caa a22 4500 605476519 CHVBK 20210128100356.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00787-014-0638-4 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0638-4 The longitudinal BELLA study: design, methods and first results on the course of mental health problems [Elektronische Daten] [Ulrike Ravens-Sieberer, Christiane Otto, Levente Kriston, Aribert Rothenberger, Manfred Döpfner, Beate Herpertz-Dahlmann, Claus Barkmann, Gerhard Schön, Heike Hölling, Michael Schulte-Markwort, Fionna Klasen] The high prevalence of mental health problems (MHP) in childhood and adolescence is a global health challenge of the 21st century. Information about age of onset, persistence and development of MHP in young people is necessary to implement effective prevention and intervention strategies. We describe the design and methods of the longitudinal BELLA study, which investigates developmental trajectories of MHP from childhood into adulthood, their determinants, and the utilisation of mental health services. First results on the developmental course of MHP in children and adolescents are reported over a 6-year period. The BELLA study is the mental health module of the German National Health Interview and Examination Survey for children and adolescents (KiGGS). BELLA examines the mental health and well-being of children and adolescents aged 7-17years (a representative subsample of KiGGS, n=2,863 at baseline). Standardised screening measures served to identify MHP at baseline and at follow-ups (1, 2, and 6years later). Among children and adolescents participating at all measurement points (n=1,255), 10% showed clinically significant MHP at baseline (n=130). Over the 6-year period, 74.3% showed no signs of MHP (n=933), 15.5% had remitted (n=194), 2.9% showed persistent (n=36) and 7.3% acute or recurrent MHP (n=92). Overall, MHP were more likely to occur between the age of 7 and 12 and after the age of 19years. Regarding mental health service use, 33% of the participants with acute or recurrent MHP (n=30) and 63.9% with persistent MHP used mental health services (n=23). Mental health problems in children and adolescents have a high risk to persist into adulthood. In children and adolescents a low rate of mental health service use was observed, even among those with mental health problems. Springer-Verlag Berlin Heidelberg, 2014 Mental health nationallicence Children and adolescents nationallicence Longitudinal study nationallicence BELLA study nationallicence Cohort nationallicence Germany nationallicence Ravens-Sieberer Ulrike Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut Otto Christiane Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut Kriston Levente Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut Rothenberger Aribert Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany aut Döpfner Manfred Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany aut Herpertz-Dahlmann Beate Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Clinics, RWTH Aachen, Aachen, Germany aut Barkmann Claus Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut Schön Gerhard Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany aut Hölling Heike Robert Koch Institute, Berlin, Germany aut Schulte-Markwort Michael Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut Klasen Fionna Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/6(2015-06-01), 651-663 1018-8827 24:6<651 2015 24 787 https://doi.org/10.1007/s00787-014-0638-4 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/s00787-014-0638-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ravens-Sieberer Ulrike Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Otto Christiane Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Kriston Levente Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Rothenberger Aribert Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany aut NATIONALLICENCE 700 1- Döpfner Manfred Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany aut NATIONALLICENCE 700 1- Herpertz-Dahlmann Beate Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Clinics, RWTH Aachen, Aachen, Germany aut NATIONALLICENCE 700 1- Barkmann Claus Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Schön Gerhard Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany aut NATIONALLICENCE 700 1- Hölling Heike Robert Koch Institute, Berlin, Germany aut NATIONALLICENCE 700 1- Schulte-Markwort Michael Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut NATIONALLICENCE 700 1- Klasen Fionna Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/6(2015-06-01), 651-663 1018-8827 24:6<651 2015 24 787