The Role of Schools in Early Adolescents' Mental Health: Findings From the MYRIAD Study.
The Role of Schools in Early Adolescents' Mental Health: Findings From the MYRIAD Study.
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DOI：
10.1016/j.jaac.2021.02.016
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发表时间：
2021-12
影响因子：
13.3
通讯作者：
Kuyken W
中科院分区：
文献类型：
--
作者：
Ford T;Degli Esposti M;Crane C;Taylor L;Montero-Marín J;Blakemore SJ;Bowes L;Byford S;Dalgleish T;Greenberg MT;Nuthall E;Phillips A;Raja A;Ukoumunne OC;Viner RM;Williams JMG;Allwood M;Aukland L;Casey T;De Wilde K;Farley ER;Kappelmann N;Lord L;Medlicott E;Palmer L;Petit A;Pryor-Nitsch I;Radley L;Warriner L;Sonley A;MYRIAD Team;Kuyken W
最近的研究表明，青少年的心理健康状况正在恶化。联合王国目前的政策强调学校在促进和预防心理健康方面的作用，但关于学校哪些方面影响学生心理健康的数据很少。本研究在英国以学校为基础的大型样本中探讨了学校水平对年轻人心理健康的影响。分析了2016年至2018年期间从主流中学收集的大型整群随机对照试验的基线数据，这些数据被选中在质量评级、规模、剥夺、混合或单性别学生人数和国家方面具有代表性。参与者是中学一年级或二年级的学生。这项研究评估了学校层面的因素是否与学生的心理健康有关。该研究包括英国85所学校的26,885名学生（回复率= 90%，年龄范围11-14岁，55%为女性）。学校影响了2.4% （95% CI: 2.0%-2.8%; p < 0.0001）的精神病理变异，1.6% （95% CI: 1.2%-2.1%; p < 0.0001）的抑郁，1.4% （95% CI: 1.0%-1.7%; p < 0.0001）的幸福感。在城市地区的学校，免费供餐和白人英国人的比例较高，学生的心理健康状况较差。更积极的学校氛围与更好的心理健康有关。学校层面的变量，主要与环境因素、学生群体特征和学校气候有关，解释了年轻人心理健康方面的少量但重要的变化。这些信息可以用来确定需要更多资源来支持青少年心理健康的学校。MYRIAD：我在青春期的弹性，一项关于正念训练计划在学校与普通学校提供的有效性和成本效益的研究；https://www.isrctn.com/;86619085.
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.
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影响因子：
4.4
作者：
Gieling, Maike;Vollebergh, Wilma;van Dorsselaer, Saskia
通讯作者：
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DOI：
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发表时间：
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DOI：
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发表时间：
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影响因子：
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作者：
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通讯作者：
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