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Table 1 List of risk factor for mental health from the KiGGS studies

From: The whole is greater than the sum of its parts: profiles of multiple mental health risk factors using Latent class analysis

Risk factor

Instrument

Reference

Item/Scale Description

Time period

Report

Individual level

     

 Low birth weight

Self-constructed

 

Low birth weight < 2500 g (1), else (0)

T0

Parent

 Postnatal problems

Self-constructed

 

One or more problems like infection, adjustment (1), else (0)

T0

Parent

 Breastfeeding

Self-constructed

 

Partly to fully (1), never (0)

T0

Parent

 Chronic illness

Mini European Health Module (MEHM)

[79]

One or more illness like asthma, epilepsy or diabetes (1), else (0)

T0, T1

Parent

 Self-efficacy

General Self-efficacy Scale (GSE)

[80]

Within-person mean < 25% of distribution of sum scores (1), else (0)

T0, T1, T2

Parent and Self

Family level

     

 Parental education

Comparative Analysis of Social Mobility in Industrial Nations classification (CASMIN)

[81]

Low education qualification (1), else (0) based on T0 or if missing T2

T0, T2

Parent

 Parental severe illness

Self-constructed

 

In case of stroke, heart attack or cancer (1), else (0)

T2

Self

 Parental well-being

Personal Well-being index (PWI-A)

[82]

Sum score < 25% of distribution; low (1), else (0)

T2

Parent

 Parental unemployment

Self-constructed

 

Present (1), else (0)

T0, T2

Parent

 Prenatal exposure to alcohol and tabacco

Self-constructed

 

Smoking or drinking during pregnancy (1), else (0)

T0

Parent

 Teenage mother

Self-constructed

 

Maternal age < 18 (1), else (0)

T0

Parent

 Parental divorce

Self-constructed

 

Parental divorce (1), else (0)

T2

Parent

 Family instability

Self-constructed

 

Not living with both parents at one of the three measurement times (1), else (0)

T0, T1, T2

Parent and Self

 Parental attention

Self-constructed

 

Frequency of a selection of eight joint activities such as playing, singing, or sports. Sum score < 25% of distribution; low (1) else (0)

T0

Parent

 Family size

Self-constructed

 

Number of siblings >  = 2 (1), else (0)

T2

Self

 Parental stress

 

Adapted from [83]

Covering parental stressors e.g. family demands, household requirements, child-related stress, conflicts with current or former spouse or life partner, compatibility of family and work, and financial strain

Sum score < 25% of distribution; high (1), else (0)

T2

Parent

 Family cohesion

Family climate scales (FKS)

[84]

Within-person mean < 25% of distribution; low (1), else (0)

T0, T1, T2

Parent and Self

 Family dysfunction

Adapted from the Adverse Childhood Experiences International Questionnaire (ACE-IQ)

[85]

Either parent incarceration, drug/alcohol addiction, mental illness/suicide attempt of a household member (1), none (0)

T2

Parent

 Parenting: warmth and support

Zurich Short Inventory for Parenting Behavior (ZKE)

[86]

Sum score < 25% of distribution; low (1), else (0)

T2

Parent and Self

 Parenting: psychological pressure

Zurich Short Inventory for Parenting Behavior (ZKE)

[86]

Sum score > 25% of distribution; high (1), else (0)

T2

Parent and Self

 Physical neglect or abuse

Childhood trauma Questionnaire (CTQ)

[87]

Never (0), sometimes to very often (1)

T2

Self

 Emotional neglect or abuse

Childhood trauma Questionnaire (CTQ)

[87]

Never (0), sometimes to very often (1)

T2

Self

 Sexual abuse

Childhood trauma Questionnaire (CTQ)

[87]

Never (0), sometimes to very often (1)

T2

Self

Social level

     

 Well-being with peers

KINDL-R, Kidscreen-27

[88]

Within-person mean < 25% of distribution of standardized scores (1) else (0)

T0, T2

Parent and Self

 Well-being in school

KINDL-R, Kidscreen-27

[88]

Within-person mean < 25% of distribution of standardized scores (1) else (0)

T0, T2

Parent and Self

 Perceived social support

Social support scale

 

Within-person mean < 25% of distribution (1) else (0)

T0, T1, T2

Parent and Self

 Discrimination experiences

Adapted from German Youth Institute (DJI) Foreigners Survey

[89]

Any discrimination experience averaged across eight domains (i.e., race, gender, weight) sometimes to very often (1), never

T2

Self