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Published in: Social Psychiatry and Psychiatric Epidemiology 5/2014

01-05-2014 | Original Paper

Configurations of early risk and their association with academic, cognitive, emotional and behavioural outcomes in middle childhood

Authors: Bonamy R. Oliver, Tina Kretschmer, Barbara Maughan

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 5/2014

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Abstract

Purpose

Risk factors for children’s development are multifarious and co-occur, having cumulative as well as individual impacts. Yet common configurations of early childhood risks remain little understood. The current study aimed to identify patterns of early risk exposure and to examine their relationship with diverse outcomes in middle childhood.

Methods

Using latent class analysis in a large, community-based, UK sample (N = 13,699), we examined 13 putative risk factors to identify patterns of exposure.

Results

Four risk configurations were identified: low (65 %), socio-demographic (14 %), family dysfunction (12 %), and multiple (9 %) risk classes. As expected, children in the low risk group fared best on all outcome measures, and those with multiple risk, worst. Importantly, specificity in associations with outcomes emerged, such that cognitive outcomes were predominantly linked with socio-demographic adversities, emotional difficulties with family dysfunction, and conduct problems increased across risk classes.

Conclusions

Better understanding of configurations of childhood risk exposures may help to target resources for children in need.
Footnotes
1
We acknowledge that examination of the risk factors in question throughout this article cannot identify cause, and so are ‘putative’ risk factors rather than risk factors per se [8]; we refer to ‘risk factors’ in the interests of space.
 
