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Longitudinal Patterns of Strengths Among Youth with Psychiatric Disorders: A Latent Profile Transition Analysis

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Abstract

A better understanding of variability in the strengths of youth with psychiatric disorders is critical as a strength-based approach can lead to recovery. This study aimed to identify subgroups of strengths among youth with mental disorders and determine whether subgroups changes were associated with mental health recovery. Youth with mental disorders (N = 2228) from a statewide database were identified in the state fiscal year of 2019. Using the latent profile analysis and latent transition analysis, we identified three strength profiles (i.e., essential, usable, and buildable). Over 90% of youth sustained or developed strengths over time. Positive transitions were associated with mental health recovery, symptom reduction, and personal recovery. Buildable strengths supported youth’s personal recovery independent of improving mental health needs. The findings suggest that subgroups of strengths may be a promising source for planning and tracking youth’s progress and guiding clinicians to more efficiently allocate community-based resources.

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References

  1. Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O et al (2011) Child and adolescent mental health worldwide: Evidence for action. Lancet 378:1515–1525

    Article  Google Scholar 

  2. Green H, McGinnity Á, Meltzer H, Ford T, Goodman R (2005) Mental health of children and young people in Great Britain, 2004: Palgrave Macmillan Basingstoke

  3. Burstein B, Agostino H, Greenfield B (2019) Suicidal atempts and ideation among children and adolescents in US emergency departments, 2007–2015, 2007–2015. JAMA Pediatr 173:598–600

    Article  Google Scholar 

  4. Naghavi M (2019) Global burden of disease self-harm C: global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the global burden of disease study 2016. BMJ 364:l94

    Article  Google Scholar 

  5. Davis KE (2014) Expenditures for Treatment of Mental Health Disorders among Children, Ages 5–17, 2009–2011: Estimates for the U.S. Civilian Noninstitutionalized Population; in Statistical Brief (Medical Expenditure Panel Survey (US)). Rockville (MD)

  6. Birmaher B, Williamson DE, Dahl RE, Axelson DA, Kaufman J, Dorn LD, Ryan ND (2004) Clinical presentation and course of depression in youth: does onset in childhood differ from onset in adolescence? J Am Acad Child Adolesc Psychiatry 43:63–70

    Article  Google Scholar 

  7. Collishaw S (2015) Annual research review: secular trends in child and adolescent mental health. J Child Psychol Psychiatry 56:370–393

    Article  Google Scholar 

  8. Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Pouulton R (2003) Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 60:709–717

    Article  Google Scholar 

  9. Hammond W, Zimmerman R (2012) A strengths-based perspective. A report for resiliency initiatives:1–18

  10. Ladis BA, Macgowan M, Thomlison B, Fava NM, Huang H, Trucco EM et al (2019) Parent-focused preventive interventions for youth substance use and problem behaviors: a systematic review. Research on Social Work Practice 29:420–442

    Article  Google Scholar 

  11. McCaskey W (2008) The Strengths Approach: Victoria. St. Luke’s Innovative Resources

  12. Keyes CL, Lopez SJ (2009) Toward a science of mental health. Oxford handbook of positive psychology:89–95

  13. Cox K (2008) Tools for Building on Youth Strengths. Reclaiming Children & Youth 16

  14. Weick A, Chamberlain R (2002) Putting problems in their place: Further explorations in the strengths perspective. Streng Perspec Soc Work Prac 1:95–105

    Google Scholar 

  15. Tse S, Tsoi EW, Hamilton B, O’Hagan M, Shepherd G, Slade M et al (2016) Uses of strength-based interventions for people with serious mental illness: A critical review. Int J Soc Psychiatry 62:281–291

    Article  Google Scholar 

  16. Hui CL, Lee EH, Chang WC, Chen EY (2016) Letter to the Editor: Comparing delusional disorder and schizophrenia: a comment on Hui et al. (2015)-a reply. Psychol Med 46:1561–2

    Article  Google Scholar 

  17. Rapp CA, Sullivan WP (2014) The strengths model: birth to toddlerhood. Advances in Social Work 15:129–142

    Article  Google Scholar 

  18. Aldam SFS, Keliat BA, Wardani IY, Sulistiowati NMD, Florensa MVA (2019) Risk factors of mental health in adolescents: emotional, behavioral, family, and peer relationship problems. Compr Child Adolesc Nurs 42:284–290

    Article  Google Scholar 

  19. Segrin C (2019) Indirect effects of social skills on health through stress and loneliness. Health Commun 34:118–124

    Article  Google Scholar 

  20. Chen Y, Su J, Ren Z, Huo Y (2019) Optimism and mental health of minority students: moderating effects of cultural adaptability. Front Psychol 10:2545

    Article  Google Scholar 

  21. Yamada A-M, Lukoff D, Lim CS, Manuucuso LL (2020) Integrating spirituality and mental health: perspectives of adults receiving public mental health services in California. Psychology of Religion Spirituality 12:276

    Article  Google Scholar 

  22. Lee K (2020) Social support and self-esteem on the association between stressful life events and mental health outcomes among college students. Soc Work Health Care 59:387–407

    Article  Google Scholar 

  23. Rose T, Lindsey MA, Xiao Y, Finigan-Carr N, Joe S (2017) Mental health and educational experiences among black youth: a latent class analysis. J Youth Adolesc 46:2321–2340

