Evidence map›Paper›PMID 41862997›Full record

SynthesisArchives of public health = Archives belges de sante publique2026

The association between mental health problems in childhood and adolescence and educational and labor market outcomes in adulthood: a systematic review and meta-analysis of register data studies.

Mayke Nollet, Lianne Bakkum, Chris van Klaveren, Ilja Cornelisz, Ralph de Vries, Melvin Vooren

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of public health = Archives belges de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Mayke NolletDepartment of Educational and Family Studies, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, Amsterdam, The Netherlands. m.a.y.nollet@vu.nl.
Lianne BakkumDepartment of Educational and Family Studies, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, Amsterdam, The Netherlands.
Chris van KlaverenDepartment of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, Amsterdam, The Netherlands.
Ilja CorneliszDepartment of Educational and Family Studies, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, Amsterdam, The Netherlands.
Ralph de VriesMedical Library, Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.
Melvin VoorenDepartment of Educational and Family Studies, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, Amsterdam, The Netherlands.

Funding

Ministerie van Onderwijs, Cultuur en Wetenschap stab_FGB_12
6 · The paper itself

Abstract

backgroundIt remains unclear how different mental health problems relate to educational and labor market outcomes, and whether differences between demographic subpopulations exist. To better understand the long-term implications of early-life mental health issues, this systematic review and meta-analysis examined links between child/adolescent internalizing and externalizing mental health problems and different adult educational and labor market outcomes. In addition, differences between age, gender, and parental SES were explored.

methodsWe searched Ovid Medline, APA PsycInfo (Ebsco), ERIC (Ebsco), Web of Science (Core Collection), Scopus and Lens.org from December 12, 2023 up to January 13, 2026. Eligible studies used register data to report associations between children’s/adolescents’ mental health problems and adults’ educational/labor market outcomes. We included 434 odds ratios in the meta-analysis. The narrative synthesis included 713 other effect sizes. Outcomes about education, the labor market, and being Not in Education, Employment or Training (NEET) were analyzed.

resultsOf the 9,003 screened studies, 59 were included mainly from Nordic countries, Canada, and the Netherlands, comprising 1,147 effect sizes. Child/adolescent mental health problems were significantly associated with poorer adult educational outcomes (OR = 1.836; 95% CI = 1.399, 2.408) and labor market outcomes (OR = 1.736; 95% CI = 1.099, 2.744). The few studies on NEET often found that mental health problems were associated with a higher likelihood of being NEET. Externalizing problems were strongly associated with educational and labor market outcomes. For some combinations of mental health problems and outcomes, significant gender differences were found. High study heterogeneity was observed.

conclusionsChild/adolescent mental health problems are linked to adult educational and labor market outcomes, though specific problems relate differently to distinct outcomes. These findings highlight the need for targeted interventions. The heterogeneous results, a lack of causal studies, the limited generalizability of the results to different countries, and the small number of studies about externalizing problems and NEET warrant further causal research into specific combinations of mental health problems, outcomes, and subgroup populations.

trial registrationThe PROSPERO record for the study is CRD42023495149.

Indexed as

AdolescentChildEducationLabor marketMental healthMeta-analysisRegister data

Identifiers

PMID41862997
PMCPMC13126940

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.