Literature
1.
go back to reference Read J, Bentall RP (2012) Negative childhood experiences and mental health: theoretical, clinical and primary prevention implications. Br J Psychiatry 200:89–91PubMedCrossRef Read J, Bentall RP (2012) Negative childhood experiences and mental health: theoretical, clinical and primary prevention implications. Br J Psychiatry 200:89–91PubMedCrossRef
2.
go back to reference Walker SP, Wachs TD, Grantham-McGregor S, Black MM, Huffman SL, Baker-Henningham H et al (2011) Inequality in early childhood: risk and protective factors for early child development. Lancet 378:1325–1338PubMedCrossRef Walker SP, Wachs TD, Grantham-McGregor S, Black MM, Huffman SL, Baker-Henningham H et al (2011) Inequality in early childhood: risk and protective factors for early child development. Lancet 378:1325–1338PubMedCrossRef
3.
go back to reference Green JG, McLaughlin KA, Berglund PA, Gruber MJ, Sampson NA, Zaslavsky AM et al (2010) Childhood adversities and adult psychiatric disorders in the National Comorbidity Survey Replication I. Arch Gen Psychiatry 67:113–123PubMedCentralPubMedCrossRef Green JG, McLaughlin KA, Berglund PA, Gruber MJ, Sampson NA, Zaslavsky AM et al (2010) Childhood adversities and adult psychiatric disorders in the National Comorbidity Survey Replication I. Arch Gen Psychiatry 67:113–123PubMedCentralPubMedCrossRef
4.
go back to reference Ezpeleta L, Granero R, de la Osa N, Domenech JM (2008) Risk factor clustering for psychopathology in socially at-risk Spanish children. Soc Psychiatry Psychiatr Epidemiol 43:559–568PubMedCrossRef Ezpeleta L, Granero R, de la Osa N, Domenech JM (2008) Risk factor clustering for psychopathology in socially at-risk Spanish children. Soc Psychiatry Psychiatr Epidemiol 43:559–568PubMedCrossRef
5.
go back to reference 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 39:487–496PubMedCrossRef 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 39:487–496PubMedCrossRef
6.
go back to reference Essex MJ, Kraemer HC, Armstrong JM, Boyce WT, Goldsmith HH, Klein MH et al (2006) Exploring risk factors for the emergence of children’s mental health problems. Arch Gen Psychiatry 63(11):1246–1256PubMedCrossRef Essex MJ, Kraemer HC, Armstrong JM, Boyce WT, Goldsmith HH, Klein MH et al (2006) Exploring risk factors for the emergence of children’s mental health problems. Arch Gen Psychiatry 63(11):1246–1256PubMedCrossRef
7.
go back to reference Kessler RC, Davis CG, Kendler KS (1997) Childhood adversity and adult psychiatric disorder in the US National Comorbidity Survey. Psychol Med 27(05):1101–1119PubMedCrossRef Kessler RC, Davis CG, Kendler KS (1997) Childhood adversity and adult psychiatric disorder in the US National Comorbidity Survey. Psychol Med 27(05):1101–1119PubMedCrossRef
8.
go back to reference Kraemer HC, Stice E, Kazdin A, Offord D, Kupfer D (2001) How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. AJP 158(6):848–856CrossRef Kraemer HC, Stice E, Kazdin A, Offord D, Kupfer D (2001) How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. AJP 158(6):848–856CrossRef
9.
go back to reference Appleyard K, Egeland B, van Dulmen MHM, Sroufe LA (2005) When more is not better: the role of cumulative risk in child behavior outcomes. J Child Psychol Psychiatry 46(3):235–245PubMedCrossRef Appleyard K, Egeland B, van Dulmen MHM, Sroufe LA (2005) When more is not better: the role of cumulative risk in child behavior outcomes. J Child Psychol Psychiatry 46(3):235–245PubMedCrossRef
10.
go back to reference Trentacosta CJ, Hyde LW, Shaw DS, Dishion TJ, Gardner F, Wilson M (2008) The relations among cumulative risk, parenting, and behavior problems during early childhood. J Child Psychol Psychiatry 49(11):1211–1219PubMedCentralPubMed Trentacosta CJ, Hyde LW, Shaw DS, Dishion TJ, Gardner F, Wilson M (2008) The relations among cumulative risk, parenting, and behavior problems during early childhood. J Child Psychol Psychiatry 49(11):1211–1219PubMedCentralPubMed
11.
go back to reference Rutter M (1979) Protective factors in children’s responses to stress and disadvantage. AAMS 8(3):324–338 Rutter M (1979) Protective factors in children’s responses to stress and disadvantage. AAMS 8(3):324–338
12.
go back to reference Cicchetti D, Rogosch FA (1996) Equifinality and multifinality in developmental psychopathology. Dev Psychopathol 8:597–600CrossRef Cicchetti D, Rogosch FA (1996) Equifinality and multifinality in developmental psychopathology. Dev Psychopathol 8:597–600CrossRef
13.
