Family structure, victimization, and child mental health in a nationally representative sample

SummaryBritish local authorities are required to monitor the mental health of looked after children using mean Strengths and Difficulties Questionnaire (SDQ) scores from parents or carers. This assumes that differences in mean SDQ scores reflect genuine differences in child mental health in this group, something we examined using nationally representative surveys (n = 1391, age 5–16). We found that the SDQ was a genuinely dimensional measure of mental health in these children and provided accurate estimates of disorder prevalence.

Download Full-text

Socioeconomic disparities in psychological distress in a nationally representative sample of Japanese adolescents: A time trend study

Australian & New Zealand Journal of Psychiatry ◽

10.1177/0004867416664142 ◽

2016 ◽

Vol 51 (3) ◽

pp. 278-286 ◽

Cited By ~ 2

Author(s):

Yuko Kachi ◽

Aya Abe ◽

Emiko Ando ◽

Tomoyuki Kawada

Keyword(s):

Mental Health ◽

Socioeconomic Status ◽

Psychological Distress ◽

Confidence Interval ◽

Household Income ◽

Odds Ratio ◽

Representative Sample ◽

Mental Health Problems ◽

Japanese Adolescents ◽

Nationally Representative

Objective: Socioeconomic status as a determinant of mental health problems has received scant attention in Japan, which has long been considered an egalitarian society. This study examined the association between socioeconomic status and psychological distress and its trends over 6 years among Japanese adolescents. Methods: We used data from a nationally representative sample of 9491 adolescents aged 12–18 years who participated in three repeated cross-sectional surveys between 2007 and 2013. The K6 scale was used to assess psychological distress. Socioeconomic status indicators included household income, parental education, parental working status and household structure. Results: Psychological distress prevalence decreased significantly from 2007 (10.7%) to 2013 (7.6%). However, the socioeconomic status patterns of psychological distress were consistent through the study period. Adolescents living in both lower (odds ratio = 1.61; 95% confidence interval = [1.27, 2.05]) and higher income households (odds ratio = 1.30; 95% confidence interval = [1.03, 1.62]) were more likely to report psychological distress than their middle-income counterparts. Adolescents with low household income were more likely to feel stress from interpersonal relationships and less likely to have help-seeking behaviors, while those with high household income were more likely to feel stress about school achievement. Psychological distress was also associated with parental poor education and single parenthood. Conclusions: Socioeconomic status disparities in adolescent psychological distress were evident and consistent during the 6-year period. There is a unique U-shaped relationship between household income and psychological distress among adolescents in Japan, unlike those from other countries. However, the underlying mechanisms may differ by income status. Future prevention efforts should consider socioeconomic status as a determinant of adolescent mental health problems.

Download Full-text

Residential transience among US adolescents: association with depression and mental health treatment

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796018000823 ◽

2019 ◽

Vol 28 (6) ◽

pp. 682-691 ◽

Cited By ~ 1

Author(s):

C. Glasheen ◽

V. Forman-Hoffman ◽

S. Hedden ◽

T. Ridenour ◽

J. Wang ◽

...

Keyword(s):

Mental Health ◽

Health Care Providers ◽

Mental Health Treatment ◽

Representative Sample ◽

Care Providers ◽

Health Treatment ◽

The Past ◽

Significant Difference ◽

Nationally Representative ◽

To Receive

AbstractAimsResidential instability, including transience (i.e. unusually frequent mobility), is associated with higher risk for emotional and behavioural problems in children and young adults. However, most studies have not compared the effect of recent v. more distal moves on mental health or on mental health treatment. This study examined associations between recent (past year) and distal (past 2–4 years) residential transience and past year major depressive episode (MDE) and mental health treatment in a nationally representative sample of US adolescents aged 12–17.MethodsData are from the 2010–2014 National Surveys on Drug Use and Health (n = ~107 300 adolescents). T-tests were used to examine the prevalence of MDE by number of moves in the past 5 years among a nationally representative sample of adolescents. Additionally, multivariable logistic regression models were used to evaluate the adjusted association between recent (⩾2 moves in the past year) and distal (⩾4 moves in the past 5 years, but no recent transience) and (1) past year MDE and (2) past year mental health treatment among adolescents with MDE.ResultsMDE prevalence increased linearly with number of moves in the past 5 years (p < 0.001). The adjusted odds of MDE were greater among youths with distal transience (adjusted odds ratio (AOR) = 1.25, 95% confidence interval (CI) = 1.09–1.44) and among those with proximal transience (AOR = 1.31, 95% CI = 1.17–1.46), compared with those without transience in the past 5 years. The MDE prevalence did not differ between those with distal and proximal transience (p = 0.163). In youths with past year MDE, the prevalence of past year mental health treatment was greater among those with proximal transience compared with those without transience (AOR = 1.40, 95% CI = 1.15–1.70), but there was no significant difference in treatment among those with distal v. no transience.ConclusionsDistal and recent transience are associated with past year MDE among adolescents. Adolescents with MDE who had recent transience were more likely to receive past year mental health treatment compared with those without transience. However, those with only distal transience were not more likely to receive treatment. Parents, school officials and health care providers should be aware that residential mobility in the past 5 years may indicate increased odds of depression among adolescents even among adolescents whose housing stability has improved in the past year.

Download Full-text