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Persistence of psychological problems in adolescence: a one year follow-up study

Published online by Cambridge University Press:  13 June 2014

Deborah James ,
Maria Lawlor  and
Nick Sofroniou
Deborah James
Affiliation:
Regional Child and Family Centre, Dublin Road, Drogheda, Co Louth, Ireland
Maria Lawlor
Affiliation:
Regional Child and Family Centre, Dublin Road, Drogheda, Co Louth, Ireland
Nick Sofroniou
Affiliation:
Educational Research Centre, St Patrick's College, Drumcondra, Dublin 9, Ireland
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Abstract

Objectives: To examine the prevalence and persistence of psychological problems in older adolescents.

Methods: This study is a one year follow-up of 110 adolescents, 64 girls and 46 boys attending three secondary schools in Ireland. All were 16 at initial testing. The Youth Self Report (YSR) was the measure used.

Results: Over a fifth of adolescents have problems in the clinical range. These problems persisted from 16 to 17. Females reported more problems than males at both ages. Some females showed a slight reduction in internalising problems at 17. Both males and females showed an increase in externalising problems at 17. Odds ratios indicate that those in the clinical ranges of the YSR at 16, had increased risk of being in the clinical range at 17 compared to those in the no problem range at 16. In comparison to those with no suicidal feeling, those with suicidal feelings at 16 were at an increased risk of still feeling suicidal at 17. More males remained psychologically healthy than girls.

Conclusions: A large proportion of adolescents in this sample have psychological problems and these appear to persist over a one year period. These problems impact substantially on the adolescents themselves, their families and society. Given the increasing suicide rate in young people and the persistence of suicidal feelings in this cohort, the inadequacy of mental health services in Ireland for adolescents, particularly those ages 16-18 is highlighted. The challenge of developing and providing adolescent friendly services is addressed.

Keywords

AdolescentsPsychological problemsPersistencePrevalenceMental health services
Type
Original Papers
Information
Irish Journal of Psychological Medicine , Volume 21 , Issue 1 , March 2004 , pp. 11 - 17
Copyright
Copyright © Cambridge University Press 2004

