Mental health and loneliness in Scottish schools: A multilevel analysis of data from the health behaviour in school-aged children study.
Mental health and loneliness in Scottish schools: A multilevel analysis of data from the health behaviour in school-aged children study.
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苏格兰学校的心理健康和孤独感：学龄儿童健康行为研究数据的多层次分析。
DOI：
10.1111/bjep.12581
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Goodfellow C
中科院分区：
文献类型：
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作者：
Goodfellow C
青少年孤独和心理健康状况差代表了双重公共卫生问题。然而，孤独与心理健康之间的关联，以及这些关联在学校环境中的变化，却鲜为人知。我们的目的是确定青少年心理健康的关键预测因素，并检查孤独与心理健康之间关系的学校水平差异。样本来自2018年学龄儿童健康行为研究（HBSC）的青少年横截面数据在苏格兰使用（N= 5286）。方法心理健康作为一个复合变量，包括项目评估紧张，易怒，睡眠困难和感觉低。孤独感是通过一个单一的项目来衡量的，该项目评估了青少年感到“被冷落”的频率。多层次模型被用来确定社会生态预测心理健康，与孤独和学校之间的variation.ResultsLoneliness，以及人口，社会和学校的因素，被发现与心理健康。不同学校的心理健康状况各不相同，在孤独程度高的青少年中，学校之间的差异更大。此外，孤独感对心理健康的负面影响是较强的平均心理健康scores.ConclusionsThe研究结果表明，学校可以发挥重要作用，塑造青少年心理健康的学校。我们的研究独特地指出，针对心理健康的学校干预措施在孤独的青少年中可能特别必要，而旨在解决孤独感的计划在心理健康较差的学校可能更有益。
BackgroundAdolescent loneliness and poor mental health represent dual public health concerns. Yet, associations between loneliness and mental health, and critically, how these associations vary in school settings are less understood.AimsFramed by social‐ecological theory, we aimed to identify key predictors of adolescent mental health and examine school‐level variation in the relationship between loneliness and mental health.SampleCross‐sectional data on adolescents from the 2018 wave of the Health Behaviour in School‐aged Children study (HBSC) in Scotland were used (N= 5286).MethodsMental health was measured as a composite variable containing items assessing nervousness, irritability, sleep difficulties and feeling low. Loneliness was measured via a single item assessing how often adolescents felt ‘left out’. Multilevel models were used to identify social‐ecological predictors of mental health, associations with loneliness and between‐school variation.ResultsLoneliness, as well as demographic, social and school factors, was found to be associated with mental health. Mental health varied across schools, with the between‐school difference greater among adolescents with high levels of loneliness. Additionally, the negative effect of loneliness on mental health was stronger in schools with lower average mental health scores.ConclusionsThe findings suggest that schools can play an important role in shaping adolescent mental health. Our study uniquely identifies that school‐based interventions targeting mental health may be especially necessary among lonely adolescents, and programmes aimed at tackling loneliness may be more beneficial in schools with poorer mental health.