Skip to main content
Log in

Salutogenic childhood factors reported by middle-aged individuals

Follow-up of the children from the Lundby study grown up in families experiencing three or more childhood psychiatric risk factors

  • Original Paper
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

This study is salutogenic (=causes of health), focusing on factors which corresponded to good mental health in subjects who had been exposed to at least three child psychiatric risk factors when growing up. The material was drawn from a prospective, longitudinal population study on mental health, the Lundby Study, which was performed in three waves in 1947, 1957 and 1972. In 1988/89, 148 individuals then 42–56 years of age, were re-visited and interviewed about their life span experiences. Factors previously found to increase stress resilience in children and adolescents were identified. The personal dispositions during childhood found to be associated with adult positive mental health were childhood positive self-esteem, successful coping, internal locus of control and intellectual capacity. Childhood family factors, such as trusting relations with a parent and shared values, were also important. Antonovsky's sense of coherence model can be used to explain the mechanisms by which the different variables can lead to health through increasing an individual's capacity for comprehensibility, manageability and meaningfulness, the three concepts of sense of coherence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anthony EJ (1974) The syndrome of the psychologically invulnerable child. In: Anthony EJ, Koupernik C (eds) The child in his family. Vol. III. Wiley, New York, pp 529–544

    Google Scholar 

  • Antonovsky A (1979) Health, stress and coping. Jossey-Bass, San Fransisco

    Google Scholar 

  • Antonovsky A (1987) Unraveling the mystery of health. Jossey-Bass, San Fransisco

    Google Scholar 

  • Antonovsky A (1991) Hälsans mysterium. Natur och Kultur, Stockholm

  • Armelius BÅ, Gerin P, Luborsky L (1985) Clinicians' judgement of mental health an international validation of HSRS. DAPS: Report no 13, University of Umeå

  • Bateson G (1979) Mind and Nature: A Necessary Unity. Dutton, New York

    Google Scholar 

  • Beardslee WR (1989) The role of self-understanding in resilient individuals: The development of a perspective. Am J Orthopsychiatry 59(2):266–278

    Google Scholar 

  • Bleuler M (1978) The schizophrenic disorders: Long-term patient and family studies. Yale University Press, New Haven, Conn.

    Google Scholar 

  • Cederblad M, Dahlin L, Hagnell O (1988) Do child psychiatric risk factors affect the psychical health of the adult? Läkartidningen 85(2):4317–4321

    Google Scholar 

  • Coopersmith S (1967) The antecedents of self-esteem. WH Freeman, San Fransisco

    Google Scholar 

  • Dahlin L, Cederblad M (1986) Salutogenesis-protective factors for individuals brought up in a high-risk environment with regard to the risk for a psychiatric or social disorder. Psyckisk hälsa 1:14–19

    Google Scholar 

  • Dahlin L, Cederblad M, Antonovsky A, Hagnell O (1990) Childhood vulnerability. Acta Psychiatr Scand 82:228–232

    Google Scholar 

  • Dahlin L, Cederblad M (1993) Salutogenesis-protective factors for individuals brought up in a high-risk environment with regartd to the risk for a psychiatric or social disorder. Nord J Psychiatry 47:53–60 (in Swedish)

    Google Scholar 

  • Derogatis LR, Lipman RS, Cleary PA (1977) Confirmation of the dimensional structure of the SCL-90. A study in construct validity. J Clin Psychol 33:981–989

    Google Scholar 

  • Erikson EH (1980) Identity and the life cycle: A reissue. WW Norton, New York

    Google Scholar 

  • Essen-Möller E, Larsson H, Uddenberg CE, White G (1956) Individual traits and morbidity in a Swedish rural population. Acta Psychiatr Neurol Scan, Suppl. 100

  • Farber EA, Egeland B (1987) Invulnerability among abused and neglected children. In: Anthony EJ, Cohler BJ (eds) The invulnerable child. Guilford Press, New York, pp 253–288

    Google Scholar 

  • Felsman JK, Vaillant GE (1987) Resilient children as adults: A 40-year study. In: Anthony EJ, Cohler BJ (eds) The invulnerable child. Guilford Press, New York, pp 289–315

    Google Scholar 

  • Fischer L, Kokes RF, Cole RE, Perkins PM, Wynne LC (1987) Competent children at risk: A study of well-functioning off-spring of disturbed parents. In: Anthony EJ, Cohler BJ (eds) The invulnerable child. Guilford Press, New York, pp 211–228

