scholarly journals A multi-trajectory analysis of commonly co-occurring mental health issues across childhood and adolescence

2020 ◽  
Author(s):  
Aja Louise Murray ◽  
Manuel Eisner ◽  
Daniel Nagin ◽  
Denis Ribeaud

Objective: Developmental trajectories of specific mental health issues vary considerably across individuals and this variation can often be summarised in terms of a small number of clinically meaningful subtypes. Given the high levels of heterotypic and homotypic comorbidity in mental health that have been previously identified, we evaluated whether it was also possible to summarise the joint developmental trajectories of multiple commonly co-occurring mental health issues in this way. Method: We evaluated the combined developmental trajectories of attention deficit hyperactivity (ADHD), internalising and externalising symptoms in a normative sample of youth with data at ages 7,8,9,10,11,12,13 and 15 using group-based multi-trajectory modelling. Multinomial logistic regression was used to evaluate predictors of group membership.Results: Our optimal model included six trajectory groups, labelled ‘unaffected’, ‘normative maturing’, ‘internalising’, ‘multimorbid late onset’, ‘multimorbid remitting’, and ‘multimorbid with remitting externalising’. Examining covariates of group membership suggested that males and bully victims tend to have complex mental health profiles; academic achievement and smoking during pregnancy have general associations with mental health irrespective of symptom developmental trajectories or combination; and maternal post-natal depression is primarily related to symptoms that are already in evidence by childhood. Conclusion: Developmental trajectories of commonly co-occurring mental health issues can be usefully summarised in terms of a small number of developmental subtypes. These subtypes more often than not involve multiple co-occurring mental health issues. Their association with mental health covariates depends on the combination of and developmental timing of symptoms in ways that suggest they can be clinically informative.

Author(s):  
Aja L. Murray ◽  
Manuel Eisner ◽  
Daniel Nagin ◽  
Denis Ribeaud

AbstractDevelopmental trajectories of mental health issues can often be usefully summarised in a small number of clinically meaningful subtypes. Given the high levels of heterotypic and homotypic comorbidity in child and adolescent mental health symptoms, we explored whether it was possible to identify clinically meaningful developmental subtypes of multiple commonly co-occurring mental health issues. We evaluated the combined developmental trajectories of the most common and commonly co-occurring child and adolescent mental health issues: attention-deficit/hyperactivity disorder (ADHD), internalising, and externalising symptoms in a normative sample of youth with data (n = 1620) at ages 7, 8, 9, 10, 11, 12, 13 and 15 using group-based multi-trajectory modelling. Multinomial logistic regression was used to evaluate predictors of group membership. Our optimal model included six trajectory groups, labelled ‘unaffected’, ‘normative maturing’, ‘internalising’, ‘multimorbid late onset’, ‘multimorbid remitting’, and ‘multimorbid with remitting externalising’. Examining covariates of group membership suggested that males and bully victims tend to have complex mental health profiles; academic achievement and smoking during pregnancy have general associations with mental health irrespective of symptom developmental trajectories or combination; and maternal post-natal depression is primarily related to symptoms that are already in evidence by the beginning of the school years. Results suggest that developmental trajectories of commonly co-occurring mental health issues can be usefully summarised in terms of a small number of developmental subtypes. These subtypes more often than not involve multiple co-occurring mental health issues. Their association with mental health covariates depends on the combination and developmental timing of symptoms in ways that suggest they can be clinically informative.


Author(s):  
Aja Louise Murray ◽  
Daniel Nagin ◽  
Ingrid Obsuth ◽  
Denis Ribeaud ◽  
Manuel Eisner

AbstractDevelopmental trajectories of common mental health issues such as ADHD symptoms, internalising problems, and externalising problems can often be usefully summarised in terms of a small number of ‘developmental subtypes’ (e.g., ‘childhood onset’, ‘adolescent onset’) that may differ in their profiles or levels of clinically meaningful variables such as etiological risk factors. However, given the strong tendency for symptoms in these domains to co-occur, it is important to consider not only developmental subtypes in each domain individually, but also the joint developmental subtypes defined by symptoms trajectories in all three domains together (e.g., ‘late onset multimorbid’, ‘pure internalising’, ‘early onset multimorbid’). Previous research has illuminated the joint developmental subtypes of ADHD symptoms, internalising problems, and externalising problems that emerge from normative longitudinal data using methods such as group-based trajectory modelling, as well as predictors of membership in these developmental subtypes. However, information on the long-term outcomes of developmental subtype membership is critical to illuminate the likely nature and intensity of support needs required for individuals whose trajectories fit different developmental subtypes. We, therefore, evaluated the relations between developmental subtypes previously derived using group-based trajectory modelling in the z-proso study (n = 1620 with trajectory data at ages 7, 8, 9, 10, 11, 12, 13, 15) and early adulthood outcomes. Individuals with multimorbid trajectories but not ‘pure’ internalising problem elevations showed higher levels of social exclusion and delinquency at age 20. These associations held irrespective of the specific developmental course of symptoms (e.g., early versus late onset versus remitting). There was also some evidence that intimate partner violence acts as a form of heterotypic continuity for earlier externalising problems. Results underline the need for early intervention to address the pathways that lead to social exclusion and delinquency among young people with multiple co-occurring mental health issues.


