Cross-National Time Trends in Adolescent Mental Well-Being From 2002 to 2018 and the Explanatory Role of Schoolwork Pressure.
Cross-National Time Trends in Adolescent Mental Well-Being From 2002 to 2018 and the Explanatory Role of Schoolwork Pressure.
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DOI：
10.1016/j.jadohealth.2020.02.010
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发表时间：
2020-06
期刊：
影响因子：
--
通讯作者：
de Looze M
中科院分区：
文献类型：
--
作者：
Cosma A;Stevens G;Martin G;Duinhof EL;Walsh SD;Garcia-Moya I;Költő A;Gobina I;Canale N;Catunda C;Inchley J;de Looze M
先前的研究表明，青少年心理健康的时间趋势不一致，但这种趋势的潜在潜在机制尚未得到检验。本研究调查了主要在欧洲国家的青少年心理健康（身心健康投诉和生活满意度）的跨国时间趋势，以及学业压力的时间趋势在多大程度上解释了这些趋势。分析纳入了来自36个国家的915054名青少年（50.8%为女孩，平均值= 13.54，标准差= 1.63）在五次学龄儿童健康行为调查（2002年、2006年、2010年、2014年和2018年）中的数据。分层多层模型估计青少年心理健康和学业压力的跨国趋势。我们还测试了学业压力是否可以解释心理健康的这些趋势。随着时间的推移，心身疾患和学业压力呈小的线性增长。生活满意度没有变化。此外，青少年心理健康和学业压力的流行程度和趋势也存在很大的跨国差异。总体而言，在高收入国家，幸福感的下降和学业压力的增加是明显的。在各个国家，随着时间的推移，学业压力的小幅增加部分解释了身心健康投诉的增加。我们的发现并没有提供证据证明青少年的心理健康状况有实质性的下降。然而，在高收入国家，心理幸福感的小幅增长和学业压力的增加似乎是相当一致的。这需要引起公共卫生专业人员和决策者的注意。各国在青少年心理健康结果和学业压力方面的趋势差异相当大，这需要谨慎对待国家趋势的跨国推广。
Previous research has shown inconsistent time trends in adolescent mental well-being, but potential underlying mechanisms for such trends are yet to be examined. This study investigates cross-national time trends in adolescent mental well-being (psychosomatic health complaints and life satisfaction) in mainly European countries and the extent to which time trends in schoolwork pressure explain these trends. Data from 915,054 adolescents from 36 countries (50.8% girls; meanage = 13.54; standard deviationage = 1.63) across five Health Behaviour in School-aged Children surveys (2002, 2006, 2010, 2014, and 2018) were included in the analyses. Hierarchical multilevel models estimated cross-national trends in adolescent mental well-being and schoolwork pressure. We also tested whether schoolwork pressure could explain these trends in mental well-being. A small linear increase over time in psychosomatic complaints and schoolwork pressure was found. No change in life satisfaction emerged. Furthermore, there was large cross-country variation in the prevalence of, and trends over time in, adolescent mental well-being and schoolwork pressure. Overall, declines in well-being and increases in schoolwork pressure were apparent in the higher income countries. Across countries, the small increase in schoolwork pressure over time partly explained the increase in psychosomatic health complaints. Our findings do not provide evidence for substantial declines in mental well-being among adolescents. Yet, the small increase in mental well-being and increases in schoolwork pressure appear to be quite consistent across high-income countries. This calls for the attention of public health professionals and policy-makers. Country differences in trends in both adolescent mental well-being outcomes and schoolwork pressure were considerable, which requires caution regarding the cross-national generalization of national trends.
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