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Self-reported psychopathology, adaptive functioning and sense of coherence, and psychiatric diagnosis among young men

A population-based study

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Abstract

Objective

To study the associations between psychiatric disorders and self-perceived problems among adolescent boys.

Method

The study population consisted of 2348 Finnish boys born during 1981 attending obligatory military call-up (79.7% of the original sample). At military call-up in 1999, the boys filled in the Young Adult Self-Report (YASR) and Orientation of Life Questionnaire (SOC-13). Information about psychiatric disorders was obtained from the national military register during the years 1999–2004.

Results

Most of the psychopathology, adaptive functioning and SOC scales were associated with a variety of psychiatric disorders at follow-up. However, when the effects of scales were controlled in multivariate analysis, only YASR somatic problems and SOC-13 showed an independent association with a wide range of psychiatric disorders at follow-up. Poor SOC-13 predicted anxiety, depression, antisocial personality and substance use disorders. The YASR somatic problems scale predicted anxiety, depression, substance use, psychotic, and adjustment disorders. Self-reported delinquency and poor competence at school predicted substance use and antisocial personality disorders.

Conclusions

Self-reports of poor sense of coherence and somatic complaints have a non-specific association with a wide range of psychiatric disorders. Clinical and theoretical implications of these findings are discussed.

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References

  1. Leaf PJ, Alegria M, Cohen P, Goodman SH, Horwitz SM, Hoven CW, Narrow WE, Vaden-Kiernan M, Regier DA (1996) Mental health service use in the community and schools: results from the four-community MECA Study. Methods for the epidemiology of child and adolescent mental disorders study. J Am Acad Child Adolesc Psychiatry 35:889–897

    Article  PubMed  CAS  Google Scholar 

  2. Sourander A, Helstelä L, Ristkari T, Ikaheimo K, Helenius H, Piha J (2001) Child and adolescent mental health service use in Finland. Soc Psychiatry Psychiatr Epidemiol 36:294–298

    Article  PubMed  CAS  Google Scholar 

  3. Sourander A, Multimäki P, Santalahti P, Parkkola K, Haavisto A, Helenius H, Nikolakaros G, Piha J, Tamminen T, Moilanen I, Kumpulainen K, Aronen ET, Linna S-L, Puura K, Almqvist F (2004) Mental health service use among 18-year-old adolescent boys. A prospective 10-year follow-up study. J Am Acad Child Adolesc Psychiatry 43:1250–1258

    Article  PubMed  Google Scholar 

  4. Zwaanswijk M, Van Der Ende J, Verhaak PFM, Bensing JM, Verhulst FC (2003) Factors associated with adolescent mental health service need and utilization. J Am Acad Child Adolesc Psychiatry 42:692–700

    Article  PubMed  Google Scholar 

  5. Sourander A, Haavisto A, Ronning JA, Multimäki P, Parkkola K, Santalahti P, Nikolakaros G, Helenius H, Moilanen I, Tamminen T, Piha J, Kumpulainen K, Almqvist F (2005) Recognition of psychiatric disorders, and self-perceived problems. A follow-up study from age 8 to age 18. J Child Psychol Psychiatry 46:1124–1134

    Article  PubMed  Google Scholar 

  6. Zwaanswijk M, Verhaak PFM, Bensing JM, Van Der Ende J, Verhulst FC (2003) Help seeking for emotional and behavioural problems in children and adolescents. Eur Child Adolesc Psychiatry 12:153–161

    Article  PubMed  Google Scholar 

  7. Sourander A, Helstelä L, Helenius H (1999) Parent–adolescent agreement on emotional and behavioral problems. Soc Psychiatry Psychiatr Epidemiol 34:657–663

    Article  PubMed  CAS  Google Scholar 

  8. Verhulst FC, Dekker MC, Van Der Ende J (1997) Parent, teacher and self-reports as predictors of signs of disturbance in adolescents: Whose information carries the most weight? Acta Psychiatr Scand 96:75–81

