TY - JOUR
T1 - Parent- and teacher-reported associations from adolescent bifactor models of psychopathology
T2 - an outcome-wide association study of 26 outcomes in mid-life
AU - Hoffmann, Mauricio Scopel
AU - Evans-Lacko, Sara
AU - Collishaw, Stephan
AU - Knapp, Martin
AU - Pickles, Andrew
AU - Shearer, Christina
AU - Maughan, Barbara
N1 - Funding Information:
The authors are grateful to study members and their parents who generously gave their time to help with the research; to all the colleagues who contributed to making each phase of the study possible and to Michael Rutter who established both the childhood and adolescent studies and the mid‐life follow‐up. The Isle of Wight follow‐up was supported by Grants 9.82 from the Nuffield Foundation and G9826580 from the Medical Research Council. M.S.H. is supported by the Newton International Fellowship (Ref: NIF\R1\181942), awarded by the Academy of Medical Sciences through the UK Government's Newton Fund Programme, and by the US National Institute of Mental Health (grant number R01MH120482) under his post‐doctoral fellowship at Universidade Federal do Rio Grande do Sul. The authors have declared that they have no competing or potential conflicts of interest. Key points
Publisher Copyright:
© 2022 Association for Child and Adolescent Mental Health.
PY - 2022/9/24
Y1 - 2022/9/24
N2 - Background: Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and teacher reports. Methods: Parents and teachers from the Isle of Wight study completed Rutter behaviour scales when participants were 14–15 years old (n = 2,275), assessing conduct, emotional and hyperactivity problems. Metric-invariant bifactor models for parents and teachers were used to test domain-specific and domain-general associations with 26 self-reported psychosocial outcomes at mid-life (age 44–45 years, n = 1,423). Analyses examined the individual and joint contributions of parent and teacher reports of adolescent psychopathology. All analyses were adjusted for covariates (gender, IQ and family social class) and weighted to adjust for the probability of nonresponse. Results: Parent- and teacher-reported general factors of psychopathology (GFP) were associated with 15 and 12 outcomes, respectively, across the socioeconomic, relationship, health and personality domains, along with an index of social exclusion. Nine outcomes were associated with both parent- and teacher-reported GFP, with no differences in the strength of the associations across reporters. Teacher-reported specific factors (conduct, emotional and hyperactivity) were associated with 21 outcomes, and parent-reported specific factors were associated with seven. Five outcomes were associated with the same specific factors from both reporters; only one showed reporter differences in the strength of the associations. Conclusions: These findings confirm the relevance of the GFP and the utility of teacher as well as parent reports of adolescent mental health in predicting psychosocial outcomes later in the life course.
AB - Background: Adolescent mental health problems have lasting impacts on health and social functioning later in life. Evidence to date mostly comes from studies of specific diagnostic categories/dimensions, but hierarchical models can elucidate associations with general as well as specific dimensions of psychopathology. We provide evidence on long-term outcomes of general and specific dimensions of adolescent psychopathology using both parent and teacher reports. Methods: Parents and teachers from the Isle of Wight study completed Rutter behaviour scales when participants were 14–15 years old (n = 2,275), assessing conduct, emotional and hyperactivity problems. Metric-invariant bifactor models for parents and teachers were used to test domain-specific and domain-general associations with 26 self-reported psychosocial outcomes at mid-life (age 44–45 years, n = 1,423). Analyses examined the individual and joint contributions of parent and teacher reports of adolescent psychopathology. All analyses were adjusted for covariates (gender, IQ and family social class) and weighted to adjust for the probability of nonresponse. Results: Parent- and teacher-reported general factors of psychopathology (GFP) were associated with 15 and 12 outcomes, respectively, across the socioeconomic, relationship, health and personality domains, along with an index of social exclusion. Nine outcomes were associated with both parent- and teacher-reported GFP, with no differences in the strength of the associations across reporters. Teacher-reported specific factors (conduct, emotional and hyperactivity) were associated with 21 outcomes, and parent-reported specific factors were associated with seven. Five outcomes were associated with the same specific factors from both reporters; only one showed reporter differences in the strength of the associations. Conclusions: These findings confirm the relevance of the GFP and the utility of teacher as well as parent reports of adolescent mental health in predicting psychosocial outcomes later in the life course.
KW - ADHD
KW - conduct
KW - emotional
KW - life chances
KW - Mental health
KW - multi-informant
KW - p-factor
KW - parent
KW - Rutter scale
KW - teacher
UR - http://www.scopus.com/inward/record.url?scp=85138693838&partnerID=8YFLogxK
U2 - 10.1111/jcpp.13707
DO - 10.1111/jcpp.13707
M3 - Article
AN - SCOPUS:85138693838
SN - 0021-9630
JO - Journal of Child Psychology and Psychiatry and Allied Disciplines
JF - Journal of Child Psychology and Psychiatry and Allied Disciplines
ER -
