Social connection and its prospective association with adolescent internalising and externalising symptoms: an exploratory cross‐country study using retrospective harmonisation

IF 6.5 1区 医学 Q1 PSYCHIATRY
Bettina Moltrecht, João Villanova do Amaral, Giovanni Abrahão Salum, Euripedes Constantino Miguel, Luis Augusto Rohde, George B. Ploubidis, Eoin McElroy, Mauricio Scopel Hoffmann
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引用次数: 0

Abstract

BackgroundSocial connection factors play a key role for young people's mental health. It is important to understand how their influence may vary across contexts. We investigated structural (e.g. household size), functional (e.g. social support) and quality (e.g. feeling close) social connection factors in relation to adolescent internalising and externalising symptoms, comparing two countries Brazil and the United Kingdom (UK).MethodsWe pooled data from the UK Millennium Cohort Study (MCS) and the Brazilian High Risk Cohort Study (BHRCS). We included 12 social connection variables, identified through retrospective harmonisation and lived experience expert involvement. We tested measurement invariance and conducted multiple regressions to analyse associations between the social connection factors (age 14) and later internalising and externalising difficulties (age 17.5) in both cohorts. We investigated country‐level interactions and used weights to account for attrition, survey design, population representativeness and sample size.ResultsWe found pooled main associations with later internalising symptoms for ‘living with half‐siblings’ (p < .001), ‘moving address’ (p = .001), ‘mother marital status’ (p < .001–.003), ‘bullying’ (p = .001), ‘being bullied’ (p < .001) and ‘difficulties keeping friends’ (p < .001). For externalising, we found main associations with ‘household size’ (p = .041), ‘moving address’ (p = .041), ‘mother's marital status’ (p = .001–.013), ‘bullying others’ (p < .001) and ‘being bullied’ (p < .001). Country‐level interactions suggested higher internalising symptoms were associated with ‘household size’ (p = .001) in Brazil and ‘being bullied’ (p < .001) in MCS. Additionally, ‘half‐siblings in household’ (p = .003), ‘poor mother–child relationship’ (p = .018), ‘single mother’ (p = .035), ‘bullying’ (p < .001) and ‘being bullied’ (p < .001) were more strongly linked to externalising difficulties in MCS.ConclusionsSocial connection factors, mostly structural, contributed to adolescent internalising and externalising difficulties in both countries. Factors relating to bullying and family composition seem to play a stronger role in each country. Cultural and socioeconomic factors might explain these differences. Future research should investigate cross‐regional differences to meaningfully inform global mental health efforts.
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来源期刊
CiteScore
13.80
自引率
5.30%
发文量
169
审稿时长
1 months
期刊介绍: The Journal of Child Psychology and Psychiatry (JCPP) is a highly regarded international publication that focuses on the fields of child and adolescent psychology and psychiatry. It is recognized for publishing top-tier, clinically relevant research across various disciplines related to these areas. JCPP has a broad global readership and covers a diverse range of topics, including: Epidemiology: Studies on the prevalence and distribution of mental health issues in children and adolescents. Diagnosis: Research on the identification and classification of childhood disorders. Treatments: Psychotherapeutic and psychopharmacological interventions for child and adolescent mental health. Behavior and Cognition: Studies on the behavioral and cognitive aspects of childhood disorders. Neuroscience and Neurobiology: Research on the neural and biological underpinnings of child mental health. Genetics: Genetic factors contributing to the development of childhood disorders. JCPP serves as a platform for integrating empirical research, clinical studies, and high-quality reviews from diverse perspectives, theoretical viewpoints, and disciplines. This interdisciplinary approach is a key feature of the journal, as it fosters a comprehensive understanding of child and adolescent mental health. The Journal of Child Psychology and Psychiatry is published 12 times a year and is affiliated with the Association for Child and Adolescent Mental Health (ACAMH), which supports the journal's mission to advance knowledge and practice in the field of child and adolescent mental health.
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