@article{ref1,
title="Internalizing and externalizing problems in childhood and adolescence as predictors of work incapacity in young adulthood",
journal="Social psychiatry and psychiatric epidemiology",
year="2017",
author="Narusyte, Jurgita and Ropponen, Annina and Alexanderson, Kristina and Svedberg, Pia",
volume="52",
number="9",
pages="1159-1168",
abstract="BACKGROUND: There is limited information regarding the association between youth mental health problems and work incapacity in adulthood. We investigated whether internalizing (depressive, anxious, somatic complaints) and externalizing (aggressive, rule-breaking) behavior problems in childhood and adolescence were associated with sickness absence (SA) and disability pension (DP) in young adulthood. <br><br>METHODS: Data were used from the population-based and prospective Twin Study of Child and Adolescent Development (TCHAD) which includes all Swedish twins born in 1985-1986 (N = 2570). Internalizing and externalizing behavior problems were assessed with the Child Behavior Checklist at ages of 8-9, 13-14, 16-17, and 19-20 years. Individuals participating in TCHAD were followed regarding SA and DP during 2001-2013 using nationwide registers. Cox regression models were applied to assess hazard ratios (HR) with 95% confidence intervals (CI). <br><br>RESULTS: Each one-unit increase of rule-breaking behavior implied a significant higher risk for SA in early adulthood, despite of age at assessment, with the highest HR of 1.12 (95% CI 1.05-1.19) at age of 8-9 years. Higher levels of anxious and depressive symptoms in childhood and adolescence were associated with DP in early adulthood despite age at assessment, with the highest risk at age 19-20 years [HR 1.31 (95% CI 1.12-1.53)]. The associations attenuated slightly when familial factors were taken into account. <br><br>CONCLUSIONS: Internalizing and externalizing behavior problems identified at an early age (8-9 years) increased risk for SA and DP in young adulthood. These findings indicate that early prevention and intervention efforts to reduce behavior problems may promote a successful start in working life.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-017-1409-6",
url="http://dx.doi.org/10.1007/s00127-017-1409-6"
}