Sex/gender differences in individual and joint trajectories of common mental health symptoms in early to middle adolescence.

Aja Louise Murray,Lydia Speyer,Ruth Brown,Xinxin Zhu,Anastasia Ushakova,Bonnie Auyeung

doi:10.1002/jcv2.12057

Aja Louise Murray, Lydia Speyer + Show 4 more

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https://doi.org/10.1002/jcv2.12057

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Abstract

Early to middle adolescence is a critical period of development for mental health issues. Illuminating sex/gender differences in mental health trajectories in this period is important for targeting screening and preventive interventions; however, evidence to date on the extent and nature of sex/gender differences in common mental health issue trajectories in this period has produced mixed findings. There is a particular gap in our knowledge of sex/gender differences in the joint trajectories of commonly co-occurring mental health issues in adolescence, given the strong tendency for mental health issues to co-occur. We applied sex/gender-stratified latent class growth analysis to an age-heterogeneous cohort (age 10-15) derived from the population-representative UK Household Longitudinal Study. We explored sex/gender differences in attention deficit hyperactivity disorder (ADHD) symptoms, internalizing problems, and conduct problems individually and jointly. We found indications of sex/gender differences in a number of areas. There were fewer classes in the optimal model to describe the heterogeneity in internalizing problems and conduct problems trajectories in males and females respectively. Further, for ADHD, affected males were more likely to enter adolescence with already elevated symptoms whereas affected female trajectories were characterized by an escalation of symptoms during adolescence. There are sex/gender differences in the levels and trajectories of specific mental health symptoms in early to middle adolescence; however, in both males and females there is a strong tendency for multiple issues to co-occur.

Highlights

To middle adolescence is a critical period of development where mental health issues are liable to emerge or escalate (Kessler et al, 2005)
The LMR test selected a 3‐class model for attention deficit hyperactivity disorder (ADHD) symptoms, a 2‐class model for conduct problems, a 3‐class model for internalizing problems, and a 3‐class models for the joint trajectory groups
The LMR test selected a 3‐class model for ADHD symptoms, a 3‐class model for conduct problems, and a 2‐class model for internalizing problems

Summary

Introduction

To middle adolescence is a critical period of development where mental health issues are liable to emerge or escalate (Kessler et al, 2005). It can be difficult to separate the effects of sex and gender because gendered socialization tends to begin early in life For this reason, unless otherwise stated, we use the term “sex/gender” to acknowledge their overlap. Unless otherwise stated, we use the term “sex/gender” to acknowledge their overlap Defined, those of female sex/gender tend to exhibit higher levels of internalizing problems such as anxiety and depression and males tend to exhibit higher levels of externalizing problems such as conduct and oppositional defiant disorder, as well as and neurodevelopmental issues including attention deficit hyperactivity disorder (ADHD) symptoms (see e.g., Booth & Murray, 2018, for a review). Conclusions: There are sex/gender differences in the levels and trajectories of specific mental health symptoms in early to middle adolescence; in both males and females there is a strong tendency for multiple issues to co‐occur

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