go back to reference Lanza ST, Rhoades BL, Nix RL, Greenberg MT (2010) Modeling the interplay of multilevel risk factors for future academic and behavior problems: a person-centered approach. Dev Psychopathol 22(2):313–335PubMedCentralPubMedCrossRef Lanza ST, Rhoades BL, Nix RL, Greenberg MT (2010) Modeling the interplay of multilevel risk factors for future academic and behavior problems: a person-centered approach. Dev Psychopathol 22(2):313–335PubMedCentralPubMedCrossRef
14.
go back to reference Lanza ST, Rhoades BL, Greenberg MT, Cox M (2011) Modeling multiple risks during infancy to predict quality of the caregiving environment: contributions of a person-centered approach. Infant Behav Dev 34(3):390–406PubMedCentralPubMedCrossRef Lanza ST, Rhoades BL, Greenberg MT, Cox M (2011) Modeling multiple risks during infancy to predict quality of the caregiving environment: contributions of a person-centered approach. Infant Behav Dev 34(3):390–406PubMedCentralPubMedCrossRef
15.
go back to reference Copeland W, Shanahan L, Costello EJ, Angold A (2009) Configurations of common childhood psychosocial risk factors. J Child Psychol Psychiatry 50(4):451–459PubMedCentralPubMedCrossRef Copeland W, Shanahan L, Costello EJ, Angold A (2009) Configurations of common childhood psychosocial risk factors. J Child Psychol Psychiatry 50(4):451–459PubMedCentralPubMedCrossRef
16.
go back to reference Dunn V, Abbott R, Croudace T, Wilkinson P, Jones P, Herbert J et al (2011) Profiles of family-focused adverse experiences through childhood and early adolescence: the ROOTS Project, a community investigation of adolescent mental health. BMC Psychiatry 11(1):109PubMedCentralPubMedCrossRef Dunn V, Abbott R, Croudace T, Wilkinson P, Jones P, Herbert J et al (2011) Profiles of family-focused adverse experiences through childhood and early adolescence: the ROOTS Project, a community investigation of adolescent mental health. BMC Psychiatry 11(1):109PubMedCentralPubMedCrossRef
17.
go back to reference Boyd A, Golding J, Macleod J, Lawlor DA, Fraser A, Henderson J et al (2013) Cohort profile: the ‘Children of the 90s’—index offspring of the Avon Longitudinal Study of Parents and Children. Int J Epidemiol 42(1):111–127PubMedCentralPubMedCrossRef Boyd A, Golding J, Macleod J, Lawlor DA, Fraser A, Henderson J et al (2013) Cohort profile: the ‘Children of the 90s’—index offspring of the Avon Longitudinal Study of Parents and Children. Int J Epidemiol 42(1):111–127PubMedCentralPubMedCrossRef
18.
go back to reference Golding J (2010) Determinants of child health and development: the contribution of ALSPAC—a personal view of the birth cohort study. Arch Dis Child 95:319–322PubMedCrossRef Golding J (2010) Determinants of child health and development: the contribution of ALSPAC—a personal view of the birth cohort study. Arch Dis Child 95:319–322PubMedCrossRef
19.
go back to reference Fraser A, Macdonald-Wallis C, Tilling K, Boyd A, Golding J, Davey-Smith G et al (2013) Cohort profile: the Avon Longitudinal Study of Parents and Children: ALSPAC mothers. Int J Epidemiol 42(1):97–110PubMedCentralPubMedCrossRef Fraser A, Macdonald-Wallis C, Tilling K, Boyd A, Golding J, Davey-Smith G et al (2013) Cohort profile: the Avon Longitudinal Study of Parents and Children: ALSPAC mothers. Int J Epidemiol 42(1):97–110PubMedCentralPubMedCrossRef
20.
go back to reference Bowen E, Heron J, Waylen A, Wolke D (2005) Domestic violence risk during and after pregnancy: findings from a British longitudinal study. BJOG 112(8):1083–1089PubMedCrossRef Bowen E, Heron J, Waylen A, Wolke D (2005) Domestic violence risk during and after pregnancy: findings from a British longitudinal study. BJOG 112(8):1083–1089PubMedCrossRef
21.
go back to reference Carothers AD, Murray L (1990) Estimating psychiatric morbidity by logistic regression: application to post-natal depression in a community sample. Psychol Med 20(03):695–702PubMedCrossRef Carothers AD, Murray L (1990) Estimating psychiatric morbidity by logistic regression: application to post-natal depression in a community sample. Psychol Med 20(03):695–702PubMedCrossRef
22.
go back to reference Qualifications and Curriculum Authority (2004) Standards at key stage 1: English and Mathematics. Qualifications and Curriculum Authority, London Qualifications and Curriculum Authority (2004) Standards at key stage 1: English and Mathematics. Qualifications and Curriculum Authority, London
23.
go back to reference Wechsler D (1991) The wechsler intelligence scale for children, 3rd edn. The Psychological Corporation, Texas Wechsler D (1991) The wechsler intelligence scale for children, 3rd edn. The Psychological Corporation, Texas
