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1.
Child Dev ; 94(1): 60-73, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-35950885

RESUMO

This study examined whether positive development (PD) in adolescence and young adulthood predicts offspring behavior in two Australasian intergenerational cohorts. The Australian Temperament Project Generation 3 Study assessed PD at age 19-28 (years 2002-2010) and behavior in 1165 infants (12-18 months; 608 girls) of 694 Australian-born parents (age 29-35; 2012-2019; 399 mothers). The Dunedin Multidisciplinary Health and Development Parenting Study assessed PD at age 15-18 (years 1987-1991) and behavior in 695 preschoolers (3-5 years; 349 girls) and their New Zealand born parents (age 21-46; 1994-2018; 363 mothers; 89% European ethnicity). In both cohorts, PD before parenthood predicted more positive offspring behavior (ßrange  = .11-.16) and fewer behavior problems (ßrange  = -.09 to -.11). Promoting strengths may secure a healthy start to life.


Assuntos
Poder Familiar , Pais , Criança , Lactente , Feminino , Adolescente , Humanos , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Estudos Prospectivos , Austrália , Comportamento Infantil , Relação entre Gerações
2.
Infancy ; 28(2): 454-463, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36331081

RESUMO

We examined the factor structure of parental sensitivity to infants as assessed by the Mini-Maternal Behavior Q-Sort (Mini-MBQS), a 25-item short-form of the original 90-item MBQS. We aimed to: (1) identify latent factors of the Mini-MBQS; and (2) validate each factor by testing associations with infant attachment classifications. Data on parent-infant dyads (n = 313; 222 mothers with 281 children, 29 fathers with 32 children) were drawn from a three-generation Australian cohort study. Exploratory Factor Analysis and Exploratory Structural Equation Modelling examined the structure of the Mini-MBQS. Two latent Mini-MBQS factors were identified, requiring 8 of 25 original items: (1) Attention and Responsiveness and (2) Contingency in Interactions. Infants with insecure attachment classifications had parents with lower sensitivity across both factors relative to infants classified secure. In particular, infants with resistant attachment classifications had parents with notably low Contingency in Interactions scores. Infants with disorganised attachment classifications had parents with the lowest relative sensitivity across both factors, and in these dyads Attention and Responsiveness scores were especially low. Results provide an empirically derived factor structure for the Mini-MBQS. Two subscales, each with significant infant attachment associations, may improve precision in clinical intervention and research translation.


Assuntos
Relações Mãe-Filho , Q-Sort , Feminino , Criança , Humanos , Lactente , Estudos de Coortes , Apego ao Objeto , Austrália , Comportamento Materno
3.
Child Adolesc Ment Health ; 27(1): 1-3, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-35041260

RESUMO

No previous generation of children has grown up in the context of an existential threat comparable to the climate crisis. This Special Issue examines the implications of the climate crisis for children and young people in relation to their mental health and well-being, and, as a corollary, the implications for mental health professionals. Evidence is accumulating on the prevalence of worry among children world-wide, as well as on the direct impacts of the climate crisis on mental health. Despite the huge threat that this crisis poses for the next generation's mental health and well-being, and the recognition that this is now a global mental health emergency, there has been surprisingly little research on the topic. We therefore saw the urgent need to draw together a wide range of original research and perspectives and to consider what this mean for professionals who have dedicated themselves to improving the well-being of children and young people.


Assuntos
Ansiedade , Saúde Mental , Adolescente , Criança , Mudança Climática , Saúde Global , Pessoal de Saúde , Humanos
4.
Int J Eat Disord ; 54(9): 1680-1688, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34240437

