{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T15:36:33Z","timestamp":1791473793097,"version":"4.3.4"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Clinic Psychol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emotional and behavioural problems (i.e., mental health difficulties and their decomposition into internalizing and externalizing symptoms) often emerge in adolescence and can persist into adulthood if not addressed. Identifying modifiable social\u2010cognitive processes that influence the persistence of psychopathology across the lifespan is thus essential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Using data from the Millennium Cohort Study, a nationally representative birth cohort of UK youths born in 2000\u20132002, we examined whether social safety at age 14 mediated the association between mental health difficulties at age 11 and mental health difficulties at age 17. The sample included 10,782 participants (50% female, 20% non\u2010White, 21% in poverty).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mental health difficulties (total symptoms) at age 11 predicted both mental health difficulties at age 17 (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and negative social safety schemas at age 14 (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009.02,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). Negative social safety schemas in mid\u2010adolescence partially mediated the persistence of difficulties from early to late adolescence (\n                      <jats:italic>ab<\/jats:italic>\n                      \u2009=\u2009.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). In sex\u2010stratified analyses, we found that negative social safety mediated the persistence of internalizing problems only for females and the persistence of externalizing problems only for males.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>These findings highlight the important role of social safety schemas in the persistence of adolescent emotional and behavioural problems over time. Based on these results, investments in improving early adolescent mental health by bolstering social safety perceptions may be effective for reducing mental health risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.12555","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T03:05:38Z","timestamp":1749438338000},"page":"1-14","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The role of social safety schemas in the persistence of mental health difficulties during adolescence"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8410-9860","authenticated-orcid":false,"given":"Jenna","family":"Alley","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9613-7823","authenticated-orcid":false,"given":"Dimitris I.","family":"Tsomokos","sequence":"additional","affiliation":[{"name":"Department of Psychology and Human Development, UCL Institute of Education University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1845-2107","authenticated-orcid":false,"given":"Summer","family":"Mengelkoch","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5710-3818","authenticated-orcid":false,"given":"George M.","family":"Slavich","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Biobehavioral Sciences University of California, Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010024\u201002389\u20108"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2021.1875423"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010psych\u2010010213\u2010115202"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1348\/026151007X235891"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.587821"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13817"},{"key":"e_1_2_11_8_1","unstructured":"CDC. 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