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Published in: Social Psychiatry and Psychiatric Epidemiology 3/2009

01-03-2009 | ORIGINAL PAPER

Socioeconomic position and mental health problems in pre- and early-adolescents

The TRAILS study

Authors: Kennedy Amone-P’Olak, Huibert Burger, Johan Ormel, Martijn Huisman, Frank C. Verhulst, Albertine J. Oldehinkel

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 3/2009

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Abstract

Background

Family socioeconomic position (SEP) is known to be associated with adolescent mental health. Whether the relationship is different for different mental health dimensions is unknown.

Methods

Using a cross-sectional design, we investigated the differential effects of family SEP on multiple mental health dimensions in preadolescents (N = 2230, baseline age 10–12, 49% boys) using reports from multiple informants (parent, self, and teachers). A score equal to or higher than the 85th percentile (averaged across informants) defined mental health problems.

Results

SEP was inversely associated with all dimensions. Compared to high SEP, the odds ratios (OR) for externalizing problems were 3.88 (95% confidence interval (CI): 2.56, 5.90) and 2.05 (CI: 1.34, 3.14) for low and intermediate SEP, respectively. For internalizing problems, they were 1.86 (CI: 1.28, 2.70) and 1.37 (CI: 0.94, 2.00), respectively. When adjusted for externalizing problems, SEP effects on internalizing problems materially attenuated (OR: 1.47, CI: 0.78, 1.68 and OR: 1.34, CI: 0.91, 1.96) while the converse was less pronounced (OR: 3.39, CI: 2.24, 5.15) and (OR: 1.91, CI: 1.25, 2.94).