RESUMO

OBJECTIVE: There has been interest in the antecedents and mental health impacts of eating and body image disturbances in adolescence. Less is known about longer-term mental health impacts into young adulthood, as longitudinal studies with data spanning this developmental period are rare. We capitalize on mental health data collected across adolescence and young adulthood from a population-based cohort study that has been following >2000 Australian children and their families from infancy to young adulthood. METHOD: This sample comprised 1,568 participants who completed the Eating Disorder Inventory drive for thinness and bulimic behavior (the severity of binge-purge patterns) subscales, and a modified version of the body dissatisfaction subscale in mid-adolescence (15-16 years), or the Depression Anxiety Stress Scales in young adulthood (19-20, 23-24, and 27-28 years). RESULTS: After adjusting for baseline demographic and prior mental health factors (<13 years of age), all three indices of eating and body image disturbances in adolescence predicted each mental health outcome in young adulthood. Mental health risks associated with adolescent body dissatisfaction and bulimic behavior scores remained stable across young adulthood, with men having more pronounced problems associated with bulimic behavior scores than women. In contrast, mental health risks associated with adolescent drive for thinness scores diminished across this period similarly for men and women. DISCUSSION: Findings suggest that adolescent eating and body image disturbances may have long-term mental health impacts that extend into young adulthood. This underscores the need for early preventative intervention, and longer-term monitoring and support for body image and eating disturbances.


Assuntos
Imagem Corporal , Transtornos da Alimentação e da Ingestão de Alimentos , Adolescente , Adulto , Austrália/epidemiologia , Criança , Estudos de Coortes , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Feminino , Humanos , Masculino , Saúde Mental , Magreza , Adulto Jovem
5.
Dev Psychopathol ; 33(1): 264-283, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32366334

RESUMO

Despite considerable efforts to understand the processes that underlie the development of externalizing behavior problems, it is still unclear why externalizing problems remain chronically high for some children, emerge early and cease by late childhood for others, and arise in adolescence in some cases. The purpose of this study was to examine how a wide range of child and family risk factors are linked to trajectories of externalizing behavior and how these relationships vary from infancy to middle adolescence. We used data from the community-based Norwegian Tracking Opportunities and Problems (TOPP) study sample (n = 921). A Cholesky factorization model was specified to separate stable and emerging risk doses across four developmental periods (infancy, early and middle childhood, and middle adolescence). Children in the High Stable class were characterized by substantially elevated risk levels in multiple domains throughout the study period. Children in the High Childhood Limited class had very high levels of temperamental emotionality, internalizing symptoms, and maternal mental distress, suggesting a substantial intrinsic emotional basis for their externalizing problems. Intrinsic factors seemed less salient for the Adolescent Onset class. These findings emphasize the need for a dynamic perspective on risk factors and support the importance of prevention and intervention efforts across multiple domains from early childhood and throughout adolescence.


Assuntos
Transtornos do Comportamento Infantil , Comportamento Problema , Adolescente , Criança , Desenvolvimento Infantil , Pré-Escolar , Humanos , Lactente , Noruega , Fatores de Risco
6.
Child Dev ; 90(4): 1061-1079, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-29094757

RESUMO

In threatening environments, the short (S) allele of 5-HTTLPR is proposed to augment risk for depression. However, it is unknown whether 5-HTTLPR variation increases risk for depression in environments of deprivation, lacking positive or nurturant features. Two independent longitudinal studies (n = 681 and 176, respectively) examined whether 5-HTTLPR moderated associations between low levels of positive parenting at 11-13 years and subsequent depression at 17-19 years. In both studies only LL homozygous adolescents were at greater risk for depression with decreasing levels of positive parenting. Thus, while the S allele has previously been identified as a susceptible genotype, these findings suggest that the L allele may also confer sensitivity to depression in the face of specific environmental challenges.


Assuntos
Transtorno Depressivo/genética , Genótipo , Poder Familiar , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética , Adolescente , Criança , Feminino , Variação Genética , Humanos , Estudos Longitudinais , Masculino , Inquéritos e Questionários
7.
Curr Psychiatry Rep ; 20(5): 35, 2018 04 11.
Artigo em Inglês | MEDLINE | ID: mdl-29637319

RESUMO

PURPOSE OF REVIEW: We review recent evidence on the psychological effects of climate change on children, covering both direct and indirect impacts, and discuss children's psychological adaptation to climate change. RECENT FINDINGS: Both the direct and flow-on effects of climate change place children at risk of mental health consequences including PTSD, depression, anxiety, phobias, sleep disorders, attachment disorders, and substance abuse. These in turn can lead to problems with emotion regulation, cognition, learning, behavior, language development, and academic performance. Together, these create predispositions to adverse adult mental health outcomes. Children also exhibit high levels of concern over climate change. Meaning-focused coping promotes well-being and environmental engagement. Both direct and indirect climate change impacts affect children's psychological well-being. Children in the developing world will suffer the worst impacts. Mental health professionals have important roles in helping mitigate climate change, and researching and implementing approaches to helping children cope with its impacts.


