Student- and School-Level Factors Associated With Mental Health and Well-Being in Early Adolescence.
J Am Acad Child Adolesc Psychiatry
; 63(2): 266-282, 2024 Feb.
Article
de En
| MEDLINE
| ID: mdl-37866473
ABSTRACT
OBJECTIVE:
Adolescence is a key developmental window that may determine long-term mental health. As schools may influence mental health of students, this study aimed to examine the association of school-level characteristics with students' mental health over time.METHOD:
Longitudinal data from a cluster randomized controlled trial comprising 8,376 students (55% female; aged 11-14 years at baseline) across 84 schools in the United Kingdom were analyzed. Data collection started in the academic years 2016/2017 (cohort 1) and 2017/2018 (cohort 2), with follow-up at 1, 1.5, and 2 years. Students' mental health (risk for depression [Center for Epidemiologic Studies Depression Scale], social-emotional-behavioral difficulties [Strength and Difficulties Questionnaire]) and well-being (Warwick-Edinburgh Mental Well-Being Scale) and relationships with student- and school-level characteristics were explored using multilevel regression models.RESULTS:
Mental health difficulties and poorer well-being increased over time, particularly in girls. Differences among schools represented a small but statistically significant proportion of variation (95% CI) in students' mental health at each time point depression, 1.7% (0.9%-2.5%) to 2.5% (1.6%-3.4%); social-emotional-behavioral difficulties, 1.9% (1.1%-2.7%) to 2.8% (2.1%-3.5%); and well-being, 1.8% (0.9%-2.7%) to 2.2% (1.4%-3.0%). Better student-rated school climate analyzed as a time-varying factor at the student and school level was associated with lower risk of depression (regression coefficient [95%CI] student level -4.25 [-4.48, -4.01]; school level -4.28 [-5.81, -2.75]), fewer social-emotional-behavioral difficulties (student level -2.46 [-2.57, -2.35]; school level -2.36 [-3.08, -1.63]), and higher well-being (student level 3.88 [3.70, 4.05]; school-level 4.28 [3.17, 5.38]), which was a stable relationship.CONCLUSION:
Student-rated school climate predicted mental health in early adolescence. Policy and system interventions that focus on school climate may promote students' mental health.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Établissements scolaires
/
Santé mentale
Limites:
Adolescent
/
Female
/
Humans
/
Male
Langue:
En
Journal:
J Am Acad Child Adolesc Psychiatry
Sujet du journal:
PEDIATRIA
/
PSIQUIATRIA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Royaume-Uni