Mental health and well-being from childhood to adulthood: design, methods and results of the 11-year follow-up of the BELLA study.

Mental health and well-being from childhood to adulthood: design, methods and results of the 11-year follow-up of the BELLA study.
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DOI:
10.1007/s00787-020-01630-4
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发表时间:
2021-10
影响因子:
6.4
通讯作者:
Ravens-Sieberer U
Ravens-Sieberer U
中科院分区:
医学2区
文献类型:
--
作者:
Otto C;Reiss F;Voss C;Wüstner A;Meyrose AK;Hölling H;Ravens-Sieberer U

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心理健康和福祉是卫生政策和研究的重要内容。需要进行纵向调查,以提供可靠的人口数据。我们描述了德国BELLA儿童,青少年和年轻人研究的11年随访的设计和方法,我们报告了一般健康和福祉的年龄和性别特异性课程,心理健康问题的长期健康相关结果,以及精神卫生保健的使用。BELLA研究是德国儿童和青少年健康访谈和检查调查(KiGGS)中关于心理健康和福祉的模块。在BELLA研究的五个测量点中的每一个都使用了标准化测量。在11年的随访中,7-31岁的年轻人参与了研究(n = 3492)。进行个体生长建模、线性回归和描述性分析。根据所有五个测量点的数据,年轻(与老年人相比)和男性(与女性相比)参与者自我报告的一般健康和幸福感都更好。儿童期和青少年期的心理健康问题(基线测量)预测6年和11年随访时的健康结果受损。大约四分之一被诊断患有精神障碍的儿童没有接受心理健康治疗。通过11年的随访,前瞻性纵向BELLA研究提供了德国儿童至成年期心理健康和福祉的新的可靠数据,这些数据对于健康促进和预防实践非常重要。这些结果与以前的研究结果是一致的。计划进行有希望的未来分析。本文的在线版本(10.1007/s 00787 -020-01630-4)包含补充材料,可供授权用户使用。
Mental health and well-being are of great interest in health policy and research. Longitudinal surveys are needed to provide solid population-based data. We describe the design and methods of an 11-year follow-up of the German BELLA study in children, adolescents and young adults, and we report on age- and gender-specific courses of general health and well-being, long-term health-related outcomes of mental health problems, and mental health care use. The BELLA study is the module on mental health and well-being within the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Standardised measures were used at each of the five measurement points of the BELLA study. In the 11-year follow-up, young people aged 7–31 years participated (n = 3492). Individual growth modelling, linear regression and descriptive analyses were conducted. Self-reported general health and well-being were both better in younger (vs. older) and in male (vs. female) participants according to the data from all five measurement points. Mental health problems in childhood and adolescence (measured at baseline) predicted impaired health outcomes at 6-year and 11-year follow-ups. Approximately one out of four children with a diagnosed mental disorder was not undergoing mental health treatment. With its 11-year follow-up, the prospective longitudinal BELLA study provides new and solid data on mental health and well-being from childhood to adulthood in Germany, and these data are important for health promotion and prevention practices. These results are consistent with previous findings. Promising future analyses are planned. The online version of this article (10.1007/s00787-020-01630-4) contains supplementary material, which is available to authorized users.
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