The Role of Schools in Early Adolescents' Mental Health: Findings From the MYRIAD Study.
adolescents
mental health
school climate
schools
well-being
Journal
Journal of the American Academy of Child and Adolescent Psychiatry
ISSN: 1527-5418
Titre abrégé: J Am Acad Child Adolesc Psychiatry
Pays: United States
ID NLM: 8704565
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
received:
15
08
2020
revised:
18
01
2021
accepted:
26
02
2021
pubmed:
8
3
2021
medline:
25
12
2021
entrez:
7
3
2021
Statut:
ppublish
Résumé
Recent studies suggest mental health in youths is deteriorating. The current policy in the United Kingdom emphasizes the role of schools for mental health promotion and prevention, but little data exist on what aspects of schools influence mental health in pupils. This study explored school-level influences on the mental health of young people in a large school-based sample from the United Kingdom. Baseline data from a large cluster randomized controlled trial collected between 2016 and 2018 from mainstream secondary schools selected to be representative in relation to their quality rating, size, deprivation, mixed or single-sex pupil population, and country were analyzed. Participants were pupils in their first or second year of secondary school. The study assessed whether school-level factors were associated with pupil mental health. The study included 26,885 pupils (response rate = 90%; age range, 11‒14 years; 55% female) attending 85 schools in the United Kingdom. Schools accounted for 2.4% (95% CI: 2.0%‒2.8%; p < .0001) of the variation in psychopathology, 1.6% (95% CI: 1.2%‒2.1%; p < .0001) of depression, and 1.4% (95% CI: 1.0%‒1.7%; p < .0001) of well-being. Schools in urban locations, with a higher percentage of free school meals and of White British, were associated with poorer pupil mental health. A more positive school climate was associated with better mental health. School-level variables, primarily related to contextual factors, characteristics of pupil population, and school climate, explain a small but significant amount of variability in mental health of young people. This information might be used to identify schools that are in need of more resources to support mental health of young people. MYRIAD: My Resilience in Adolescence, a Study Examining the Effectiveness and Cost-Effectiveness of a Mindfulness Training Programme in Schools Compared With Normal School Provision; https://www.isrctn.com/; 86619085.
Identifiants
pubmed: 33677037
pii: S0890-8567(21)00143-X
doi: 10.1016/j.jaac.2021.02.016
pmc: PMC8669152
pii:
doi:
Banques de données
ISRCTN
['ISRCTN86619085']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1467-1478Subventions
Organisme : Medical Research Council
ID : SUAG/043 G101400
Pays : United Kingdom
Organisme : Department of Health
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/P017355/1
Pays : United Kingdom
Organisme : Wellcome Trust
ID : WT107496/Z/15/Z
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00005/4
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_17213
Pays : United Kingdom
Organisme : Wellcome Trust
ID : WT104908/Z/14/Z
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Investigateurs
Saz Ahmed
(S)
Susan Ball
(S)
Marc Bennett
(M)
Nicola Dalrymple
(N)
Darren Dunning
(D)
Katie Fletcher
(K)
Lucy Foulkes
(L)
Poushali Ganguli
(P)
Cait Griffin
(C)
Kirsty Griffiths
(K)
Konstantina Komninidou
(K)
Rachel Knight
(R)
Suzannah Laws
(S)
Jovita Leung
(J)
Jenna Parker
(J)
Blanca Piera Pi-Sunyer
(BP)
J Ashok Sakhardande
(JA)
Jem Shackleford
(J)
Kate Tudor
(K)
Maris Vainre
(M)
Brian Wainman
(B)
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.
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