Assuntos
Adaptação Psicológica , Aquecimento Global , Saúde Mental/estatística & dados numéricos , Estresse Psicológico/etiologia , Ansiedade/etiologia , Criança , Depressão/etiologia , Emoções , Aquecimento Global/prevenção & controle , Aquecimento Global/estatística & dados numéricos , Humanos , Saúde Mental/tendências
8.
Reprod Health ; 10: 15, 2013 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-23497379

RESUMO

BACKGROUND: Use of assisted reproductive technologies (ART) continues to increase, yet little is known of the longer term health of ART conceived offspring. There are some adverse birth outcomes associated with ART conception but the subsequent developmental trajectory is unclear. Undertaking research in this area is challenging due the sensitive nature of the topic and the time elapsed since birth of the ART conceived young adults. The aim of this report is to describe a research protocol, including design and ethical considerations, used to compare the physical and psychosocial health outcomes of ART conceived young adults aged 18-28 years, with their spontaneously conceived peers. DESIGN: This is a retrospective cohort study of mothers who conceived with ART in Victoria, Australia and gave birth to a singleton child between 1982 and 1992. A current address for each mother was located and a letter of invitation to participate in the study was sent by registered mail. Participation involved completing a telephone interview about her young adult offspring's health and development from birth to the present. Mothers were also asked for consent for the researcher to contact their son/daughter to invite them to complete a structured telephone interview about their physical and psychosocial health. A comparison group of women living in Victoria, Australia, who had given birth to a spontaneously conceived singleton child between 1982 and 1992 was recruited from the general population using random digit dialling. Data were collected from them and their young adult offspring in the same way. Regression analyses were used to evaluate relationships between ART exposure and health status, including birth defects, chronic health conditions, hospital admissions, growth and sexual development. Psychosocial wellbeing, parental relationships and educational achievement were also assessed. Factors associated with the age of disclosure of ART conception were explored with the ART group only. DISCUSSION: The conceptualization and development of this large project posed a number of methodological, logistical and ethical challenges which we were able to overcome. The lessons we learnt can assist others who are investigating the long-term health implications for ART conceived offspring.


Assuntos
Técnicas de Reprodução Assistida/psicologia , Adolescente , Adulto , Criança , Desenvolvimento Infantil , Protocolos Clínicos , Escolaridade , Ética Médica , Feminino , Seguimentos , Nível de Saúde , Humanos , Masculino , Relações Pais-Filho , Seleção de Pacientes , Psicometria , Qualidade de Vida , Técnicas de Reprodução Assistida/efeitos adversos , Projetos de Pesquisa , Estudos Retrospectivos , Adulto Jovem
9.
J Clin Child Adolesc Psychol ; 41(4): 417-32, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22551395

RESUMO

The present research employed a prospective, multi-informant design to examine precursors and correlates of differing anxiety profiles from late childhood to late adolescence. The sample consisted of 626 boys and 667 girls who are participants in the Australian Temperament Project, a large, longitudinal, community-based study that has followed young people's psychosocial adjustment from infancy to adulthood. The present research analyzes data collected from the first 12 waves of data, from 4-8 months to 17 years. Parents, primary school teachers, maternal and child health nurses, and from the age of 11 onward, the young people themselves have provided survey data. Trajectory analyses revealed three distinct patterns of self-reported anxiety from late childhood to late adolescence, comprising low, moderate, and high (increasing) trajectories, which differed somewhat between boys and girls. A range of parent- and teacher-reported factors was found to be associated with these trajectories, including temperament style, behavior problems, social skills, parenting, negative family events, and peer relationships. Compared with male trajectories, female trajectories were associated with a greater variety of psychosocial variables (including parenting and externalizing problems), which may partially account for the higher prevalence of anxiety in adolescent girls compared with boys. Findings shed light on gender-specific pathways to anxiety and the need for comprehensive, integrative approaches to intervention and prevention programs.


