caa a22 4500 605476497 CHVBK 20210128100356.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00787-014-0637-5 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0637-5 Risk and protective factors for the development of depressive symptoms in children and adolescents: results of the longitudinal BELLA study [Elektronische Daten] [Fionna Klasen, Christiane Otto, Levente Kriston, Praveetha Patalay, Robert Schlack, Ulrike Ravens-Sieberer] Mental health problems in children and adolescents are frequent, with a high risk of persistence into adulthood. Therefore, the investigation of determinants of onset and course of mental health problems is of high importance. The present paper investigates the impact of protective and risk factors on the development of depressive symptoms in children and adolescents. The BELLA study is the mental health module of the German National Health Interview and Examination Survey for children and adolescents (KIGGS). Based on the first three measurement points of the BELLA study (covering a period of 2years), the present analysis focused on children and adolescents aged 11-17years at baseline (n=1,643; 50.6% female). A longitudinal growth modelling approach was used. Mental health problems in parents (parent-reports) predicted depressive symptoms in children and adolescents (self-reports) as well as the development of these symptoms over time. Further, child-reported protective factors of self-efficacy, positive family climate and social support were associated with less depressive symptoms at baseline. Additionally, positive changes in protective factors were associated with the development of less depressive symptoms over time. Finally, family climate and social support moderated the detrimental influence of parental psychopathology on child's depressive symptoms. The addressed determinants for the development of depressive symptoms in children and adolescents are highly relevant for prevention and intervention strategies. Future research should investigate specific risk and protective factors focusing in detail on further mental health disorders and their development in children and adolescents. Springer-Verlag Berlin Heidelberg, 2014 Risk factors nationallicence Protective factors nationallicence Mental health nationallicence Depression nationallicence Children and adolescents nationallicence BELLA study nationallicence Klasen Fionna Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Otto Christiane Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Kriston Levente Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut Patalay Praveetha Evidence Based Practice Unit, University College London and Anna Freud Centre, London, UK aut Schlack Robert Robert Koch Institute, Berlin, Germany aut Ravens-Sieberer Ulrike Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/6(2015-06-01), 695-703 1018-8827 24:6<695 2015 24 787 https://doi.org/10.1007/s00787-014-0637-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0637-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Klasen Fionna Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Otto Christiane Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Kriston Levente Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Patalay Praveetha Evidence Based Practice Unit, University College London and Anna Freud Centre, London, UK aut NATIONALLICENCE 700 1- Schlack Robert Robert Koch Institute, Berlin, Germany aut NATIONALLICENCE 700 1- Ravens-Sieberer Ulrike Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/6(2015-06-01), 695-703 1018-8827 24:6<695 2015 24 787