Longitudinal associations between positive attributes and psychopathology and their interactive effects on educational outcomes

Eur Child Adolesc Psychiatry. 2023 Mar;32(3):463-474. doi: 10.1007/s00787-021-01882-8. Epub 2021 Sep 24.

Abstract

Psychopathology is associated with impaired learning and early termination of schooling, whereas positive attributes are associated with better educational outcomes. However, it is important to understand if and how psychopathology and positive attributes longitudinally impact each other so we could shed light on where to intervene to promote educational outcomes through these constructs. A large prospective school-based community cohort of youths (5-15 years of age, 45% female) were assessed and followed up for 3 years (n = 2010; 80% retention). We assessed the longitudinal impact of positive attributes (Youth Strength Inventory) and psychopathology (bifactor model of Strengths and Difficulties Questionnaire) using a cross-lagged panel model. We also used generalized mixed effects models to investigate how these both constructs predict school dropout and literacy, adjusting for confounders and testing their interaction. Positive attributes negatively predicted, and were negatively predicted by, the general factor of psychopathology and conduct problems in the cross-lagged panel model. Positive attributes (OR = 0.57, 95% CI [0.44, 0.73], p < 0.001) and specific conduct symptoms (OR = 2.33, 95% CI [1.64, 3.33], p < 0.001) predicted school dropout, whereas the general factor of psychopathology predicted lower literacy ability (β = - 0.08, 95% CI [- 0.11, - 0.05], p < 0.001). However, the protective association of positive attributes on school dropout decreases as the general factor of psychopathology increases. These findings provide new evidence that positive attributes and psychopathology mutually influence each other over development and have interactive effects on educational outcomes.

Keywords: Child psychiatry; Literacy; Mental health; Non-cognitive skills; School dropout; Socioemotional skills.

MeSH terms

  • Adolescent
  • Child, Preschool
  • Educational Status
  • Female
  • Humans
  • Male
  • Mental Disorders* / epidemiology
  • Prospective Studies
  • Psychopathology*
  • Schools