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Mental health and well-being from childhood to adulthood: design, methods and results of the 11-year follow-up of the BELLA study
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Conflicts of Interest
Identified Weaknesses
Rating Explanation
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Paper Summary
Paperzilla title
From Tiny Terrors to Twenty-Somethings: Tracking Mental Health and Wellbeing in German Youth
This 11-year follow-up study of German children, adolescents, and young adults found that general health and well-being tend to decline with age and are higher in males than females. Childhood mental health problems significantly predict poorer health outcomes in young adulthood, highlighting the need for early intervention and preventive measures, especially for children from lower socioeconomic backgrounds. A substantial number of children and adolescents with diagnosed mental disorders do not receive treatment.
Possible Conflicts of Interest
The BELLA study received funding from various sources, including the German Science Foundation and the German Federal Ministry of Health. However, no specific conflicts of interest related to the authors or the funding sources were disclosed in the paper. The involvement of the Robert Koch Institute, a German federal government agency, raises a possible, but not certain, conflict of interest.
Identified Weaknesses
Lack of multilingual data collection
The study acknowledges limitations in not collecting data in different languages, potentially affecting the representativeness of families with migration backgrounds. This could lead to biased interpretations and limit the generalizability of findings to diverse populations.
Cross-sectional analyses limit causal inference
The cross-sectional nature of some analyses prevents the establishment of causal relationships. While longitudinal data is available, not all research questions were addressed using this approach, thus limiting the ability to make strong causal inferences.
Potential attrition bias
Loss to follow-up is a common challenge in longitudinal studies, and despite efforts to compensate for it (e.g., weighting procedures, oversampling), potential biases due to attrition cannot be completely ruled out.
Limited assessment of mental health care use
Reliance on single items to assess mental health care use may not capture the complexity of this variable. Future research could benefit from more comprehensive assessments to gain deeper insights.
Rating Explanation
This is a strong longitudinal study with a large sample size, offering valuable insights into the developmental trajectories of mental health and well-being. The standardized measures and appropriate statistical analyses further enhance its rigor. However, the limitations regarding language diversity, attrition, cross-sectional analyses, and a limited assessment of mental health care use prevent a perfect score.
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Topic Hierarchy
File Information
Original Title:
Mental health and well-being from childhood to adulthood: design, methods and results of the 11-year follow-up of the BELLA study
File Name:
s00787-020-01630-4.pdf
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File Size:
1.46 MB
Uploaded:
July 14, 2025 at 06:55 AM
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