Conclusion

In early adolescence, the risk of mental health problems increases with decreasing SEP, particularly for externalizing problems. Further, the SEP-internalizing problems relationship is partly explained by shared aspects with externalizing problems.
Literature
1.
go back to reference Achenbach TM (1991) Manual for the child behaviour checklist/4–18 and 1991 profile. University of Vermont, Burlington Achenbach TM (1991) Manual for the child behaviour checklist/4–18 and 1991 profile. University of Vermont, Burlington
2.
go back to reference Achenbach TM (1991) Manual for the youth self-report and 1991 profile. University of Vermont, Burlington Achenbach TM (1991) Manual for the youth self-report and 1991 profile. University of Vermont, Burlington
3.
go back to reference Achenbach TM (1991) Manual for the teacher’s report form and 1991 profile. University of Vermont, Burlington Achenbach TM (1991) Manual for the teacher’s report form and 1991 profile. University of Vermont, Burlington
4.
go back to reference Achenbach TM, Bird H, Canino G, Phares V, Gould M, Rubio-Stipec M (1990) Epidemiological comparison of Peurto Rican and US mainland children: parent, teacher, and self reports. J Am Acad Child Adolesc Psychiatry 29:84–93PubMedCrossRef Achenbach TM, Bird H, Canino G, Phares V, Gould M, Rubio-Stipec M (1990) Epidemiological comparison of Peurto Rican and US mainland children: parent, teacher, and self reports. J Am Acad Child Adolesc Psychiatry 29:84–93PubMedCrossRef
5.
go back to reference Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioural and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101(2):213–232PubMedCrossRef Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioural and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101(2):213–232PubMedCrossRef
6.
go back to reference Achenbach TM, Verhulst FC, Baron GD, Akkerhuis GW (1987) Epidemiological comparisons of American and Dutch children: I. behavioural/emotional problems reported by teachers for ages 4 to 16. J Am Acad Child Adolesc Psychiatry 26:317–325PubMed Achenbach TM, Verhulst FC, Baron GD, Akkerhuis GW (1987) Epidemiological comparisons of American and Dutch children: I. behavioural/emotional problems reported by teachers for ages 4 to 16. J Am Acad Child Adolesc Psychiatry 26:317–325PubMed
7.
go back to reference Achenbach TM, Verhulst FC, Edelbrock C, Baron GD, Akkerhuis GW (1987) Epidemiological comparisons of American and Dutch children: II. behavioural/emotional problems reported by teachers for ages 6 to 11. J Am Acad Child Adolesc Psychiatry 26(3):326–332PubMedCrossRef Achenbach TM, Verhulst FC, Edelbrock C, Baron GD, Akkerhuis GW (1987) Epidemiological comparisons of American and Dutch children: II. behavioural/emotional problems reported by teachers for ages 6 to 11. J Am Acad Child Adolesc Psychiatry 26(3):326–332PubMedCrossRef
8.
9.
go back to reference Atzaba-Poria N, Pike A, Deater-Deckard K (2004) Do risk factors for problem behaviour act in a cumulative manner? An examination of ethnic minority and majority children through an ecological perspective. J Child Psychol Psychiatry 45(4):707–718PubMedCrossRef Atzaba-Poria N, Pike A, Deater-Deckard K (2004) Do risk factors for problem behaviour act in a cumulative manner? An examination of ethnic minority and majority children through an ecological perspective. J Child Psychol Psychiatry 45(4):707–718PubMedCrossRef
10.
go back to reference Bolger KE, Patterson CJ, Thompson WW, Kupersmidst JB (1995) Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Dev 66:1107–1129CrossRef Bolger KE, Patterson CJ, Thompson WW, Kupersmidst JB (1995) Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Dev 66:1107–1129CrossRef
11.
go back to reference Boyle M, Offord D, Racine Y, Szatmari P, Sanford M, Fleming J (1997) Adequacy of interviews vs. checklists for classifying childhood psychiatric disorder based on parent reports. Arch Gen Psychiatry 54:793–799PubMed Boyle M, Offord D, Racine Y, Szatmari P, Sanford M, Fleming J (1997) Adequacy of interviews vs. checklists for classifying childhood psychiatric disorder based on parent reports. Arch Gen Psychiatry 54:793–799PubMed
12.
go back to reference Bradley RH, Corwyn RF (2002) Socioeconomic status and child development. Annu Rev Psychol 53:371–399PubMedCrossRef Bradley RH, Corwyn RF (2002) Socioeconomic status and child development. Annu Rev Psychol 53:371–399PubMedCrossRef
13.
go back to reference Brown GW, Harris TO (1989) Life events and Illness. Guildford, New York Brown GW, Harris TO (1989) Life events and Illness. Guildford, New York
14.
