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Mental health and well-being trends among children and young people in the UK, 1995–2014: analysis of repeated cross-sectional national health surveys

  • Jacqueline Pitchforth (a1), Katie Fahy (a1), Tamsin Ford (a2), Miranda Wolpert (a3), Russell M. Viner (a1) and Dougal S. Hargreaves (a1) (a4)...
Abstract
Background

There is a growing concern about the mental health of children and young people (CYP) in the UK, with increasing demand for counselling services, admissions for self-harm and referrals to mental health services. We investigated whether there have been similar recent trends in selected mental health outcomes among CYP in national health surveys from England, Scotland and Wales.

Methods

Data were analysed from 140 830 participants (4–24 years, stratified into 4–12, 13–15, 16–24 years) in 36 national surveys in England, Scotland and Wales, 1995–2014. Regression models were used to examine time trends in seven parent/self-reported variables: general health, any long-standing health condition, long-standing mental health condition; Warwick–Edinburgh Mental Wellbeing Score (WEMWBS), above-threshold Strengths and Difficulties Questionnaire Total (SDQT) score, SDQ Emotion (SDQE) score, General Health Questionnaire (GHQ) score.

Results

Across all participants aged 4–24, long-standing mental health conditions increased in England (0.8–4.8% over 19 years), Scotland (2.3–6.0%, 11 years) and Wales (2.6–4.1%, 7 years) (all p < 0.001). Among young children (4–12 years), the proportion reporting high SDQT and SDQE scores decreased significantly among both boys and girls in England [SDQE: odds ratio (OR) 0.97 (0.96–0.98), p < 0.001] and girls in Scotland [SDQE: OR 0.96 (0.93–0.99), p = 0.005]. The proportion with high SDQE scores (13–15 years) decreased in England [OR 0.98 (0.96–0.99), p = 0.006] but increased in Wales [OR 1.07 (1.03–1.10), p < 0.001]. The proportion with high GHQ scores decreased among English women (16–24 years) [OR 0.98 (0.98–0.99), p = 0.002].

