Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 10/2012

01.10.2012 | Original Paper

Socioeconomic status and children’s mental health: results from the Bergen Child Study

verfasst von: Tormod Bøe, Simon Øverland, Astri J. Lundervold, Mari Hysing

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 10/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

It is generally accepted that mental health problems are unequally distributed across population strata defined by socioeconomic status (SES), with more problems for those with lower SES. However, studies of this association in children and adolescents are often restricted by the use of global measures of mental health problems and aggregation of SES-indicators. We aim to further elucidate the relationship between childhood mental health problems and SES by including more detailed information about mental health and individual SES-indicators.

Methods

The participants (N = 5,781, age 11–13) were part of the Bergen Child Study (BCS). Mental health was assessed using the teacher, parent and self-report versions of the Strengths and Difficulties Questionnaire (SDQ), including an impact section, used to measure symptom dimensions and probability of psychiatric disorders. Parent reports of family economy and parental education were used as SES measures.

Results

For each SES indicator we confirmed an inverse relationship across all the symptom dimensions. Poor family economy consistently predicted mental health problems, while parental education level predicted externalizing disorders stronger than internalizing disorders.

Conclusion

In this Norwegian sample of children, family economy was a significant predictor of mental health problems as measured across a wide range of symptom dimensions and poor economy predicted a high probability of a psychiatric disorder. Longitudinal studies of the impact of low family income as well as other SES factors on externalizing and internalizing symptom dimensions and disorders are called for.
Literatur
1.
Zurück zum Zitat Heiervang E, Stormark KM, Lundervold AJ, Heimann M, Goodman R, Posserud M-B, Ullebø AK, Plessen KJ, Bjelland I, Lie SA, Gillberg C (2007) Psychiatric disorders in Norwegian 8- to 10-year-olds: an epidemiological survey of prevalence, risk factors, and service use. J Am Acad Child Adolesc Psychiatry 46(4):438–447. doi:10.1097/chi.0b013e31803062bf PubMedCrossRef Heiervang E, Stormark KM, Lundervold AJ, Heimann M, Goodman R, Posserud M-B, Ullebø AK, Plessen KJ, Bjelland I, Lie SA, Gillberg C (2007) Psychiatric disorders in Norwegian 8- to 10-year-olds: an epidemiological survey of prevalence, risk factors, and service use. J Am Acad Child Adolesc Psychiatry 46(4):438–447. doi:10.​1097/​chi.​0b013e31803062bf​ PubMedCrossRef
4.
5.
Zurück zum Zitat van Oort F, van der Ende J, Wadsworth M, Verhulst F, Achenbach T (2011) Cross-national comparison of the link between socioeconomic status and emotional and behavioral problems in youths. Soc Psychiatry Psychiatr Epidemiol 46(2):167–172. doi:10.1007/s00127-010-0191-5 PubMedCrossRef van Oort F, van der Ende J, Wadsworth M, Verhulst F, Achenbach T (2011) Cross-national comparison of the link between socioeconomic status and emotional and behavioral problems in youths. Soc Psychiatry Psychiatr Epidemiol 46(2):167–172. doi:10.​1007/​s00127-010-0191-5 PubMedCrossRef
8.
Zurück zum Zitat Stansfeld S, Clark C, Rodgers B, Caldwell T, Power C (2011) Repeated exposure to socioeconomic disadvantage and health selection as life course pathways to mid-life depressive and anxiety disorders. Soc Psychiatry Psychiatr Epidemiol 46(7):549–558. doi:10.1007/s00127-010-0221-3 PubMedCrossRef Stansfeld S, Clark C, Rodgers B, Caldwell T, Power C (2011) Repeated exposure to socioeconomic disadvantage and health selection as life course pathways to mid-life depressive and anxiety disorders. Soc Psychiatry Psychiatr Epidemiol 46(7):549–558. doi:10.​1007/​s00127-010-0221-3 PubMedCrossRef