go back to reference Burkes JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry 46:1200–1210CrossRef Burkes JD, Loeber R, Lahey BB, Rathouz PJ (2005) Developmental transitions among affective and behavioral disorders in adolescent boys. J Child Psychol Psychiatry 46:1200–1210CrossRef
15.
go back to reference Capaldi D, Stoolmiller M (1999) Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: III. Prediction to young-adult adjustment. Dev Psychopathol 11:59–84PubMedCrossRef Capaldi D, Stoolmiller M (1999) Co-occurrence of conduct problems and depressive symptoms in early adolescent boys: III. Prediction to young-adult adjustment. Dev Psychopathol 11:59–84PubMedCrossRef
16.
go back to reference Caspi A, Taylor A, Moffit TE, Plomin R (2000) Neighbourhood deprivation affects children’s mental health: environmental risks identified in a genetic design. Psychol Sci 11(4):338–342PubMedCrossRef Caspi A, Taylor A, Moffit TE, Plomin R (2000) Neighbourhood deprivation affects children’s mental health: environmental risks identified in a genetic design. Psychol Sci 11(4):338–342PubMedCrossRef
17.
go back to reference Chen E, Berdan LE (2006) Socioeconomic status and patterns of parent-adolescent interactions. J Res Adolesc 16(1):19–27CrossRef Chen E, Berdan LE (2006) Socioeconomic status and patterns of parent-adolescent interactions. J Res Adolesc 16(1):19–27CrossRef
18.
go back to reference Chen E, Mathews KA, Boyce WT (2002) Socioeconomic differences in children’s health: how and why do the relationships change with age? Psychol Bull128:295–329PubMedCrossRef Chen E, Mathews KA, Boyce WT (2002) Socioeconomic differences in children’s health: how and why do the relationships change with age? Psychol Bull128:295–329PubMedCrossRef
19.
go back to reference Conger RD, Conger KJ, Elder GH, Lorenz FO et al (1992) A family process model of economic hardship and adjustment of early adolescent boys. Child Dev 63:526–541PubMedCrossRef Conger RD, Conger KJ, Elder GH, Lorenz FO et al (1992) A family process model of economic hardship and adjustment of early adolescent boys. Child Dev 63:526–541PubMedCrossRef
20.
go back to reference Costello EJ, Compton SN, Keeler G, Angold A (2003) Relationship between poverty and psychopathology: a natural experiment. JAMA 290:2023–2029PubMedCrossRef Costello EJ, Compton SN, Keeler G, Angold A (2003) Relationship between poverty and psychopathology: a natural experiment. JAMA 290:2023–2029PubMedCrossRef
21.
go back to reference De Winter AF, Oldehinkel AJ, Veenstra R, Brunnekreef JA, Verhulst FC, Ormel J (2005) Evaluation of non-response bias in mental health determinants and outcomes in a large sample of pre-adolescents. Eur J Epidem 20:173–181CrossRef De Winter AF, Oldehinkel AJ, Veenstra R, Brunnekreef JA, Verhulst FC, Ormel J (2005) Evaluation of non-response bias in mental health determinants and outcomes in a large sample of pre-adolescents. Eur J Epidem 20:173–181CrossRef
22.
go back to reference Dohrenwend BP (1990) Socioeconomic status (SES) and psychiatric disorders. Soc Psychiatry Psychiatr Epidemiol 25:41–47PubMed Dohrenwend BP (1990) Socioeconomic status (SES) and psychiatric disorders. Soc Psychiatry Psychiatr Epidemiol 25:41–47PubMed
23.
go back to reference Donders ART, Heijdenvd JMG, Stijnen T, Moons KGM (2006) Review: a gentle introduction to imputation of missing values. J Clin Epidemiol 59:1087–1091PubMedCrossRef Donders ART, Heijdenvd JMG, Stijnen T, Moons KGM (2006) Review: a gentle introduction to imputation of missing values. J Clin Epidemiol 59:1087–1091PubMedCrossRef
24.
go back to reference Due P, Lynch J, Holstein B, Modvig J (2003) Socioeconomic health inequalities among nationally representative sample of Danish adolescents: the role of different types of social relations. J Epidemiol Community Health 57:692–69PubMedCrossRef Due P, Lynch J, Holstein B, Modvig J (2003) Socioeconomic health inequalities among nationally representative sample of Danish adolescents: the role of different types of social relations. J Epidemiol Community Health 57:692–69PubMedCrossRef
26.
go back to reference Feinberg ME, Button TMM, Neiderhiser JM, Reiss D, Hetherington EM (2007) Parenting and adolescent antisocial behaviour and depression. Arch Gen Psychiatry 64:457–465PubMedCrossRef Feinberg ME, Button TMM, Neiderhiser JM, Reiss D, Hetherington EM (2007) Parenting and adolescent antisocial behaviour and depression. Arch Gen Psychiatry 64:457–465PubMedCrossRef
27.
go back to reference Fendrich M, Warner V, Weissman MM (1990) Family risk factors, parental depression and psychopathology in offspring. Dev Psychol 26:40–50CrossRef Fendrich M, Warner V, Weissman MM (1990) Family risk factors, parental depression and psychopathology in offspring. Dev Psychol 26:40–50CrossRef