    PubMed  CAS  Google Scholar 

  9. Achenbach TM, McConaughy SH, Howell CT (1987) Child/adolescent behavioural and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull 101:213–232

    Article  PubMed  CAS  Google Scholar 

  10. Feehan M, McGee R, Williams S (1993) Mental health disorders from age 15 to age 18 years. Am Acad Child Adolesc Psychiatry 32:1118–1126

    Article  CAS  Google Scholar 

  11. Achenbach TM, Howell CT, McConaughy SH, Stanger C (1995) Six-year predictors of problems in a national sample, III: transition to young adult syndromes. J Am Acad Child Adolesc Psychiatry 34:658–669

    Article  PubMed  CAS  Google Scholar 

  12. Ferdinand RF, Verhulst FC (1995) Psychopathology from adolescence into young adulthood: An 8-year follow-up study. Am J Psychiatry 152:1586–1594

    PubMed  CAS  Google Scholar 

  13. Hofstra MB, Van Der Ende J, Verhulst FC (2002) Child and adolescent problems predict DSM-IV disorders in adulthood. A 14-year follow-up of Dutch epidemiological sample. J Am Acad Child Adolesc Psychiatry 41:182–189

    Article  PubMed  Google Scholar 

  14. Achenbach TM (1997) Manual for the young adult self-report and young adult self-report. Department of Psychiatry, University of Vermont, Burlington

    Google Scholar 

  15. Achenbach TM (1991) Manual for the child behavior checklist. Department of Psychiatry, University of Vermont, Burlington

    Google Scholar 

  16. Ferdinand RF, van der Reijden M, Verhulst FC, Nienhuis J, Giel R (1995) Assessment of the prevalence of psychiatric disorder in young adults. Br J Psychiatry 166:480–488

    Article  PubMed  CAS  Google Scholar 

  17. Cederblad M, Dahlin L, Hagnell O, Hansson K (1992) Coping with life span crises in a group at risk of mental and behavioural disorders: From the Lundby study. Acta Psychiatr Scand 91:322–330

    Google Scholar 

  18. Seifer R, Sameroff AJ, Baldwin CP, Baldwin A (1992) Child and family factors that ameliorate risk between 4 and 13 years of age. J Am Acad Child Adolesc Psychiatry 31:893–903

    PubMed  CAS  Google Scholar 

  19. Gribble PA, Cowen EL, Wyman PA, Work WC, Raoof A (1993) Parent and child views of parent–child relationship qualities and resilient outcomes among urban children. J Child Psychol Psychiatry 34:507–519

    PubMed  CAS  Google Scholar 

  20. Antonovsky A (1979) Health, stress and coping. Jossey-Bass, San Francisco

    Google Scholar 

  21. Antonovsky A (1987) Unravelling the mystery of health. How people manage stress and stay well. Jossey-Bass, San Francisco

    Google Scholar 

  22. Cederblad M, Hansson K (1996) Sense of coherence—a concept influencing health and quality of life in a Swedish psychiatric at-risk group. Isr J Med Sci 32:194–199

    PubMed  CAS  Google Scholar 

  23. Kivimäki M, Vahtera J, Thomson L, Griffiths A, Cox T, Pentti J (1997) Psychosocial factors predicting employee sickness absence during economic decline. J Appl Psychol 82:858–872

    Article  PubMed  Google Scholar 

  24. Suominen S, Blomberg H, Helenius H, Koskenvuo M (1999) Sense of coherence and health—does the association depend on resistance resources. Psychol Health 15:1–12

    Google Scholar 

  25. Petrie K, Brook R (1992) Sense of coherence, self esteem, depression and hopelessness as correlates of reattempting suicide. Br J Clin Psychol 31:293–300

