Environmental risk and protective factors of adolescents' and youths' mental health: differences between parents' appraisal and self-reports.

Journal article

PURPOSE: We investigated the effect of parents' mental health, life events, and home life (among other factors) on adolescents'/youths' mental health, whether such an effect varies when several variables are assessed jointly, and also whether the informant source of the mental health problem modifies the estimations. METHODS: We studied a representative sample of 454 Spanish adolescents/youths studied longitudinally (2 assessments, 3 years apart). We considered factors associated with adolescents'/youths' mental health (conduct, emotional, and hyperactivity scores [SDQ]): risk factors (parents' mental health and life events) and mediators (social and financial support). Structural equation modeling was applied. We constructed two models: (a) with parents' SDQ responses and (b) with self-reported SDQ responses (in a subsample of N = 260). RESULTS: Model fit was adequate for parents' appraisal. Parents' mental health (p < 0.05) and undesirable life events (p < 0.05) were the most important risk factors. The same model showed poorer fit when self-reported measures were used. Home life exerted a stronger protective effect on adolescents'/youths' mental health when reported by adolescents/youths. The negative effect of parents' mental health was significantly protected by home life in emotional [-0.14 (0.07)] and hyperactivity scores [-0.2 (0.08)]. CONCLUSIONS: Even in the presence of other factors, parents' mental health has an important effect on adolescents'/youths' mental health. Good levels of home life are protective, especially when adolescents'/youths' mental health is self-reported.

Authors: Villalonga-Olives, E; Forero, C; Maydeu-Olivares, A; Almansa, J; Palacio Vieira, J

• Publication status: Published
• Journal: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
• Volume: 22
• Issue: 3
• Pages: 613-622
• Publication date: 2013-04-01
• DOI: 10.1007/s11136-012-0167-x
• EISSN: 1573-2649
• ISSN: 0962-9343
• Language: English
• Keywords: Male; Questionnaires; Social Environment; Social Behavior Disorders; Health Status; Regression Analysis; Mental Health; Risk Factors; Child; Humans; Adolescent; Quality of Life; Conduct Disorder; Parents; Spain; Attention Deficit Disorder with Hyperactivity; Adolescent Psychology; Socioeconomic Factors; Longitudinal Studies; Family Characteristics; Life Change Events; Female