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References

1.Fitzgerald, M. The relationship between child, adolescent and adult psychiatry. Ir J Psychol Med 1997; 14: 42.CrossRefGoogle Scholar
2.Lawlor, M, James, D. Prevalence of Psychological problems in Irish school going adolescents Ir J Psychol Med 2000; 17: 117–122.CrossRefGoogle Scholar
3.The Royal College of Psychiatrists (Irish division). Position statement on Psychiatric services for adolescents. 2002.Google Scholar
4.Fombonne, E. Increased rates of Psychosocial disorders in Youth. Eur Arch Psychiatry Clin Neurosci 1998; 248: 14–21.CrossRefGoogle ScholarPubMed
5.Smith, D, Rutter, M. Time trends in psychosocial disorders of youth. In: Rutter, M, Smith, D (eds). Psychosocial disorders in young people: Time trends and their causes 1996. Chichester: John Wiley & Sons.Google Scholar
6.Kelleher, MJ. Youth suicide trends in the Republic of Ireland. Br J Psychiat 1998; 173: 196–197.CrossRefGoogle ScholarPubMed
7.Anderson, M. Waiting for harm: Deliberate self-harm and suicide in young people – a review of the literature. J Psychiatric Mental Health Nursing 1999; 6: 91–100.CrossRefGoogle ScholarPubMed
8.Brinkman-Sul, DC, Overholser, JC, Silverman, E. Risk of future suicide attempts in adolescent psychiatric in-patients at 18 month follow-up. Suicide and Life-threatening Behaviour 2000; 30: 327–340.CrossRefGoogle Scholar
9.Marttunen, M, Pelkonen, M. Psychiatric risk factors for adolescent suicide – a review. Adol Child Psychiat 2000; 31: 110–125.Google Scholar
10.Flisher, AJ. Annotation: Mood disorder in suicidal Children and Adolescents: Recent developments. J Child Psychol Psychiat 1999; 40: 315–324.CrossRefGoogle ScholarPubMed
11.Coggan, C, Patterson, P, Fill, J. Suicide: Qualitiative data from focus group interviews with youth. Soc Sci Med 1997; 45: 1563–1570.CrossRefGoogle Scholar
12.Hollis, C. Depression, Family environment & Adolescent suicidal behaviour. J Am Acad Child Adol Psychiat 1996; 35: 1–12.CrossRefGoogle Scholar
13.Fombonne, E. Suicidal behaviours in vulnerable adolescents: Time trends and their correlates. Br J Psychiat 1998; 173: 154–159.CrossRefGoogle ScholarPubMed
14.Offord, DR, Boyle, MH, Szatmari, Pet al.Ontario Child Health Study: II Six Month Prevalence of Disorder and Rates of Service Utilisation. Arch Gen Psychiat 1987; 44: 832–836.CrossRefGoogle Scholar
15.Kashani, JH, Beck, NC, Hoeper, EWet al.Psychiatric disorders in a community sample of adolescents. Am J Psychiat 1987; 144: 584–589.Google Scholar
16.Leslie, SA. Psychiatric Disorder in the young adolescents of an industrial town. Br J Psychiat 1974: 125: 113–124.CrossRefGoogle Scholar
17.Rutter, M, Tizard, J, Yule, W, Graham, P, Whitmore, K. Isle of Wight Studies 1964-1974. Psychol Med 1976: 6: 313–332.CrossRefGoogle ScholarPubMed
18.Bird, HR, Canino, G, Rubio-Stipec, Met al.Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. Arch Gen Psychiat 1988; 45: 1120–1126.CrossRefGoogle Scholar
19.McGee, R, Feehan, M, Williams, S, Partridge, F, Silva, PA, Kelly, JJ. DSM-III – Disorders in a large sample of adolescents. Am Acad Child Adol Psychiat 1990; 29(July): 4.Google Scholar
20.Fitzpatrick, C, Deehan, A. Competencies and Problems of Irish Children and adolescents. Ir J Med Sci 1999; 156: 219–221.Google Scholar
21.Fergusson, DM, Horwood, LJ, Lynsky, MT. Prevalence and Co-morbidity of DSM III-R diagnoses in a birth cohort of 15 year olds. J Am Acad Child Adol Psychiat 1993; 32: 1127–1134.CrossRefGoogle Scholar
22.Valla, JP, Breton, JJ, Bergeron, Let al.Enquete Quebecoisesur La, Sante Mentales des Jeunes de 6 a 14 ans 1992: Rapport de Synthese. Montreal: Hopital Riviere-des-Prairies et Sante Quebec, en collaboration avec le ministere de la Sante et des services sociaux gouvernement du Qubec, 1994Google Scholar
23.Verhulst, FC, Koot, HM. Child Psychiatric Epidemiology Concepts, Methods and Findings. Volume 23. Dev Clin Psychol Psychiat. London: Sage Publications, 1992Google Scholar
24.Cohen, P, Velez, M, Kohn, P, Schwab-Stone, M, Johnson, J. Child Psychiatric Diagnosis by computer algorithm: theoretical issues and empirical tests. J Am Acad Child Adol Psychiat 1987; 26: 631–638.CrossRefGoogle ScholarPubMed
25.Williams, H, Fitzgerald, M, Kinsella, A. Psychological Distress and Attitude to Authority in a Sample of Irish Adolescents. Ir J Psychol Med 1989; 6: 37–40.CrossRefGoogle Scholar
26.Ferdinand, RF, Verhulst, FC. Psychopathology from Adolescence into Young Adulthood: An 8 year follow-up study. Am J Psychiat 1995; 152: 1586–1594.Google ScholarPubMed
27.Ferdinand, RF, Verhulst, FC, Wiznitzer, M. Continuity and change of self reported problem behaviours from Adolescence to Young Adulthood. J Am Acad Child Adol Psychiat 1995; 34: 680–690.CrossRefGoogle Scholar