    Article  Google Scholar 

  24. Lyons JS, Uziel-Miller ND, Reyes F, Sokol PT (2000) Strengths of children and adolescents in residential settings: prevalence and associations with psychopathology and discharge placement. J Am Acad Child Adolesc Psychiatry 39:176–181

    Article  Google Scholar 

  25. Luthar SS, Cicchetti D, Becker B (2000) The construct of resilience: a critical evaluation and guidelines for future work. Child development 71:543–562

    Article  Google Scholar 

  26. Masten AS (2014) Global perspectives on resilience in children and youth. Child development 85:6–20

    Article  Google Scholar 

  27. Werner EE, Smith RS (1989) Vulnerable, but invincible: a longitudinal study of resilient children and youth. Adams, Bannister, Cox, New York

    Google Scholar 

  28. Ungar M (2011) The social ecology of resilience: addressing contextual and cultural ambiguity of a nascent construct. Am J Orthopsychiatry 81:1–17

    Article  Google Scholar 

  29. Leon SC, Dickson DA (2019) The impact of kinship networks on foster care children’s outcomes. Fam Relat 68:169–184

    Article  Google Scholar 

  30. Scotto Rosato N, Baer JC (2012) Latent class analysis: a method for capturing heterogeneity. Social Work Research 36:61–69

    Article  Google Scholar 

  31. Hays K, Gilreath T (2017) Profiles of depression help seeking among black americans: a latent class approach. J Nerv Ment Dis 205:627–633

    Article  Google Scholar 

  32. Rusch N, Muller M, Ajdacic-Gross V, Rodgers S, Corrigan PW, Rossler W (2014) Shame, perceived knowledge and satisfaction associated with mental health as predictors of attitude patterns towards help-seeking. Epidemiol Psychiatr Sci 23:177–187

    Article  Google Scholar 

  33. von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbrouucke JP (2007) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Epidemiology 18:800–804

    Article  Google Scholar 

  34. Lyons JS (2009) Communimetrics: A communication theory of measurement in human service settings. Springer Science & Business Media

  35. Anderson RL, Lyons JS, Giles DM, Price JA, Estle G (2003) Reliability of the child and adolescent needs and strengths-mental health (CANS-MH) scale. J Child Fam Stud 12:279–289

    Article  Google Scholar 

  36. Cordell KD, Snowden LR, Hosier L (2016) Patterns and priorities of service need identified through the Child and Adolescent Needs and Strengths (CANS) assessment. Child Youth Serv Rev 60:129–135

    Article  Google Scholar 

  37. Walton BA, Kim H-W (2018) Validating a behavioral health instrument for adults: exploratory factor analysis. J Soc Serv Res 44:249–265

    Article  Google Scholar 

  38. Akaike H (1987) Factor analysis and AIC; in Selected papers of hirotugu akaike. Springer

  39. Schwarz G (1978) Estimating the dimension of a model. Ann Stat 6:461–464

    Article  Google Scholar 

  40. Sclove SL (1987) Application of model-selection criteria to some problems in multivariate analysis. Psychometrika 52:333–343

    Article  Google Scholar 

  41. Lo Y, Mendell NR, Rubin DB (2001) Testing the number of components in a normal mixture. Biometrika 88:767–778

    Article  Google Scholar 

  42. Lind C, Walsh C, Mccaffrey G, Wardle M-L, Johansson B, Juuuby B (2019) Youth strengths arise from the ashes of adversity. International Journal of Adolescence Youth 24:274–281

    Article  Google Scholar 

  43. Slesnick N, Zhang J, Brakenhoff B (2017) Personal control and service connection as paths to improved mental health and exiting homelessness among severely marginalized homeless youth. Children youth services review 73:121–127

    Article  Google Scholar 

  44. Conger R, Ge X (1999) Conflict and cohesion in families: Causes and consequences: Mahwah. Lawrence Erbaum Associates Publisher

  45. Kim KJ, Conger RD, Lorenz FO (2001) Parent–adolescent reciprocity in negative affect and its relation to early adult social development. Dev Psychol 37:775

    Article  Google Scholar 

  46. Pelham WE, Lang AR, Atkeson B, Murphy DA, Gnagy EM, Greiner AR et al (1997) Effects of deviant child behavior on parental distress and alcohol consumption in laboratory interactions. J Abnorm Child Psychol 25:413–424

    Article  Google Scholar 

  47. Bronfenbrenner U (1994) Ecological models of human development. Readings on the development of children. Elsevier, Oxford

    Google Scholar 

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Funding

Division of Mental Health and Addiction, Indiana Family & Social Service Administration (A55-5-49-15-UE-0203). The funding agency had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript, and decision to submit the manuscript for publication.

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Contributions

Study concept and design: Hong; Data acquisition and statistical analyses: Hong; Interpretation of data: All authors; Drafting of the manuscript: Hong and Rhee; Critical revision of the manuscript for important intellectual content: All authors. Hong had full access to all of the data in this study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

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Correspondence to Taeho Greg Rhee.

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Each author completed the ICMJE Form for Disclosure of Potential Conflicts of interest, and none reported.

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Hong, S., Walton, B., Kim, HW. et al. Longitudinal Patterns of Strengths Among Youth with Psychiatric Disorders: A Latent Profile Transition Analysis. Child Psychiatry Hum Dev 54, 1–8 (2023). https://doi.org/10.1007/s10578-021-01217-3

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  • DOI: https://doi.org/10.1007/s10578-021-01217-3

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