Burden of psychiatric disorder in young adulthood and life outcomes at age 30
Open accessAbstract
Background: Psychiatric disorders are common during young adulthood and comorbidity is frequent. Individual psychiatric disorders have been shown to be associated with negative economic and educational outcomes, but few studies have addressed the relationship between the total extent of psychiatric disorder and life outcomes. Aims: To examine whether the extent of common psychiatric disorder between ages 18 and 25 is associated with negative economic and educational outcomes at age 30, before and after controlling for confounding factors. Method: Participants were 987 individuals from the Christchurch Health and Development Study, a longitudinal study of a birth cohort of individuals born in Christchurch, New Zealand, in 1977 and followed to age 30. Linear and logistic regression models were used to examine the associations between psychiatric disorder from age 18 to 25 and workforce participation, income and living standards, and educational achievement at age 30, before and after adjustment for confounding factors. Results: There were significant associations between the extent of psychiatric disorder reported between ages 18 and 25 and all of the outcome measures (all P <0.05). After adjustment for confounding factors, the associations between psychiatric disorder and workforce participation, income and living standards remained significant (all P <0.05), but the associations between psychiatric disorder and educational achievement were not significant (all P >0.10). Conclusions: After due allowance had been made for a range of confounding factors, psychiatric disorder between ages 18 and 25 was associated with reduced workforce participation, lower income and lower economic living standards at age 30.
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Mental disorders and self-harm are increasingly common during the transition to adulthood, with onset peaking at age 15 years and at least 50% of emerging adults developing a threshold disorder with a need for care by age 25 years.
“Furthermore, mental disorders and self-harm are increasingly common during this transition, with onset peaking at age 15 years 44 and at least 50% of emerging adults developing a threshold disorder with a need for care by age 25 years.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [23]
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- Authors
- Gibb, S. J., Fergusson, D. M., & Horwood, L. J.
- Affiliations
- University of Otago (NZ)
- Corresponding author
- Gibb, Sheree J.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2010-08
- Volume
- 197
- Issue
- 2
- Pages
- 122-127
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2077119846
- Cited by
- 240
- References
- 29
- Citations by year
- 2026: 8 · 2025: 25 · 2024: 29 · 2023: 20 · 2022: 15 · 2021: 14 · 2020: 18 · 2019: 25 · 2018: 13 · 2017: 14 · 2016: 12 · 2015: 13 · 2014: 15 · 2013: 8 · 2012: 4
- FWCI
- 7.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Otago
- Canterbury Medical Research Foundation
- Lotto New Zealand
- Health Research Council of New Zealand
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Keywords
- mental illness, early adulthood, life outcomes, labor force participation, income, living standards, academic performance, economic outcomes, Christchurch Health and Development Study, comorbidities, birth cohort
- MeSH terms
- Adolescent, Adult, Age Factors, Mental Disorders, Child, Child, Preschool, Educational Status, Employment, Epidemiologic Methods, Family Characteristics, Female, Humans, Income, Infant, Psychiatric Status Rating Scales, Recurrence, Confounding Factors, Epidemiologic, Cost of Illness, Young Adult
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