Poor family relationships in adolescence as a risk factor of in-patient psychiatric care across the life course: A prospective cohort study

Abstract

Background: Previous research has shown that poor family relations in childhood are associated with adverse mental health in adulthood. Yet, few studies have followed the offspring until late adulthood, and very few have had access to register-based data on hospitalisation due to psychiatric illness. The aim of this study was to examine the association between poor family relations in adolescence and the likelihood of in-patient psychiatric care across the life course up until age 55. Methods: Data were derived from the Stockholm Birth Cohort study, with information on 2638 individuals born in 1953. Information on family relations was based on interviews with the participants’ mothers in 1968. Information on in-patient psychiatric treatment was derived from administrative registers from 1969 to 2008. Binary logistic regression was used. Results: Poor family relations in adolescence were associated with an increased risk of later in-patient treatment for a psychiatric diagnosis, even when adjusting for other adverse conditions in childhood. Further analyses showed that poor family relations in adolescence were a statistically significant predictor of in-patient psychiatric care up until age 36–45, but that the strength of the association attenuated over time. Conclusions: Poor family relationships during upbringing can have serious negative mental-health consequences that persist into mid-adulthood. However, the effect of poor family relations seems to abate with age. The findings point to the importance of effective interventions in families experiencing poor relationships.

Mood Disorder Detection in Adolescents by Classification Trees, Random Forests and XGBoost in Presence of Missing Data

“…This result is partly corroborated by [3]; however, we only see one of the factors listed there, namely relations with parents, making it the strongest one-we hardly see any evidence for the other factors in our analysis. The importance of relations with parents is also corroborated by, e.g., [30,31]; however, our study is different as it tries to rank relationship with parents against other possible correlates, some of which are also related to the family but are not specifically aimed at the relationships with parents. Thus, the most important message of this paper as far as social and medical issues are concerned is that the relationship with parents is the most important factor in mood disorders in adolescents.…”

Predictors of Intensive Treatment in Patients With Obsessive-Compulsive Disorder

“…A population study combined several survey and register databases of 2,638 individuals born in 1953, including interviews with their mothers. From this study it appeared that poor family relations in adolescence were associated with an increased risk of inpatient psychiatric treatment in the years 1969 until 2008 (20).…”

“…A systematic review of 58 papers on predictors of readmission in patients with several mental disorders indicates that previous hospitalization, younger age, being unmarried, having lower financial means, not being satisfied with the index treatment, having more hospital days on the index admission, and a negative attitude toward medication were predicting factors for psychiatric readmission (18). In addition, being male, having psychotic symptoms, a longer duration of untreated psychosis, less social satisfaction, disturbed family dynamics, residing in an urban area, and illegal drugs misuse were found predictive of hospitalization in recent prospective cohort studies involving several mental disorders (18)(19)(20)(21)(22). A population study combined several survey and register databases of 2,638 individuals born in 1953, including interviews with their mothers.…”

Trust Beliefs in Significant Others, Interpersonal Stress, and Internalizing Psychopathology of Adolescents with Psychiatric Disorders

“…There is a scarcity of research on interpersonal trust for adolescents with psychiatric disorders. Interpersonal trust may be particularly important for them because of their heightened interpersonal stress, internalizing psychopathology and poor family relationships [5][6][7]. The current study was guided by Attachment Theory [8] and the Basis, Domain and Target theoretical framework [9].…”