Määttä, H., Honkanen, M., Hurtig, T. et al. Childhood chronic condition and subsequent self-reported internalizing and externalizing problems in adolescence: a birth cohort study. Eur J Pediatr 181, 3377–3387 (2022). https://doi.org/10.1007/s00431-022-04505-9
Childhood chronic condition and subsequent self-reported internalizing and externalizing problems in adolescence : a birth cohort study
|Author:||Määttä, Heidi1,2; Honkanen, Meri3; Hurtig, Tuula4,5,6;|
1Department of Psychiatry, Lapland Hospital District, P.O. Box 8041, FI-96101, Rovaniemi, Finland
2University of Oulu Graduate School UniOGS, University of Oulu, P.O. Box 8000, FI-90014, Oulu, Finland
3Haapaniemi Primary School, City of Kuopio, Aseveljenkatu 8, FI-70620, Kuopio, Finland
4Research Unit of Clinical Neuroscience, University of Oulu, P.O. Box 8000, FI-90014, Oulu, Finland
5PEDEGO Research Unit, University of Oulu, P.O. Box 8000, FI-90014, Oulu, Finland
6Clinic of Child Psychiatry, Oulu University Hospital, P.O. Box 5000, FI-90014, Oulu, Finland
7Center for Life Course Health Research, University of Oulu, P.O. Box 8000, FI-90014, Oulu, Finland
8Institute of Clinical Medicine, Psychiatry, University of Eastern Finland, P.O. Box 1627, FI-70211, Kuopio, Finland
9Mental Health and Wellbeing Center, Kuopio University Hospital, P.O. Box 100, FI-70029, Kuopio, Finland
|Online Access:||PDF Full Text (PDF, 0.9 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2023061956438
|Publish Date:|| 2023-06-19
Chronic conditions are common in childhood. We investigated the associations of childhood chronic conditions reported by parents with subsequent self-reported internalizing and externalizing problems in adolescence. A sample of 6290 children (3142 boys and 3148 girls) with data on chronic condition reported by parents both at 7 and at 16 years of age was obtained from the Northern Finland Birth Cohort 1986 (NFBC 1986), which is a longitudinal 1-year birth cohort (n = 9432) from an unselected, regionally defined population. Internalizing and externalizing problems were measured at 8 years of age with Rutter Children’s Behavioral Questionnaire by teachers and at 16 years of age with Youth Self-Report by adolescents. When studying the effects of history of chronic conditions on these problems at 16 years of age, childhood internalizing and externalizing problems and social relations were adjusted. A history of chronic condition predicted subsequent somatic complaints among all adolescents. Early-onset chronic conditions were related to subsequent externalizing (OR 1.35; 1.02–1.79) and attention problems (OR 1.33; 1.01–1.75) and later onset of chronic conditions with internalizing (OR 1.49; 1.22–1.82) and thought problems (OR 1.50; 1.18–1.92). The effect was specific for sex and the type of chronic condition.
Conclusion: Childhood chronic conditions predicted internalizing and externalizing problems in adolescence. To prevent poor mental health trajectories, children with chronic conditions during their growth to adolescence need early support and long-term monitoring.
European journal of pediatrics
|Pages:||3377 - 3387|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3123 Gynaecology and paediatrics
3124 Neurology and psychiatry
Open Access funding provided by University of Oulu including Oulu University Hospital. This work was supported by the Department of Psychiatry, Lapland Hospital District, Rovaniemi, Finland (HM, HKH), the Juho Vainio Foundation, Helsinki, Finland (HM), the Päivikki and Sakari Sohlberg Foundation, Helsinki, Finland (HKH), and the Gyllenberg Foundation, Helsinki, Finland (HKH).
The data from the Northern Finland Birth Cohort research program for health and well-being can be requested for research collaboration projects with the University of Oulu.
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