Student- and school-level factors associated with mental health and well-being in early adolescence
<p><strong>Objective:</strong> 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’ men...
| Päätekijät: | , , , , , , , , , , , , , |
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| Aineistotyyppi: | Journal article |
| Kieli: | English |
| Julkaistu: |
Elsevier
2023
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| _version_ | 1826312346427981824 |
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| author | Hinze, V Montero-Marin, J Blakemore, S-J Byford, S Dalgleish, T Esposti, MD Greenberg, MT Jones, BG Slaghekke, Y Ukoumunne, OC Viner, RM Williams, JMG Ford, TJ Kuyken, W |
| author_facet | Hinze, V Montero-Marin, J Blakemore, S-J Byford, S Dalgleish, T Esposti, MD Greenberg, MT Jones, BG Slaghekke, Y Ukoumunne, OC Viner, RM Williams, JMG Ford, TJ Kuyken, W |
| author_sort | Hinze, V |
| collection | OXFORD |
| description | <p><strong>Objective:</strong> 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.</p>
<p><strong>Method:</strong> 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.</p>
<p><strong>Results:</strong> 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.</p>
<p><strong>Conclusion:</strong> Student-rated school climate predicted mental health in early adolescence. Policy and system interventions that focus on school climate may promote students’ mental health.</p> |
| first_indexed | 2024-03-07T08:27:38Z |
| format | Journal article |
| id | oxford-uuid:703a36b8-25ef-4bdd-bd2c-8a2f79e863ce |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T08:27:38Z |
| publishDate | 2023 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:703a36b8-25ef-4bdd-bd2c-8a2f79e863ce2024-02-27T07:47:49ZStudent- and school-level factors associated with mental health and well-being in early adolescenceJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:703a36b8-25ef-4bdd-bd2c-8a2f79e863ceEnglishSymplectic ElementsElsevier2023Hinze, VMontero-Marin, JBlakemore, S-JByford, SDalgleish, TEsposti, MDGreenberg, MTJones, BGSlaghekke, YUkoumunne, OCViner, RMWilliams, JMGFord, TJKuyken, W<p><strong>Objective:</strong> 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.</p> <p><strong>Method:</strong> 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.</p> <p><strong>Results:</strong> 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.</p> <p><strong>Conclusion:</strong> Student-rated school climate predicted mental health in early adolescence. Policy and system interventions that focus on school climate may promote students’ mental health.</p> |
| spellingShingle | Hinze, V Montero-Marin, J Blakemore, S-J Byford, S Dalgleish, T Esposti, MD Greenberg, MT Jones, BG Slaghekke, Y Ukoumunne, OC Viner, RM Williams, JMG Ford, TJ Kuyken, W Student- and school-level factors associated with mental health and well-being in early adolescence |
| title | Student- and school-level factors associated with mental health and well-being in early adolescence |
| title_full | Student- and school-level factors associated with mental health and well-being in early adolescence |
| title_fullStr | Student- and school-level factors associated with mental health and well-being in early adolescence |
| title_full_unstemmed | Student- and school-level factors associated with mental health and well-being in early adolescence |
| title_short | Student- and school-level factors associated with mental health and well-being in early adolescence |
| title_sort | student and school level factors associated with mental health and well being in early adolescence |
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