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Cited by 24Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessPosttraumatic Stress Disorder Research

Behavior problems in adolescence and subsequent mental health in early adulthood: results from the World Trade Center Health Registry Cohort

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Gargano, Lisa M., Locke, Sean, Li, Jiehui, Farfel, Mark R.·2018·Pediatric Research
DOI 10.1038/s41390-018-0050-8PMC PMC6185774
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Abstract

Background The present study examined the association between 9/11-related adolescent behavioral problems on mental health outcomes in early adulthood. Methods Data from enrollees of the World Trade Center Health Registry, who completed at least one adolescent (2006-2007 or 2011-2012) and adult survey (2011-2012 or 2015-2016), were analyzed. Adolescent behavioral difficulties were assessed using the adolescent-reported Strengths and Difficulties Questionnaire (SDQ). Adult mental health outcomes included binge drinking, smoking status history, 9/11-related post-traumatic stress disorder (PTSD), depression, and the self-reported number of physician mental health diagnoses. Multivariable regression was used to estimate associations of SDQ scores with mental health outcomes. Results Of the 297 enrollees, 16.8% (n = 50) had abnormal/borderline SDQ scores as an adolescent. Binge drinking was not associated with adolescent SDQ scores. Enrollees with abnormal/borderline SDQ scores as an adolescent were more likely to be a consistent smoker (odds ratio (OR): 5.6, 95% confidence interval (CI): 1.2-25.2), have probable PTSD (OR: 3.5, 95% CI: 1.3-9.8), depression (OR: 6.2, 95% CI: 2.7-13.9), and to have two or more self-reported physician-diagnosed mental health conditions as an adult (OR 5.6, 95% CI: 2.0-12.5). Conclusions The findings of this study underscore the need to intervene early with children exposed to traumatic events so as to avert later adolescent and adult problem behaviors.

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  • Mental health issues in adolescence often persist into adulthood where they can lead to lifelong distress, impairment and disadvantage.

    “Mental health issues at this stage often persist into adulthood where they can lead to lifelong distress, impairment and disadvantage (Fergusson et al., 2007; Gargano et al., 2018; Johnson et al., 2009).”

    From A counterfactual and random intercept cross‐lagged panel analysis of the effects of reading frequency on adolescent mental health in a large longitudinal study (2026) · cites this paper as Gargano et al., 2018

    The Introduction reports associations between adolescent behavioral problems and anxiety or depression in adulthood, and says mental health problems in emerging adulthood can disrupt education, employment, and relationships. However, the study concerns a particular trauma-exposed cohort, does not establish that adolescent problems cause adult outcomes, and does not assess lifelong distress or adult functioning (Discussion; Limitations). (LLM, conf=0.86)

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  1. [1]Arnett JJ Emerging adulthood(s): The cultural psychology of a new life stage Jensen LA Bridging cultural and developmental approaches to psychology: New syntheses in theroy, research, and policy Oxford University Press New York, NY 2011 255 275

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Authors
Gargano, L. M., Locke, S., Li, J., & Farfel, M. R.
Affiliations
New York City Department of Health and Mental Hygiene (US)
Corresponding author
Gargano, Lisa M.
ORCID
Venue
Pediatric Research
Publisher
Springer Science and Business Media LLC
Published
2018-06-15
Volume
84
Issue
2
Pages
205-209
ISSN
  • 0031-3998 (ISSN-L)
  • 1530-0447
DOI
10.1038/s41390-018-0050-8
PMC
PMC6185774
OpenAlex
W2808384199
Cited by
23
References
34
Citations by year
2026: 2 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 2
FWCI
1.76
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Pediatric Research (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Health and Human Services
  • New York City Department of Health and Mental Hygiene
  • Centers for Disease Control and Prevention (U50/ATU272750, U50TS272750, 5U50/OH009739)
  • National Institute for Occupational Safety and Health (U50 OH009739, U50/ATU272750, 5U50/OH009739)
  • Agency for Toxic Substances and Disease Registry (U50/ATU272750, 5U50/OH009739)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
adolescent behavior problems, September 11 attacks, World Trade Center Health Registry, post-traumatic stress disorder, depression, smoking, binge drinking, mental health outcomes, early adulthood, Strengths and Difficulties Questionnaire, childhood trauma, early intervention
MeSH terms
Problem Behavior, Adolescent, Child, Child Behavior Disorders, Depression, Female, Humans, Male, Mental Health, Prospective Studies, Surveys and Questionnaires, Registries, Smoking, Stress Disorders, Post-Traumatic, Cohort Studies, Multivariate Analysis, Outcome Assessment, Health Care, September 11 Terrorist Attacks, Self Report, Binge Drinking

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