Stressful life events during adolescence and risk for externalizing and internalizing psychopathology: a meta-analysis

Eur Child Adolesc Psychiatry. 2017 Dec;26(12):1409-1422. doi: 10.1007/s00787-017-0996-9. Epub 2017 May 13.

Abstract

The main objective of the present research was to analyze the relations between stressful life events and the externalizing and internalizing spectra of psychopathology using meta-analytical procedures. After removing the duplicates, a total of 373 papers were found in a literature search using several bibliographic databases, such as the PsycINFO, Medline, Scopus, and Web of Science. Twenty-seven studies were selected for the meta-analytical analysis after applying different inclusion and exclusion criteria in different phases. The statistical procedure was performed using a random/mixed-effects model based on the correlations found in the studies. Significant positive correlations were found in cross-sectional and longitudinal studies. A transactional effect was then found in the present study. Stressful life events could be a cause, but also a consequence, of psychopathological spectra. The level of controllability of the life events did not affect the results. Special attention should be given to the usage of stressful life events in gene-environment interaction and correlation studies, and also for clinical purposes.

Keywords: Externalizing spectrum; Internalizing spectrum; Meta-analysis; Stressful life events; Transaction.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Cross-Sectional Studies
  • Female
  • Humans
  • Life Change Events*
  • Longitudinal Studies
  • Male
  • Psychopathology / methods*
  • Risk Factors
  • Stress, Psychological / psychology*
  • Young Adult