The separateness of social and emotional loneliness in childhood

BACKGROUND: Much of the childhood loneliness research is misleading because it confounds objective and subjective measures of loneliness. The overall aim of this research was to examine the relationship between social isolation and emotional loneliness. METHOD: Three extreme groups were identified in a sample of 640 4-9-year-old children. There were two ('rejected' [N=60] and 'lonely' [N=146]) in which social and emotional loneliness were unrelated. The first were socially isolated (rejected) but they did not feel lonely. The second group felt lonely but they were not socially isolated. The third group ('rejected/ lonely') consisted of 61 children who were rejected and also felt lonely. RESULTS: Felt loneliness and social rejection were experienced together by 61 children, but 206 children experienced either one or the other, but not both. The fourth and largest group [N=374] were neither rejected nor lonely. Differences between the groups were found on direct observation measures of solitariness, sociability, and aggression; peer reports of shyness, aggression, prosocial behaviour, disruptive behaviour and inability to take teasing; self-reports of self-worth and competence, self-reports of supportive relationships; and measures of language use. CONCLUSIONS: The results indicate that it is loneliness and not rejection that co-occurs with emotional problems.     

The development of prosocial behaviour in children and adolescents: a twin study

BACKGROUND: Childhood psychopathology is associated with both high and low levels of prosocial behaviour. It has been proposed that the development of prosocial behaviour shows emerging and consolidating individual differences as children grow older. The influences on these individual differences have not previously been examined in children and adolescents using multiple raters in a genetically informative design. METHODS: Twin data from 682 families based on parent and teacher reports were used to examine the genetic and environmental influences on prosocial behaviour in 5-16-year-olds. Effects of sex, age and rater were examined. RESULTS: There were no significant differences in the magnitude of genetic and environmental influence on male and female prosocial behaviour. Declining common environment and increasing genetic influences were seen with age. This emerged as a trend in parent data and reached statistical significance in teacher data. When parent and teacher data were examined together in a rater bias model significant bias acting on the parent ratings emerged, in keeping with previous discrepancies between parental and observational measures. There was overlap in the phenotype rated by parents and teachers, with a highly heritable common underlying phenotype. CONCLUSIONS: The influences on the distribution of prosocial behaviour in children and adolescents show declining shared environmental and increasing genetic influences with age. Parental assessments of prosocial behaviour show significantly higher scores than teacher reports and whilst there is overlap in the phenotype rated by parents and teachers, parents show significant bias in their ratings.     

Continuity of functional-somatic symptoms from late childhood to young adulthood in a community sample

BACKGROUND: The goal of this study was to assess the course of functional-somatic symptoms from late childhood to young adulthood and the associations of these symptoms with young adult psychopathology. METHODS: Data were collected in a large community sample at three different points in time (1994, 1997, and 2001). Functional-somatic symptoms were represented by nine self-reported items of the Youth Self Report (YSR) or the Young Adult Self Report (YASR). Only definite expressions of these symptoms were counted. RESULTS: Definite functional-somatic symptoms across time ranged between 1.0 and 2.6% for dizziness, 3.0 and 6.7% for overtiredness, 1.0 and 2.9% for aches and pains, 5.6 and 8.3% for headaches, 1.2 and 1.9% for nausea, 2.5 and 3.0% for stomach-ache, and .2 and .8% for vomiting. In general, symptoms were more common in females at various times. In high-scoring subjects there was a significantly higher chance of functional-somatic symptoms persisting across time. CONCLUSIONS: Functional-somatic symptoms in childhood and adolescents can be easily identified in the community. In high-scoring subjects they tend to persist from childhood to adulthood.     

A longitudinal twin study on the association between ADHD symptoms and reading

Background: Attention deficit hyperactivity disorder (ADHD) and reading disability commonly co‐occur because of shared genetic risk factors. However, the stability and change of these genetic influences and the predictive relationships underlying this association longitudinally remain unclear. Methods: ADHD symptoms and reading were assessed as continuous dimensions in a UK general population sample of approximately 7,000 twin pairs. Parent ratings of ADHD symptoms and teacher ratings of reading were obtained at two ages: middle childhood (ages 7–8 years) and early adolescence (ages 11–12 years). Cross‐lagged quantitative genetic analyses were applied. Results: ADHD symptoms and reading significantly predicted each other over time. However, ADHD symptoms were a significantly stronger predictor of reading than vice versa. Inattentive and hyperactive‐impulsive symptoms of ADHD both contributed to the prediction of reading, but inattentiveness was a significantly stronger predictor. Furthermore, ADHD symptoms and reading were highly heritable, and their association was primarily attributable to shared genetic influences. Despite notable genetic innovation for each trait, genetic factors involved in the association of ADHD symptoms and reading over time were highly stable. Conclusions: ADHD symptoms may put children at increased risk for reading problems and vice versa. Moreover, enduring genetic mechanisms appear to be important in the association of ADHD symptoms and reading over time.     