    Google Scholar 

  • Folkman S, Lazarus R (1980) An analysis of coping in a middle aged community sample. J Health Soc Behav 21:219–239

    Google Scholar 

  • Garmezy N (1974) The study of competence in children at risk for severe psychopathology. In: Anthony EJ, Koupernik C (eds) The child in his family. Vol III. Wiley, New York, pp 77–98

    Google Scholar 

  • Garmezy N (1981) Children under stress: Perspective on antecendents and correlates of vulnerability and resistance to psychopathology. In: Rabin AI, Aronoff J, Barclay AM, Zucker RA (eds) Further explorations in personality. Wiley, New York, pp 196–269

    Google Scholar 

  • Garmezy N (1987) Stress, competence, and development: Continuities in the study of schizophrenic adults, children vulnerable to psychopathology, and the search for stress-resistant children. Am J Orthopsychiatry 57 (2):159–174

    Google Scholar 

  • Garmezy N, Nuechterlein K (1972) Invulnerable children: The fact and fiction of competence and disadvantage. Am J Orthopsychiatry 42 (abstract) 328–329

    Google Scholar 

  • Garmezy N, Rutter M (1983) Stress, coping and development in cildren. McGraw-Hill, New York

    Google Scholar 

  • Glasersfeld E von (1984) An introduction to radical contructivism. In: Watzlawick P (eds) The invented reality. WW Norton, New York, pp 17–40

    Google Scholar 

  • Graham P, Rutter M, George S (1973) Temperamental characteristics as predictors of behaviour disorders in children. Am J Orthopsychiatry 43 (3):328–339

    Google Scholar 

  • Gribble PA, Cowen EL, Wyman PA, Work WC, Wannon M, Raoof A (1993) Parent and child views of parent-child relationship qualities and resilient outcomes among urban children. J Child Psychol Psychiatry 34:507–519

    Google Scholar 

  • Grinker RR (1963) Presidential address: A dynamic story of the “homoclite”. In: Masserman J (ed) Science and Psychoanalysis, Vol. 6. Grune and Stratton, New York, pp 115–134

    Google Scholar 

  • Hagnell O (1966) A prospective study of the incidence of mental disorder. Svenska Bokförlaget, Lund

    Google Scholar 

  • Hagnell O (1986) Mental disorder in the welfare state-Sweden. A prospective, longitudinal, psychiatric-epidemiological study of a total population over 25 years, 1947–1972. The Lundby Study. Am J Soc Psychiatry 6:230–248

    Google Scholar 

  • Hagnell O, Essen-Möller E, Lanke J, Rosman B, Öjesjö L (1990) The incidence of mental illness during a quarter of a century. The Lundby longitudinal study of mental illness in a total population based on 42,000 observation years. Almqvist & Wiksell, Stockholm

    Google Scholar 

  • Hirschi T (1969) Cause of delinquency. University of California Press, Los Angeles

    Google Scholar 

  • Holahan CJ, Moos RH (1990) Life stressors, resistance factors, and improved psychological functioning: An extension of the stress resistance paradigm. J Pers Soc Psychol 58 (2):909–917

    Google Scholar 

  • Holahan CJ, Moos RH (1991) Life stressors, personal and social resources, and depression: A 4-year structural model. J Abnorm Psychol 100(1):31–38

    Google Scholar 

  • Hoover CF, Franz JD (1972) Siblings in the families of schizophrenics. Arch Gen Psychiatry 26:334–342

    Google Scholar 

  • Jajandi M, Brattlöf L, Söderlind A (1983) Quality of life, Reliabilitytest. Psykologiska enheten, Forskningskliniken, Ulleråkers sjukhus, Uppsala, Sweden

  • Kauffman C, Grunebaum H, Cohler B, Gamer E (1979) Superkids: competent children of psychotic mothers. Am J Psychiatry 136 (11):1398–1402

    Google Scholar 

  • Lösel F, Kolip P, Bender D (1992) Stress-Resistenz im Multiproblem-Milieu. Sind seelisch widerstandfähige Jugendliche “Superkids”? Z Klin Psychol XXI(1):48–63

    Google Scholar 

  • Luborsky L (1975) Clinicians' judgement of mental health: Specimen case descriptions and forms for the health-sickness rating scale. Bull Menninger Clin 39:448–480

    Google Scholar 

  • Luthar SS (1993) Annotation: Methodological and conceptual issues in research on childhood resilience. J Child Psychol Psychiatry 34(4):441–453

    Google Scholar 

  • Mead GH (1962) Mind, self and society. From the standpoint of a social behaviorist. University of Chicago Press, Chicago

    Google Scholar 

  • Monat A, Lazarus RS (1991) Stress and Coping. An anthology. Columbia University Press, New York

    Google Scholar 

  • Murphy LB, Moriarty AE (1976) Vulnerability, coping and growth. Yale University Press, New Haven Conn.