13.
Zurück zum Zitat Amone-P’Olak K, Burger H, Ormel J, Huisman M, Verhulst FC, Oldehinkel AJ (2009) Socioeconomic position and mental health problems in pre- and early-adolescents: the TRAILS study. Soc Psychiatry Psychiatr Epidemiol 44(3):231–238. doi:10.1007/s00127-008-0424-z PubMedCrossRef Amone-P’Olak K, Burger H, Ormel J, Huisman M, Verhulst FC, Oldehinkel AJ (2009) Socioeconomic position and mental health problems in pre- and early-adolescents: the TRAILS study. Soc Psychiatry Psychiatr Epidemiol 44(3):231–238. doi:10.​1007/​s00127-008-0424-z PubMedCrossRef
14.
Zurück zum Zitat Achenbach TM (1991) Manual for the child behaviour checklist/4-18 and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT Achenbach TM (1991) Manual for the child behaviour checklist/4-18 and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT
15.
Zurück zum Zitat Achenbach TM (1991) Manual for the youth self-report and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT Achenbach TM (1991) Manual for the youth self-report and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT
16.
Zurück zum Zitat Achenbach TM (1991) Manual for the teacher’s report form and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT Achenbach TM (1991) Manual for the teacher’s report form and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT
17.
Zurück zum Zitat von Rueden U, Gosch A, Rajmil L, Bisegger C, Ravens-Sieberer U, European Kg (2006) Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. J Epidemiol Community Health 60(2):130–135. doi:10.1136/jech.2005.039792 CrossRef von Rueden U, Gosch A, Rajmil L, Bisegger C, Ravens-Sieberer U, European Kg (2006) Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. J Epidemiol Community Health 60(2):130–135. doi:10.​1136/​jech.​2005.​039792 CrossRef
18.
Zurück zum Zitat Huisman M, Araya R, Lawlor DA, Ormel J, Verhulst FC, Oldehinkel AJ (2010) Cognitive ability, parental socioeconomic position and internalising and externalising problems in adolescence: findings from two European cohort studies. Eur J Epidemiol 25(8):569–580. doi:10.1007/s10654-010-9473-1 PubMedCrossRef Huisman M, Araya R, Lawlor DA, Ormel J, Verhulst FC, Oldehinkel AJ (2010) Cognitive ability, parental socioeconomic position and internalising and externalising problems in adolescence: findings from two European cohort studies. Eur J Epidemiol 25(8):569–580. doi:10.​1007/​s10654-010-9473-1 PubMedCrossRef
20.
Zurück zum Zitat Ford T, Goodman R, Meltzer H (2004) The relative importance of child, family, school and neighbourhood correlates of childhood psychiatric disorder. Soc Psychiatry Psychiatr Epidemiol 39(6):487–496. doi:10.1007/s00127-004-0782-0 PubMedCrossRef Ford T, Goodman R, Meltzer H (2004) The relative importance of child, family, school and neighbourhood correlates of childhood psychiatric disorder. Soc Psychiatry Psychiatr Epidemiol 39(6):487–496. doi:10.​1007/​s00127-004-0782-0 PubMedCrossRef
21.
Zurück zum Zitat Goodman R, Renfrew D, Mullick M (2000) Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 9(2):129–134. doi:10.1007/s007870050008 PubMedCrossRef Goodman R, Renfrew D, Mullick M (2000) Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 9(2):129–134. doi:10.​1007/​s007870050008 PubMedCrossRef
23.