Conclusions

Despite a striking increase in the reported prevalence of long-standing mental health conditions among UK CYP, there was relatively little change in questionnaire scores reflecting psychological distress and emotional well-being.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Author for correspondence: Dougal S. Hargreaves, E-mail: d.hargreaves@ucl.ac.uk
References
Hide All
Bell, V, Bishop, DVM and Przybylski, AK (2015) The debate over digital technology and young people. British Medical Journal 351, h3064.
Bor, W, Dean, AJ, Najman, J and Hayatbakhsh, R (2014) Are child and adolescent mental health problems increasing in the 21st century? A systematic review. Australian and New Zealand Journal of Psychiatry 48, 606616.
Bottino, SM, Bottino, CM, Regina, CG, Correia, AV and Ribeiro, WS (2015) Cyberbullying and adolescent mental health: systematic review. Cadernos de Saude Publica 31, 463475.
Brooks, F, Magnusson, J, Klemera, E, Chester, K, Spencer, N and Smeeton, N (2015) HBSC England National Report: findings from the 2014 HBSC study for England. Hatfield: University of Hertfordshire.
Clarke, A, Friede, T, Putz, R, Ashdown, J, Martin, S, Blake, A, Adi, Y, Parkinson, J, Flynn, P, Platt, S and Stewart-Brown, S (2011) Warwick-Edinburgh Mental Well-being Scale (WEMWBS): validated for teenage school students in England and Scotland. A mixed methods assessment. BMC Public Health 11, 487.
Collishaw, S (2015) Annual Research Review: secular trends in child and adolescent mental health. Journal of Child Psychology and Psychiatry 56, 370393.
Darlington, F, Norman, P and Ballas, D (2014) Exploring changing social structures and health using the Health Survey for England: a technical note on the creation and analysis of a time-series dataset in SPSS. Available at http://eprints.whiterose.ac.uk/77494/ (Accessed 11 June 2018).
Divya, P, Charitini, S and Ioannidis, J (2016) Health outcomes during the 2008 financial crisis in Europe: systematic literature review. British Medical Journal 354, i4588.
Fink, E, Patalay, P, Sharpe, H, Holley, S, Deighton, J and Wolpert, M (2015) Mental health difficulties in early adolescence: a comparison of two cross-sectional studies in England from 2009 to 2014. Journal of Adolescent Health 56, 502507.
Ford, T, Hamilton, H, Meltzer, H and Goodman, R (2007) Child mental health is everybody's business: the prevalence of contact with public sector services by type of disorder among British school children in a three-year period. Child and Adolescent Mental Health 12, 1320.
Goldberg, DP, Gater, R, Sartorius, N, Ustun, TB, Piccinelli, M, Gureje, O and Rutter, C (1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine 27, 191197.
Goodman, R, Ford, T, Simmons, H, Gatward, R and Meltzer, H (2000) Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. British Journal of Psychiatry 177, 534539.
Green, H, Mcginnity, A, Meltzer, H, Fort, T and Goodman, R (2005) Mental Health of Children and Young People in Great Britain, 2004. A Survey Carried out by the Office for National Statistics on Behalf of the Department of Health and the Scottish Executive. Basingstoke: Palgrave Macmillan.
Hagell, A, Coleman, J, Brooks, F (2015) Key Data on Adolescence 2015. London: Association for Young People's Health.
Hargreaves, DS, Elliott, MN, Viner, RM, Richmond, TK and Schuster, MA (2015) Unmet health care need in US adolescents and adult health outcomes. Pediatrics 136, 513520.
Kessler, RC, Berglund, P, Demler, O, Jin, R, Merikangas, KR and Walters, EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry 62, 593602.
Knott, C General mental and physical health [Online]. Available at http://healthsurvey.hscic.gov.uk/media/1024/chpt-4-gen-physical-and-mental-health.pdf (Accessed 11 June 2018).
Lessof, C, Ross, A, Brind, R, Bell, E and Newton, S (2016) Longitudinal Study of Young People in England cohort 2: health and wellbeing at wave 2. Research report [Online]. Department of Education. Available at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/540563/LSYPE2_w2_research_report.pdf (Accessed 26th May 2018).
