TY - JOUR
T1 - Trends in comorbid physical and mental health conditions in children from 1999 to 2017 in England
AU - Panagi, Laura
AU - Newlove-Delgado, Tamsin
AU - White, Simon R.
AU - Bennett, Sophie
AU - Heyman, Isobel
AU - Shafran, Roz
AU - Ford, Tamsin
N1 - Funding Information:
This research was funded by the Beryl Alexander Charity. Professor Tamsin Ford is funded by the NIHR Cambridge Biomedical Research Centre (BRC-1215-20014). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Dr Tamsin Newlove-Delgado is funded by an NIHR Advanced Fellowship (NIHR300056). Dr Sophie Bennett and Professor Roz Shafran are funded by the NIHR Great Ormond Street Hospital Biomedical Research Centre. The views expressed are those of the authors and not necessarily those of the National Health System, the NIHR or the Department of Health and Social Care.
Publisher Copyright:
© 2022, The Author(s).
PY - 2024/1
Y1 - 2024/1
N2 - Introduction: Children with long-term physical health conditions (pLTCs) are at increased risk of mental health conditions but less is known about time trends in the mental health of this group of children. Methods: We used data from three comparable, population-based surveys of children conducted in 1999, 2004, and 2017. We examined whether the proportion of children aged 5–15 years old with comorbid mental health conditions (measured using the multi-informant Development and Well-being Assessment tool) and pLTCs (measured using parental report) in England increased from 1999 to 2017 using linear regression analysis. Results: Our analysis used data from 8662 (1999), 6401 (2004) and 6219 (2017) children, respectively. The proportion of children with comorbid pLTCs and psychiatric disorders was 0.050 (95% CI = 0.045, 0.055) in 1999, 0.054 (95% CI = 0.049, 0.060) in 2004, and 0.059 (95% CI = 0.053, 0.065) in 2017. The linear regression model revealed a non-significant effect of time on the proportion of children with comorbid pLTCs and psychiatric disorders from 1999 to 2017 (B = 0.0004785; SE = 0.0001256; p = 0.163). Conclusion: The estimated prevalence of school-aged children with comorbid pLTCs and mental health conditions in England remained stable since 1999, highlighting the need to prioritize mental health resources for children with physical health comorbidities.
AB - Introduction: Children with long-term physical health conditions (pLTCs) are at increased risk of mental health conditions but less is known about time trends in the mental health of this group of children. Methods: We used data from three comparable, population-based surveys of children conducted in 1999, 2004, and 2017. We examined whether the proportion of children aged 5–15 years old with comorbid mental health conditions (measured using the multi-informant Development and Well-being Assessment tool) and pLTCs (measured using parental report) in England increased from 1999 to 2017 using linear regression analysis. Results: Our analysis used data from 8662 (1999), 6401 (2004) and 6219 (2017) children, respectively. The proportion of children with comorbid pLTCs and psychiatric disorders was 0.050 (95% CI = 0.045, 0.055) in 1999, 0.054 (95% CI = 0.049, 0.060) in 2004, and 0.059 (95% CI = 0.053, 0.065) in 2017. The linear regression model revealed a non-significant effect of time on the proportion of children with comorbid pLTCs and psychiatric disorders from 1999 to 2017 (B = 0.0004785; SE = 0.0001256; p = 0.163). Conclusion: The estimated prevalence of school-aged children with comorbid pLTCs and mental health conditions in England remained stable since 1999, highlighting the need to prioritize mental health resources for children with physical health comorbidities.
KW - Comorbitidy
KW - Long-term physical health conditions
KW - Mental health conditions
KW - Trends
UR - http://www.scopus.com/inward/record.url?scp=85142416917&partnerID=8YFLogxK
U2 - 10.1007/s00787-022-02112-5
DO - 10.1007/s00787-022-02112-5
M3 - Article
C2 - 36418506
AN - SCOPUS:85142416917
SN - 1018-8827
VL - 33
SP - 33
EP - 38
JO - European Child and Adolescent Psychiatry
JF - European Child and Adolescent Psychiatry
IS - 1
ER -