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Cross-cohort change in adolescent outcomes for children with mental health problems

Research output: Contribution to journalArticle

Ruth Sellers, Naomi Warne, Andrew Pickles, Barbara Maughan, Anita Thapar, Stephan Collishaw

Original languageEnglish
Pages (from-to)813-821
Number of pages9
JournalJournal of child psychology and psychiatry
Volume60
Issue number7
Early online date15 Apr 2019
DOIs
Publication statusPublished - 1 Jul 2019

Bibliographical note

© 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.

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  • RS_JCPP_trends impact _R1

    RS_JCPP_trends_impact_R1.docx, 899 KB, application/vnd.openxmlformats-officedocument.wordprocessingml.document

    20/06/2019

  • RS_JCPP_trends impact _R1

    RS_JCPP_trends_impact_R1.docx, 899 KB, application/vnd.openxmlformats-officedocument.wordprocessingml.document

    20/06/2019

King's Authors

Abstract

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.

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