    PubMed  Google Scholar 

  26. Carstens JA, Spangenberg JJ (1997) Major depression: A breakdown in sense of coherence. Psychol Rep 80:1211–1120

    PubMed  CAS  Google Scholar 

  27. Mehlum L (1998) Suicidal ideation and sense of coherence in male conscripts. Acta Psychiatr Scand 98:487–492

    PubMed  CAS  Google Scholar 

  28. Antonovsky H, Sagy S (1986) The development of a sense of coherence and its impact on responses to stress situations. J Soc Psychol 126:213–225

    PubMed  CAS  Google Scholar 

  29. Margalit M, Efrati M (1996) Loneliness, coherence and companionship among children with learning disorders. Educ Psychol 16:69–79

    Google Scholar 

  30. Baker LK (1998) Sense of coherence in adolescents with cystic fibrosis. In: McCubbin HI, Thompson EA, Thompson AI, Fromer JI (eds) Stress, coping, and health in families. Sense of coherence and resiliency, Sagy, Thousand Oaks, pp 107–124

    Google Scholar 

  31. Almqvist F, Ikäheimo K, Kumpulainen K, Tuompo-Johansson E, Linna S-L, Puura K, Moilanen I, Räsänen E, Tamminen T, Piha J (1999) Design and subjects of a Finnish epidemiological study on psychiatric disorders in childhood. Eur Child Adolesc Psychiatry 8(Suppl IV):3–6

    Article  PubMed  Google Scholar 

  32. Sourander A, Multimäki P, Nikolakaros G, Haavisto A, Ristkari T, Helenius H, Parkkola K, Piha J, Tamminen T, Moilanen I, Kumpulainen K, Almqvist F (2005) Childhood predictors of psychiatric disorders among boys. A prospective community based follow-up study from age 8 to early adulthood. J Am Acad Child Adolesc Psychiatry 44:756–767

    Article  PubMed  Google Scholar 

  33. Eriksson M, Lindström B (2005) Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Comm Health 59:460–466

    Article  Google Scholar 

  34. Ristkari T, Sourander A, Helenius H, Nikolakaros G, Salanterä S, Multimäki P, Parkkola K (2005) Sense of coherence among Finnish young men – a cross-sectional study at military call-up. Nord J Psychiatr 59:473–480

    Article  Google Scholar 

  35. Antonovsky A (1993) The structure and properties of the sense of coherence scale. Soc Sci Med 36:725–733

    Article  PubMed  CAS  Google Scholar 

  36. Larson G, Kallenberg K (1999) Dimensional analysis of sense of coherence using structural equation modelling. Eur J Pers 13:51–61

    Article  Google Scholar 

  37. Wolff AC, Ratner PA (1999) Stress, social support, and sense of coherence. West J Nurs Res 21:182–197

    Article  PubMed  CAS  Google Scholar 

  38. Jahnsen R, Villien L, Straghelle JK, Holm I (2002) Coping potential and disability sense of coherence in adults with cerebral palsy. Disabil Rehabil 24:511–518

    Article  PubMed  CAS  Google Scholar 

  39. Kaiser CF, Sattler DN, Bellack DR, Dersin JA (1996) Conversation of resources approach to a natural disaster: sense of coherence and psychological distress. J Soc Behav Pers 11:459–476

    Google Scholar 

  40. Langius A, Bjoervell H, Antonovsky A (1992) The sense of coherence concept and its relation to personality traits in Swedish samples. Scand J Caring Sci 6:165–171

    PubMed  CAS  Google Scholar 

  41. Soderfeldt M (2000) The impact of sense of coherence and high-demand/low-control job environment on self-reported health, burnout and psychophysiological stress indicators. Work Stress 14:1–15

    Article  Google Scholar 

  42. Pietilä A-M (1994) Factors associated with life control in young men. J Adv Nursing 20:491–499

    Article  Google Scholar 

  43. Pietilä A-M, Hentinen M, Järvelin M-R (1994) Life control among young men in view of their childhood and adolescence. Scand J Caring Sci 8:231–237

