The whole is greater than the sum of its parts: profiles of multiple mental health risk factors using Latent class analysis

Child and Adolescent Psychiatry and Mental Health

Caroline Cohrdes¹  Kristin Göbel² 

[1] Department of Epidemiology and Health Monitoring, Mental Health Unit, Robert Koch Institute, General-Pape-Straße 62-66, 12101, Berlin, Germany;Department of Epidemiology and Health Monitoring, Mental Health Unit, Robert Koch Institute, General-Pape-Straße 62-66, 12101, Berlin, Germany;Department of Educational Science and Psychology, Division of Developmental Science and Applied Developmental Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany;

关键词: Mental health;    Youth;    Multiple risk factors;    Latent class analysis;    Depression;   

DOI  :  10.1186/s13034-021-00380-8

来源: Springer

【 摘 要 】

BackgroundThe exposure to an accumulation of various risk factors during childhood and adolescence relative to a single risk is associated with poorer mental health. Identification of distinct constellations of risk factors is an essential step towards the development of effective prevention strategies of mental disorders. A Latent class analysis (LCA) extracts different combinations of risk factors or subgroups and examines the association between profiles of multiple risk and mental health outcomes.MethodsThe current study used longitudinal survey data (KiGGS) of 10,853 German children, adolescents and young adults. The LCA included 27 robust risk and protective factors across multiple domains for mental health.ResultsThe LCA identified four subgroups of individuals with different risk profiles: a basic-risk (51.4%), high-risk (23.4%), parental-risk (11.8%) and social-risk class (13.4%). Multiple risk factors of the family domain, in particular family instability were associated with negative mental health outcomes (e.g. mental health problems, depression, ADHD) and predominately comprised late adolescent girls. The social environment represented a more common risk domain for young males.ConclusionThe understanding of multiple risk and different risk “profiles” helps to understand and adjust targeted interventions with a focus on vulnerable groups.

【 授权许可】

CC BY