{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:09:36Z","timestamp":1785420576197,"version":"3.56.0"},"reference-count":52,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100013926","name":"Bundesamt f\u00fcr Justiz","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013926","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"abstract":"\n Background<\/jats:title>\n Adults formerly placed out\u2010of\u2010home (care leavers) often accumulate multiple psychosocial adversities that can lead to poor quality of life (QoL) and place them at high risk for developing mental disorders persisting into adulthood. This study examines the development of mental disorders among care leavers and their QoL, differentiating by disorder groups.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n The sample consisted of 119 young adults formerly placed out\u2010of\u2010home (\n M<\/jats:italic>\n age at baseline<\/jats:sub>\n \u2009=\u200915.0\u2009years;\n M<\/jats:italic>\n age at follow\u2010up<\/jats:sub>\n \u2009=\u200925.4\u2009years). Mental disorders were assessed at baseline using the Kiddie Schedule for Affective Disorder and Schizophrenia\u2014Present and Lifetime Version and at a 10\u2010year follow\u2010up with the Structured Clinical Interview for DSM\u20105 Disorders\u2014Clinician Version. Personality disorders were evaluated at both time points using the Structured Clinical Interview for DSM\u2010IV\u2010TR Axis II. QoL was measured at follow\u2010up using the World Health Organization QoL\u2010BREF questionnaire.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Four groups based on the presence or absence of mental disorders at baseline and follow\u2010up were identified: resilient (\n n<\/jats:italic>\n \u2009=\u200924, 20.2%), persistent (\n n<\/jats:italic>\n \u2009=\u200956, 47.0%), remitted (\n n<\/jats:italic>\n \u2009=\u200925, 21.0%), and newly occurring (\n n<\/jats:italic>\n \u2009=\u200914, 11.8%). Regarding the mental disorder groups, internalizing disorders at baseline (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.44,\n p<\/jats:italic>\n \u2009<\u2009.05, 95% CI [\u22120.85, \u22120.04]) and internalizing (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.78,\n p<\/jats:italic>\n \u2009<\u2009.001, 95% CI [\u22121.14, \u22120.43]) and externalizing disorders (\n \u03b2<\/jats:italic>\n \u2009=\u2009\u22120.50,\n p<\/jats:italic>\n \u2009<\u2009.01, 95% CI [\u22120.86, \u22120.13]) at follow\u2010up were negatively associated with QoL in young adulthood.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Mental disorder trajectories from childhood to young adulthood can negatively impact care leavers' QoL. Prevention and early intervention, as well as addressing mental health during out\u2010of\u2010home placement and transition into young adulthood, are important to reduce the risk of persistent psychopathology and lower QoL.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jcpp.70210","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:17:14Z","timestamp":1785417434000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental disorder trajectories and quality of life among youth residential care leavers: a longitudinal study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9198-3613","authenticated-orcid":false,"given":"Milou","family":"Leiting","sequence":"first","affiliation":[{"name":"Child and Adolescent Psychiatric Research Department University Psychiatric Clinics Basel, University of Basel Basel 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Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Delfine","family":"d'Huart","sequence":"additional","affiliation":[{"name":"Child and Adolescent Psychiatric Research Department University Psychiatric Clinics Basel, University of Basel Basel Switzerland"},{"name":"Department of Clinical Psychology and Translational Psychotherapy Research University of Basel Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg M.","family":"Fegert","sequence":"additional","affiliation":[{"name":"Department for Child and Adolescent Psychiatry and Psychotherapy University Hospital Ulm Ulm Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nils","family":"Jenkel","sequence":"additional","affiliation":[{"name":"Child and Adolescent Psychiatric Research Department University Psychiatric Clinics Basel, University of Basel Basel 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