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Social Psychiatry and Psychiatric Epidemiology

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01.03.2009 | ORIGINAL PAPER

Socioeconomic position and mental health problems in pre- and early-adolescents

The TRAILS study

verfasst von: Kennedy Amone-P’Olak, Huibert Burger, Johan Ormel, Martijn Huisman, Frank C. Verhulst, Albertine J. Oldehinkel

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2009

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Abstract

Background

Family socioeconomic position (SEP) is known to be associated with adolescent mental health. Whether the relationship is different for different mental health dimensions is unknown.

Methods

Using a cross-sectional design, we investigated the differential effects of family SEP on multiple mental health dimensions in preadolescents (N = 2230, baseline age 10–12, 49% boys) using reports from multiple informants (parent, self, and teachers). A score equal to or higher than the 85th percentile (averaged across informants) defined mental health problems.

Results

SEP was inversely associated with all dimensions. Compared to high SEP, the odds ratios (OR) for externalizing problems were 3.88 (95% confidence interval (CI): 2.56, 5.90) and 2.05 (CI: 1.34, 3.14) for low and intermediate SEP, respectively. For internalizing problems, they were 1.86 (CI: 1.28, 2.70) and 1.37 (CI: 0.94, 2.00), respectively. When adjusted for externalizing problems, SEP effects on internalizing problems materially attenuated (OR: 1.47, CI: 0.78, 1.68 and OR: 1.34, CI: 0.91, 1.96) while the converse was less pronounced (OR: 3.39, CI: 2.24, 5.15) and (OR: 1.91, CI: 1.25, 2.94).

Conclusion

In early adolescence, the risk of mental health problems increases with decreasing SEP, particularly for externalizing problems. Further, the SEP-internalizing problems relationship is partly explained by shared aspects with externalizing problems.

Achenbach TM (1991) Manual for the child behaviour checklist/4–18 and 1991 profile. University of Vermont, Burlington

Achenbach TM (1991) Manual for the youth self-report and 1991 profile. University of Vermont, Burlington

Achenbach TM (1991) Manual for the teacher’s report form and 1991 profile. University of Vermont, Burlington

Achenbach TM, Bird H, Canino G, Phares V, Gould M, Rubio-Stipec M (1990) Epidemiological comparison of Peurto Rican and US mainland children: parent, teacher, and self reports. J Am Acad Child Adolesc Psychiatry 29:84–93PubMedCrossRef

Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioural and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101(2):213–232PubMedCrossRef

Achenbach TM, Verhulst FC, Baron GD, Akkerhuis GW (1987) Epidemiological comparisons of American and Dutch children: I. behavioural/emotional problems reported by teachers for ages 4 to 16. J Am Acad Child Adolesc Psychiatry 26:317–325PubMed

Achenbach TM, Verhulst FC, Edelbrock C, Baron GD, Akkerhuis GW (1987) Epidemiological comparisons of American and Dutch children: II. behavioural/emotional problems reported by teachers for ages 6 to 11. J Am Acad Child Adolesc Psychiatry 26(3):326–332PubMedCrossRef

Angold A, Costello EJ, Erkanli A (1999) Cormorbidity. J Child Psychol Psychiatry 40:57–87PubMedCrossRef

Atzaba-Poria N, Pike A, Deater-Deckard K (2004) Do risk factors for problem behaviour act in a cumulative manner? An examination of ethnic minority and majority children through an ecological perspective. J Child Psychol Psychiatry 45(4):707–718PubMedCrossRef

10.

Bolger KE, Patterson CJ, Thompson WW, Kupersmidst JB (1995) Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Dev 66:1107–1129CrossRef

11.

Boyle M, Offord D, Racine Y, Szatmari P, Sanford M, Fleming J (1997) Adequacy of interviews vs. checklists for classifying childhood psychiatric disorder based on parent reports. Arch Gen Psychiatry 54:793–799PubMed

12.

Bradley RH, Corwyn RF (2002) Socioeconomic status and child development. Annu Rev Psychol 53:371–399PubMedCrossRef

13.

