Conduct problems trajectories and psychosocial outcomes: a systematic review and meta-analysis

Bevilacqua, Leonardo; Hale, Daniel R.; Barker, Edward D.; Viner, Russell

doi:10.1007/s00787-017-1053-4

Cited by 143 publications

(104 citation statements)

References 51 publications

(59 reference statements)

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“…The findings from the present study support a recent systematic review and metaanalysis showing an association of similar strength for ‘early‐onset persistent’ and ‘adolescent‐onset’ CPs with excessive alcohol consumption in emerging adulthood, compared to ‘low’ CPs (Bevilacqua et al, ). Previous studies that have examined the association between developmental trajectories of CPs and alcohol‐related problems in adulthood have mainly focused on binary measures of binge drinking (Bor et al, ), harmful use (Kretschmer et al, ), and dependence or problems (Moffitt et al, ; Odgers et al, ) measured at a single point in time.…”

Section: Discussionsupporting

confidence: 90%

Externalising pathways to alcohol‐related problems in emerging adulthood

Hammerton

Edwards

Mahedy

et al. 2019

Child Psychology Psychiatry

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Background: Both 'early-onset persistent' and 'adolescent-onset' conduct problems (CPs) are associated with alcohol-related problems in emerging adulthood. The escalation of early CPs into criminal behaviour and heavy alcohol consumption prior to emerging adulthood are both likely to be important pathways. Methods: Data were analysed from 3,038 young people in a UK birth cohort, the Avon Longitudinal Study of Parents and Children. The exposure was developmental trajectories of CPs ('low', 'childhood-limited', 'adolescent-onset' and 'early-onset persistent') between ages 4 and 13 years. The mediator was latent classes representing heavy alcohol consumption and/ or criminal behaviour at age 15 years. For the outcome, a quadratic latent growth curve was estimated to capture nonlinear change in alcohol-related problems between ages 18 and 23 years. Results: Those with 'earlyonset persistent' [b(95% CI) = 1.16 (0.17, 2.14)] and 'adolescent-onset' CPs [b(95% CI) = 1.31 (0.17, 2.45)] had higher levels of alcohol-related problems at age 18 years compared to those with 'low' CPs', but there was little evidence of an association with alcohol-related problems after age 19 years. There was evidence for an indirect effect of 'early-onset persistent' CPs [b(95% CI) = 1.12 (0.52, 1.72)] on alcohol-related problems at age 18 years via the latent classes of alcohol and criminal behaviour in adolescence. This was not found for 'adolescent-onset' CPs [b(95% CI) = 0.35 (À0.36, 1.07)]. Conclusions: Strong associations exist between early CPs, adolescent alcohol consumption and criminal behaviour and alcohol-related problems at age 18 years. Associations between early CPs and alcohol-related problems weakened considerably across emerging adulthood.Both 'early-onset persistent' and 'adolescent-onset' conduct problems (CPs) are associated with alcoholrelated problems in emerging adulthood; however, the processes underlying the associations are not clear.In this UK population-based sample, those with 'early-onset persistent' and 'adolescent-onset' CPs showed higher levels of alcohol-related problems at age 18 years compared to those with 'low' CPs, but there was little evidence of an association with alcohol-related problems after age 19 years.There was a strong indirect effect of 'early-onset persistent', but not 'adolescent-onset' CPs, on alcoholrelated problems across emerging adulthood via alcohol consumption and/ or criminal behaviour in adolescence.Both heavy alcohol consumption and criminal behaviour in adolescence represent potential targets for intervention, in addition to interventions focused on earlier CPs.