A social study of dwarfing conditions III. The social and emotional experiences of adults with bone dysplasias

ABSTRACT. Information about life styles and experiences was recorded from 57 dwarfed adults. Very few informants had themselves sought counselling with regard to growth, cause and inheritance, but most reported a prolonged "identity crisis" and feelings of anger as young adults.
Since World War II the average standard reached at school had risen from lower secondary to Year 10. Most informants had been in open employment at some stage, generally holding employee status positions in clerical jobs and trades.
Regular social activities with normal-sized peers were enjoyed by two-thirds of informants, but meeting with other dwarfed people brought mixed reactions. Twenty had married. Mental illness and behaviour disturbance were frequent in the households of the informants.
There was general dissatisfaction with medical and employment services available to dwarfed people. Public transport and other public facilities were rarely suited to the needs of dwarfed adults, who were very dependent upon owning suitably modified cars.     

A longitudinal twin study of the direction of effects between psychopathic personality and antisocial behaviour

Background:  Antisocial behaviour may partly develop as a consequence of psychopathic personality. However, neither the direction of effects nor the aetiology of the association has previously been clarified. The aim in this study was to investigate the direction of effects between psychopathic personality and antisocial behaviour, and to investigate the genetic and environmental contribution to this association.
Method:  Twins ( n  =   2,255) in the Swedish Twin Study of Child and Adolescent Development were prospectively followed from adolescence to adulthood. We used a longitudinal cross-lagged twin model to study the associations between psychopathic personality and antisocial behaviour.
Results:  Psychopathic personality in mid-adolescence predicted antisocial behaviour in adulthood ( p  < .001), but not the other way around. However, bidirectional effects were found when a measure of persistent antisocial behaviour (from age 8–9 to age 16–17) was used. Psychopathic personality predicted both rule-breaking behaviour ( p  < .001) and aggressive behaviour ( p  < .01). Genetic factors were of importance in mediating the longitudinal associations between psychopathic personality and antisocial behaviour.
Conclusions:  This study provides evidence that genetically influenced psychopathic personality is a robust predictor of adult antisocial behaviour, but also that persistent antisocial behaviour has an impact on adult psychopathic personality via genetic effects.     

Trends in adolescent emotional problems in England: a comparison of two national cohorts twenty years apart

Background: Evidence about trends in adolescent emotional problems (depression and anxiety) is inconclusive, because few studies have used comparable measures and samples at different points in time. We compared rates of adolescent emotional problems in two nationally representative English samples of youth 20 years apart using identical symptom screens in each survey. Methods: Nationally representative community samples of 16–17‐year‐olds living in England in 1986 and 2006 were compared. In 1986, 4524 adolescents and 7120 parents of young people participated in the age‐16‐year follow‐up of the 1970 British Cohort Study. In 2006, 719 adolescents and 734 parents participated in a follow‐up of children sampled from the 2002/2003 Health Surveys for England. Adolescents completed the Malaise Inventory and 12‐item General Health Questionnaire. Parents completed the Rutter‐A scale. Individual symptoms of depression and anxiety were coded combining across relevant questionnaire items. Young people also reported frequency of feeling anxious or depressed. Results: Youth‐ and parent‐reported emotional problems were more prevalent in 2006 for girls, and rates of parent‐reported problems increased for boys. Twice as many young people reported frequent feelings of depression or anxiety in 2006 as in 1986. Some symptoms showed marked change in prevalence over time (e.g., worry, irritability, fatigue), whereas others showed no change (e.g., loss of enjoyment, worthlessness). There was no evidence of differential trends in emotional problems for young people from socially advantaged and disadvantaged or intact and non‐intact families. Changes in family structure and ethnic composition did not account for trends in youth emotional problems. Conclusions: The study provides evidence for a substantial increase in adolescent emotional problems in England over recent decades, especially among girls.     

