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Informed by this model, the present study delineated profiles of social-emotional competencies and difficulties during middle childhood in a population-based sample of girls and boys and determined their association with adolescent mental disorder diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Latent profile analyses were conducted across five indices of social-emotional competency and four indices of psychopathology that were measured by questionnaire self-report among 13,349 girls and 13,488 boys at age ~11\u2009years. The association of the profiles with adolescent presentations to hospital or ambulatory services (ages ~12\u201317\u2009years) were determined using logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Analyses yielded five profiles in each sex:\n                      <jats:italic toggle=\"yes\">complete mental health<\/jats:italic>\n                      (44% girls; 42% boys),\n                      <jats:italic toggle=\"yes\">average mental health<\/jats:italic>\n                      (30%; 33%),\n                      <jats:italic toggle=\"yes\">internalising symptoms with poor relationship skills<\/jats:italic>\n                      (9%; 7%),\n                      <jats:italic toggle=\"yes\">externalising symptoms with poor self-management<\/jats:italic>\n                      (12%; 9%) and\n                      <jats:italic toggle=\"yes\">low mental health<\/jats:italic>\n                      (5%; 10%). Profiles associated differentially with adolescent presentations with any mental disorder, externalising disorders, internalising disorders and self-harm\/suicidal ideation, identified in linked health records. Greater odds of any and specific mental disorder diagnoses were characteristic of all profiles relative to\n                      <jats:italic toggle=\"yes\">average mental health<\/jats:italic>\n                      (adjusted odds ratios [aOR]: 1.7\u20133.3) except\n                      <jats:italic toggle=\"yes\">complete mental health<\/jats:italic>\n                      (aOR: 0.7\u20130.9), with different strengths of association according to profile.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Combining information on social-emotional competencies and psychopathology in middle childhood may help refine the provision of mental health promotion and early intervention to alleviate adolescent mental disorder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674261426776","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T03:06:47Z","timestamp":1774494407000},"page":"653-665","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Middle childhood profiles of social-emotional competencies and difficulties differentiate risk of health service presentations with adolescent mental disorders"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4534-060X","authenticated-orcid":false,"given":"Emma J","family":"Carpendale","sequence":"first","affiliation":[{"name":"School of Psychology and Counselling, Queensland University of Technology (QUT), Brisbane, QLD, Australia"},{"name":"Centre for Inclusive Education (C4IE), Queensland University of Technology (QUT), Brisbane, QLD, Australia"},{"name":"Centre for Child and Family Studies, Queensland University of Technology (QUT), Brisbane, QLD, Australia"},{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9361-4874","authenticated-orcid":false,"given":"Melissa J","family":"Green","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver J","family":"Watkeys","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6480-1710","authenticated-orcid":false,"given":"Stacy","family":"Tzoumakis","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"},{"name":"School of Criminology and Criminal Justice, Griffith University, Southport, QLD, Australia"},{"name":"Griffith Criminology Institute, Griffith University, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-5804","authenticated-orcid":false,"given":"Vaughan J","family":"Carr","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3987-6486","authenticated-orcid":false,"given":"Kristin R","family":"Laurens","sequence":"additional","affiliation":[{"name":"School of Psychology and Counselling, Queensland University of Technology (QUT), Brisbane, QLD, Australia"},{"name":"Centre for Inclusive Education (C4IE), Queensland University of Technology (QUT), Brisbane, QLD, Australia"},{"name":"Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"Manual for the ASEBA School-Age Forms and Profiles","author":"Achenbach TM","year":"2001","unstructured":"Achenbach TM, Rescorla LA (2001) Manual for the ASEBA School-Age Forms and Profiles. 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