Latent profiles of early developmental vulnerabilities in a New South Wales child population at age 5 years

Green, Melissa; Tzoumakis, Stacy; Laurens, Kristin R.; Dean, Kimberlie; Kariuki, Maina; Harris, Felicity; O’Reilly, Nicole; Chilvers, Marilyn; Brinkman, Sally; Carr, Vaughan J.

doi:10.1177/0004867417740208

Cited by 28 publications

(34 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Class membership was determined via probability indicators (γ) and the associated item-response probabilities (ρ) for vulnerability indicators (see Supplementary Tables S2 and S3). The prevalence of the four putative early childhood risk classes in the current NSW sample is shown in Table 1, confirming our previously published solution in an earlier stage of NSW-CDS record linkages, where the initial LCA was limited to (n = 67,353) children with available parent data (Green et al, 2018b).…”

Section: Exposuressupporting

confidence: 85%

“…We also note the unavailability of linked child and parental health data for those not born in NSW or who may have since moved interstate. Second, we did not report models including risk factors related to perinatal adversities, despite their known associations with later onset mental illness (Fitzsimons et al, 2017;Tearne et al, 2015); we have already demonstrated the relatively small effects of these early life risk factors on age five developmental risk profiles (Green et al, 2018b). Third, we assigned children to their most likely LCA class for analysis, which can produce bias, although this is unlikely given the high probabilities with which children were originally classified by the LCA model.…”

Section: Discussionmentioning

confidence: 99%

“…For example, exposure to early life stress (such as childhood maltreatment) is an important, potentially modifiable risk factor for childhood psychopathology (Cicchetti and Toth, 2015) that has been consistently associated with mental disorders in adulthood (Kessler et al, 2010;Spinazzola et al, 2014;Van Nierop et al, 2015), including psychotic disorders (McGrath et al, 2017). Childhood maltreatment has also shown pervasive effects on early childhood developmental functioning assessed at school entry (Green et al, 2018b(Green et al, , 2018c. In addition, exposure to familial mental illness is well known to increase the risk of offspring mental disorder, and may reflect genetic influences and/or related familial (Davis et al, 2015) or social factors (Paksarian et al, 2018) that increase the risk of developing mental illness.…”

Section: Introductionmentioning

confidence: 99%

“…Early indicators of emerging childhood psychopathology may be risk factors for adult mental disorders (Althoff et al, 2010; Copeland et al, 2009; Costello et al, 2003; Kim-Cohen et al, 2003) and up to half of all adult psychiatric diagnoses could be averted with effective treatment provided to those showing signs of risk before the age of 15 years (Kim-Cohen et al, 2003). Putative risk for mental disorder can be identified via latent patterns of vulnerability across a range of early childhood developmental competencies, and may represent intermediate and potentially modifiable stages on developmental pathways to later psychopathology (Green et al, 2018b). Here, we examined the utility of early childhood developmental risk profiles as potential indicators of the likelihood of later childhood mental illness in a longitudinal population cohort study of children for whom intergenerational (child and parent) records from health, education and child protection services (from pre-birth to age ~13 years) were linked with an assessment of developmental vulnerability at the age of 5 years (Green et al, 2018a).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Early developmental risk for subsequent childhood mental disorders in an Australian population cohort

Green

Tzoumakis

Laurens

et al. 2018

Aust N Z J Psychiatry

Self Cite

View full text Add to dashboard Cite

Objective: We examined associations between developmental vulnerability profiles determined at the age of 5 years and subsequent childhood mental illness between ages 6 and 13 years in an Australian population cohort. Methods: Intergenerational records from New South Wales (NSW) Government Departments of Health and Child Protection spanning pre-birth to 13 years of age were linked with the 2009 Australian Early Development Census records for 86,668 children. Mental illness indices for children were extracted from health records between 2009 and 2016 (child's age of 6-13 years). Associations between mental disorder diagnoses and membership of early childhood risk groups, including those with established 'special needs' (3777, 4.3%) at school entry, or putative risk classes delineated via latent class analysis of Australian Early Development Census subdomains-referred to as 'pervasive risk' (N = 3479; 4.0%), 'misconduct risk' (N = 5773; 6.7%) or 'mild generalised risk' (N = 9542; 11%)-were estimated using multinomial logistic regression, relative to children showing 'no risk' (N = 64,097; 74%). Poisson regression models estimated the relative risk of a greater number of days recorded with mental health service contacts among children in each Australian Early Development Census risk group. Adjusted models included child's sex, socioeconomic disadvantage, child protection contacts and parental mental illness as covariates. Results: The crude odds of any mental disorder among children aged 6-13 years was increased approximately threefold in children showing pervasive risk or misconduct risk profiles at the age of 5 years, and approximately sevenfold in children with special needs, relative to children showing no risk; patterns of association largely remained after adjusting for covariates. Children with special needs and the misconduct risk class used mental health services over a greater number of days than the no risk class. Conclusion: Patterns of early childhood developmental vulnerability are associated with subsequent onset of mental disorders and have the potential to inform interventions to mitigate the risk for mental disorders in later childhood and adolescence.