Assuntos
Ansiedade/etiologia , Adolescente , Fatores Etários , Ansiedade/epidemiologia , Ansiedade/psicologia , Austrália/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Relações Interpessoais , Masculino , Prevalência , Estudos Prospectivos , Psicologia , Fatores Sexuais , Ajustamento Social , Temperamento
10.
J Adolesc ; 35(3): 701-12, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22078794

RESUMO

The transition to adulthood is characterised by potential for both positive development and problem outcomes such as psychopathology, yet little is known about relationships between the two. Given the diversity of pathways observed during this transition period, there is likely to be significant heterogeneity in young people's experiences of these outcomes. Drawing on data from 1158 19-20 year olds in the Australian Temperament Project and using latent profile analysis, we identified six subgroups. For most, higher positive development was associated with lower psychopathology and vice versa. One group (33.6%) was high across all positive development measures and low on psychopathology, and another (47.7%) average in both areas. The remaining four groups were low on positive development but differentiated by average psychopathology (4.7%), high internalising (5.5%), and moderate (7.2%) and severe (1.3%) externalising problems. Tailored intervention strategies that address both the promotion of competence and prevention of problem outcomes are needed.


Assuntos
Desenvolvimento do Adolescente , Psicopatologia , Adolescente , Humanos , Inquéritos e Questionários , Vitória , Adulto Jovem
11.
Subst Use Misuse ; 47(12): 1303-17, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22780840

RESUMO

This study explores the longitudinal pathways by which risk and protective factors influence the development of alcohol-related harms in a representative community sample of 941 young adults (19-20 years) from Victoria, Australia, focusing on the role of concurrent risky drinking. Impulsivity at 15-16 years, alcohol-related harms at 15-16 years and 17-18 years, frequency of intoxication at 17-18 years, and antisocial behavior, friends' drinking and living arrangements at 19-20 years were directly related to alcohol-related harms, as well as indirectly related to harms through increased risky drinking. Paternal drinking at 17-18 years was directly related to alcohol-related harms. Friends' drinking at 19-20 years and alcohol-related harms at age 17-18 interacted with risky drinking to increase the likelihood of alcohol-related harms. Implications for intervention efforts are discussed.


Assuntos
Consumo de Bebidas Alcoólicas/efeitos adversos , Consumo de Bebidas Alcoólicas/psicologia , Adolescente , Transtornos Relacionados ao Uso de Álcool , Feminino , Previsões , Humanos , Estudos Longitudinais , Masculino , Assunção de Riscos , Inquéritos e Questionários , Vitória , Adulto Jovem
12.
Longit Life Course Stud ; 13(3): 432-453, 2022 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-35920645

RESUMO

Understanding of how socio-economic disadvantage experienced over the life course relates to mental health outcomes in young adulthood has been limited by a lack of long-term, prospective studies. Here we address this limitation by drawing on data from a large Australian population cohort study that has followed the development of more than 2,000 Australians (and their families) from infancy to young adulthood since 1983. Associations were examined between prospective assessments of socio-economic position (SEP) from 4-8 months to 27-28 years and mental health problems (depression, anxiety, stress) and competence (civic engagement, emotional maturity, secure intimate relationship) at 27-28 years. The odds of being socio-economically disadvantaged in young adulthood were elevated eight- to tenfold in those who had experienced disadvantage in the family of origin, compared with those who had not (OR 8.1, 95% CI 4.5-14.5 to 10.1, 95% CI 5.2-19.5). Only concurrent SEP was associated with young adult mental health problems, and this effect was limited to anxiety symptoms (OR 2.0, 95% CI 1.1-3.9). In contrast, SEP had more pervasive impacts on young adult competence, particularly in the civic domain where effects were evident even from early infancy (OR 0.46, 95% CI 0.26-0.81). Findings suggest that one potentially important mechanism through which disadvantage compromises mental health is through limiting the development and consolidation of key psychosocial competencies needed for health and well-being in adulthood.


