Research Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Research Department of Epidemiology and Public Health, University College London, London, United Kingdom.
J Adolesc Health. 2017 Oct;61(4):493-500. doi: 10.1016/j.jadohealth.2017.05.008. Epub 2017 Jul 18.
Engaging in exploratory risky behaviors and experiencing poor mental health during early adolescence are important markers for poor health during adulthood. Prior research suggests protective effects from cognition, but less is known about the associations between early childhood cognition and early adolescent psychosocial well-being, as identified by self-esteem, mental health, and exploratory risky behaviors. This article investigates the extent that early adolescent psychosocial well-being at the age of 11 years is associated with patterns of cognitive skills measured across the first decade of a child's life.
We used data collected from the four follow-up sweeps of the UK Millennium Cohort Study and utilized latent profile analysis to identify three discernible cognitive profiles (n = 16,899).
We find cohort members in low-achieving profiles to be more likely to engage in exploratory risky behaviors-drinking, smoking, and antisocial conduct-and to have poor self-esteem and more problem behaviors, compared with their peers in high-achieving profiles. Socioeconomic and family psychosocial markers considerably attenuated these disadvantages.
Understanding which adolescents have adverse psychosocial well-being has implications for the prevention of chronic diseases and for clinical care and policy.
在青少年早期从事探索性冒险行为和经历心理健康不良是成年期健康状况不佳的重要标志。先前的研究表明认知具有保护作用，但对于儿童早期认知与自我认同感、心理健康和探索性冒险行为所确定的青少年早期心理社会健康之间的关联知之甚少。本文探讨了 11 岁时青少年心理社会健康与整个儿童生命的第一个十年中测量的认知技能模式之间的关联程度。
我们使用了来自英国千禧年队列研究的四个随访调查的数据，并利用潜在剖面分析来确定三种不同的认知模式（n=16899）。
我们发现，与高成就模式的同龄人相比，低成就模式的队列成员更有可能从事探索性冒险行为（饮酒、吸烟和反社会行为），并且自尊心较低，行为问题更多。社会经济和家庭心理社会标志物大大减弱了这些劣势。
了解哪些青少年有不良的心理社会健康状况对于预防慢性病以及临床护理和政策具有重要意义。
