ArticleEuropean child & adolescent psychiatry2015
The longitudinal BELLA study: design, methods and first results on the course of mental health problems.
Article in European child & adolescent psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03423576 (Effects of a Comprehensive Patient-centered Health Service With a Focus on Psychosocial Services for Patients With Rare Diseases Using Cystic Fibrosis as an Example), which is not on this map. Cited by 62 papers, 3 of them syntheses that pooled it.
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Effects of a Comprehensive Patient-centered Health Service With a Focus on Psychosocial Services for Patients With Rare Diseases Using Cystic Fibrosis as an Example (Evaluation Eines Ganzheitlichen Patientenzentrierten Versorgungsmodells für Patienten Mit Seltenen Erkrankungen Unter Besonderer Berücksichtigung Der Psychosozialen Versorgung am Beispiel Mukoviszidose)
Who cites it
62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.
- Mental disorders among adults formerly in out-of-home care: a systematic review and meta-analysis of longitudinal studies.European child & adolescent psychiatry · 2022Pooled it
- Association of insulin-manipulation and psychiatric disorders: A systematic epidemiological evaluation of adolescents with type 1 diabetes in Austria.Pediatric diabetes · 2019Pooled it
- Mental Health Problems in a School Setting in Children and Adolescents.Deutsches Arzteblatt international · 2016Pooled it
- Self-regulation as a resource for coping with developmental challenges during middle childhood and adolescence: the prospective longitudinal PIERBMC psychology · 2023Trial
- The 'UPIC' cohort: a nationwide prospective study of mental health among adolescents and young adults in Sweden - a study protocol.BMJ open · 2026Article
- The association of parental COVID-19 vaccination decisions with the mental health and lifestyle of children and adolescents.Scientific reports · 2026Article
- Children's mental health symptoms over three decades (1993-2022): a comparison of population-based cross-sectional samples.European child & adolescent psychiatry · 2026Article
- Two decades of loneliness among children and adolescents: longitudinal trends, risks and resources - Results from the German BELLA and COPSY studies.European child & adolescent psychiatry · 2025Article
- Self-reported mental health in school-aged children using the Dominic Interactive questionnaire in the French Enabee 2022 study.European child & adolescent psychiatry · 2025Article
- Gender and Age Differences in ADHD Symptoms and Co-occurring Depression and Anxiety Symptoms Among Children and Adolescents in the BELLA Study.Child psychiatry and human development · 2025Review
- Socioeconomic Status, Protective Factors, and Mental Health Problems in Transition from Adolescence to Emerging Adulthood: Results of the Longitudinal BELLA Study.Child psychiatry and human development · 2025Article
- Associations of 24-hour movement behaviors with emotional and behavioral problems among Chinese adolescents.Social psychiatry and psychiatric epidemiology · 2025Article
- Article
- Differences in frequency between administrative and parent-reported ADHD diagnosis data of children and adolescents taking sociodemographic characteristics into account - Results from the consortium project INTEGRATE-ADHD.Journal of health monitoring · 2024Article
- Comparative study of children's mental health outcomes in Tyrol, Austria, and South Tyrol, Italy, during the COVID-19 pandemic.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2024Article
- Diagnostic trajectories of mental disorders in children and adolescents: a cohort study.European child & adolescent psychiatry · 2024Article
- Investigation of Dental and Oral Health in Children and Adolescents with Special Support Needs from a Child and Adolescent Psychiatric Perspective.Children (Basel, Switzerland) · 2024Article
- Mental health problems and suicidal behavior from adolescence to young adulthood in college: linking two population-based studies.European child & adolescent psychiatry · 2024Article
- Effect of elevated depressive symptoms during adolescence on health-related quality of life in young adulthood-a six-year cohort study with repeated exposure measurements.Frontiers in pediatrics · 2024Article
- The youth mental health crisis: Quasi-experimental evidence on the role of school closures.Science advances · 2023Article
2 more citing papers are in PubMed but not listed here.
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The high prevalence of mental health problems (MHP) in childhood and adolescence is a global health challenge of the 21st century. Information about age of onset, persistence and development of MHP in young people is necessary to implement effective prevention and intervention strategies. We describe the design and methods of the longitudinal BELLA study, which investigates developmental trajectories of MHP from childhood into adulthood, their determinants, and the utilisation of mental health services. First results on the developmental course of MHP in children and adolescents are reported over a 6-year period. The BELLA study is the mental health module of the German National Health Interview and Examination Survey for children and adolescents (KiGGS). BELLA examines the mental health and well-being of children and adolescents aged 7-17 years (a representative subsample of KiGGS, n = 2,863 at baseline). Standardised screening measures served to identify MHP at baseline and at follow-ups (1, 2, and 6 years later). Among children and adolescents participating at all measurement points (n = 1,255), 10 % showed clinically significant MHP at baseline (n = 130). Over the 6-year period, 74.3 % showed no signs of MHP (n = 933), 15.5 % had remitted (n = 194), 2.9 % showed persistent (n = 36) and 7.3 % acute or recurrent MHP (n = 92). Overall, MHP were more likely to occur between the age of 7 and 12 and after the age of 19 years. Regarding mental health service use, 33 % of the participants with acute or recurrent MHP (n = 30) and 63.9 % with persistent MHP used mental health services (n = 23). Mental health problems in children and adolescents have a high risk to persist into adulthood. In children and adolescents a low rate of mental health service use was observed, even among those with mental health problems.
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