 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Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, Ellen J.</au><au>Richards, Marcus</au><au>Ploubidis, George B.</au><au>Fonagy, Peter</au><au>Patalay, Praveetha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in the adult consequences of adolescent mental ill-health: findings from the 1958 and 1970 British birth cohorts</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>53</volume><issue>3</issue><spage>1074</spage><epage>1083</epage><pages>1074-1083</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><abstract>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.</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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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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