Regular Article
Disentangling multiproblem behavior in male young adults:
A cluster analysis
Josjan Zijlmans
1
, Laura van Duin
1
, Maaike Jorink
2
, Reshmi Marhe
1
, Marie-Jolette A. Luijks
1
, Matty Crone
3
,
Arne Popma
1,4
and Floor Bevaart
1
1
Department of Child and Adolescent Psychiatry, Amsterdam University Medical Centers, Amsterdam, the Netherlands;
2
Department of Psychology, Leiden
University, Leiden, the Netherlands;
3
Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands and
4
Department of Criminal Law and Criminology, Leiden University, Leiden, the Netherlands
Abstract
Multiproblem young adults present with major problems across key life domains, but empirical studies investigating the nature of multi-
problem behavior in accordance to ecobiodevelopmental theory are scarce. To address this gap, we performed a cluster analysis on indi-
cators spanning the key life domains addiction, mental health, social network, and justice. In a large sample (N = 680) of multiproblem
young adults, we identified five subgroups labeled “severe with alcohol and cannabis problems” (4.3%), “severe with cannabis problems”
(25.6%), “severe without alcohol or drug problems” (33.2%), “moderate with mental health problems” (22.9%), and “moderate without men-
tal health problems” (14.0%). Therewere large differences between the severe and moderate groups in terms of childhood risk factors such
as emotional and physical abuse, concerning baseline functioning such as comorbid disorders and aggressive behavior, and in the outcome
measure of violent offending. Our findings indicate that multiproblem young adult behavior clusters within profiles that differ according to
the severity and nature of problems. Investing in screening for clustered problems may be beneficial for early problem differentiation and
selection of appropriate intervention before and during treatment programs.
Keywords: cluster analysis, delinquency, emerging adulthood, life domains, multiproblem
(Received 18 December 2018; revised 5 November 2019; accepted 11 November 2019)
The trend that young adults are more gradually making their way
into adulthood can be observed in the general population of most
high-income countries (Arnett, Žukauskiene, & Sugimura, 2014):
youngsters focus on identity exploration, self-development, and
preparation of their adult life by taking time to finish their educa-
tion, becoming financially independent, and deciding about par-
enthood. In 2000, Jeffrey Arnett proposed the term emerging
adulthood for this distinct period of the life course, ranging
roughly from the late teens through the middle to late 20s
(Arnett, 2000). Emerging adulthood is now widely regarded as
a critical transitional period, in which transition refers to the neu-
robiological process of maturation and the heterogeneous psycho-
logical and societal changes that are associated with this process
(Davis & van der Stoep, 1997). These changes can be challenging
for youngsters, and there is a growing recognition that young
adults should be treated as a distinct subpopulation in policy,
planning, programming, and research (Stroud, Walker, Davis, &
Irwin, 2015). Scholars of stress processes note that although
developmental transitions are generally challenging, emerging
adulthood particularly can disrupt young lives because many con-
secutive (societal) changes are needed (Pearlin, 2010). This is even
more so for those with interrelated problems and particularly
when risks are high and resilience is low. Longitudinal research
has shown that mental disorders (Tanner et al., 2007), comorbid-
ity (Newman et al., 1996), and offense rates (Loeber, Farrington,
& Petechuk, 2013) increase from childhood through adolescence
and peak in young adulthood. However, whereas problem behav-
ior in emerging adulthood may peak, there is also evidence that
this is usually temporary and most emerging adults are suffi-
ciently resilient to reach adulthood healthy. One study on the
long-term effects of early mental health and judicial problems
showed that even a large percentage of high-risk young adults
were in stable marriages and jobs, and were responsible citizens
in their community by the time they reached the end of their
fourth decade of life (Werner, 2004).
In contrast to this predominantly positive trend for most
emerging adults, there are vulnerable youngsters who do not
undergo this transition successfully, either because they are not
able to handle the demanding requirements of this period or
because they have more to handle with less support (Osgood,
Foster, & Courtney, 2010). These young adults have extensive his-
tories of childhood adversities and have often been involved in
juvenile care services. These agencies provided long-term support
to them and their families with varying effectiveness. During
Author for correspondence: Josjan Zijlmans, Department of Child and Adolescent
Psychiatry, Amsterdam University Medical Centers, Meibergdreef 5, Amsterdam,
Netherlands 1105 AZ; E-mail: j.zijlmans@amsterdamumc.nl.
© Cambridge University Press 2020
Cite this article: Zijlmans J, van Duin L, Jorink M, Marhe R, Luijks M-JA, Crone M,
Popma A, Bevaart F (2020). Disentangling multiproblem behavior in male young adults:
A cluster analysis. Development and Psychopathology 1–11. https://doi.org/10.1017/
S0954579419001652
Development and Psychopathology (2020), 1–11
doi:10.1017/S0954579419001652