    Google Scholar 

  • Musick JS, Stott FM, Spencer KK, Goldman J, Cohler BJ (1987) Maternal factors related to vulnerability and resiliency in young children at risk. In: Anthony EJ, Cohleer BJ (eds) The invulnerable child. Guilford Press, New York, pp 229–252

    Google Scholar 

  • Offord DR (1974) School performance of adult schizophrenics, their siblings and age mates. Br J Psychiatry 125:12–19

    Google Scholar 

  • Pearlin LI, Menaghan EG, Liebermann MA, Mullan JT (1981) The stress process. J Health Soc Behav. 22:337–356

    Google Scholar 

  • Rachman S (1979) The concept of required helpfulness. Behav Res Ther 17:1–6

    Google Scholar 

  • Rotter JB (1966) Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs 80 (1)

  • Rutter M (1979) Protective factors in children's responses to stress and disadvantage. In: Kent MM, Rolf J, (eds) Primary prevention of psychopathology. Vol III: Social competence in children. University Press of New England, Hannover, NH, pp 49–74

    Google Scholar 

  • Rutter M (1989) Pathways from childhood to adult life. J Child Psychol Psychiatry 30:23–51

    Google Scholar 

  • Rutter M, Maughan B, Mortimore P, Ouston J (1979) Fifteen thousand hours: Secondary schools and their effects on children. Harvard University Press, Cambridge, Mass.

    Google Scholar 

  • Seifer R, Sameroff AJ, Baldwin CP, Baldwin A (1992) Child and family factors that ameliorate risk between 4 and 13 years of age. J Am Acad Child Adolesc Psychiatry 31(5):893–903

    Google Scholar 

  • Spence DP (1982) Narrative truth and historical truth. Meaning and interpretation in psychoanalysis. WW Norton, New York

    Google Scholar 

  • Vaillant GE (1977) Adaptation in life. Little, Brown and Co, Boston

    Google Scholar 

  • Vaillant GE, Vaillant CO (1990) Natural history of male psychological health, XII: A 45-year study of predictors of successful aging at age 65. Am J Psychiatry 147:31–37

    Google Scholar 

  • Werner EE, Smith RS (1977) Kauai's children come of age. University of Hawaii Press, Honolulu

    Google Scholar 

  • Werner EE, Smith RS (1982) Vulnerable but invincible: A longitudinal study of resilient children and youth. McGraw-Hill, New York

    Google Scholar 

  • Werner EE (1985) Stress and protective factors in childrens' lives. In: Nicol AR (ed) Longitudinal studies in child psychology and psychiatry. Wiley, New York, pp 335–356

    Google Scholar 

  • Werner EE (1989) High-risk children in young adulthood: A longitudinal study from birth to 32 years. Am J Orthopsychiatry 59(1):72–81

    Google Scholar 

  • Werner EE, Smith RS (1992) Overcoming the odds. Cornell University Press, Ithaca

    Google Scholar 

  • West DJ, Farrington DP (1973) Who becomes delinquent? Heinemann, London

    Google Scholar 

  • White BC (1985) The first three years of life. Prentice Hall, Englewood Cliffs, NJ

    Google Scholar 

  • Worland J, Weeks DG, Janes CL (1987) Predicting mental health in children at risk. In Anthony EJ, Cohler BJ (eds) The invulnerable child. Guilford Press, New York, pp 185–210

    Google Scholar 

  • Wyman PA, Cowen EL, Work WC, Raoof A, Gribble PA, Parker GR, Wannon M (1992) Interviews with children who experienced major life stress. Family and child attributes that predict resilient outcomes. J Am Acad Child Adolesc Psychiatry 31: 5:904–910

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cederblad, M., Dahlin, L., Hagnell, O. et al. Salutogenic childhood factors reported by middle-aged individuals. Eur Arch Psychiatry Clin Nuerosci 244, 1–11 (1994). https://doi.org/10.1007/BF02279805

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02279805

Key words

Navigation