Assuntos
Saúde Mental , Adulto , Austrália/epidemiologia , Estudos de Coortes , Humanos , Estudos Prospectivos , Fatores Socioeconômicos , Adulto Jovem
13.
BMJ Open ; 12(9): e061854, 2022 09 16.
Artigo em Inglês | MEDLINE | ID: mdl-36113945

RESUMO

PURPOSE: The Australian Temperament Project Generation 3 Study (ATPG3) was established to examine the extent to which offspring social and emotional development is shaped in the decades prior to conception, in parent and grandparent histories of psychosocial adjustment (eg, emotional regulation, relationship quality and prosociality) and maladjustment (eg, depressive symptoms, substance use and antisociality). PARTICIPANTS: The Australian Temperament Project (ATP) commenced in 1983 as a population representative survey of the social and emotional health of 2443 young Australians (Generation 2: 4-8 months old) and their parents (Generation 1). Since then, families have been followed from infancy to young adulthood (16 waves). Between 2012 and 2018, the cohort was screened biannually for pregnancies (Generation 3), with assessments conducted in the third trimester of pregnancy, and at 8 weeks and 1 year postpartum. FINDINGS TO DATE: A total of 1167 offspring (607 female) born to 703 Generation 2 parents (400 mothers) were recruited into the ATPG3 Study. Findings to date highlight: (1) strong continuities in depressive symptoms and substance use from adolescence through to becoming a parent; (2) a role for persistent preconception mental health problems in risk for parent-child bonding difficulties, as well as infant emotional reactivity and behaviour problems; (3) the importance of secure attachments in adolescence in reducing long-term risk for postpartum mental health problems; and (4) the protective nature of perceived social support, both preconception and postpartum, in strengthening relationship quality and social support during the COVID-19 pandemic. FUTURE PLANS: Assessments of ATPG3 families in preschool and middle childhood are currently funded and underway. We intend to maintain the offspring cohort through childhood, adolescence, young adulthood and into parenthood. Data will be used to map preconception determinants of emotional health, and enhance approaches to population monitoring and targeted intervention over the life course and across generations.


Assuntos
COVID-19 , Temperamento , Trifosfato de Adenosina , Adolescente , Adulto , Austrália/epidemiologia , Criança , Pré-Escolar , Estudos de Coortes , Feminino , Humanos , Lactente , Pandemias , Gravidez , Estudos Prospectivos , Temperamento/fisiologia , Adulto Jovem
14.
J Adolesc ; 34(3): 475-84, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20637499

RESUMO

The transition to adulthood is characterised by both great potential for positive change and a relatively high incidence of problem outcomes. A multidimensional model of positive development during the transition to adulthood (at 19-20 years) has recently been proposed. However, an unresolved question regarding the nature of positive development during this time is how best to conceptualise its relationship to psychopathology. We drew on data from 1158 participants in the Australian Temperament Project, a large longitudinal community-based study that has followed young people's psychosocial adjustment from infancy to early adulthood. Using structural equation modelling, we compared three models reflecting different conceptualisations of the relationship between positive development and psychopathology. The results suggest that positive development and psychopathology are best modelled as separate but correlated constructs. Hence, development in one domain is likely to influence the other, although separate and specific developmental pathways are also likely to be operating.


Assuntos
Adaptação Psicológica , Comportamento do Consumidor , Modelos Psicológicos , Psicopatologia/métodos , Ajustamento Social , Feminino , Humanos , Estudos Longitudinais , Masculino , Transtornos Mentais/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Inquéritos e Questionários , Temperamento , Confiança , Vitória , Adulto Jovem
15.
J Youth Adolesc ; 40(11): 1436-52, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21293913