    PubMed  Google Scholar 

  44. Garralda ME (1996) Somatisation in children. J Child Psych Psychiatry 37:13–33

    CAS  Google Scholar 

  45. Goodman JE, McGrath P (1991) The epidemiology of pain in children and adolescents: a review. Pain 46:247–264

    Article  PubMed  CAS  Google Scholar 

  46. Mikkelsson M, Sourander A, Piha J, Salminen J (1997) Psychiatric symptoms in preadolescents with musculosceletal pain and fibromyalgia. Pediatrics 100:220–227

    Article  PubMed  CAS  Google Scholar 

  47. Alfven G (1993) The covariation of common psychosomatic symptoms among children from economically differing residential areas: an epidemiological study. Acta Paediatr 82:484–487

    PubMed  CAS  Google Scholar 

  48. Egger HL, Angold A, Costello EJ (1998) Headaches and psychopathology in children and adolescents. J Am Acad Child Adolesc Psychiatry 37:951–958

    Article  PubMed  CAS  Google Scholar 

  49. Kristjansdottir G (1997) Prevalence of pain combinations and overall pain: a study of headache, stomach pain and back pain among schoolchildren. Scand J Soc Med 25:58–63

    PubMed  CAS  Google Scholar 

  50. Belmaker E, Espinoza R, Pogrund R (1985) Use of medical services by adolescents with non-specific somatic symptoms. Int J Adolesc Med Health 1:149–156

    Google Scholar 

  51. Aro H, Paronen O, Aro S (1987) Psychosomatic symptoms among 14–16 year old Finnish adolescents. Soc Psychiatry 22:171–176

    Article  PubMed  CAS  Google Scholar 

  52. Grannis JC (1992) Students’ stress, distress, and achievement in an urban intermediate school. J Early Adolesc 12:4–27

    Google Scholar 

  53. Ystgaard M (1997) Life stress, social support and psychological distress in late adolescence. Soc Psychiatry Psychiatr Epidemiol 32:277–283

    Article  PubMed  CAS  Google Scholar 

  54. Egger HL, Costello EJ, Erkanli A, Angold A (1999) Somatic complaints and psychopathology in children and adolescents: stomach aches, musculoskeletal pains, and headaches. J Am Acad Child Adolesc Psychiatry 38:852–860

    Article  PubMed  CAS  Google Scholar 

  55. Bueno L, Fioramonti J, Delvaux M, Frexinos J (1997) Mediators and pharmacology of visceral sensitivity: from basic to clinical investigations. Gastroenterology 112:1714–1743

    Article  PubMed  CAS  Google Scholar 

  56. Woods SW, Miller TJ, McGlashan TM (2001) The “prodromal” patient: both symptomatic and at-risk. CNS Spectrums 3:223–232

    Google Scholar 

  57. Meyer SE, Bearden CE, Lux SR, Gordon JL, Johnson JK, O’Brien MP, Niendam TA, Loewy RL, Ventura J, Cannon TD (2005) The psychosis prodrome in adolescent patients viewed through the lens of DSM-IV. J Child Adolescent Psychopharmacol 3:434–451

    Article  Google Scholar 

  58. Roberts RE, Attkinsson CC, Rosenblatt A (1998) Prevalence of psychopathology among children and adolescents. Am J Psychiatry 155:715–725

    PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported by Finnish Cultural Foundation, Sigrid Juselius Foundation, and by research funding from Turku Municipal Health Department (EVO).

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Correspondence to Terja Ristkari RN, MNSc.

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Ristkari, T., Sourander, A., Ronning, J. et al. Self-reported psychopathology, adaptive functioning and sense of coherence, and psychiatric diagnosis among young men. Soc Psychiat Epidemiol 41, 523–531 (2006). https://doi.org/10.1007/s00127-006-0059-x

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