28.
go back to reference Ganzeboom HBG, Treiman DJ (1996) International comparable measures of occupational status for the 1988 International Classification of Occupations. Soc Sci Res 25:201–239CrossRef Ganzeboom HBG, Treiman DJ (1996) International comparable measures of occupational status for the 1988 International Classification of Occupations. Soc Sci Res 25:201–239CrossRef
29.
go back to reference Hofstra MB, Van de Ende J, Verhulst FC (2001) Adolescent’s self-reported problems as predictors of psychopathology in adulthood: 10-year follow-up study. Br J Psychiatry 179:203–209PubMedCrossRef Hofstra MB, Van de Ende J, Verhulst FC (2001) Adolescent’s self-reported problems as predictors of psychopathology in adulthood: 10-year follow-up study. Br J Psychiatry 179:203–209PubMedCrossRef
30.
go back to reference Huisman M, Oldehinkel AJ, De Winter AF, Minderaa RB, De Bildt A, Huizink AC, Verhulst FC, Ormel J (2008) Cohort Profile: The Dutch “TRacking Adolescents’ Individual Lives’ Survey”; TRAILS. Int J Epidemiol. doi:10.1093/ije/dym273 Huisman M, Oldehinkel AJ, De Winter AF, Minderaa RB, De Bildt A, Huizink AC, Verhulst FC, Ormel J (2008) Cohort Profile: The Dutch “TRacking Adolescents’ Individual Lives’ Survey”; TRAILS. Int J Epidemiol. doi:10.​1093/​ije/​dym273
31.
go back to reference Kapi A, Veltsista A, Kavadias G, Lekea V, Bakoula C (2007) Social determinants of self- reported emotional and behavioural problems in Greek adolescents. Soc Psychiatry Psychiatr Epidemiol 42:594–598PubMedCrossRef Kapi A, Veltsista A, Kavadias G, Lekea V, Bakoula C (2007) Social determinants of self- reported emotional and behavioural problems in Greek adolescents. Soc Psychiatry Psychiatr Epidemiol 42:594–598PubMedCrossRef
32.
go back to reference Kendler KS, Hettema JM, Butera F, Gardner CO, Prescott CA (2003) Life events dimensions of loss, humiliation, entrapment, and danger in the prediction of onsets of major depression and generalised anxiety. Arch Gen Psychiatry 60:789–796PubMedCrossRef Kendler KS, Hettema JM, Butera F, Gardner CO, Prescott CA (2003) Life events dimensions of loss, humiliation, entrapment, and danger in the prediction of onsets of major depression and generalised anxiety. Arch Gen Psychiatry 60:789–796PubMedCrossRef
33.
go back to reference Lahelma E, Laaksonen M, Martikainen P, Rahkonen O, Sarlio-Lahteenkorva S (2006) Multiple measures of socio-economic circumstances and common mental disorders. Soc Sci Med 63:1383–1399PubMedCrossRef Lahelma E, Laaksonen M, Martikainen P, Rahkonen O, Sarlio-Lahteenkorva S (2006) Multiple measures of socio-economic circumstances and common mental disorders. Soc Sci Med 63:1383–1399PubMedCrossRef
34.
go back to reference Loeber R, Farrington DP, Stouthamer-Loeber M, Van Kammen WB (1998) Antisocial behaviour and mental health problems: explanatory factors in childhood and adolescence. Lawrence Erlbaum, Mawhaw Loeber R, Farrington DP, Stouthamer-Loeber M, Van Kammen WB (1998) Antisocial behaviour and mental health problems: explanatory factors in childhood and adolescence. Lawrence Erlbaum, Mawhaw
35.
go back to reference Mcleod J, Shanahan MJ (1993) Poverty, parenting, and children’s mental health. Am Sociol Rev 58:351–366CrossRef Mcleod J, Shanahan MJ (1993) Poverty, parenting, and children’s mental health. Am Sociol Rev 58:351–366CrossRef
36.
go back to reference Miech RA, Caspi A, Moffit TE, Wright BR, Silva PA (1999) Low socioeconomic status and mental disorders: a longitudinal study of selection and causation during young adulthood. Am J Sociol 104:1096–1131CrossRef Miech RA, Caspi A, Moffit TE, Wright BR, Silva PA (1999) Low socioeconomic status and mental disorders: a longitudinal study of selection and causation during young adulthood. Am J Sociol 104:1096–1131CrossRef
37.
go back to reference Oldehinkel AJ, Hartman CA, De Winter AF, Veenstra R, Ormel J (2004) Temperament profiles associated with internalizing and externalizing problems in preadolescence. Dev Psychopathol 16:421–440PubMedCrossRef Oldehinkel AJ, Hartman CA, De Winter AF, Veenstra R, Ormel J (2004) Temperament profiles associated with internalizing and externalizing problems in preadolescence. Dev Psychopathol 16:421–440PubMedCrossRef
38.
go back to reference Reijneveld SA, Brugman E, Verhulst FC, Verloove-Vanhorick SP (2005) Area deprivation and child psychosocial problems: a national cross-sectional study among school-aged children. Soc Psychiatry Psychiatr Epidemiol 40:18–23PubMedCrossRef Reijneveld SA, Brugman E, Verhulst FC, Verloove-Vanhorick SP (2005) Area deprivation and child psychosocial problems: a national cross-sectional study among school-aged children. Soc Psychiatry Psychiatr Epidemiol 40:18–23PubMedCrossRef
