Mental health problems (MHP) in children and adolescents (CA) are common. This longitudinal study analyzed the prevalence, course, and persistence of MHP over 10 years from childhood into adolescence based on a sample from the Future Family project (N = 230). At the pre-assessment point the children were on average 5 (SE = 1) and the mothers 35 (SE = 5) years old. Descriptive methods, Chi2-tests, binary logistic regression, and different analytical approaches (number chains, transition probability) were used. Approximately 24% of the CA suffered from borderline clinical or clinically relevant MHP. The largest proportion of the sample was stable healthy (70%), whereas 15% of the CA showed chronic mentally ill, 8% transient, 4% negative and 4% positive courses. The mental health of the mother proved to be a decisive predictor for chronic mentally ill courses. Short-term persistence rates ranged between 60 and 70% from one assessment point to the next one. On the other hand, long-term persistence rates (from childhood into adolescence) were lower (51–59%). One in seven children in this sample suffered from chronic MHP, while only one third of the CA in Germany with clinically relevant MHP take advantage of psychological or psychiatric care. Prevention programs should be considered as an effective and economic approach to reduce childhood suffering in Germany.

中文翻译：

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从儿童期到青春期的持续性心理健康问题及其病程：一项为期10年的纵向研究的结果

儿童和青少年（CA）的心理健康问题（MHP）很常见。这项纵向研究基于未来家庭项目（N = 230）的样本，分析了从儿童期到青春期的10年内MHP的患病率，病程和持续性。在评估前，孩子的平均年龄为5岁（SE = 1），母亲的平均年龄为35岁（SE = 5）。使用描述性方法，Chi2-检验，二元逻辑回归和不同的分析方法（数字链，转移概率）。大约24％的CA患有临界临床或临床相关的MHP。样本中最大的比例是稳定健康的（70％），而15％的CA表现为慢性精神病，8％的短暂性，4％的阴性和4％的阳性过程。母亲的心理健康被证明是慢性精神病病程的决定性预测因素。从一个评估点到下一个评估点，短期持续率在60％到70％之间。另一方面，长期坚持率（从儿童期到青春期）较低（51–59％）。在该样本中，七分之一的儿童患有慢性MHP，而德国只有三分之一的临床相关MHP的CA受益于心理或精神病治疗。预防计划应被视为减少德国儿童期痛苦的有效且经济的方法。在该样本中，七分之一的儿童患有慢性MHP，而德国只有三分之一的临床相关MHP的CA受益于心理或精神病治疗。预防计划应被视为减少德国儿童期痛苦的有效且经济的方法。在该样本中，七分之一的儿童患有慢性MHP，而德国只有三分之一的临床相关MHP的CA受益于心理或精神病治疗。预防计划应被视为减少德国儿童期痛苦的有效且经济的方法。