Educational Level, Underachievement, and General Mental Health Problems in 10,866 Adolescents
| Autor: | Willemijn A. van Gastel, Marco P. Boks, Fabian Termorshuizen, James H. MacCabe, Nelleke de Vos, Wanda M. Tempelaar, Carolien M. Plevier |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty underachievement Multivariate analysis Adolescent Logistic regression Pediatrics school performance 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Interpersonal Relations Pediatrics Perinatology and Child Health Cognitive skill Students Psychiatry Netherlands Academic Success Mental Disorders Confounding school-performance Underachievement Odds ratio Strengths and Difficulties Questionnaire Perinatology Faculty Mental health Confidence interval 030227 psychiatry and Child Health Cross-Sectional Studies Logistic Models Mental Health Adolescent Behavior Pediatrics Perinatology and Child Health adolescence Female Psychology general mental health problems 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Academic Pediatrics, 17(6), 642. Elsevier Inc. Tempelaar, W M, de Vos, N, Plevier, C M, van Gastel, W A, Termorshuizen, F, MacCabe, J H & Boks, M P M 2017, ' Educational level, underachievement and general mental health problems in 10 866 adolescents ', Academic Pediatrics . https://doi.org/10.1016/j.acap.2017.04.016 |
| ISSN: | 1876-2859 |
| DOI: | 10.1016/j.acap.2017.04.016 |
| Popis: | Objective Previous research suggests that cognitive functioning is associated with the risk of several adult psychiatric disorders. In this study we investigated whether adolescents who perform worse than expected at secondary school are at a higher risk for general mental health problems. Methods In a cross-sectional survey comprising 10,866 Dutch adolescents aged 13 to 16 years, underachievement at secondary school was defined as the discrepancy between predicted school grade and actual grade 1 or 3 years later. Mental health problems were assessed using the Strengths and Difficulties Questionnaire. We investigated the association of underachievement with mental health problems using logistic regression, adjusting for potential confounders. Results Underachievement was associated with general psychopathology in pupils aged 13 to 14 years (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.47–2.37) and in pupils aged 15 to 16 years (OR, 2.05; 95% CI, 1.67–2.52) in a multivariate analysis including sociodemographic factors. The association between underachievement and mental health problems was attenuated when school factors such as teacher advice and interaction between underachievement and teacher advice were added, but underachievement remained significantly associated with mental health problems in adolescents in the higher educational tracks (pupils aged 13–14 years: OR, 2.22; 95% CI, 1.07–4.60 and OR, 2.41; 95% CI, 1.10–5.30, age 15–16 years: OR, 2.63; 95% CI, 1.38–5.03). In the multivariate analysis including the interaction between underachievement and teacher advice, a significant interaction effect occurs between underachievement and teacher advice in the higher tracks. Values of OR and CI are given for each significant interaction term. In the younger age group (pupils aged 13-14 years) this results in 2 sets of OR and CI. This association was most pronounced for the hyperactivity subscale of the Strengths and Difficulties Questionnaire. Conclusions Underachievement at secondary school is associated with general mental health problems, especially with hyperactivity symptoms, in pupils who started at high educational tracks. |
| Databáze: | OpenAIRE |
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