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Using the life course health development model to address pediatric mental health disparities
Laureen H Smith1, Marliese D Nist1, Christine A Fortney1
1College of Nursing, Martha S. Pitzer Center for Women Children and Youth, The Ohio State University, Columbus, Ohio, USA.
Insights
Early life experiences and family health patterns significantly impact child mental health trajectories. The Life Course Health Development (LCHD) model offers a framework for understanding and addressing pediatric depression and its intergenerational transmission.
Area of Science:
- Child psychology and developmental science.
- Public health and epidemiology.
- Intergenerational health studies.
Background:
- Early-life experiences, family health, and cumulative risks shape lifelong health trajectories, particularly mental health.
- Adversity during critical developmental periods can exacerbate negative health outcomes.
- Pediatric depression has significant long-term implications for individuals and families.
Purpose of the Study:
- To review pediatric health disparities in depression.
- To examine the intergenerational transmission of pediatric depression.
- To propose recommendations for pediatric mental health research using the Life Course Health Development (LCHD) model.
Main Methods:
- Literature review of peer-reviewed papers from PubMed, CINAL, and Medline.
- Inclusion of published books, papers, and gray literature.
- Synthesis of findings through the lens of the LCHD model.
Main Results:
- The LCHD model provides a framework for understanding the multifaceted influences on mental health over a lifetime.
- Identified key factors contributing to pediatric depression and its transmission across generations.
- Highlighted the need for integrated approaches to pediatric mental health.
Conclusions:
- The LCHD model is a valuable perspective for guiding research on life-course mental health development.
- This model facilitates the integration of mental health, nursing, and public health disciplines.
- It aids in linking prevention, risk reduction, and treatment strategies for child mental health.
Topic:
Early-life experiences, the transmission of health and disease within families, and the influence of cumulative risks as well as protective factors throughout life shape the trajectory of health, including mental health. Long-term health trajectories established early in life are influenced by biologic, social, and environmental factors. Negative trajectories may be more salient if exposures to adversity occur during critical developmental periods.
Purpose:
The purpose of this brief is to (a) review pediatric health disparities related to depression and the intergenerational transmission of pediatric depression using a Life Course Health Development (LCHD) model and (b) provide recommendations for pediatric mental health research.
Sources:
Peer-reviewed papers available for PubMed, CINAL, and Medline. Other sources include published books, papers, and gray materials.
Conclusions:
The LCHD model is a perspective to guide and foster new scientific inquiry about the development of mental health outcomes over the life course. The model enables synthesis of mental health, nursing, and public health, linking mental health prevention, risk reduction, and treatment in children.
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