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. 2009 Jan 8:338:a2981.
doi: 10.1136/bmj.a2981.

Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort

Ian Colman  1 , Joseph Murray, Rosemary A Abbott, Barbara Maughan, Diana Kuh, Tim J Croudace, Peter B Jones
Affiliations

Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort

Ian Colman et al. BMJ. .

Abstract

Objective: To describe long term outcomes associated with externalising behaviour in adolescence, defined in this study as conduct problems reported by a teacher, in a population based sample.

Design: Longitudinal study from age 13-53.

Setting: The Medical Research Council National Survey of Health and Development (the British 1946 birth cohort).

Participants: 3652 survey members assessed by their teachers for symptoms of externalising behaviour at age 13 and 15.

Main outcome measures: Mental disorder, alcohol abuse, relationship difficulties, highest level of education, social class, unemployment, and financial difficulties at ages 36-53.

Results: 348 adolescents were identified with severe externalising behaviour, 1051 with mild externalising behaviour, and 2253 with no externalising behaviour. All negative outcomes measured in adulthood were more common in those with severe or mild externalising behaviour in adolescence, as rated by teachers, compared with those with no externalising behaviour. Adolescents with severe externalising behaviour were more likely to leave school without any qualifications (65.2%; adjusted odds ratio 4.0, 95% confidence interval 2.9 to 5.5), as were those with mild externalising behaviour (52.2%; 2.3, 1.9 to 2.8), compared with those with no externalising behaviour (30.8%). On a composite measure of global adversity throughout adulthood that included mental health, family life and relationships, and educational and economic problems, those with severe externalising behaviour scored significantly higher (40.1% in top quarter), as did those with mild externalising behaviour (28.3%), compared with those with no externalising behaviour (17.0%).

Conclusions: Adolescents who exhibit externalising behaviour experience multiple social and health impairments that adversely affect them, their families, and society throughout adult life.

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Conflict of interest statement

Competing interests: None declared.

Figures

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Flow diagram of sample included in analyses over time
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References

    1. Ford T, Goodman R, Meltzer H. The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry 2003;42:1203-11. - PubMed
    1. Costello EJ, Angold A, Burns BJ, Stangl DK, Tweed DL, Erkanli A, et al. The Great Smoky Mountains study of youth. Goals, design, methods, and the prevalence of DSM-III-R disorders. Arch Gen Psychiatry 1996;53:1129-36. - PubMed
    1. Lambert EW, Wahler RG, Andrade AR, Bickman L. Looking for the disorder in conduct disorder. J Abnorm Psychol 2001;110:110-23. - PubMed
    1. Collishaw S, Maughan B, Goodman R, Pickles A. Time trends in adolescent mental health. J Child Psychol Psychiatry 2004;45:1350-62. - PubMed
    1. Robins LN. Deviant children grown up: a sociological and psychiatric study of a sociopathic personality. Baltimore: William & Wilkins, 1966.

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