RESUMO

Calls have been made for a greater focus on successful development and how positive functioning can be conceptualized in theory and empirical research. Drawing on a large Australian community sample (N = 890; 61.7% female), this article examines the structure and stability of positive development at two time points during young adulthood. Previously, we developed and empirically tested a model of positive development at 19-20 years comprised of five first-order constructs (civic action and engagement, trust and tolerance of others, trust in authorities and organisations, social competence, and life satisfaction) and a second-order positive development construct. In the current study, we replicated this model at 23-24 years and found that it was again a good fit for the data, and was equally applicable for young men and women. Hence, positive development can be conceptualized according to five important dimensions at both ages. While variable-oriented tests suggested continuity in levels of positive development, person-oriented analyses revealed four distinct patterns of positive development over time-two reflecting stability (stable high [34.5%] and stable very low [11.6%]) and two characterized by change (low/average increasing [30.4%] and average decreasing [23.5%]). There were significant differences in the gender composition of these groups, with young women overrepresented in the more favourable groups. Thus, despite mean level stability, positive development is characterized by change for many young people, suggesting the importance of identifying factors that support young people's capacity for positive functioning over this transitional period. The current findings contribute to our understanding of the nature and course of positive development over this important period.


Assuntos
Desenvolvimento Humano , Acontecimentos que Mudam a Vida , Modelos Psicológicos , Adulto Jovem/psicologia , Adolescente , Adulto , Fatores Etários , Depressão , Feminino , Humanos , Relações Interpessoais , Estudos Longitudinais , Masculino , Satisfação Pessoal , Estudos Prospectivos , Autorrelato , Fatores Sexuais , Ajustamento Social , Confiança
16.
J Youth Adolesc ; 40(7): 860-74, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20936336

RESUMO

This article responds to recent calls for a focus on successful development in young people and examination of its developmental precursors, in order to identify potentially modifiable targets for interventions. The current study examined child and adolescent precursors of positive functioning in emerging adulthood, including individual characteristics, relationship factors, and connections to the community, using a multidimensional positive development measure at 19-20 years. The sample consisted of 511 males and 647 females who were participants in the Australian Temperament Project, a population based longitudinal study that has followed young people's psychosocial adjustment from infancy to early adulthood. Higher levels of positive development in emerging adulthood were associated with stronger family and peer relationships, better adjustment to the school setting, higher family socioeconomic status, and better emotional control. Some significant gender differences were observed, with emotional control, family relationships, and community orientation all being stronger predictors of males' than of females' positive development. The findings provide possible targets for child and adolescent interventions to promote positive development in early adulthood.


Assuntos
Desenvolvimento Humano , Adulto Jovem/psicologia , Emoções , Feminino , Características Humanas , Humanos , Relações Interpessoais , Estudos Longitudinais , Masculino , Grupo Associado , Fatores Sexuais , Ajustamento Social , Fatores Socioeconômicos , Inquéritos e Questionários , Vitória
17.
BJPsych Bull ; 45(4): 205-209, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33879278

RESUMO

This editorial is co-written by a developmental psychologist and a young climate activist. We start by showing how the climate crisis is imposing a heavy psychological burden on children and youth, both from experiencing climate-related disasters and from the knowledge that worse is to come. We then describe the global movement of youth demanding urgent climate action. We conclude that health professionals can support young people in many ways, but particularly by supporting their capacity to take action, raising awareness about the impact of the climate crisis on youth mental and physical health, and taking action themselves to work for a secure climate future.

18.
Front Psychol ; 12: 672174, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34122266

RESUMO

Background: When adolescent boys experience close, secure relationships with their parents and peers, the implications are potentially far reaching, including lower levels of mental health problems in adolescence and young adulthood. Here we use rare prospective intergenerational data to extend our understanding of the impact of adolescent attachments on subsequent postpartum mental health problems in early fatherhood. Methods: At age 17-18 years, we used an abbreviated Inventory of Parent and Peer Attachment to assess trust, communication, and alienation reported by 270 male participants in their relationships with mothers, fathers, and peers. More than a decade later, we assessed the adult males, now fathers, at 12 months postpartum (N = 409 infant offspring) for symptoms of depression, anxiety, and stress. Logistic regression was used to examine the extent to which attachment dimensions predicted paternal postpartum mental health, adjusting for potential confounding, and with assessment for interactions between parent and peer attachments. Results: Trust in mothers and peers, and good communication with fathers during adolescence, were associated with 5 to 7 percentage point reductions in postpartum mental health symptoms in early fatherhood. Weak evidence of parent-peer interactions suggested secure attachments with either parent or peer may compensate for an insecure attachment with the other. Conclusions: Our results suggest that fostering trust and communication in relationships that adolescent boys have with parents and peers may have substantial effects on rates of paternal postpartum mental health problems. The protective benefits may be preventative in intergenerational cycles of risk for mental health problems.

