Evidence map›Paper›PMID 37358606›Full record

ArticleSocial psychiatry and psychiatric epidemiology2024

Effects of mental health status during adolescence on primary care costs in adulthood across three British cohorts.

Derek King, Petra C Gronholm, Martin Knapp, Mauricio S Hoffmann, Eva-Maria Bonin, Nicola Brimblecombe, Rajendra Kadel, Barbara Maughan, Nick O'Shea, Marcus Richards and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Derek KingCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK. d.king@lse.ac.uk.
Petra C GronholmHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Martin KnappCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Mauricio S HoffmannCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Eva-Maria BoninCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Nicola BrimblecombeCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Rajendra KadelPublic Health Wales, Policy and International Health Directorate, WHO CC on Investment for Health and Wellbeing, Cardiff, UK.
Barbara MaughanSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Nick O'SheaChief Economist, Centre for Mental Health, London, UK.
Marcus RichardsMRC Unit for Lifelong Health and Ageing at UCL, University College London, London, UK.
Ties HoomansCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Sara Evans-LackoCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
London School of Economics and Political Science · GBKing's College London · GBCentre for Mental Health · GBMRC Unit for Lifelong Health and Ageing · GBPublic Health Wales · GBUniversidade Federal de Santa Maria · BR

Funding

UK Economic and Social Research Council ES/P002889/1
6 · The paper itself

Abstract

purposeThis study examines the association between mental health problems in adolescence and general practice (GP) costs during adulthood up to age 50 in the UK.

methodsWe conducted secondary analyses of three British birth cohorts (individuals born in single weeks in 1946, 1958 and 1970). Data for the three cohorts were analysed separately. All respondents who participated in the cohort studies were included. Adolescent mental health status was assessed in each cohort using the Rutter scale (or, for one cohort, a forerunner of that scale) completed in interviews with parents and teachers when cohort members were aged around 16. Presence and severity of conduct and emotional problems were modelled as independent variables in two-part regression models in which the dependent variable was costs of GP services from data collection sweeps up to mid-adulthood. All analyses were adjusted for covariates (cognitive ability, mother's education, housing tenure, father's social class and childhood physical disability).

resultsAdolescent conduct and emotional problems, particularly when coexisting, were associated with relatively high GP costs in adulthood up to age 50. Associations were generally stronger in females than males.

conclusionAssociations between adolescent mental health problems and annual GP cost were evident decades later, to age 50, suggesting that there could be significant future savings to healthcare budgets if rates of adolescent conduct and emotional problems could be reduced.

trial registrationNot applicable.

Indexed as

Mental DisordersPrimary Health CareAdolescentAdultCohort StudiesFemaleHealth Care CostsHumansMaleMental HealthMiddle AgedUnited KingdomYoung AdultAdolescenceBirth cohortGeneral practiceMental healthPrimary careService costs

Identifiers

PMID37358606
PMCPMC11116205
OpenAlexW4382011045

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.