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Association between psychological distress trajectories from adolescence to midlife and mental health during the pandemic: evidence from two British birth cohorts.

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Title: Association between psychological distress trajectories from adolescence to midlife and mental health during the pandemic: evidence from two British birth cohorts.
Authors: Moulton, V. (AUTHOR), Sullivan, A. (AUTHOR), Patalay, P. (AUTHOR), Fitzsimons, E. (AUTHOR), Henderson, M. (AUTHOR), Bann, D. (AUTHOR), Ploubidis, G. B. (AUTHOR)
Source: Psychological Medicine. Oct2023, Vol. 53 Issue 14, p6547-6559. 13p.
Subjects: Structural equation modeling, Mid-life crisis, Mental health, Epidemics, Research funding, Psychological stress, Secondary analysis, Longitudinal method, Poisson distribution
Geographic Terms: United Kingdom
Abstract: Background: This paper examined whether distinct life-course trajectories of psychological distress from adolescence to midlife were associated with poorer mental health outcomes during the pandemic. Methods: We present a secondary analysis of two nationally representative British birth cohorts, the 1958 National Child Development Study (NCDS) and 1970 British Cohort Study (BCS70). We used latent variable mixture models to identify pre-pandemic longitudinal trajectories of psychological distress and a modified Poisson model with robust standard errors to estimate associations with psychological distress, life satisfaction and loneliness at different points during the pandemic. Results: Our analysis identified five distinct pre-pandemic trajectories of psychological distress in both cohorts. All trajectories with prior symptoms of psychological distress irrespective of age of onset, severity and chronicity were associated with a greater relative risk of poorer mental health outcomes during the pandemic and the probability of poorer mental health associated with psychological distress trajectories remained fairly constant. The relationship was not fully attenuated when most recent pre-pandemic psychological distress and other midlife factors were controlled for. Conclusions: Whilst life-course trajectories with any prior symptoms of psychological distress put individuals at greater risk of poor mental health outcomes during the pandemic, those with chronic and more recent occurrences were at highest risk. In addition, prior poor mental health during the adult life-course may mean individuals are less resilient to shocks, such as pandemics. Our findings show the importance of considering heterogeneous mental health trajectories across the life-course in the general population in addition to population average trends. [ABSTRACT FROM AUTHOR]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Association between psychological distress trajectories from adolescence to midlife and mental health during the pandemic: evidence from two British birth cohorts.
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  Data: <searchLink fieldCode="AR" term="%22Moulton%2C+V%2E%22">Moulton, V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sullivan%2C+A%2E%22">Sullivan, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patalay%2C+P%2E%22">Patalay, P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fitzsimons%2C+E%2E%22">Fitzsimons, E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Henderson%2C+M%2E%22">Henderson, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bann%2C+D%2E%22">Bann, D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ploubidis%2C+G%2E+B%2E%22">Ploubidis, G. B.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Oct2023, Vol. 53 Issue 14, p6547-6559. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Structural+equation+modeling%22">Structural equation modeling</searchLink><br /><searchLink fieldCode="DE" term="%22Mid-life+crisis%22">Mid-life crisis</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemics%22">Epidemics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
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  Label: Abstract
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  Data: Background: This paper examined whether distinct life-course trajectories of psychological distress from adolescence to midlife were associated with poorer mental health outcomes during the pandemic. Methods: We present a secondary analysis of two nationally representative British birth cohorts, the 1958 National Child Development Study (NCDS) and 1970 British Cohort Study (BCS70). We used latent variable mixture models to identify pre-pandemic longitudinal trajectories of psychological distress and a modified Poisson model with robust standard errors to estimate associations with psychological distress, life satisfaction and loneliness at different points during the pandemic. Results: Our analysis identified five distinct pre-pandemic trajectories of psychological distress in both cohorts. All trajectories with prior symptoms of psychological distress irrespective of age of onset, severity and chronicity were associated with a greater relative risk of poorer mental health outcomes during the pandemic and the probability of poorer mental health associated with psychological distress trajectories remained fairly constant. The relationship was not fully attenuated when most recent pre-pandemic psychological distress and other midlife factors were controlled for. Conclusions: Whilst life-course trajectories with any prior symptoms of psychological distress put individuals at greater risk of poor mental health outcomes during the pandemic, those with chronic and more recent occurrences were at highest risk. In addition, prior poor mental health during the adult life-course may mean individuals are less resilient to shocks, such as pandemics. Our findings show the importance of considering heterogeneous mental health trajectories across the life-course in the general population in addition to population average trends. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1017/S0033291722003877
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        Text: English
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        PageCount: 13
        StartPage: 6547
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      – SubjectFull: Structural equation modeling
        Type: general
      – SubjectFull: Mid-life crisis
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      – SubjectFull: Mental health
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      – SubjectFull: Research funding
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      – SubjectFull: Psychological stress
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      – SubjectFull: Secondary analysis
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Poisson distribution
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      – SubjectFull: United Kingdom
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      – TitleFull: Association between psychological distress trajectories from adolescence to midlife and mental health during the pandemic: evidence from two British birth cohorts.
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              Text: Oct2023
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