Trends in Children's Mental Health Flashcards

1
Q

How many children (aged 5-19) had a mental disorder?

A

1 in 8

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2
Q

How many children (aged 5-19) had an emotional disorder?

A

1 in 12 (8%)

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3
Q

How many children (aged 5-19) had a behavioural disorder?

A

1 in 20 (4.6%)

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4
Q

How many children (aged 5-19) had another disorder?

A

1 in 50 (2.%)

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5
Q

How many children (aged 5-19) had a hyperactivity disorder?

A

1 in 60 (1.6%)

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6
Q

What are the typical characteristics of young people with a disorder?

A

White / low income / poor general health / unhealthy family function / parental mental health / parental beliefs

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7
Q

What is an emotional disorder?

A

Anxiety (7%) or depressive disorders (2%)

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8
Q

What is a behavioural disorder?

A

Disruptive and violent behaviour where social norms, the rights of others or rules are violated

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9
Q

What do behavioural disorders lead to?

A

Antisocial personality disorder or substance abuse disorders in adulthood

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10
Q

What is a hyperactivity disorder?

A

Patterns of inattention, impulsivity and hyperactivity

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11
Q

What where the other disorder’s in the NHS research?

A

Autism, eating disorders and tics

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12
Q

According to Collishaw, what has changed in mental health over time?

A

Diagnosis of emotional and antisocial behaviour disorders has changed (both increased and decreased)

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13
Q

Why has the prevlance of MH in children changed over time?

A

Changes in reporting / changes in vulnerability (AHDH due to premature) / changes in family life (separation) / bullying / educational changes

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14
Q

What are the 3 types of prevalence? explain the difference.

A

Point: specific moment in time
Period: any point during a given period
Lifetime: at some point in life

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15
Q

Which gender is more likely to suffer at a younger age and which gender is more likely to suffer at an older age?

A
Younger = boys
Older = girls
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16
Q

At approximately what age do anxiety, impulse control, substance use and mood disorder emerge?

A

Anx. = 11 / Impulse = 11 / Substance = 20 / Mood = 30

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17
Q

What is the prevalence of any mental disorder, worldwide?

A

13.4%

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18
Q

What are 4 consequences of childhood mental health problems?

A

Social functioning, educational outcomes, persists into adulthood, suicide

19
Q

What 2 scales measure the burden of mental health problems?

A

Disability adjusted life years (DALY) / Years lived with disability (YLD)

20
Q

What is the DALY score for 0-24 year olds, worldwide?

A

55.5 million

21
Q

What is the YLD score for 0-24 year olds, worldwide?

A

54.2 million

22
Q

In what type of country is mental health more a burden?

A

High income countries

23
Q

What does Erskine’s research about the burden of mental health suggest?

A

That the burden is increasing in low-income countries

24
Q

What is the best method for measuring trends in childhood mental health?

A

To directly compare cohorts, where data was collected using the same methods at different points in time

25
Looking at trends in MH in England, which disorder has had the biggest rise?
Emotional disorders
26
What was the trend of depression in the US, since 1991, according to Twenge's research?
It was stable until 2009, when depression spiked - exclusively by females
27
What are depressive symptoms associated with?
Technology
28
What are low depressive symptoms associated with?
Reading, religious activities, sports, exercise, in person interaction
29
What are the highest depressive symptoms associated with?
Low real life social interaction and high social media interaction
30
According to Xu, what has happened to the trend in ADHD overtime?
Increased
31
What could be the cause for the increase in ADHD diagnosis?
Broadened criteria / more medical awareness / improved access to care / drug use / survival of premature births
32
According to Poancxyk, the biggest prediction of prevalence rates is due to..?
Methodological factors
33
According to Poancxyk, the lowest prediction of prevalence rates is due to..?
Geographical location and year of study
34
In Le's study, what Vietnam cohort had the most prevalent MH problems?
2009/10 (as opposed to 2003/4)
35
According to the Good Child Report, as well as MH disorders on the rise, there is a decrease in..?
Childhood life satisfaction
36
What might explain changes in trends in childhood MH?
Shift in how problems are perceived and reported / shift in threshold for rating disorders / over-pathologising
37
In Collishaw's model, what four factors are influencing the changes in MH trends?
Individual vulnerability / Familial factors / Extra-familial factors / Socio-cultural factors
38
In Collishaw's model, what is an individual vulnerability factor?
Increased survival
39
In Collishaw's model, what is a familial factor?
Changes in family compositions
40
In Collishaw's model, what is an extra-familial factor?
Increases in academic pressures / bullying
41
In Collishaw's model, what is a socio-cultural factor?
Technology changes / health inequalities
42
What do health inequalities show?
That the MH gap between advantaged and disadvantaged children is getting bigger (getting worse)
43
What is poverty associated with?
Poorer child MH
44
According to sellers, what 3 MH outcomes have gotten worse in recent cohorts?
Boys and girls aged 7: social functioning problems, passing exams, poorer adult MH