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Global Health Economics and
            Sustainability
                                                                                Personality and adolescent mental health


            to experience negative emotions – has been found to   from  bullying  and  aggression  to  more  serious  criminal
            correlate with internalizing symptoms such as anxiety and   offenses. Moreover, the combination of CU traits with
            depression strongly (Lahey, 2009; Liu et al., 2020; Yildirim   other personality dimensions, such as impulsivity or low
            et al., 2023). Adolescents with high levels of neuroticism   conscientiousness, increases the likelihood of persistent
            are more likely to struggle with emotional regulation,   antisocial behavior (De Wit-De Visser et al., 2023; Herpers
            making them vulnerable to mood disorders and chronic   et al., 2012; Mann et al., 2015; Morales-Vives et al., 2019).
            stress.  On  the  other  hand,  conscientiousness,  which  is
            associated with self-discipline, goal setting, and reliability,   3.3. The role of emotional stability and extraversion
            is inversely related to internalizing symptoms. Adolescents   While traits such as neuroticism and CU traits are linked
            who exhibit higher levels of conscientiousness tend to have   to negative mental health outcomes, other personality
            better mental health outcomes, as they are more likely to   traits such as emotional stability and extraversion can
            employ effective coping mechanisms and manage stress   serve as protective factors. Emotional stability (the
            (Bartley & Roesch, 2011; Chen et al., 2022; Liu et al., 2023).  opposite  of  neuroticism)  is  associated  with  resilience  to
                                                               stress and lower levels of anxiety and depression (Hao
              In contrast, externalizing symptoms, such as antisocial   et al., 2019). Emotionally stable adolescents are more likely
            behavior, substance use, and delinquency, are often linked   to handle emotional challenges effectively, maintain a
            to  traits  such  as  impulsivity,  sensation-seeking,  and  low   positive outlook, and navigate stressful situations without
            agreeableness (Krueger et al., 2007; LaSpada et al., 2020;   succumbing to emotional distress (Çıvgın  et  al., 2023;
            Mann et al., 2017; Mann et al., 2018; Moore et al., 2024;   Dong  et al., 2022; Ho  et al., 2013; Osimo  et al., 2021;
            Quinn & Harden, 2013). Adolescents who score high on   Vanhalst et al., 2012).
            these traits are more likely to engage in risky behaviors,
            including  alcohol  and  drug  use,  and  exhibit  disruptive   Extraversion, another positive trait, is linked to social
            behavior at school or home. Longitudinal studies suggest   engagement, assertiveness, and positive affect. Extraverted
            that these traits, when present during adolescence, can   adolescents tend to experience higher levels of life
            predict long-term behavioral problems, including criminal   satisfaction and well-being, as their social nature often
            activity and substance dependency in adulthood (Allen   leads to the development of strong peer relationships
            et al., 2021; Arteaga  et al., 2010; Heerde  et al., 2019;   and a supportive social network (Clark et al., 2023; Nesi
            Klimstra  et al.,  2010;  Nawi  et al.,  2021;  Rodríguez-Ruiz   et al., 2018; Swickert et al., 2002; Zhou et al., 2024). These
            et al., 2021; Watts et al., 2024).                 social connections can act as a buffer against the negative
                                                               effects of stress, anxiety, and loneliness, reducing the
            3.2. CU traits                                     risk of internalizing disorders. Furthermore, extraverted
                                                               adolescents are more likely to participate in activities that
            CU traits, characterized by a lack of empathy, shallow   promote mental health, such as sports and social clubs,
            affect, and disregard for others, are another significant   which provide additional emotional support (Eime et al.,
            area of concern during adolescence. CU traits are often   2013; Finnerty et al., 2021; Hoffmann et al., 2022; Khan
            seen as precursors to more severe personality disorders,   et al., 2022; Schüller & Demetriou, 2018).
            such  as  psychopathy,  and  are  strongly  associated  with
            externalizing behaviors (Cardoso et al., 2023; Demetriou   In summary, personality traits are powerful predictors
            et al., 2023; Herpers et al., 2012; Pisano et al., 2017; Sakki   of both internalizing and externalizing symptoms in
            et al., 2023; Saunders et al., 2019; Vasconcelos et al., 2021;   adolescence. While neuroticism and CU traits contribute to
            Waller et al., 2020). Adolescents exhibiting CU traits are   negative mental health outcomes and antisocial behavior,
            more likely to engage in chronic antisocial behavior and   traits such as emotional stability and extraversion offer
            display a general indifference to the feelings and rights of   protective benefits, fostering resilience and promoting
            others, which can lead to conflicts with peers, authority   positive mental health. Understanding these relationships
            figures, and the law (Michielsen et al., 2022; Miron et al.,   is crucial for early identification and intervention, as
            2020; Squillaci & Benoit, 2021).                   targeted support can mitigate the impact of maladaptive
                                                               traits and enhance the development of positive traits.
              The presence of CU traits in adolescence is also a
            strong predictor of later psychopathy. These traits remain   4. Personality traits and behavioral
            relatively stable over time, making early identification   outcomes
            crucial for intervention efforts (Demetriou  et al., 2023;
            Frogner et al., 2018; Goulter et al., 2023; McMahon et al.,   4.1. Substance use and risky behaviors
            2010; Waaler et al., 2024; Waller et al., 2020). Adolescents   One of the most studied behavioral outcomes in
            with CU traits often exhibit a range of antisocial behaviors,   adolescence is the relationship between personality traits


            Volume 3 Issue 3 (2025)                         36                 https://doi.org/10.36922/GHES025080013
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