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Changes in adolescents mental health and use of alcohol and tobacco: a 10-year time-trend study of Finnish adolescents

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Abstract

The present study examines the 10-year time-trend changes of adolescent psychiatric symptoms, smoking and alcohol use. Representative population-based samples with same methods at two time-points, same age range and with 10-year period between the time points were gathered in Finland to investigate secular changes in adolescents’ emotional and behavioral problems. Seventh and ninth grade students filled in the Strengths and Difficulties Questionnaire (SDQ) and questions regarding alcohol use and smoking anonymously during a school lesson in 1998 (n = 1458) and 2008 (n = 1569). The self-reports of SDQ showed substantial stability in emotional and behavioral problems from 1998 to 2008. There was no increase between the two timepoints in self-reports of SDQ total, conduct, hyperactivity, emotional or peer problems when using the 90th percentile clinical cut-off points. However, there was a trend showing decreasing prosocial behavior among girls indicating that proportions of adolescent boys and girls having problems in prosocial behavior have converged, The self-reported alcohol use, drunkenness and cigarette smoking decreased within the 10-year time period. Of alcohol use, the number of non-users increased from 44 to 63 % between the years 1998 and 2008. Similarly, the proportion of non-smokers increased from 56 to 68 %. Although rates of substance use declined within the 10-year study period, drunkenness-oriented alcohol use and regular smoking are still prevalent among Finnish adolescents.

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References

  1. Achenbach TM, Dumenci L, Rescola LA (2003) Are American children’s problems still getting worse? A 23-year comparison. J Abnorm Child Psychol 33:1–11

    Article  Google Scholar 

  2. Achenbach TM, Dumenci L, Rescola LA (2002) Ten-year comparison for problems and competencies for national samples of youth: self, parent and teacher reports. J Emot Behav Disord 10:194–203

    Article  Google Scholar 

  3. Autti-Rämö I, Seppänen J, Raitasalo R, Martikainen JE, Sourander A (2009) Increase in use of psychotropics among adolescents and young adults since the beginning of the 21st century. J Finn Med Assoc (In Finnish) 64:477–482

    Google Scholar 

  4. Collishaw S, Maughan B, Goodman R, Pickles A (2004) Time trends in adolescent mental health. J Child Psychol Psychiatry 45(8):1350–1362

    Article  PubMed  Google Scholar 

  5. Costello EJ, Erkanli A, Angold A (2006) Is there an epidemic of child and adolescent depression? J Child Psychol Psychiatry 47:1263–1271

    Google Scholar 

  6. Goodman R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 38:581–586

    Article  PubMed  CAS  Google Scholar 

  7. Goodman R, Scott S (1999) Comparing the Strengths and Difficulties Questionnaire and the child behavior checklist: is small beautiful? J Abnorm Child Psychol 27:17–24

    Article  PubMed  CAS  Google Scholar 

  8. Hibell B, Guttormsson U, Ahlström S, Balakireva O, Bjarnason T, Kokkevi A, Kraus L (2009) The 2007 ESPAD report. Substance use among students in 35 European countries. The Swedish Council for Information on Alcohol and Other Drugs, Stockholm, Sweden. http://www.espad.org. Accessed 10 Jan 2010

  9. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE (2008) Monitoring the future national survey results on drug use, 1975–2007, vol I: Secondary school students (NIH Publication No. 08–6418A). National Institute on Drug Abuse, Bethesda, p 707

    Google Scholar 

  10. Koskelainen M, Sourander A, Kaljonen A (2000) The Strengths and Difficulties Questionnaire among Finnish school aged children and adolescents. Eur Child Adolesc Psychiatry 9:277–284

    Article  PubMed  CAS  Google Scholar 

  11. Koskelainen M, Sourander A, Vauras M (2001) Self-reported strengths and difficulties in a community sample of Finnish adolescents. Eur Child Adolesc Psychiatry 10:180–185

    Article  PubMed  CAS  Google Scholar 

  12. Lundström B, Voutilainen A, Sourander A (2006) Use of psychostimulants in Finland. J Finn Med Assoc 49:5184–5189 (in Finnish)

    Google Scholar 

  13. Maughan B, Iervolino AC, Collishaw S (2005) Time trends in child and adolescent mental disorders. Curr Opin Psychiatry 18:381–385

    Article  PubMed  Google Scholar 

  14. Metso L, Ahlström S, Huhtanen P, Leppänen M, Pietilä E (2009) Alcohol and drug use among adolescents in Finland 1995–2007. ESPAD survey results. The National Institute for Health and Welfare (THL), Report 6/2009, Helsinki, pp 108 (in Finnish)

