Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort.
Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort.
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DOI：
10.1136/bmj.a2981
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发表时间：
2009-01-08
期刊：
影响因子：
--
通讯作者：
Jones PB
中科院分区：
文献类型：
--
作者：
Colman I;Murray J;Abbott RA;Maughan B;Kuh D;Croudace TJ;Jones PB
目的描述与青少年外化行为相关的长期结果，在这项研究中定义为教师报告的行为问题，在人口为基础的样本。设计纵向研究从13-53岁。设置医学研究理事会全国健康和发展调查（英国1946年出生队列）。参与者3652调查成员评估他们的老师在13岁和15岁的外化行为的症状。 主要结果测量36-53岁的精神障碍、酗酒、关系困难、最高教育水平、社会阶层、失业和经济困难。结果348名青少年存在严重外化行为，1051名存在轻度外化行为，2253名无外化行为。与没有外化行为的人相比，在成年期测量的所有负面结果在青少年时期有严重或轻度外化行为的人中更常见，由教师评定。与没有外化行为的青少年（30.8%）相比，具有严重外化行为的青少年更有可能在没有任何资格的情况下离开学校（65.2%;调整后的比值比4.0，95%置信区间2.9至5.5），轻度外化行为的青少年也是如此（52.2%; 2.3，1.9至2.8）。在整个成年期的全球逆境综合衡量标准中，包括心理健康，家庭生活和关系，以及教育和经济问题，那些有严重外化行为的人得分显着更高（40.1%在上四分之一），轻度外化行为的人（28.3%）与没有外化行为的人（17.0%）相比。结论：表现出外化行为的青少年经历了多种社会和健康障碍，对他们、他们的家庭和整个成年社会产生了不利影响。
Objective To describe long term outcomes associated with externalising behaviour in adolescence, defined in this study as conduct problems reported by a teacher, in a population based sample. Design Longitudinal study from age 13-53. Setting The Medical Research Council National Survey of Health and Development (the British 1946 birth cohort). Participants 3652 survey members assessed by their teachers for symptoms of externalising behaviour at age 13 and 15. Main outcome measures Mental disorder, alcohol abuse, relationship difficulties, highest level of education, social class, unemployment, and financial difficulties at ages 36-53. Results 348 adolescents were identified with severe externalising behaviour, 1051 with mild externalising behaviour, and 2253 with no externalising behaviour. All negative outcomes measured in adulthood were more common in those with severe or mild externalising behaviour in adolescence, as rated by teachers, compared with those with no externalising behaviour. Adolescents with severe externalising behaviour were more likely to leave school without any qualifications (65.2%; adjusted odds ratio 4.0, 95% confidence interval 2.9 to 5.5), as were those with mild externalising behaviour (52.2%; 2.3, 1.9 to 2.8), compared with those with no externalising behaviour (30.8%). On a composite measure of global adversity throughout adulthood that included mental health, family life and relationships, and educational and economic problems, those with severe externalising behaviour scored significantly higher (40.1% in top quarter), as did those with mild externalising behaviour (28.3%), compared with those with no externalising behaviour (17.0%). Conclusions Adolescents who exhibit externalising behaviour experience multiple social and health impairments that adversely affect them, their families, and society throughout adult life.
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影响因子：
10.5
作者：
Simonoff, E;Elander, J;Rutter, M
通讯作者：
Rutter, M
影响因子：
1.9
作者：
Fergusson, DM;Lynskey, MT
通讯作者：
Lynskey, MT
影响因子：
--
作者：
Odgers, Candice L.;Caspi, Avshalom;Moffitt, Terrie E.
通讯作者：
Moffitt, Terrie E.
DOI：
10.1093/gerona/60.2.224
发表时间：
2005-02-01
影响因子：
5.1
作者：
Kuh, D;Bassey, EJ;Wadsworth, MEJ
通讯作者：
Wadsworth, MEJ
影响因子：
4.6
作者：
Lambert, EW;Wahler, RG;Bickman, L
通讯作者：
Bickman, L