Zurück zum Zitat Verhulst FC, Koot HM, Van der Ende J (1994) Differential predictive value of parents’ and teachers’ reports of children’s problem behaviors: a longitudinal study. J Abnorm Child Psychol 22(5):531–546. doi:10.1007/BF02168936 PubMedCrossRef Verhulst FC, Koot HM, Van der Ende J (1994) Differential predictive value of parents’ and teachers’ reports of children’s problem behaviors: a longitudinal study. J Abnorm Child Psychol 22(5):531–546. doi:10.​1007/​BF02168936 PubMedCrossRef
24.
Zurück zum Zitat Stormark KM, Heiervang E, Heimann M, Lundervold AJ, Gillberg C (2008) Predicting nonresponse bias from teacher ratings of mental health problems in primary school children. J Abnorm Child Psych 3:411–419. doi:10.1007/s10802-007-9187-3 CrossRef Stormark KM, Heiervang E, Heimann M, Lundervold AJ, Gillberg C (2008) Predicting nonresponse bias from teacher ratings of mental health problems in primary school children. J Abnorm Child Psych 3:411–419. doi:10.​1007/​s10802-007-9187-3 CrossRef
25.
Zurück zum Zitat Statistics Norway (2009) Immigration and immigrants 2008. Statistical Analyses. Statistics Norway, Olso Statistics Norway (2009) Immigration and immigrants 2008. Statistical Analyses. Statistics Norway, Olso
27.
Zurück zum Zitat Muris P, Meesters C, van den Berg F (2003) The Strengths and Difficulties Questionnaire (SDQ)—further evidence for its reliability and validity in a community sample of Dutch children and adolescents. Eur Child Adolesc Psychiatry 12(1):1–8. doi:10.1007/s00787-003-0298-2 PubMedCrossRef Muris P, Meesters C, van den Berg F (2003) The Strengths and Difficulties Questionnaire (SDQ)—further evidence for its reliability and validity in a community sample of Dutch children and adolescents. Eur Child Adolesc Psychiatry 12(1):1–8. doi:10.​1007/​s00787-003-0298-2 PubMedCrossRef
28.
Zurück zum Zitat Smedje H, Broman JE, Hetta J, von Knorring AL (1999) Psychometric properties of a Swedish version of the “Strengths and Difficulties Questionnaire”. Eur Child Adolesc Psychiatry 8(2):63–70. doi:10.1007/s007870050086 PubMedCrossRef Smedje H, Broman JE, Hetta J, von Knorring AL (1999) Psychometric properties of a Swedish version of the “Strengths and Difficulties Questionnaire”. Eur Child Adolesc Psychiatry 8(2):63–70. doi:10.​1007/​s007870050086 PubMedCrossRef
29.
Zurück zum Zitat Stone LL, Otten R, Engels RC, Vermulst AA, Janssens JM (2010) Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4- to 12-year-olds: a review. Clin Child Fam Psychol Rev 13(3):254–274. doi:10.1007/s10567-010-0071-2 PubMedCrossRef Stone LL, Otten R, Engels RC, Vermulst AA, Janssens JM (2010) Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4- to 12-year-olds: a review. Clin Child Fam Psychol Rev 13(3):254–274. doi:10.​1007/​s10567-010-0071-2 PubMedCrossRef
30.
31.
Zurück zum Zitat World Health Organisation (1996) Multiaxial classification of child and adolescent psychiatric disorders—the icd-10 classification of mental and behavioural disorders in children and adolescents. Cambridge University Press, London World Health Organisation (1996) Multiaxial classification of child and adolescent psychiatric disorders—the icd-10 classification of mental and behavioural disorders in children and adolescents. Cambridge University Press, London
32.
Zurück zum Zitat Goodman R, Ford T, Simmons H, Gatward R, Meltzer H (2000) Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539. doi:10.1192/bjp.177.6.534 PubMedCrossRef Goodman R, Ford T, Simmons H, Gatward R, Meltzer H (2000) Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539. doi:10.​1192/​bjp.​177.​6.​534 PubMedCrossRef
33.
Zurück zum Zitat R Development Core Team (2008) R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria R Development Core Team (2008) R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria
34.
