Teenagers' mental health problems predict probable mental diagnosis 3 years later among girls, but what about the boys?

DAWBA Externalized problems Internalized problems Self-report YSR

Journal

Child and adolescent psychiatry and mental health
ISSN: 1753-2000
Titre abrégé: Child Adolesc Psychiatry Ment Health
Pays: England
ID NLM: 101297974

Informations de publication

Date de publication:
09 Jun 2022
Historique:
received: 25 03 2022
accepted: 11 05 2022
entrez: 10 6 2022
pubmed: 11 6 2022
medline: 11 6 2022
Statut: epublish

Résumé

The prevalence of mental disorders is increasing, and there seems to be a gender difference in prevalence, with girls reporting more mental health problems than boys, especially regarding internalizing problems. Most mental disorders debut early but often remain untreated into adulthood. Early detection of mental disorders is essential for successful treatment, which is not always happening. The study aimed to estimate to what extent teenagers' self-reports predict probable mental diagnosis as they enter adulthood, particularly regarding gender differences. Self-reported mental health problems, Youth Self-Report (YSR) at 15 years (range 3-110, n = 504) from the ongoing Finnish family competence study (FFC) using modified multivariable Poisson regression analysis for prediction of DAWBA (Development and Wellbeing Assessment) interview outcomes 3 years later. One unit's increase in YSR was estimated to correspond to an increase in the relative risk of a probable DAWBA-based diagnosis by 3.3% [RR (95% CI) 1.03 (1.03-1.04), p < 0.001]. In gender-specific analysis, the findings applied, particularly to girls. Youth Self-Report (YSR) scores at pubertal age predicted the risk of a probable mental diagnosis at the onset of adulthood, particularly in girls. Further research is needed to explain the lower sensitivity of YSR among boys.

Sections du résumé

BACKGROUND BACKGROUND
The prevalence of mental disorders is increasing, and there seems to be a gender difference in prevalence, with girls reporting more mental health problems than boys, especially regarding internalizing problems. Most mental disorders debut early but often remain untreated into adulthood. Early detection of mental disorders is essential for successful treatment, which is not always happening. The study aimed to estimate to what extent teenagers' self-reports predict probable mental diagnosis as they enter adulthood, particularly regarding gender differences.
METHODS METHODS
Self-reported mental health problems, Youth Self-Report (YSR) at 15 years (range 3-110, n = 504) from the ongoing Finnish family competence study (FFC) using modified multivariable Poisson regression analysis for prediction of DAWBA (Development and Wellbeing Assessment) interview outcomes 3 years later.
RESULTS RESULTS
One unit's increase in YSR was estimated to correspond to an increase in the relative risk of a probable DAWBA-based diagnosis by 3.3% [RR (95% CI) 1.03 (1.03-1.04), p < 0.001]. In gender-specific analysis, the findings applied, particularly to girls.
CONCLUSIONS CONCLUSIONS
Youth Self-Report (YSR) scores at pubertal age predicted the risk of a probable mental diagnosis at the onset of adulthood, particularly in girls. Further research is needed to explain the lower sensitivity of YSR among boys.

Identifiants

pubmed: 35681228
doi: 10.1186/s13034-022-00473-y
pii: 10.1186/s13034-022-00473-y
pmc: PMC9185898
doi:

Types de publication

Journal Article

Langues

eng

Pagination

41

Informations de copyright

© 2022. The Author(s).

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Auteurs

Kristina Carlén (K)

School of Health Sciences, University of Skövde, Box 408, 54128, Skövde, Sweden. kristina.carlen@his.se.
The Research School of Health and Welfare, Jönköping University, Jönköping, Sweden. kristina.carlen@his.se.

Sakari Suominen (S)

School of Health Sciences, University of Skövde, Box 408, 54128, Skövde, Sweden.
Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland.

Lilly Augustine (L)

CHILD, School of Learning and Communication, Jönköping University, Jönköping, Sweden.

Maiju M Saarinen (MM)

Departments of Child Neurology and General Practice, University of Turku and Turku University Hospital, Turku, Finland.

Minna Aromaa (M)

Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland.
City of Turku Welfare Division, Turku, Finland.

Päivi Rautava (P)

Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland.
Clinical Research Centre, Turku University Hospital, Turku, Finland.

André Sourander (A)

Department of Child Psychiatry, University of Turku, Turku, Finland.
Department of Child Psychiatry, Turku University Hospital, Turku, Finland.

Matti Sillanpää (M)

Departments of Child Neurology and General Practice, University of Turku and Turku University Hospital, Turku, Finland.

Classifications MeSH