Maternal psychopathology and offspring mental health service utilization in adolescents without mental disorders: a nati
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ORIGINAL CONTRIBUTION
Maternal psychopathology and offspring mental health service utilization in adolescents without mental disorders: a national representative survey Esther Stalujanis1,2 · Gunther Meinlschmidt2,3,4 · Angelo Belardi1 · Marion Tegethoff1,5 Received: 14 June 2019 / Accepted: 22 October 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019
Abstract We investigated whether maternal psychopathology predicts offspring mental health service utilization in adolescents without mental disorders. We used weighted data (N = 2317) from NCS-A participants (age: 13–18 years) who did not meet DSM-IV criteria for any lifetime mental disorder. Adolescent mental disorders were assessed with the WHO CIDI. Maternal psychopathology was obtained by self-report. Adolescent mental health service use was assessed with the Service Assessment for Children and Adolescents. Substantial associations between maternal psychopathology and mental health service use in offspring without mental disorders were found between affective disorders and the mental health/medical specialty (hazard ratio (HR) = 2.49, 95% confidence interval (CI) = 1.60–3.90) and any service sector (HR = 2.14, CI = 1.45–3.16), anxiety disorders and any service sector (HR = 1.63, CI = 1.13–2.35), behavior disorders and the school (HR = 3.69, CI = 1.39– 9.77) and any service sector (HR = 2.81, CI = 1.12–7.07), substance use disorders and the mental health/medical specialty (HR = 3.75, CI = 1.75–8.03), the school (HR = 3.17, CI = 1.43–7.02), and any service sector (HR = 3.66, CI = 2.00–6.70), and any mental disorder and the mental health/medical specialty (HR = 2.10, CI = 1.34–3.30) and any service sector (HR = 2.03, CI = 1.40–2.92). Results were comparable when restricting analyses to offspring with no indication of suicidality and no more than three life events during the past 12 months. The likelihood of service use was higher among offspring of mothers with mental disorders, compared to mothers without mental disorders. Considering maternal mental disorder status may help to identify subjects at risk of overtreatment. Keywords Adolescent · Maternal psychopathology · Mental health services · Overtreatment
Introduction Hereby, we acknowledge that the original collector of the data, ICPSR, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00787-019-01429-y) contains supplementary material, which is available to authorized users. * Marion Tegethoff [email protected] 1
Division of Clinical Psychology and Psychiatry, Department of Psychology, University of Basel, Missionsstrasse 60/62, 4055 Basel, Switzerland
Division of Clinical Psychology and Cognitive Behavioral Therapy, International Psychoanalytic University, Stromstrasse 1, 10555 Berlin, Germany
2
Child and adolescent mental health service research focused on the reduction of unmet treatment n
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