24.
go back to reference Goodman R (2001) Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry 40(11):1337–1345PubMedCrossRef Goodman R (2001) Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry 40(11):1337–1345PubMedCrossRef
25.
go back to reference Satorra A, Bentler PM (2001) A scaled difference Chi square test statistic for moment structure analysis. Psychometrika 66:507–514CrossRef Satorra A, Bentler PM (2001) A scaled difference Chi square test statistic for moment structure analysis. Psychometrika 66:507–514CrossRef
26.
go back to reference Rutter M (1985) Family and school influences on cognitive development. J Child Psychol Psychiatry 26:683–704PubMedCrossRef Rutter M (1985) Family and school influences on cognitive development. J Child Psychol Psychiatry 26:683–704PubMedCrossRef
27.
go back to reference Kovas Y, Haworth CMA, Dale PS, Plomin R (2007) The genetic and environmental origins of learning abilities and disabilities in the early school years. Monogr Soc Res Child Dev 72:1–144 Kovas Y, Haworth CMA, Dale PS, Plomin R (2007) The genetic and environmental origins of learning abilities and disabilities in the early school years. Monogr Soc Res Child Dev 72:1–144
28.
go back to reference Hill J (2002) Biological, psychological and social processes in the conduct disorders. J Child Psychol Psychiatry 43:133–164PubMedCrossRef Hill J (2002) Biological, psychological and social processes in the conduct disorders. J Child Psychol Psychiatry 43:133–164PubMedCrossRef
29.
go back to reference Sroufe LA, Carlson EA, Levy AK, Egeland B (1999) Implications of attachment theory for developmental psychopathology. Dev Psychopathol 11(1):1–13PubMedCrossRef Sroufe LA, Carlson EA, Levy AK, Egeland B (1999) Implications of attachment theory for developmental psychopathology. Dev Psychopathol 11(1):1–13PubMedCrossRef
30.
go back to reference Wolke D, Waylen A, Samara M, Steer C, Goodman R, Ford T et al (2009) Selective drop-out in longitudinal studies and non-biased prediction of behaviour disorders. Br J Psychiatry 195:249–256PubMedCentralPubMedCrossRef Wolke D, Waylen A, Samara M, Steer C, Goodman R, Ford T et al (2009) Selective drop-out in longitudinal studies and non-biased prediction of behaviour disorders. Br J Psychiatry 195:249–256PubMedCentralPubMedCrossRef
31.
go back to reference Ramchandani PG, O’Connor TG, Evans J, Heron J, Murray L, Stein A (2008) The effects of pre- and postnatal depression in fathers: a natural experiment comparing the effects of exposure to depression on offspring. J Child Psychol Psychiatry 49:1069–1078PubMedCentralPubMedCrossRef Ramchandani PG, O’Connor TG, Evans J, Heron J, Murray L, Stein A (2008) The effects of pre- and postnatal depression in fathers: a natural experiment comparing the effects of exposure to depression on offspring. J Child Psychol Psychiatry 49:1069–1078PubMedCentralPubMedCrossRef
32.
go back to reference Masten AS, Best KM, Garmezy N (1990) Resilience and development: contributions from the study of children who overcome adversity. Dev Psychopathol 2(04):425–444CrossRef Masten AS, Best KM, Garmezy N (1990) Resilience and development: contributions from the study of children who overcome adversity. Dev Psychopathol 2(04):425–444CrossRef
33.
go back to reference Keller TE, Spieker SJ, Gilchrist L (2005) Patterns of risk and trajectories of preschool problem behaviors: a person-oriented analysis of attachment in context. Dev Psycholpathol 17(2):349–384 Keller TE, Spieker SJ, Gilchrist L (2005) Patterns of risk and trajectories of preschool problem behaviors: a person-oriented analysis of attachment in context. Dev Psycholpathol 17(2):349–384
34.
go back to reference Lanza ST, Rhoades BL (2013) Latent class analysis: an alternative perspective on subgroup analysis in prevention and treatment. Prev Sci 14(2):157–168PubMedCentralPubMedCrossRef Lanza ST, Rhoades BL (2013) Latent class analysis: an alternative perspective on subgroup analysis in prevention and treatment. Prev Sci 14(2):157–168PubMedCentralPubMedCrossRef
Metadata
Title
Configurations of early risk and their association with academic, cognitive, emotional and behavioural outcomes in middle childhood
Authors
Bonamy R. Oliver
Tina Kretschmer
Barbara Maughan
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 5/2014
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0756-1

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