Brown GW, Harris TO (1989) Life events and Illness. Guildford, New York

14.

Burkes JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry 46:1200–1210CrossRef

15.

Capaldi D, Stoolmiller M (1999) Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: III. Prediction to young-adult adjustment. Dev Psychopathol 11:59–84PubMedCrossRef

16.

Caspi A, Taylor A, Moffit TE, Plomin R (2000) Neighbourhood deprivation affects children’s mental health: environmental risks identified in a genetic design. Psychol Sci 11(4):338–342PubMedCrossRef

17.

Chen E, Berdan LE (2006) Socioeconomic status and patterns of parent-adolescent interactions. J Res Adolesc 16(1):19–27CrossRef

18.

Chen E, Mathews KA, Boyce WT (2002) Socioeconomic differences in children’s health: how and why do the relationships change with age? Psychol Bull128:295–329PubMedCrossRef

19.

Conger RD, Conger KJ, Elder GH, Lorenz FO et al (1992) A family process model of economic hardship and adjustment of early adolescent boys. Child Dev 63:526–541PubMedCrossRef

20.

Costello EJ, Compton SN, Keeler G, Angold A (2003) Relationship between poverty and psychopathology: a natural experiment. JAMA 290:2023–2029PubMedCrossRef

21.

De Winter AF, Oldehinkel AJ, Veenstra R, Brunnekreef JA, Verhulst FC, Ormel J (2005) Evaluation of non-response bias in mental health determinants and outcomes in a large sample of pre-adolescents. Eur J Epidem 20:173–181CrossRef

22.

Dohrenwend BP (1990) Socioeconomic status (SES) and psychiatric disorders. Soc Psychiatry Psychiatr Epidemiol 25:41–47PubMed

23.

Donders ART, Heijdenvd JMG, Stijnen T, Moons KGM (2006) Review: a gentle introduction to imputation of missing values. J Clin Epidemiol 59:1087–1091PubMedCrossRef

24.

Due P, Lynch J, Holstein B, Modvig J (2003) Socioeconomic health inequalities among nationally representative sample of Danish adolescents: the role of different types of social relations. J Epidemiol Community Health 57:692–69PubMedCrossRef

25.

Evans GW (2004) The environment of childhood poverty. Am Psychol 59(2):77–92PubMedCrossRef

26.

Feinberg ME, Button TMM, Neiderhiser JM, Reiss D, Hetherington EM (2007) Parenting and adolescent antisocial behaviour and depression. Arch Gen Psychiatry 64:457–465PubMedCrossRef

27.

Fendrich M, Warner V, Weissman MM (1990) Family risk factors, parental depression and psychopathology in offspring. Dev Psychol 26:40–50CrossRef

28.

Ganzeboom HBG, Treiman DJ (1996) International comparable measures of occupational status for the 1988 International Classification of Occupations. Soc Sci Res 25:201–239CrossRef

29.

Hofstra MB, Van de Ende J, Verhulst FC (2001) Adolescent’s self-reported problems as predictors of psychopathology in adulthood: 10-year follow-up study. Br J Psychiatry 179:203–209PubMedCrossRef

30.

Huisman M, Oldehinkel AJ, De Winter AF, Minderaa RB, De Bildt A, Huizink AC, Verhulst FC, Ormel J (2008) Cohort Profile: The Dutch “TRacking Adolescents’ Individual Lives’ Survey”; TRAILS. Int J Epidemiol. doi:10.1093/ije/dym273

31.

Kapi A, Veltsista A, Kavadias G, Lekea V, Bakoula C (2007) Social determinants of self- reported emotional and behavioural problems in Greek adolescents. Soc Psychiatry Psychiatr Epidemiol 42:594–598PubMedCrossRef

32.

Kendler KS, Hettema JM, Butera F, Gardner CO, Prescott CA (2003) Life events dimensions of loss, humiliation, entrapment, and danger in the prediction of onsets of major depression and generalised anxiety. Arch Gen Psychiatry 60:789–796PubMedCrossRef

33.