  15. Obel C, Heiervang E, Rodriguez A, Heyerdahl S, Smedje H, Sourander A, Guethmundsson O, Clench-Aas J, Christensen E, Heian F, Mathiesen KS, Magnússon P, Njarethvík U, Koskelainen M, Rønning JA, Stormark KM, Olsen J (2004) The Strengths and Difficulties Questionnaire in the Nordic countries. Eur Child Adolesc Psychiatry 13(Suppl 2):II32–II39

  16. Olfson M, Marcus SC (2009) National patterns in antidepressant medication treatment. Arch Gen Psychiatry 66:848–856

    Article  PubMed  Google Scholar 

  17. Olfson M, Marcus SC, Weissman MM, Jensen PS (2002) National trends in the use of psychotropic medications by children. J Am Acad Child Adolesc Psychiatry 41:514–521

    Article  PubMed  Google Scholar 

  18. Rainio S, Pere L, Lindfors P, Lavikainen H, Saarni L, Rimpelä A (2009) The Adolescent Health and Lifestyle Survey 2009. Adolescent smoking, alcohol and substance use in 1977–2009. Ministry of Social Affairs and Health, Helsinki, pp 97 (in Finnish)

  19. Ronning JA, Handegaard BH, Sourander A, Morch W-T (2004) The Strengths and Difficulties Self-Report Questionnaire as a screening instrument in Norwegian community samples. Eur Child Adolesc Psychiatry 13:73–82

    Article  PubMed  Google Scholar 

  20. Rutter M, Smith DJ (1995) Time trends in psychosocial disorders of youth. In: Rutter M, Smith DJ (eds) Psychosocial disorders in young people. Time Trends and Their Causes. Wiley, New York, pp 764–781

    Google Scholar 

  21. Smedje H, Broman JE, Hetta J, von Knorring AL (1999) Psychometric properties of a Swedish version of the “Strengths and Difficulties Questionnaire”. Eur Child Adolesc Psychiatry 8:63–70

    Article  PubMed  CAS  Google Scholar 

  22. Sourander A, Koskelainen M, Helenius H (1999) Mood, latitude and seasonality among adolescents. J Am Acad Child Adolesc Psychiatry 38:1271–1276

    Article  PubMed  CAS  Google Scholar 

  23. Sourander A, Niemelä S, Santalahti P, Helenius H, Piha J (2008) Changes in psychiatric problems and service use among 8-year-old children: a 16-year population-based time-trend study. J Am Acad Child Adolesc Psychatry 47:317–327

    Article  Google Scholar 

  24. Tick NT, van der Ende J, Verhulst FC (2008) Ten-year trends in self-reported emotional and behavioral problems of Dutch adolescents. Soc Psychaitry Psychaitr Epidemiol 43:349–355

    Article  Google Scholar 

  25. Vitiello B (2008) An international perspective on pediatric psychopharmacology. Int Rev Psychiatry 20:121–126

    Article  PubMed  Google Scholar 

  26. West P, Sweeting H (2003) Fifteen, female and stressed: changing patterns of psychological distress over time. J Child Psychol Psychiatry 44:399–411

    Article  PubMed  Google Scholar 

  27. Wångby M, Magnusson D, Stattin H (2005) Time trends in the adjustment of Swedish teenage girls: a 26-year comparison of 15-year-olds. Scand J Psychol 46:145–156

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was funded by grants from Finnish Pediatric Research Foundation and Finnish-Swedish Medical association. We thank Ms Anniina Helenius, Ms Saana Sourander and Ms Vilja Salo for assistance in collecting the data.

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Authors and Affiliations

  1. Department of Child Psychiatry, Turku University Hospital, University of Turku, 20520, Turku, Finland

    Andre Sourander, Maria Rihko, Terja Ristkari & Jarna Lindroos

  2. Department of Child Psychiatry, Helsinki University Hospital, Helsinki, Finland

    Merja Koskelainen

  3. Department of Psychiatry, University of Turku, Turku, Finland

    Solja Niemelä

Authors
  1. Andre Sourander
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  2. Merja Koskelainen
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  3. Solja Niemelä
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  4. Maria Rihko
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  5. Terja Ristkari
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  6. Jarna Lindroos
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Correspondence to Andre Sourander.

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Sourander, A., Koskelainen, M., Niemelä, S. et al. Changes in adolescents mental health and use of alcohol and tobacco: a 10-year time-trend study of Finnish adolescents. Eur Child Adolesc Psychiatry 21, 665–671 (2012). https://doi.org/10.1007/s00787-012-0303-8

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  • DOI: https://doi.org/10.1007/s00787-012-0303-8

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