19.
PLoS One ; 15(11): e0242730, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33216811

RESUMO

BACKGROUND: Penalised regression methods are a useful atheoretical approach for both developing predictive models and selecting key indicators within an often substantially larger pool of available indicators. In comparison to traditional methods, penalised regression models improve prediction in new data by shrinking the size of coefficients and retaining those with coefficients greater than zero. However, the performance and selection of indicators depends on the specific algorithm implemented. The purpose of this study was to examine the predictive performance and feature (i.e., indicator) selection capability of common penalised logistic regression methods (LASSO, adaptive LASSO, and elastic-net), compared with traditional logistic regression and forward selection methods. DESIGN: Data were drawn from the Australian Temperament Project, a multigenerational longitudinal study established in 1983. The analytic sample consisted of 1,292 (707 women) participants. A total of 102 adolescent psychosocial and contextual indicators were available to predict young adult daily smoking. FINDINGS: Penalised logistic regression methods showed small improvements in predictive performance over logistic regression and forward selection. However, no single penalised logistic regression model outperformed the others. Elastic-net models selected more indicators than either LASSO or adaptive LASSO. Additionally, more regularised models included fewer indicators, yet had comparable predictive performance. Forward selection methods dismissed many indicators identified as important in the penalised logistic regression models. CONCLUSIONS: Although overall predictive accuracy was only marginally better with penalised logistic regression methods, benefits were most clear in their capacity to select a manageable subset of indicators. Preference to competing penalised logistic regression methods may therefore be guided by feature selection capability, and thus interpretative considerations, rather than predictive performance alone.


Assuntos
Algoritmos , Simulação por Computador , Modelos Biológicos , Adolescente , Adulto , Biomarcadores , Feminino , Humanos , Estudos Longitudinais , Masculino , Vitória
20.
J Affect Disord ; 272: 521-528, 2020 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-32553396

RESUMO

BACKGROUND: Parental depression and anxiety have been consistently linked to offspring behavior problems across childhood. However, many of the risks for these common mental health problems are established well before pregnancy. This study takes advantage of rare, prospective data to examine relations between parental mental health histories (from adolescence onwards) and next generation offspring behavior problems. METHODS: Data were drawn from a multi-generational cohort study that has followed Australians from infancy to adulthood since 1983, and 1171 of their offspring assessed prospectively from pregnancy. Generalized estimating equation models were used to estimate associations between parents' depression/anxiety symptoms in adolescence and young adulthood and offspring behavior problems at 1 year. RESULTS: In analyses of 648 mother-infant and 423 father-infant dyads, after adjustment for confounders and concurrent mental health problems, mean behavior problem scores in infants of mothers with a history of mental health problems in both adolescence and young adulthood were over half a standard deviation higher than those of mothers without problems during these periods, B = 2.19, 95% CI 1.21 - 3.17, ß = 0.52. No association was observed for fathers. LIMITATIONS: We only included infants born to participants aged 29-35 years and we assessed behavior problems via parent-report. CONCLUSIONS: A mother's history of persistent depression and anxiety from adolescence to young adulthood can predict higher levels of behavior problems in her infant. Findings support calls for greater policy and prevention focus on preconception and postnatal mental health, particularly a mother's early emotional health history, prior to parenthood.


Assuntos
Ansiedade , Saúde Mental , Adolescente , Adulto , Ansiedade/epidemiologia , Austrália , Criança , Estudos de Coortes , Depressão , Feminino , Humanos , Masculino , Mães , Gravidez , Estudos Prospectivos , Adulto Jovem
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