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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从童年到青春期心理健康问题的持续性和进程：10年纵向研究的结果


儿童和青少年 (CA) 的心理健康问题 (MHP) 很常见。这项纵向研究根据未来家庭项目 (N = 230) 的样本，分析了从儿童期到青春期 10 年间 MHP 的患病率、病程和持续性。在预评估时，孩子的平均年龄为 5 (SE = 1)，母亲的平均年龄为 35 (SE = 5)。使用了描述性方法、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 患有边缘性临床或临床相关的 MHP。样本中最大比例是稳定健康的（70%），而 15% 的 CA 表现出慢性精神疾病，8% 是短暂的，4% 是阴性，4% 是阳性病程。母亲的心理健康状况被证明是慢性精神疾病的决定性预测因素。从一个评估点到下一评估点的短期持续率在 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%）。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患有临床相关 MHP 的儿童接受心理或精神护理。预防计划应被视为减少德国儿童痛苦的有效且经济的方法。