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

Qual Life Res. 2013 Apr;22(3):613-22. doi: 10.1007/s11136-012-0167-x. Epub 2012 Apr 7.

Abstract

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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Child
  • Conduct Disorder / epidemiology
  • Family Characteristics
  • Female
  • Health Status*
  • Humans
  • Life Change Events
  • Longitudinal Studies
  • Male
  • Mental Health*
  • Parents / psychology*
  • Psychology, Adolescent*
  • Quality of Life / psychology*
  • Regression Analysis
  • Risk Factors
  • Social Behavior Disorders / epidemiology
  • Social Environment*
  • Socioeconomic Factors
  • Spain / epidemiology
  • Surveys and Questionnaires