Marshall, M, Lewis, S, Lockwood, A, Drake, R, Jones, P and Croudace, T (2005) Association between duration of untreated psychosis and outcome in cohorts of first-episode patients: a systematic review. Archives of General Psychiatry 62, 975983.
Mcshane, M and Rouse, J (2015) Future in Mind: Promoting, Protecting and Improving our Children and Young People's Mental Health and Wellbeing. London: NHS England, Department of Health.
Murray, CJ, Vos, T, Lozano, R, Naghavi, M, Flaxman, AD, Michaud, C, Ezzati, M, Shibuya, K, Salomon, JA, Abdalla, S, Aboyans, V, Abraham, J, Ackerman, I, Aggarwal, R, Ahn, SY, Ali, MK, Alvarado, M, Anderson, HR, Anderson, LM, Andrews, KG, Atkinson, C, Baddour, LM, Bahalim, AN, Barker-Collo, S, Barrero, LH, Bartels, DH, Basáñez, MG, Baxter, A, Bell, ML, Benjamin, EJ, Bennett, D, Bernabé, E, Bhalla, K, Bhandari, B, Bikbov, B, Bin Abdulhak, A, Birbeck, G, Black, JA, Blencowe, H, Blore, JD, Blyth, F, Bolliger, I, Bonaventure, A, Boufous, S, Bourne, R, Boussinesq, M, Braithwaite, T, Brayne, C, Bridgett, L, Brooker, S, Brooks, P, Brugha, TS, Bryan-Hancock, C, Bucello, C, Buchbinder, R, Buckle, G, Budke, CM, Burch, M, Burney, P, Burstein, R, Calabria, B, Campbell, B, Canter, CE, Carabin, H, Carapetis, J, Carmona, L, Cella, C, Charlson, F, Chen, H, Cheng, AT, Chou, D, Chugh, SS, Coffeng, LE, Colan, SD, Colquhoun, S, Colson, KE, Condon, J, Connor, MD, Cooper, LT, Corriere, M, Cortinovis, M, de Vaccaro, KC, Couser, W, Cowie, BC, Criqui, MH, Cross, M, Dabhadkar, KC, Dahiya, M, Dahodwala, N, Damsere-Derry, J, Danaei, G, Davis, A, De Leo, D, Degenhardt, L, Dellavalle, R, Delossantos, A, Denenberg, J, Derrett, S, Des Jarlais, DC, Dharmaratne, SD, Dherani, M, Diaz-Torne, C, Dolk, H, Dorsey, ER, Driscoll, T, Duber, H, Ebel, B, Edmond, K, Elbaz, A, Ali, SE, Erskine, H, Erwin, PJ, Espindola, P, Ewoigbokhan, SE, Farzadfar, F, Feigin, V, Felson, DT, Ferrari, A, Ferri, CP, Fèvre, EM, Finucane, MM, Flaxman, S, Flood, L, Foreman, K, Forouzanfar, MH, Fowkes, FG, Fransen, M, Freeman, MK, Gabbe, BJ, Gabriel, SE, Gakidou, E, Ganatra, HA, Garcia, B, Gaspari, F, Gillum, RF, Gmel, G, Gonzalez-Medina, D, Gosselin, R, Grainger, R, Grant, B, Groeger, J, Guillemin, F, Gunnell, D, Gupta, R, Haagsma, J, Hagan, H, Halasa, YA, Hall, W, Haring, D, Haro, JM, Harrison, JE, Havmoeller, R, Hay, RJ, Higashi, H, Hill, C, Hoen, B, Hoffman, H, Hotez, PJ, Hoy, D, Huang, JJ, Ibeanusi, SE, Jacobsen, KH, James, SL, Jarvis, D, Jasrasaria, R, Jayaraman, S, Johns, N, Jonas, JB, Karthikeyan, G, Kassebaum, N, Kawakami, N, Keren, A, Khoo, JP, King, CH, Knowlton, LM, Kobusingye, O, Koranteng, A, Krishnamurthi, R, Laden, F, Lalloo, R, Laslett, LL, Lathlean, T, Leasher, JL, Lee, YY, Leigh, J, Levinson, D, Lim, SS, Limb, E, Lin, JK, Lipnick, M, Lipshultz, SE, Liu, W, Loane, M, Ohno, SL, Lyons, R, Mabweijano, J, MacIntyre, MF, Malekzadeh, R, Mallinger, L, Manivannan, S, Marcenes, W, March, L, Margolis, DJ, Marks, GB, Marks, R, Matsumori, A, Matzopoulos, R, Mayosi, BM, McAnulty, JH, McDermott, MM, McGill, N, McGrath, J, Medina-Mora, ME, Meltzer, M, Mensah, GA, Merriman, TR, Meyer, AC, Miglioli, V, Miller, M, Miller, TR, Mitchell, PB, Mock, C, Mocumbi, AO, Moffitt, TE, Mokdad, AA, Monasta, L, Montico, M, Moradi-Lakeh, M, Moran, A, Morawska, L, Mori, R, Murdoch, ME, Mwaniki, MK, Naidoo, K, Nair, MN, Naldi, L, Narayan, KM, Nelson, PK, Nelson, RG, Nevitt, MC, Newton, CR, Nolte, S, Norman, P, Norman, R, O'Donnell, M, O'Hanlon, S, Olives, C, Omer, SB, Ortblad, K, Osborne, R, Ozgediz, D, Page, A, Pahari, B, Pandian, JD, Rivero, AP, Patten, SB, Pearce, N, Padilla, RP, Perez-Ruiz, F, Perico, N, Pesudovs, K, Phillips, D, Phillips, MR, Pierce, K, Pion, S, Polanczyk, GV, Polinder, S, Pope, CA 3rd, Popova, S, Porrini, E, Pourmalek, F, Prince, M, Pullan, RL, Ramaiah, KD, Ranganathan, D, Razavi, H, Regan, M, Rehm, JT, Rein, DB, Remuzzi, G, Richardson, K, Rivara, FP, Roberts, T, Robinson, C, De