Lahelma E, Laaksonen M, Martikainen P, Rahkonen O, Sarlio-Lahteenkorva S (2006) Multiple measures of socio-economic circumstances and common mental disorders. Soc Sci Med 63:1383–1399PubMedCrossRef

34.

Loeber R, Farrington DP, Stouthamer-Loeber M, Van Kammen WB (1998) Antisocial behaviour and mental health problems: explanatory factors in childhood and adolescence. Lawrence Erlbaum, Mawhaw

35.

Mcleod J, Shanahan MJ (1993) Poverty, parenting, and children’s mental health. Am Sociol Rev 58:351–366CrossRef

36.

Miech RA, Caspi A, Moffit TE, Wright BR, Silva PA (1999) Low socioeconomic status and mental disorders: a longitudinal study of selection and causation during young adulthood. Am J Sociol 104:1096–1131CrossRef

37.

Oldehinkel AJ, Hartman CA, De Winter AF, Veenstra R, Ormel J (2004) Temperament profiles associated with internalizing and externalizing problems in preadolescence. Dev Psychopathol 16:421–440PubMedCrossRef

38.

Reijneveld SA, Brugman E, Verhulst FC, Verloove-Vanhorick SP (2005) Area deprivation and child psychosocial problems: a national cross-sectional study among school-aged children. Soc Psychiatry Psychiatr Epidemiol 40:18–23PubMedCrossRef

39.

Schafer JL (1998) Multiple imputation for multivariate missing data problems: a data analyst’s perspective. Multivariate Behav Res 33:545–571CrossRef

40.

Schafer JL (1999) NORM: Multiple imputation of incomplete data under a normal model, version 2. Software for Windows 95/98/NT. Retrieved 9 July 2008 from http://www.stat.psu.edu/~jls/misoftwa.html

41.

Schneiders J, Drukker M, Van der Ende J, Verhulst FC, Van Os J, Nicolson NA (2003) Neighbourhood socioeconomic disadvantage and behavioural problems from late childhood into early adolescence. J Epidemiol Community Health 57:699–703PubMedCrossRef

42.

Silk J, Sessa F, Morris A, Steinberg L, Avenevoli S (2004) Neighbourhood cohesion as a buffer against hostile maternal parenting. J Fam Psychol 18:135–146PubMedCrossRef

43.

Stansfeld S, Head J, Bartley M, Fonagy P (2008) Social position, early deprivation and the development of attachment. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-008-0330-4

44.

Verhulst FC, Koot HM, Van der Ende J (1994) Differential predictive value of parents’ and teachers’ reports of children’s problem behaviours: a longitudinal study. J Abnorm Child Psychol 22:531–546PubMedCrossRef

45.

Verhulst FC, Van der Ende J, Koot HK (1997) Handleiding voor de Youth Self-Report (YSR) [Manual for the Youth Self-Report (YSR)]. Sophia Children’s Hospital, Rotterdam

46.

Vollebergh WAM, Ten Have M, Dekovic M et al (2005) Mental health in immigrant children in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 40:489–49PubMedCrossRef

47.

Wadsworth ME, Achenbach TM (2005) Explaining the link between low socio-economic status and psychopathology: testing two mechanisms of the social causation hypothesis. J Consult Clin Psychol 73(6):1146–1153PubMedCrossRef

48.

Wardle J, Robb K, Johnson F (2002) Assessing socioeconomic status in adolescents: the validity of home affluence scale. J Epidemiol Community Health 56:595–599PubMedCrossRef

49.

World Health Organisation (2003) Investing in mental health. WHO, Geneva

50.

World Health Organisation (2005) Child mental health atlas: child and adolescent mental health resources: global concerns, implications for the future. WHO, Geneva

Titel: Socioeconomic position and mental health problems in pre- and early-adolescents
The TRAILS study
verfasst von: Kennedy Amone-P’Olak
Huibert Burger
Johan Ormel
Martijn Huisman
Frank C. Verhulst
Albertine J. Oldehinkel
Publikationsdatum: 01.03.2009
Verlag: Steinkopff-Verlag
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2009
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-008-0424-z

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Abstract

Background

Methods

Results

Conclusion

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