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Predicting mental health improvement and deterioration in a large community sample of 11- to 13-year-olds.


ABSTRACT: Of children with mental health problems who access specialist help, 50% show reliable improvement on self-report measures at case closure and 10% reliable deterioration. To contextualise these figures it is necessary to consider rates of improvement for those in the general population. This study examined rates of reliable improvement/deterioration for children in a school sample over time. N = 9074 children (mean age 12; 52% female; 79% white) from 118 secondary schools across England provided self-report mental health (SDQ), quality of life and demographic data (age, ethnicity and free school meals (FSM) at baseline and 1 year and self-report data on access to mental health support at 1 year). Multinomial logistic regressions and classification trees were used to analyse the data. Of 2270 (25%) scoring above threshold for mental health problems at outset, 27% reliably improved and 9% reliably deteriorated at 1-year follow up. Of 6804 (75%) scoring below threshold, 4% reliably improved and 12% reliably deteriorated. Greater emotional difficulties at outset were associated with greater rates of reliable improvement for both groups (above threshold group: OR = 1.89, p?

SUBMITTER: Wolpert M 

PROVIDER: S-EPMC7024693 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Predicting mental health improvement and deterioration in a large community sample of 11- to 13-year-olds.

Wolpert Miranda M   Zamperoni Victoria V   Napoleone Elisa E   Patalay Praveetha P   Jacob Jenna J   Fokkema Marjolein M   Promberger Marianne M   Costa da Silva Luís L   Patel Meera M   Edbrooke-Childs Julian J  

European child & adolescent psychiatry 20190503 2


Of children with mental health problems who access specialist help, 50% show reliable improvement on self-report measures at case closure and 10% reliable deterioration. To contextualise these figures it is necessary to consider rates of improvement for those in the general population. This study examined rates of reliable improvement/deterioration for children in a school sample over time. N = 9074 children (mean age 12; 52% female; 79% white) from 118 secondary schools across England provided  ...[more]

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