39.
go back to reference Schafer JL (1998) Multiple imputation for multivariate missing data problems: a data analyst’s perspective. Multivariate Behav Res 33:545–571CrossRef Schafer JL (1998) Multiple imputation for multivariate missing data problems: a data analyst’s perspective. Multivariate Behav Res 33:545–571CrossRef
41.
go back to reference Schneiders J, Drukker M, Van der Ende J, Verhulst FC, Van Os J, Nicolson NA (2003) Neighbourhood socioeconomic disadvantage and behavioural problems from late childhood into early adolescence. J Epidemiol Community Health 57:699–703PubMedCrossRef Schneiders J, Drukker M, Van der Ende J, Verhulst FC, Van Os J, Nicolson NA (2003) Neighbourhood socioeconomic disadvantage and behavioural problems from late childhood into early adolescence. J Epidemiol Community Health 57:699–703PubMedCrossRef
42.
go back to reference Silk J, Sessa F, Morris A, Steinberg L, Avenevoli S (2004) Neighbourhood cohesion as a buffer against hostile maternal parenting. J Fam Psychol 18:135–146PubMedCrossRef Silk J, Sessa F, Morris A, Steinberg L, Avenevoli S (2004) Neighbourhood cohesion as a buffer against hostile maternal parenting. J Fam Psychol 18:135–146PubMedCrossRef
43.
go back to reference Stansfeld S, Head J, Bartley M, Fonagy P (2008) Social position, early deprivation and the development of attachment. Soc Psychiatry Psychiatr Epidemiol. doi:10.1007/s00127-008-0330-4 Stansfeld S, Head J, Bartley M, Fonagy P (2008) Social position, early deprivation and the development of attachment. Soc Psychiatry Psychiatr Epidemiol. doi:10.​1007/​s00127-008-0330-4
44.
go back to reference Verhulst FC, Koot HM, Van der Ende J (1994) Differential predictive value of parents’ and teachers’ reports of children’s problem behaviours: a longitudinal study. J Abnorm Child Psychol 22:531–546PubMedCrossRef Verhulst FC, Koot HM, Van der Ende J (1994) Differential predictive value of parents’ and teachers’ reports of children’s problem behaviours: a longitudinal study. J Abnorm Child Psychol 22:531–546PubMedCrossRef
45.
go back to reference Verhulst FC, Van der Ende J, Koot HK (1997) Handleiding voor de Youth Self-Report (YSR) [Manual for the Youth Self-Report (YSR)]. Sophia Children’s Hospital, Rotterdam Verhulst FC, Van der Ende J, Koot HK (1997) Handleiding voor de Youth Self-Report (YSR) [Manual for the Youth Self-Report (YSR)]. Sophia Children’s Hospital, Rotterdam
46.
go back to reference Vollebergh WAM, Ten Have M, Dekovic M et al (2005) Mental health in immigrant children in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 40:489–49PubMedCrossRef Vollebergh WAM, Ten Have M, Dekovic M et al (2005) Mental health in immigrant children in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 40:489–49PubMedCrossRef
47.
go back to reference Wadsworth ME, Achenbach TM (2005) Explaining the link between low socio-economic status and psychopathology: testing two mechanisms of the social causation hypothesis. J Consult Clin Psychol 73(6):1146–1153PubMedCrossRef Wadsworth ME, Achenbach TM (2005) Explaining the link between low socio-economic status and psychopathology: testing two mechanisms of the social causation hypothesis. J Consult Clin Psychol 73(6):1146–1153PubMedCrossRef
48.
go back to reference Wardle J, Robb K, Johnson F (2002) Assessing socioeconomic status in adolescents: the validity of home affluence scale. J Epidemiol Community Health 56:595–599PubMedCrossRef Wardle J, Robb K, Johnson F (2002) Assessing socioeconomic status in adolescents: the validity of home affluence scale. J Epidemiol Community Health 56:595–599PubMedCrossRef
49.
go back to reference World Health Organisation (2003) Investing in mental health. WHO, Geneva World Health Organisation (2003) Investing in mental health. WHO, Geneva
50.
go back to reference World Health Organisation (2005) Child mental health atlas: child and adolescent mental health resources: global concerns, implications for the future. WHO, Geneva World Health Organisation (2005) Child mental health atlas: child and adolescent mental health resources: global concerns, implications for the future. WHO, Geneva
Metadata
Title
Socioeconomic position and mental health problems in pre- and early-adolescents
The TRAILS study
Authors
Kennedy Amone-P’Olak
Huibert Burger
Johan Ormel
Martijn Huisman
Frank C. Verhulst
Albertine J. Oldehinkel
Publication date
01-03-2009
Publisher
Steinkopff-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 3/2009
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-008-0424-z

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