The success sequence boosts millennial mental health

Millennials can add better mental health to the list of reasons they should hit certain life milestones in a particular order, according to new research.

Millennials can add better mental health to the list of reasons they should hit certain life milestones in a particular order, according to new research. (Eliza Anderson, Deseret News)


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SALT LAKE CITY — Millennials can add better mental health to the list of reasons they should hit certain life milestones in a particular order, according to new research from the Institute for Family Studies.

The "success sequence" — three steps that include graduating from high school, getting a job, marrying before having kids, in that order — provides a "huge boost to mental health," according to Wendy Wang, the institute's director of research, and Samuel T. Wilkinson, an associate professor of psychiatry at Yale University.

While the sequence has been touted in a lot of research as key to avoiding poverty and reducing the risk of divorce, the study is possibly the first to look at the impact on mental health, Wilkinson, also an associate director of the Yale Depression Research Program, told Deseret News.

Focusing on young adults born between 1980 and 1984, who were surveyed in their mid-30s, Wang said they studied three groups of millennials: those who married before having children, those who had children before or without marrying and those who never married and didn't have children. The analysis showed:

  • The vast majority (97%) of millennials who followed the success sequence were not in poverty as adults, and 9 out of 10 were at least middle class.
  • Mental distress drops as each sequence step is completed. While 30% of young adults who missed the sequence entirely are distressed, the same is true of just 9% of those who completed the three steps.

The report, "The Success Sequence and Millennial Mental Health," finds that young adults who are married when they have children enjoy better mental health than those who have a baby outside of or before marriage. They are also happier and have better mental health than those who never married and don't have children. It says those who are married before having children are not as apt to experience "high emotional distress" by their mid-30s (12%), compared to those who had a baby first (19%). And more of the sequence followers report being healthy (65% vs. 52%) and feeling happy at least most of the time (82% vs. 74%).

"So it looks like the people who had children before marriage or outside marriage, their mental health and physical overall well being is kind of similar to the ones who have never married and are childless. The group that stands out is the one who married before having children," Wang said.

Mental health crisis

The report comes in the midst of a mental health and loneliness crisis in the U.S. Per the report, "Suicide, anxiety, depression and drug overdose deaths have all risen to record levels. Younger generations have been hit especially hard during this crisis. Millennial men and women experience increased anxiety and depression compared to previous generations at the same age."

While acknowledging the impact of financial well-being on mental health, Wang and Wilkinson said that's certainly not the whole story. They point out that even when they controlled for income, the findings on the success sequence boosting mental health held up. "The sequence remains a significant factor in predicting your adult mental health," they wrote.

"The odds of experiencing high emotional distress by their mid-30s are reduced by about 50% for young adults who have completed the three steps of the success sequence, after controlling for their income and a range of background factors including gender, race and family background," they added.

Wilkinson said he hopes that young people will pay attention. Amid a mental health crisis, people are trying to figure out what would make a difference. "It's a very complicated question, and it doesn't just have one answer, but I hope that young people will see the success sequence as a kind of pitch to make goals and life plans for the kind of life that will be desirable and that will help them achieve better financial outcomes and mental health."

Nuts and bolts of the study

The duo used the Bureau of Labor Statistics' National Longitudinal Survey of Youth, analyzing the 1997 cohort to see how they were faring in their 30s. The young people were born between 1980 and 1984 and are considered the oldest millennials. The group was surveyed first in 1997, when they were between ages 12 and 17, then annually from 1997 to 2011 and every two years since then.

Round 18 of the surveys — 6,734 respondents are still in the surveys — are the focus of the institute's analysis. Findings were weighted to be nationally representative.

To look at mental health, they used the five-item short version of the Mental Health Inventory contained within that National Longitudinal Survey of Youth. It measures "risks for suffering anxiety and depression, loss of behavioral or emotional control and overall psychological well-being. Respondents were asked about how they felt during the previous month through a set of five questions, which include feeling nervous, feeling calm and peaceful, feeling downhearted and blue, being happy, and feeling so down in the dumps that nothing could cheer them up."

Those surveyed answered how often they felt that way, on a four-point scale.

They found that "the incidence of high mental distress at ages 32 to 38 drops dramatically with each completed step of the sequence. Millennials who completed all three steps are much less likely to be highly emotionally distressed by their mid-30s, compared to those who missed these steps (9% vs. 30%)."

Read the entire story at Deseret.com.

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Lois M. Collins, Deseret NewsLois M. Collins
Lois M. Collins covers policy and research impacting families for the Deseret News.
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