Author(s):  
Mousumi Sethy ◽  
Reshmi Mishra

The pandemic caused by COVID-19 has left few countries untouched. It is a far-reaching implication on humankind, with children and adolescents, being no exception. Although the prevalence and fatality are negligible among children, a possible impact on their psychological and mental health cannot be disregarded. The unprecedented change in the way of living is bound to be having some psychological consequences on children and adolescents. The experiences gathered in childhood and adolescence are known to contribute to shaping the physical, emotional, and social well-being in adult life. Children are highly susceptible to environmental stressors. The present situation has the potential of adversely affecting the physical and mental well-being of children. To save the children from the long term consequences of this pandemic, a holistic approach integrating biological, psychological, social and spiritual methods of enhancing mental health have become essential. A concerted effort of government, Non Government Organisations (NGOs), parents, teachers, schools, psychologists, counselors and physicians are required to deal with the mental health issues of children and adolescents. This paper discusses the possible role of these agencies in the holistic intervention of this crisis.


2021 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Vijeta Singh ◽  
Taruna Gera ◽  
Rakesh Kumar Behmani

Adolescence is a developmental phase marked with a heightened risk of inception of mental health disorders. The neglect in addressing mental health issues during childhood and adolescence could lead to the development of mental health problems in later life. The perspective with which children perceive their parent's parenting influences the children's mental health. Furthermore, the gender of the parent has its impacts on the shaping of a child's personality under the patriarchal society. The present research attempted to investigate the impact of different parenting styles (paternal) on adolescents' mental health. The study sample comprised 150 adolescents of 14-17 years in age from different schools located in the state of Haryana, India. Parenting Authority Questionnaire and General Health Questionnaire (GHQ-28) were used to assess parenting styles and mental health. The present study's findings suggest that adolescents with a permissive parenting style have poor mental health compared with authoritative and authoritarian parenting styles. The study recommends incorporating healthy practices in parenting styles to prevent mental health issues among adolescents.


2020 ◽  
Author(s):  
Aja Louise Murray ◽  
Daniel Nagin ◽  
Ingrid Obsuth ◽  
Denis Ribeaud ◽  
Manuel Eisner

Developmental trajectories of common mental health issues such as ADHD, internalising problems, and externalising problems can often be usefully summarised in terms of a small number of developmental subtypes and given the strong tendency for symptoms in these three domains to co-occur, it is useful to consider developmental subtypes jointly defined by them. To provide information on the likely nature and intensity of support needs required for individuals showing different ADHD-internalising-externalising developmental subtypes, we here evaluated the relations between subtypes previously derived using group-based trajectory modelling in the z-proso study (n=1620 with trajectory data at ages 7,8,9,10,11,12,13,15) and adult outcomes. We found that individuals with multimorbid trajectories but not ‘pure’ internalising problem elevations have higher levels of social exclusion and delinquency at age 20. These associations held irrespective of the specific developmental course of symptoms (e.g. early versus late onset versus remitting). There was also some evidence that intimate partner violence acts as a form of heterotypic continuity for earlier externalising problems. Results underline the need for early intervention to address the pathways that lead to social exclusion and delinquency among young people with multiple co-occurring mental health issues.


2022 ◽  
Vol 2161 (1) ◽  
pp. 012021
Author(s):  
Konda Vaishnavi ◽  
U Nikhitha Kamath ◽  
B Ashwath Rao ◽  
N V Subba Reddy

Abstract Early detection of mental health issues allows specialists to treat them more effectively and it improves patient’s quality of life. Mental health is about one’s psychological, emotional, and social well-being. It affects the way how one thinks, feels, and acts. Mental health is very important at every stage of life, from childhood and adolescence through adulthood. This study identified five machine learning techniques and assessed their accuracy in identifying mental health issues using several accuracy criteria. The five machine learning techniques are Logistic Regression, K-NN Classifier, Decision Tree Classifier, Random Forest, and Stacking. We have compared these techniques and implemented them and also obtained the most accurate one in Stacking technique based with an accuracy of prediction 81.75%.


2017 ◽  
Vol 64 (6) ◽  
pp. 723-757 ◽  
Author(s):  
Jessica M. Craig ◽  
Angie D. Wilson ◽  
Michael T. Baglivio ◽  
Kevin T. Wolff ◽  
Alex R. Piquero ◽  
...  

This study examined how mental health issues and substance use relate to motivations for offending among a large sample of adjudicated youth who completed a community-based placement in a large southeastern state ( n = 18,749). The extent to which these relationships differed by sex was also considered. Multinomial logistic regression models revealed that although both mental health issues and substance use were related to a variety of reasons for offending, these relationships differed and did not appear to influence one another. In addition, findings revealed that mental health issues and substance use have differential effects on reasons for offending across sex. Treatment implications are highlighted along with suggestions for future research.


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