School Environment and Adolescent Depressive Symptoms: A Multilevel Longitudinal Study
School Environment and Adolescent Depressive Symptoms: A Multilevel Longitudinal Study
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DOI：
10.1542/peds.2012-2172
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发表时间：
2013-03-01
期刊：
影响因子：
8
通讯作者：
Janosz, Michel
中科院分区：
文献类型：
--
作者：
Briere, Frederic N.;Pascal, Sophie;Janosz, Michel
目的：目前尚不清楚学校环境是否会影响青少年的情绪健康。在这个大规模的前瞻性研究中，我们使用多层次模型来研究学校的社会教育环境是否有助于发展中schoolsocioeducational symptoms in secondary schools.METHODS的风险：作为一个纵向研究的一部分，在贫困社区学校的成功，5262名青少年从71所中学每年进行跟踪。社会教育环境评估的社会气候，学习机会，公平和明确的规则，和安全的综合措施。采用流行病学研究中心抑郁量表评估抑郁症状。多水平回归测试学校的社会教育环境在8年级和抑郁症状在年级10至11之间的关联，调整以前的抑郁症状在7年级和潜在的混杂因素在个人和学校level.RESULTS：适度，但显着的变化，在抑郁症状之间的学校（组内相关性= 3.3%）。8年级的学校社会教育环境可以预测10至11年级学生的抑郁症状，即使在调整了潜在的学校和个人混杂因素后。这种关联在女孩身上稍微强一些。学生对学校社会教育环境的看法也预测抑郁症状。一旦考虑到社会教育环境，其他学校层面的因素，包括学校规模，就不能预测抑郁症状。结论：在社会教育环境更好的中学就读的青少年出现抑郁症状的风险降低。学校环境似乎对青春期女孩的风险影响大于男孩。儿科2013; 131：e702-e708
OBJECTIVE: It remains unclear whether school environments can influence the emotional health of adolescents. In this large-scale prospective study, we use multilevel modeling to examine whether the school socioeducational environment contributes to the risk of developing depressive symptoms in secondary school students.METHODS: As part of a longitudinal study on school success in disadvantaged communities, 5262 adolescents from 71 secondary schools were followed annually. Socioeducational environment was assessed by a composite measure of social climate, learning opportunities, fairness and clarity of rules, and safety. Depressive symptoms were evaluated by using the Center for Epidemiologic Studies Depression scale. Multilevel regressions tested the association between school socioeducational environment in grade 8 and depressive symptoms in grades 10 to 11, adjusting for previous depressive symptoms in grade 7 and potential confounders at the individual and school levels.RESULTS: Modest but significant variation in depressive symptoms was found between schools (intraclass correlation = 3.3%). School-level socioeducational environment in grade 8 was predictive of student depressive symptoms in grades 10 to 11, even after adjusting for potential school and individual confounders. This association was slightly stronger for girls. Student perceptions of school socioeducational environment were also predictive of depressive symptoms. Other school-level factors, including school size, were not predictive of depressive symptoms once socioeducational environment was taken into account.CONCLUSIONS: Adolescents who attend a secondary school with a better socioeducational environment are at reduced risk of developing depressive symptoms. School environments appear to have a greater influence on risk in adolescent girls than boys. Pediatrics 2013; 131: e702-e708