Marie C Navarro1, Massimiliano Orri2, Daniel Nagin3, Richard E Tremblay4, Sînziana I Oncioiu1, Marilyn N Ahun5, Maria Melchior6, Judith van der Waerden6, Cédric Galéra7, Sylvana M Côté8. 1. Bordeaux Population Health Research Centre, INSERM U1219 and University of Bordeaux, Bordeaux, France. 2. Bordeaux Population Health Research Centre, INSERM U1219 and University of Bordeaux, Bordeaux, France; McGill Group for Suicide Studies, Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Canada. 3. Carnegie Mellon University, Pittsburgh, PA, United States. 4. School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland; Departments of Pediatrics and Psychology, University of Montréal, Montreal, Canada. 5. Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada. 6. Sorbonne Université, UPMC Université Paris 6, Inserm, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France. 7. Bordeaux Population Health Research Centre, INSERM U1219 and University of Bordeaux, Bordeaux, France; Centre Hospitalier Charles Perrens, Bordeaux, France. 8. Bordeaux Population Health Research Centre, INSERM U1219 and University of Bordeaux, Bordeaux, France; Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada; Research Center Ste Justine's Hospital, 3175 Chemin Côte Ste-Catherine, Montreal, QC H3T 1C5, Canada. Electronic address: sylvana.cote.1@umontreal.ca.
Abstract
BACKGROUND: Childhood internalizing symptoms can be associated with adolescent internalizing symptoms, but only a small proportion of symptomatic children are at long-term risk. Our objectives were to (1) distinguish between typical and atypical levels of internalizing symptoms using mother- and teacher-assessments and (2) test the association between childhood internalizing symptoms and adolescent generalized anxiety, depression, and social phobia symptoms in boys and girls. METHODS: Multi-trajectory models were used to estimate the evolution of mother- and teacher-reported internalizing symptoms across childhood (1.5 to 12 years) in a large population-based cohort (n = 1431). Multiple linear regression models were implemented to estimate the association between childhood group membership of internalizing symptoms and self-reported specific internalizing symptoms at 15 years by sex. RESULTS: Five groups of childhood internalizing symptoms were identified: Mother & teacher low (22.6%), Mother moderate/teacher low (37.9%), Mother moderate/teacher high (18.3%), Mother high/teacher low (11.8%) and Mother & teacher high (9.5%). Multiple linear regression models showed that compared to the low group, (1) boys in the high group reported higher social phobia symptoms (p = 0.04), (2) girls in the high group reported higher depression (p = 0.01) and generalized anxiety (p < 0.01) symptoms, and (3) girls in the moderate/high group reported higher generalized anxiety symptoms (p = 0.02) in adolescence. LIMITATIONS: The main limitation is that mothers' and teachers' assessments mostly covered different developmental periods. CONCLUSIONS: A multi-informant assessment of childhood internalizing symptoms improves adolescent specific internalizing symptoms identification in a general population sample over reliance on a single informant.
BACKGROUND: Childhood internalizing symptoms can be associated with adolescent internalizing symptoms, but only a small proportion of symptomatic children are at long-term risk. Our objectives were to (1) distinguish between typical and atypical levels of internalizing symptoms using mother- and teacher-assessments and (2) test the association between childhood internalizing symptoms and adolescent generalized anxiety, depression, and social phobia symptoms in boys and girls. METHODS: Multi-trajectory models were used to estimate the evolution of mother- and teacher-reported internalizing symptoms across childhood (1.5 to 12 years) in a large population-based cohort (n = 1431). Multiple linear regression models were implemented to estimate the association between childhood group membership of internalizing symptoms and self-reported specific internalizing symptoms at 15 years by sex. RESULTS: Five groups of childhood internalizing symptoms were identified: Mother & teacher low (22.6%), Mother moderate/teacher low (37.9%), Mother moderate/teacher high (18.3%), Mother high/teacher low (11.8%) and Mother & teacher high (9.5%). Multiple linear regression models showed that compared to the low group, (1) boys in the high group reported higher social phobia symptoms (p = 0.04), (2) girls in the high group reported higher depression (p = 0.01) and generalized anxiety (p < 0.01) symptoms, and (3) girls in the moderate/high group reported higher generalized anxiety symptoms (p = 0.02) in adolescence. LIMITATIONS: The main limitation is that mothers' and teachers' assessments mostly covered different developmental periods. CONCLUSIONS: A multi-informant assessment of childhood internalizing symptoms improves adolescent specific internalizing symptoms identification in a general population sample over reliance on a single informant.
Authors: Massimiliano Orri; Michel Boivin; Chelsea Chen; Marilyn N Ahun; Marie-Claude Geoffroy; Isabelle Ouellet-Morin; Richard E Tremblay; Sylvana M Côté Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2020-11-13 Impact factor: 4.328
Authors: Marie C Navarro; Isabelle Ouellet-Morin; Marie-Claude Geoffroy; Michel Boivin; Richard E Tremblay; Sylvana M Côté; Massimiliano Orri Journal: JAMA Netw Open Date: 2021-03-01
Authors: Larisa Morosan; Johanna T W Wigman; Robin N Groen; Marieke J Schreuder; Marieke Wichers; Catharina A Hartman Journal: J Youth Adolesc Date: 2022-07-19
Authors: Phoebe S Moore; Irina Mokrova; Jean A Frazier; Robert M Joseph; Hudson P Santos; Yael Dvir; Stephen R Hooper; T Michael O'Shea; Laurie M Douglass; Karl C K Kuban Journal: J Pediatr Psychol Date: 2021-04-16