28.Ferninand, RF, Stijnen, T, Verhulst, FC, Van der Reijden, M. Associations between behavioural and emotional problems in Adolescence and maladjustment in young adulthood. J Adol 1999; 22: 123–36.CrossRefGoogle Scholar
29.Hofstra, MB, Van Der Ende, J, Verhulst, FC. Adolescents' self reported problems as predictors of psychopathology in adulthood: 10 year follow-up study. Br J Psychiat 2001; 179: 203–209.CrossRefGoogle ScholarPubMed
30.Achenbach, TM. Manual for the Child Behaviour Checklist/2-18 and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry, 1991a.Google Scholar
31.Achenbach, TM. Manual for the Youth Self Report and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry, 1991b.Google Scholar
32.Rutter, M. Relationships between Mental Disorders in Childhood and Adulthood. Acta Psychiat Scand 1995; 91: 73–85.CrossRefGoogle ScholarPubMed
33.Kessler, RC, Avenevani, S, Merikanges, KR. Mood disorders in Children & Adolescence: An epidemiologic perspective. Biological Psychiat 2001; 49: 1002–1014.CrossRefGoogle ScholarPubMed
34.Leweinsohn, PM, Rohde, P, Seely, JR. Major depressive disorder in older adolescents: Prevalence, risk factors and clinical implications. Clin Psychol Rev 1998; 18: 765–794.CrossRefGoogle Scholar
35.Wichstrom, L. The emergence of gender difference in depressed mood during adolescence: The role of intensified gender socialisation. Dev Psychol 1999; 35: 232–245.CrossRefGoogle Scholar
36.Compass, BE, Oppedisano, G, Connor, JK, Gerhardt, CA, Hinder, BA, Achenbach, TA, Hammen, C. Gender differences in depressive symptoms in Adolescence: Comparison of National samples of Clinically Referred and non-referred Youths. J Consulting Clin Psychol 1997; 65: 617–626.CrossRefGoogle Scholar
37.Weissman, MM, Bland, R, Joyce, PR, Newman, S, Wells, EJ, Wittchen, HU. Sex differences in rates of depression: Cross national perspectives. J Affective Dis 1993; 29: 77–84.CrossRefGoogle ScholarPubMed
38.Rutter, M. Continuities and discontinuities in socioemotional development. In Continuities and discontinuities in development. Eds: Emde, RN, Harmon, RD. New York: Plenum press, 1984CrossRefGoogle Scholar
39.Werry, JS. Child Psychiatric disorders: Are they classifiable? Br J Psychiat 1992; 161: 472–480.CrossRefGoogle ScholarPubMed
40.Feehan, M, Mc Gee, R, Williams, S. Mental Health Disorders from age 15 to age 18 years. J Am Acad Child Adol Psychiat 1993; 32: 1118–1126.CrossRefGoogle ScholarPubMed
41.Romano, E, Tremblay, RE, Vitaro, F, Zoccolillo, M, Pagani, L. Prevalence of psychiatric diagnoses and the role of perceived impairment: Findings from an adolescent community sample. J Child Psychol Psychiat 2001; 42: 451–461.CrossRefGoogle ScholarPubMed
42.James, DJ, Lawlor, M. Psychological problems of Early School Leavers. Ir J Psychol Med 2001; 18: 61–65.CrossRefGoogle ScholarPubMed
43.Francis, B, Green, N, Payne, C. The GLIM system: Generalised Linear Interactive modelling (rev ed). Oxford: Clarendon press, 1994Google Scholar
44.Hutcheson, GD, Sofroniou, N. The Multivariate Social Scientist. London: Sage, 1999CrossRefGoogle Scholar
45.Last, C, Hansen, C, Franco, N. Anxious Children in adulthood: A prospective study of adjustment. Am J Child Adol Psychiatry 1997; 36: 645–652.CrossRefGoogle ScholarPubMed
46.Arseneault, L, Moffitt, T, Caspi, A, Taylor, PJ, Silva, PA. Mental disorders and violence in a total birth cohort: Results from the Dunedin study. Arch Gen Psychiatry 2000; 57: 979–986.CrossRefGoogle Scholar
47.Rowley, J, Ganter, K, Fitzpatrick, C. Suicidal thoughts and acts in Irish Adolescents. Ir J Psychol Med 2001; 18: 82–86.CrossRefGoogle ScholarPubMed
48.O'Sullivan, M, Fitzgerald, M. Suicidal ideation and acts of self harm among Dublin school children. J Adol 1998; 21: 427–433.CrossRefGoogle ScholarPubMed
49.Garrison, CZ, Jackson, KL, Addy, CL, McKeown, RE, Waller, JL. Suicidal behaviours in young adolescents. Am J Epidemiology 1991; 133, 1005–1014.CrossRefGoogle ScholarPubMed
50.Centres for Disease Control. Attempted suicide among high school students. Morbidity and Mortality Weekly Report 1990. United States.Google Scholar
51.Harkavey-Friedman, JM, Anis, GM, Boeck, M, Difiore, J. Prevalence of Specific suicidal behaviours in a high school sample. Am J Psychiat 1987; 144, 1203–1206.Google Scholar
52.Robertson, AM, James, DJ, Lawlor, M, Sofroniou, N. Family environments of psychologically healthy adolescents (in Preparation).Google Scholar
53.Amnesty International. Mental illness the neglected quarter. Dublin: Amnesty International, 2003.Google Scholar
54.Mental Treatment Act 1945. Government publications no.17: DublinGoogle Scholar
55.Child Care Act 1991. Government publications no.19: Dublin.Google Scholar