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Section: Discussionsupporting

confidence: 90%

Externalising pathways to alcohol‐related problems in emerging adulthood

Hammerton

Edwards

Mahedy

et al. 2019

Child Psychology Psychiatry

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“…It matters when experiences occur and manifest in regard to their meaning, and this is true for both mental health and alcohol use behaviours. The stage when mental health problems develop or the duration of the problems may present different associations with later alcohol use [31]. Also, drinking behaviours during adolescence are largely influenced by social context (mainly peers and parents) [32][33][34][35][36][37], while drinking patterns in adulthood may be more established [38].…”

Section: Introductionmentioning

confidence: 99%

The association between early life mental health and alcohol use behaviours in adulthood: A systematic review

Ning¹,

Gondek²,

Patalay³

et al. 2020

PLoS ONE

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This systematic review aims to summarise current evidence on the association between early life mental health and alcohol use behaviours in adulthood. Peer-reviewed publications were located by searching EMBASE, Medline, PsycINFO, and the ISI Web of Science up to 31 October 2018. Prospective longitudinal studies reporting associations between externalising problems (EXT), internalising problems (INT), depression, anxiety before age 18, and alcohol use behaviours (alcohol consumption, heavy/problematic drinking, alcohol use disorder) after age 18 were included. After screening 17259 articles, 36 articles met the inclusion criteria. Information extracted included strength of associations, age when mental health and alcohol use behaviours were measured, sex differences in the association, and other sample characteristics. 103 tests in 23 articles were identified on the externalising domain and 135 tests in 26 articles on the internalising domain. 37 out of 103 tests reported positive associations between EXT and alcohol use behaviours. The likelihood of observing positive associations was higher for more severe alcohol use outcomes, but this trend disappeared among high-quality studies. Findings on associations between internalising domain and alcohol use varied across their subtypes. INT tended to be negatively associated with alcohol consumption but positively associated with more severe outcomes (heavy/problematic drinking, alcohol use disorder). Depression tended to be positively associated with alcohol outcomes, while no clear association between anxiety and alcohol outcomes was evident. Variation of the association across developmental timing, sex, culture, historical period was explored where appropriate. Great heterogeneity in the current literature calls for greater attention to view the relationship developmentally.

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“…All children who present with aggression require a thorough assessment as there are a wide range of reasons why they might be aggressive. 3 The following are recommended for the management of aggression in children except: a) Parenting skills training which incorporates teaching parents how to positively interact with their children. b) Circle of security for parents which aims to improve the relationship between the parent and child.…”

Section: Multiple Choice Questionsmentioning

confidence: 99%

“…Aggression and other externalising behaviours in children are responsible for a significant disease burden on the individual child and his or her family, with conduct disorder being the 15th leading cause of disease burden globally in children aged 5–19 years . Aggressive children and adolescents are more likely to experience adverse mental health and educational outcomes, including depression, anxiety, substance use disorders, lower educational levels and unemployment . Aggression in children should not be managed in isolation but rather in the context of addressing their broad mental health and developmental needs.…”

mentioning

confidence: 99%

The aggressive child

Scott

Tunbridge

Stathis

2018

J Paediatrics Child Health

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Aggression in children is a common transdiagnostic symptom associated with a wide range of developmental and mental health problems. It emerges early and without intervention, may increase in severity as the child grows stronger. Aggressive children are more likely to experience physical and mental illness, unemployment, poverty and forensic problems as adults. Strategies to prevent aggression must address risk factors: low maternal education, adolescent pregnancy, in utero exposure to tobacco and alcohol, poverty, coercive parenting, childhood maltreatment and bullying victimisation. The aggressive child requires a comprehensive assessment to identify and manage underlying or comorbid problems, to understand the reasons for the aggressive behaviour and to detect modifiable factors that exacerbate or perpetuate the aggression. Psychosocial interventions include parenting skills training and child‐directed cognitive behavioural therapy, whereas pharmacotherapy may be used to treat underlying developmental or mental health problems or to manage the aggression.

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Conduct problems trajectories and psychosocial outcomes: a systematic review and meta-analysis

Cited by 143 publications

References 51 publications

Externalising pathways to alcohol‐related problems in emerging adulthood

Externalising pathways to alcohol‐related problems in emerging adulthood

The association between early life mental health and alcohol use behaviours in adulthood: A systematic review

The aggressive child

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