show abstract

Section: Exposuressupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Early developmental risk for subsequent childhood mental disorders in an Australian population cohort

Green

Tzoumakis

Laurens

et al. 2018

Aust N Z J Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…Children's well-being, or lack of it, sets the path for their further development, which makes it imperative to identify, at an early age, those children who are in need of support services (Green et al 2018(Green et al , 2020Kovan et al 2014;McKee and Dillenburger 2012;Pölkki and Vornanen 2016;Treacy and Nohilly 2020). As Bartlett and Smith (2019) discussed, vulnerabilities caused by various traumas during the child's first years are widespread.…”

Section: Introductionmentioning

confidence: 99%

Collaboration of Child Protective Services and Early Childhood Educators: Enhancing the Well-Being of Children in Need

Toros

Tart

Falch‐Eriksen

2021

Early Childhood Educ J

View full text Add to dashboard Cite

Incidence of Early Police Contact Among Children With Emerging Mental Health Problems in Australia

et al. 2021

Self Cite

View full text Add to dashboard Cite

IMPORTANCE In adulthood and adolescence, mental health vulnerability is known to be associated with risk of criminal justice system contact as both a perpetrator and survivor of crime, but whether this association is apparent early in child development is unknown. Prevention of poor outcomes, including repeated contact with the criminal justice system, relies on the identification of vulnerability early in life and at the start of such contact.OBJECTIVE To ascertain whether children with emotional or behavioral problems and general developmental vulnerabilities are at an increased risk of subsequent contact with police as a person of interest, a survivor of crime, or a witness. DESIGN, SETTING, AND PARTICIPANTSThis cohort study used routinely collected data from the New South Wales Child Development Study in Australia. The cohort was composed of children who entered full-time schooling in New South Wales in 2009, had complete data for the emotional maturity domain of the Australian Early Development Census, and had no police contact before January 1, 2009. The children in the cohort were followed up until the age of 13 years. Data were analyzed from October 17, 2019, to May 13, 2020. EXPOSURES Emotional or behavioral problems and developmental risk profiles derived from the teacher-rated Australian Early Development Census. MAIN OUTCOMES AND MEASURES Incidence rates of police contact (as a person of interest, survivor of crime, or witness) were derived from the New South Wales Police Force Computerised Operational Policing System. RESULTS A total of 79 801 children (40 584 boys [50.9%]; 2009 mean [SD] age, 5.2 [0.37] years)were included. Children with teacher-identified emotional or behavioral problems at school entry had an incidence rate of police contact (for any reason) that was twice that of children without such problems (unadjusted hazard ratio [HR], 2.14; 95% CI, 1.94-2.37). Contact with police as a survivor of crime was most commonly recorded (7350 [9.2%]), but the strength of the association was greatest between emotional or behavioral problems and police contact as a person of interest (unadjusted HR, 4.75; 95% CI,). Incidence of police contact as a person of interest was high for children with a pervasive developmental risk profile (unadjusted HR, 13.80; 95% CI,. CONCLUSIONS AND RELEVANCEThis study found an association of emerging emotional or behavioral problems and developmental vulnerabilities with increased risk of police contact for any reason among young children, suggesting that this well-known association in adults and adolescents can be identified at an earlier developmental stage. These findings support primary and secondary (continued)

show abstract

Latent profiles of early developmental vulnerabilities in a New South Wales child population at age 5 years

Abstract: Patterns of early childhood developmental vulnerabilities may provide useful indicators for particular mental disorder outcomes in later life, although their predictive utility in this respect remains to be established in longitudinal follow-up of the cohort.

Cited by 28 publications

References 43 publications

Early developmental risk for subsequent childhood mental disorders in an Australian population cohort

Early developmental risk for subsequent childhood mental disorders in an Australian population cohort

Collaboration of Child Protective Services and Early Childhood Educators: Enhancing the Well-Being of Children in Need

Incidence of Early Police Contact Among Children With Emerging Mental Health Problems in Australia

Contact Info

Product

Resources

About