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Linked head injury and conduct problem symptom pathways from early childhood to adolescence and their associated risks: evidence from the millennium cohort study

Linked head injury and conduct problem symptom pathways from early childhood to adolescence and their associated risks: evidence from the millennium cohort study
Linked head injury and conduct problem symptom pathways from early childhood to adolescence and their associated risks: evidence from the millennium cohort study

Conduct problems and head injuries increase the risk of delinquency and share a bidirectional association. However, how they link across development is unknown. The present study aimed to identify their linked developmental pathways and associated risk factors. Latent class analysis was modeled from Millennium Cohort Study data (n = 8,600) to identify linked pathways of conduct problem symptoms and head injuries. Head injuries were parent-reported from ages 3 to 14 and conduct problems from ages 3 to 17 using the Strengths and Difficulties Questionnaire (SDQ). Multinomial logistic regression then identified various risk factors associated with pathway membership. Four distinct pathways were identified. Most participants displayed low-level conduct problem symptoms and head injuries (n = 6,422; 74.7%). Three groups were characterized by clinically relevant levels of conduct problem symptoms and high-risk head injuries in childhood (n = 1,422; 16.5%), adolescence (n = 567; 6.6%), or persistent across development (n = 189; 2.2%). These clinically relevant pathways were associated with negative maternal parenting styles. These findings demonstrate how pathways of conduct problem symptoms are uniquely linked with distinct head injury pathways. Suggestions for general preventative intervention targets include early maternal negative parenting styles. Pathway-specific interventions are also required targeting cumulative risk at different ecological levels.

Birth cohort, conduct problems, head injury, latent class analysis
0954-5794
Carr, Hannah Rae
9a1d703f-7057-49d9-af3d-a809fd319a2d
Brandt, Valerie
e41f5832-70e4-407d-8a15-85b861761656
Golm, Dennis
ae337f61-561e-4d44-9cf3-3e5611c7b484
Hall, James
29e17a2b-dca0-4b91-be02-2ace4abaa6c4
Carr, Hannah Rae
9a1d703f-7057-49d9-af3d-a809fd319a2d
Brandt, Valerie
e41f5832-70e4-407d-8a15-85b861761656
Golm, Dennis
ae337f61-561e-4d44-9cf3-3e5611c7b484
Hall, James
29e17a2b-dca0-4b91-be02-2ace4abaa6c4

Carr, Hannah Rae, Brandt, Valerie, Golm, Dennis and Hall, James (2023) Linked head injury and conduct problem symptom pathways from early childhood to adolescence and their associated risks: evidence from the millennium cohort study. Development and Psychopathology. (doi:10.1017/S0954579423001062).

Record type: Article

Abstract

Conduct problems and head injuries increase the risk of delinquency and share a bidirectional association. However, how they link across development is unknown. The present study aimed to identify their linked developmental pathways and associated risk factors. Latent class analysis was modeled from Millennium Cohort Study data (n = 8,600) to identify linked pathways of conduct problem symptoms and head injuries. Head injuries were parent-reported from ages 3 to 14 and conduct problems from ages 3 to 17 using the Strengths and Difficulties Questionnaire (SDQ). Multinomial logistic regression then identified various risk factors associated with pathway membership. Four distinct pathways were identified. Most participants displayed low-level conduct problem symptoms and head injuries (n = 6,422; 74.7%). Three groups were characterized by clinically relevant levels of conduct problem symptoms and high-risk head injuries in childhood (n = 1,422; 16.5%), adolescence (n = 567; 6.6%), or persistent across development (n = 189; 2.2%). These clinically relevant pathways were associated with negative maternal parenting styles. These findings demonstrate how pathways of conduct problem symptoms are uniquely linked with distinct head injury pathways. Suggestions for general preventative intervention targets include early maternal negative parenting styles. Pathway-specific interventions are also required targeting cumulative risk at different ecological levels.

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Accepted/In Press date: 3 August 2023
e-pub ahead of print date: 4 September 2023
Published date: 4 September 2023
Additional Information: Funding Information: No funding was received toward this work, but HC has received PhD funding from the Economic and Social Research Council South Coast Doctoral Training Partnership (Grant Number ES/P000673/1) and would like to thank them for the research opportunity. The authors report no competing interests. Publisher Copyright: © The Author(s), 2023. Published by Cambridge University Press.
Keywords: Birth cohort, conduct problems, head injury, latent class analysis

Identifiers

Local EPrints ID: 480662
URI: http://eprints.soton.ac.uk/id/eprint/480662
ISSN: 0954-5794
PURE UUID: ef483904-8fca-45e9-bd0b-25547493a40e
ORCID for Hannah Rae Carr: ORCID iD orcid.org/0000-0001-8348-7325
ORCID for Dennis Golm: ORCID iD orcid.org/0000-0002-2950-7935
ORCID for James Hall: ORCID iD orcid.org/0000-0001-8002-0922

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Date deposited: 08 Aug 2023 16:39
Last modified: 18 Mar 2024 03:41

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Contributors

Author: Hannah Rae Carr ORCID iD
Author: Valerie Brandt
Author: Dennis Golm ORCID iD
Author: James Hall ORCID iD

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