2017-05-01
Functional outcomes of child and adolescent mental disorders : current disorder most important but psychiatric history matters as well
Publication
Publication
Psychological Medicine , Volume 47 - Issue 7 p. 1271- 1282
Background Various sources indicate that mental disorders are the leading contributor to the burden of disease among
youth. An important determinant of functioning is current mental health status. This study investigated whether psychiatric
history has additional predictive power when predicting individual differences in functional outcomes.
Method We used data from the Dutch TRAILS study in which 1778 youths were followed from pre-adolescence into
young adulthood (retention 80%). Of those, 1584 youths were successfully interviewed, at age 19, using the World
Health Organization Composite International Diagnostic Interview (CIDI 3.0) to assess current and past CIDI-DSM-IV
mental disorders. Four outcome domains were assessed at the same time: economic (e.g. academic achievement, social
benefits, financial difficulties), social (early motherhood, interpersonal conflicts, antisocial behavior), psychological (e.g.
suicidality, subjective well-being, loneliness), and health behavior (e.g. smoking, problematic alcohol, cannabis use).
Results Out of the 19 outcomes, 14 were predicted by both current and past disorders, three only by past disorders
(receiving social benefits, psychiatric hospitalization, adolescent motherhood), and two only by current disorder (absenteeism,
obesity). Which type of disorders was most important depended on the outcome. Adjusted for current disorder,
past internalizing disorders predicted in particular psychological outcomes while externalizing disorders predicted in
particular health behavior outcomes. Economic and social outcomes were predicted by a history of co-morbidity of
internalizing and externalizing disorder. The risk of problematic cannabis use and alcohol consumption dropped with
a history of internalizing disorder.
Conclusion To understand current functioning, it is necessary to examine both current and past psychiatric status.
Additional Metadata | |
---|---|
, , , , , , , | |
doi.org/10.1017/S0033291716003445, hdl.handle.net/1765/95381 | |
Psychological Medicine | |
Organisation | Department of Child and Adolescent Psychiatry and Psychology |
Ormel, J., Oerlemans, A.M., Raven, D., Laceulle, O., Hartman, C., Veenstra, R., … Oldehinkel, A. (2017). Functional outcomes of child and adolescent mental disorders : current disorder most important but psychiatric history matters as well. Psychological Medicine, 47(7), 1271–1282. doi:10.1017/S0033291716003445 |