Leòn, FR, Ronfani, L, Room, R, Rosenfeld, LC, Rushton, L, Sacco, RL, Saha, S, Sampson, U, Sanchez-Riera, L, Sanman, E, Schwebel, DC, Scott, JG, Segui-Gomez, M, Shahraz, S, Shepard, DS, Shin, H, Shivakoti, R, Singh, D, Singh, GM, Singh, JA, Singleton, J, Sleet, DA, Sliwa, K, Smith, E, Smith, JL, Stapelberg, NJ, Steer, A, Steiner, T, Stolk, WA, Stovner, LJ, Sudfeld, C, Syed, S, Tamburlini, G, Tavakkoli, M, Taylor, HR, Taylor, JA, Taylor, WJ, Thomas, B, Thomson, WM, Thurston, GD, Tleyjeh, IM, Tonelli, M, Towbin, JA, Truelsen, T, Tsilimbaris, MK, Ubeda, C, Undurraga, EA, van der Werf, MJ, van Os, J, Vavilala, MS, Venketasubramanian, N, Wang, M, Wang, W, Watt, K, Weatherall, DJ, Weinstock, MA, Weintraub, R, Weisskopf, MG, Weissman, MM, White, RA, Whiteford, H, Wiebe, N, Wiersma, ST, Wilkinson, JD, Williams, HC, Williams, SR, Witt, E, Wolfe, F, Woolf, AD, Wulf, S, Yeh, PH, Zaidi, AK, Zheng, ZJ, Zonies, D, Lopez, AD, AlMazroa, MA and Memish, ZA (2012) Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet 380, 21972223.
National_Child_and-Maternal_Health_Intelligence_Network. Targeted Mental Health in Schools (TaMHS) [Online]. Available at http://dera.ioe.ac.uk/28416/1/00784-2008bkt-en.pdf (Accessed 11 June 2018).
National Children's Bureau and Association of School and College Leaders (2016) Keeping young people in mind – findings from a survey of schools across England. London: NCB.
National Institute for Health and Care Excellence (NICE) and NHS England (2016) Implementing the Early Intervention in Psychosis Access and Waiting Time Standard. London: NHSE.
National Society for Prevention of Cruelty to Children (2016) Rise in children hospitalised for self-harm as thousands contact Childline. London: NSPCC.
Newlove-Delgado, T, Moore, D, Ukoumunne, OC, Stein, K and Ford, T (2015) Mental health related contact with education professionals in the British Child and Adolescent Mental Health Survey 2004. The Journal of Mental Health Training, Education and Practice 10, 159169.
NHS_England. Children and Young People's Improving Access to Psychological Therapies Programme [Online]. Available at https://www.england.nhs.uk/mental-health/cyp/iapt/ (Accessed 11 June 2018).
Page, Z (2016) CAMHS benchmarking 2016 [Online]. NHS England. Available at https://www.nhsbenchmarking.nhs.uk/news/camhs-benchmarking-2016-findings-published (Accessed 11 June 2018).
Parry-Langdon, N (2008) Three years on: survey of the development and emotional well-being of children and young people. London: Office for National Statistics.
Patton, GC, Sawyer, SM, Santelli, JS, Ross, DA, Afifi, R, Allen, NB, Arora, M, Azzopardi, P, Baldwin, W, Bonell, C, Kakuma, R, Kennedy, E, Mahon, J, Mcgovern, T, Mokdad, AH, Patel, V, Petroni, S, Reavley, N, Taiwo, K, Waldfogel, J, Wickremarathne, D, Barroso, C, Bhutta, Z, Fatusi, AO, Mattoo, A, Diers, J, Fang, J, Ferguson, J, Ssewamala, F and Viner, RM (2016) Our future: a Lancet commission on adolescent health and wellbeing. The Lancet 387, 24232478.
Pym, H (2016) Mental health survey reveals pressure on young [Online]. BBC News. Available at http://www.bbc.co.uk/news/health-37510207 (Accessed 11 June 2018).
Scottish_Government. Scottish Health Survey [Online]. Available at http://www.gov.scot/Topics/Statistics/Browse/Health/scottish-health-survey (Accessed 11 June 2018).
Welsh_Government. Welsh Health Survey [Online]. Available at http://gov.wales/statistics-and-research/welsh-health-survey/?lang=en (Accessed 11 June 2018).
Yeung, P, Weale, S and Perraudin, F (2016) University mental health services face strain as demand rises 50%. Guardian. Available at https://www.theguardian.com/education/2016/sep/23/university-mental-health-services-face-strain-as-demand-rises-50 (Accessed 11 June 2018).
Youth in Mind (2016) Scoring the Strengths and Difficulties Questionnaire for age 4–17 or 18+ [Online]. Available at http://www.sdqinfo.com/py/sdqinfo/c0.py (Accessed 11 June 2018).
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