Nonshared environmental influences on teacher-reported behaviour problems: monozygotic twin differences in perceptions of the classroom

Background:  The identification of specific nonshared environments responsible for the variance in behaviour problems is a key challenge.
Methods:  Nonshared environmental influences on teacher-reported behaviour problems were explored independently of genetics using the monozygotic (MZ) twin differences design. Six aspects of classroom environment were rated by a representative sample of 570 nine-year-old MZ twins in the UK in different classrooms and were related to their different teachers' reports of prosocial behaviour, hyperactivity, conduct problems, peer problems and emotional symptoms.
Results:  Within-pair differences in perceptions of the classroom were significantly correlated with teacher-reported behaviour problems, indicating that children with less favourable perceptions of their classroom environment were reported by their teachers as less prosocial, more hyperactive, and to have more conduct and peer problems. Socioeconomic status did not significantly moderate any of these relationships. However, parent-reported household chaos was a significant moderator.
Conclusions:  The classroom environment is related to behaviour problems even when genetic factors are held constant. Classroom environment is more strongly associated with behaviour problems when the home environment is more chaotic.     

Comparison of self-reported emotional and behavioural problems in adolescents from Greece and Finland

AIM: To compare self-reported emotional and behavioural problems among Greek and Finnish adolescents. METHODS: Youth Self-Report scores were analysed for 3373 Greek adolescents aged 18 years and 7039 Finnish adolescents aged 15-16 years from the general population in both countries. The impact of country, gender, place of residence, socioeconomic status (SES) and family stability on the scores was evaluated. RESULTS: Only country and gender yielded small to medium effect on the scores. Greek boys scored significantly higher than Finns on 10 of the 11 YSR syndromes, particularly on the anxious/depressed scale. Greek girls scored significantly lower than Finnish girls on the somatic complaints and delinquent behaviour scales. In general, girls scored higher than boys on both internalising and externalising problems. The gender by country interaction revealed that Finnish girls reported more externalising problems. CONCLUSION: The main differences marked in this comparison were the higher level of anxiety and depression in Greeks than Finns and the higher level of externalising problems in Finnish girls than boys. Cultural standards could play an important role in explaining these differences. Overall, it seems that only a small number of differences exist between a northern and southern European region.     

Mental health and psychosocial functioning in adolescents with congenital heart disease. A comparison between adolescents born with severe heart defect and atrial septal defect

Twenty-six adolescents, aged 13–18 years, with severe congenital heart disease were matched for sex, age and living area with 26 adolescents with repaired atrial septal defect and regarded as physically fit. These two groups were compared according to somatic condition, psychopathology, psychosocial functioning and chronic family difficulties. A higher rate of psychiatric problems in the complex group, an association between psychosocial functioning and physical capacity, as well as an association between psychosocial functioning and chronic family difficulties were observed. These findings suggest that physical capacity is of crucial importance for mental health and functioning of adolescents with congenital heart disease. The association with chronic family difficulties also suggests that a comprehensive biopsychosocial approach is necessary in the treatment and rehabilitation of these patients.     

Maternal antenatal anxiety and behavioural/emotional problems in children: a test of a programming hypothesis

BACKGROUND: Previous animal investigations link antenatal stress with a range of persistent behavioural abnormalities in the offspring. The current study examined if the effect was also found in humans through middle childhood. METHODS: The current study is based on the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective, community-based study that has followed a cohort of women from pregnancy. Self-report measures of maternal anxiety and depression were assessed at repeated intervals in pregnancy and the postnatal period. Children's behavioural/emotional problems were assessed by parent report at age 47 and 81 months. Information on obstetric and psychosocial factors was obtained at several points in pregnancy and the postnatal period. RESULTS: Children whose mothers experienced high levels of anxiety in late pregnancy exhibited higher rates of behavioural/emotional problems at 81 months of age after controlling for obstetric risks, psychosocial disadvantage, and postnatal anxiety and depression (for girls, OR = 1.91, 95%CI = 1.26-2.89; for boys, OR = 2.16, 95%CI = 1.41-3.30). Furthermore, the effect at 81 months was comparable to what was previously obtained at 47 months, suggesting the kind of persistent effect proposed in the animal literature. CONCLUSIONS: There is evidence that antenatal stress/anxiety has a programming effect on the fetus which lasts at least until middle childhood.