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Global Health Economics and
            Sustainability
                                                                                Personality and adolescent mental health


              Moreover, cultural differences play a critical role in   studies are particularly important for understanding
            shaping the development and manifestation of personality   adolescence, a period marked by significant psychological,
            traits during adolescence. Research indicates that   emotional, and social transformations (Arslan et al., 2023;
            adolescents in collectivist cultures, which emphasize family   Luan  et  al., 2017; Oltmanns  et  al., 2020). By tracking
            interdependence, social harmony, and community values,   individuals across multiple time points, longitudinal
            often experience distinct social pressures compared to those   research can identify patterns of stability and change
            in individualistic societies (Akkuş et al., 2017; Liu et al.,   in personality traits, as well as their predictive power
            2017). In these settings, traits such as agreeableness and   for mental health and behavioral outcomes later in life
            conscientiousness may be more strongly reinforced, while   (Bleidorn et al., 2022; Bühler et al., 2024; Oltmanns et al.,
            societal expectations for conformity and cooperation may   2020).
            moderate expressions of impulsivity or sensation-seeking.
            Conversely,  in  individualistic  cultures  that  prioritize   For example, longitudinal studies have shown that
            personal autonomy and self-expression, there may be   personality traits such as conscientiousness and emotional
                                                               stability are not only stable across adolescence but also
            greater variability in the emergence and stabilization of   strong predictors of life outcomes, including academic
            these traits. Recognizing these cultural nuances is essential   achievement, career success, and relationship quality (De
            for understanding how personality traits crystallize during
            adolescence.                                       Vries  et al., 2021; Israel  et al., 2022; Wang  et al., 2023).
                                                               Conversely, traits such as neuroticism and impulsivity have
            2.2. Dimensional models of personality and         been linked to negative outcomes such as substance abuse,
            psychopathology                                    depression, and delinquency (Asaoka et al., 2020; Tharshini
                                                               et al., 2021). These studies underscore the importance of
            Personality and psychopathology are increasingly viewed
            as existing on a continuum, with extreme expressions of   early identification and intervention in adolescents who
            certain traits linked to the development of personality   exhibit maladaptive personality traits, as these traits tend
            disorders.  The Diagnostic  and Statistical  Manual of   to persist and lead to problematic behaviors and mental
            Mental  Disorders  Fifth  Edition’s  Alternative  Model  for   health issues in adulthood.
            Personality Disorders (AMPD) and the Triarchic Model   In summary, the theoretical background of adolescent
            of Psychopathy are two modern frameworks used to   personality development and psychopathology highlights
            understand the relationship between personality traits and   the interplay between stable personality traits and
            psychopathological outcomes (Drislane et al., 2019; Miller   environmental influences,  as well  as  the importance
            et al., 2018; Sica et al., 2024).                  of dimensional models in understanding personality
              The AMPD emphasizes the dimensional nature of    disorders. Longitudinal studies offer critical insights into
            personality traits, suggesting that personality disorders   how  personality  traits  evolve  and  their  implications  for
            arise from maladaptive variations of normal personality   mental health and behavioral outcomes in later life.
            traits, such as high neuroticism or low conscientiousness   3. Personality traits and mental health
            (Monaghan & Bizumic, 2023; Waugh  et al., 2017;
            Widiger et al., 2020). Meanwhile, the Triarchic Model of   outcomes in adolescence
            Psychopathy  conceptualizes psychopathy as  comprising   3.1. Internalizing versus externalizing symptoms
            three core components: boldness, meanness, and     Personality traits play a crucial role in shaping mental
            disinhibition. Adolescents who display high levels of
            meanness (e.g., lack of empathy and callousness) and   health outcomes in adolescence, particularly through their
            disinhibition (e.g., impulsivity and irresponsibility) are at a   influence on internalizing and externalizing symptoms.
            higher risk of developing antisocial behaviors and conduct   Internalizing symptoms refer  to mental health problems
            disorders (Byrd et al., 2014; Mann et al., 2018). CU traits,   that manifest  inwardly, such as anxiety, depression, and
            which are part of the broader psychopathy construct, have   emotional distress, whereas externalizing symptoms
            been shown to be stable across adolescence and predictive   are outwardly directed behaviors, including aggression,
            of future antisocial behavior, making them a critical focus   delinquency, and substance use (Babicka-Wirkus  et al.,
            for both researchers and clinicians (Cardoso et al., 2023;   2023; Sekaran  et al., 2024). Research has consistently
            Goulter et al., 2024; Goulter et al., 2023; Sakki et al., 2023).  shown that certain personality traits are closely associated
                                                               with these symptoms, impacting adolescents’ overall
            2.3. The importance of longitudinal studies        mental well-being.
            Longitudinal studies provide valuable insights into how   For instance, neuroticism – a trait characterized by
            personality traits develop and change over time. These   emotional instability, sensitivity to stress, and a tendency


            Volume 3 Issue 3 (2025)                         35                 https://doi.org/10.36922/GHES025080013
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