Zurück zum Zitat Cohen J, Cohen P, West SG, Aiken LS (2003) Applied multiple regression/correlation analysis for the behavioral sciences, 3rd edn edn. Lawrence Erlbaum Associates, New Jersey Cohen J, Cohen P, West SG, Aiken LS (2003) Applied multiple regression/correlation analysis for the behavioral sciences, 3rd edn edn. Lawrence Erlbaum Associates, New Jersey
37.
Zurück zum Zitat World Health Organisation (2003) Investing in mental health. WHO, Geneva World Health Organisation (2003) Investing in mental health. WHO, Geneva
39.
Zurück zum Zitat Bolger KE, Patterson CJ, Thompson WW, Kupersmidt JB (1995) Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Dev 66:1107–1129. doi:10.2307/1131802 CrossRef Bolger KE, Patterson CJ, Thompson WW, Kupersmidt JB (1995) Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Dev 66:1107–1129. doi:10.​2307/​1131802 CrossRef
40.
Zurück zum Zitat Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J (2010) Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49(10):980–989. doi:10.1016/j.jaac.2010.05.017 PubMedCrossRef Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J (2010) Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49(10):980–989. doi:10.​1016/​j.​jaac.​2010.​05.​017 PubMedCrossRef
41.
Zurück zum Zitat Kapi A, Veltsista A, Kavadias G, Lekea V, Bakoula C (2007) Social determinants of self-reported emotional and behavioral problems in Greek adolescents. Soc Psychiatry Psychiatr Epidemiol 42(7):594–598. doi:10.1007/s00127-007-0201-4 PubMedCrossRef Kapi A, Veltsista A, Kavadias G, Lekea V, Bakoula C (2007) Social determinants of self-reported emotional and behavioral problems in Greek adolescents. Soc Psychiatry Psychiatr Epidemiol 42(7):594–598. doi:10.​1007/​s00127-007-0201-4 PubMedCrossRef
44.
Zurück zum Zitat Goodman R, Scott S (2005) Child psychiatry. In: 2nd edn. Wiley-Blackwell, New York Goodman R, Scott S (2005) Child psychiatry. In: 2nd edn. Wiley-Blackwell, New York
47.
Zurück zum Zitat Lundberg I, Damström Thakker K, Hällström T, Forsell Y (2005) Determinants of non-participation, and the effects of non-participation on potential cause–effect relationships, in the PART study on mental disorders. Soc Psychiatry Psychiatr Epidemiol 40(6):475–483. doi:10.1007/s00127-005-0911-4 PubMedCrossRef Lundberg I, Damström Thakker K, Hällström T, Forsell Y (2005) Determinants of non-participation, and the effects of non-participation on potential cause–effect relationships, in the PART study on mental disorders. Soc Psychiatry Psychiatr Epidemiol 40(6):475–483. doi:10.​1007/​s00127-005-0911-4 PubMedCrossRef
51.
Zurück zum Zitat Bornstein MH, Chun-Sin H, Suwalsky JTD, Haynes OM (2003) Socioeconomic status, parenting and child development: the Hollingshead four-factor index of social status and the socioeconomic index of occupation. In: Bornstein MH, Bradley RH (eds) Socioeconomic status, parenting, and child development, monographs in parenting. Lawrence Erlbaum Associates, New Jersey Bornstein MH, Chun-Sin H, Suwalsky JTD, Haynes OM (2003) Socioeconomic status, parenting and child development: the Hollingshead four-factor index of social status and the socioeconomic index of occupation. In: Bornstein MH, Bradley RH (eds) Socioeconomic status, parenting, and child development, monographs in parenting. Lawrence Erlbaum Associates, New Jersey
Metadaten
Titel
Socioeconomic status and children’s mental health: results from the Bergen Child Study
verfasst von
Tormod Bøe
Simon Øverland
Astri J. Lundervold
Mari Hysing
Publikationsdatum
01.10.2012
Verlag
Springer-Verlag
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 10/2012
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-011-0462-9

Weitere Artikel der Ausgabe 10/2012

Social Psychiatry and Psychiatric Epidemiology 10/2012 Zur Ausgabe

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.