Associations between school difficulties and health-related problems and risky behaviours in early adolescence: A cross-sectional study in middle-school adolescents in France

Chau, Kénora; Kabuth, Bernard; Causin-Brice, Odile; Delacour, Yves; Richoux-Picard, Catherine; Verdin, Monique; Armand, Isabelle; Chau, Nearkasèn

doi:10.1016/j.psychres.2016.07.008

Cited by 32 publications

(50 citation statements)

References 45 publications

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“…Sometimes it is possible to note a significant association between school absenteeism, low school performance, and school dropout with the use of psychoactive substances, particularly alcohol, tobacco, and marijuana (14) . These school problems can lead to suicide attempts, drug addiction, cerebrovascular accidents and diseases in adulthood (14) , which in the long term, can prevent these students from entering the job market and having more job opportunities (15) , besides also developing mental disorders, criminal (4) , violent and aggressive behaviors, and sexual behaviors of risk (16) . In this study, the school absenteeism rate was of 36.2% (102), i.e.…”

Section: Discussionmentioning

confidence: 99%

Consumption of alcohol and drugs and school absenteeism among high school students of public schools

2019

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Objective: To evaluate the relation between the consumption of alcohol and other drugs and school absenteeism in high school students of public schools in the 30 days prior to data collection. Method: Cross-sectional study of quantitative character conducted from May to September 2017, with 282 high school students of public schools of Mossoró-RN. We used a closed questionnaire with questions about drug consumption as our instrument of analysis. We performed hierarchical binary logistic regression by using the SPSS 20.0. Results: In bivariate analysis, the relation between absenteeism and drug consumption patterns proved to be significant to those who engage in heavy episodic drinking of alcohol and in the use of tobacco, inhalants and marijuana. The adjusted regression model only included the variables tobacco and heavy episodic drinking of alcohol. Conclusion: The hierarchical binary logistic regression analysis corroborated with absenteeism outcomes, explaining it in 12.3% of cases.

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Section: Discussionmentioning

confidence: 99%

Consumption of alcohol and drugs and school absenteeism among high school students of public schools

2019

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“…Symptoms and other telltale signs are more easily detected when objective: presence of school difficulties is one such sign. Indeed, according to the literature, school difficulties are linked to mental health vulnerability and suicidal behaviors [4,5,[17][18][19][20][21]. A review of the literature on children's mental health and "school performance", "academic functioning", "school attendance", underlined the early manifestations of every mental health disorder of childhood, as identifiable behaviors affecting and affected by school performance" [5].…”

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confidence: 99%

“…A review of the literature on children's mental health and "school performance", "academic functioning", "school attendance", underlined the early manifestations of every mental health disorder of childhood, as identifiable behaviors affecting and affected by school performance" [5]. Chau et al [17] found, among French teenagers, an association between poor psychological health and school absenteeism, after adjustment on gender, age, school-level and socioeconomic factors. Thompson et al [4] showed that school difficulties in a population of 9to 12-year-olds (US) are correlated with substance use, aggression, depression and suicidal behaviors very early on in life.…”

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confidence: 99%

Are school difficulties an early sign for mental disorder diagnosis and suicide prevention? A comparative study of individuals who died by suicide and control group

Ligier

Giguère²,

Notredame

et al. 2020

Child Adolesc Psychiatry Ment Health

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Background: Suicide is the third leading cause of death worldwide among youth aged 10-to 19, and mental disorders are often associated in the etiology of suicidal behavior. Mental disorders are often under-diagnosed and undertreated in young people, a situation likely to increase the severity of the disorder and suicide risk. Presence of school difficulties may, in some cases, be a consequence of mental disorder, and theses difficulties are observable. Therefore, early detection and early intervention of school difficulties may alleviate the development of mental disorders and suicide vulnerability. The aim of this study is to understand the link between school difficulties and suicide risk. Methods:We used the data bank gathered by the McGill Group on Suicide Studies over the past two decades through interviews with the relatives of individuals who died by suicide and with individuals from the community as a control group. We included data on common sociodemographic characteristics, life events and mental health characteristics identified before age 18, among individuals who died before the age of 35 or were interviewed before the age of 35. We identified 200 individuals who died by suicide and 97 living controls. We compared groups according to gender and characteristics. Results:Within the total sample, 74% were male, 13% had met with academic failure, 18% had engaged in inappropriate behavior at school, and 18% presented combined school difficulties. Combined school difficulties (academic failure and inappropriate behavior) for both sexes and academic failure alone for males were associated with higher suicide risk before the age of 35. School difficulties generally began in early childhood and were linked to mental disorders/difficulties and substance abuse before age 18. Conclusions:This study underlines the importance for parents, teachers, and educators to identify children with school difficulties-academic failure and behavioral difficulties at school-as early as possible in order to be able to propose adapted interventions. Early identification and proper diagnosis may prevent chronicity of some disorders, accumulation of adverse events, and even suicide.

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“…In past reports, Chau et al reported that SRB (more than 8 days of school absence per year) was associated with poorer physical and psychological HRQOL in middle-school adolescents of the general population, which was measured as lower than the 25th percentile in the dimensions of physical and psychological of WHOQOL-Bref. 16 To our knowledge, no study has assessed HRQOL in children with SRB who visited medical services, so our data are relevant to the scientific community. The self (child)reported and proxy-reported HRQOL was significantly 33 and we therefore considered hearing from the children themselves as important for the assessment of HRQOL.…”

Section: Discussionmentioning

confidence: 99%

“…15 Previous reports have shown that the number of days of absence is associated with a lower HRQOL in the general population. 16 In recent study, Gonzálvez et al reported that social functioning acted as a protective factor of SRB due to anxiety symptoms or feelings of negative affect linked to the obligation to attend school. 17 We made three hypotheses: 1) The HRQOL of students with SRB would be lower than that of the control group; 2) Students with SRB who are diagnosed with a psychiatric disorder would have a lower HRQOL than students with SRB who have no diagnosis; and 3) High self-esteem increases HRQOL of students with SRB.…”

Section: Introductionmentioning

confidence: 99%

<p>Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior</p>

Matsuura¹,

Iwasaka

Nezu³

et al. 2020

NDT

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Background: School refusal behavior (SRB), which is the refusal to attend or remain in school, has been associated with emotional, psychological, and other behavioral problems, as well as a lower health-related quality of life (HRQOL). However, the effects of self-esteem and a psychiatric diagnosis in students with SRB on HRQOL are not yet known. Understanding these relationships could help to develop more effective therapeutic interventions. Methods: A total of 175 young people (aged 8-18 years old) who visited our medical centers and outpatient clinics participated in the study. This comprised the SRB group (n = 70) and an age-and sex-matched control group (n = 105). Information about any psychiatric diagnosis was collected from medical records, HRQOL was measured using the J-KIDSCREEN-52, SRB was assessed using the School Refusal Assessment Scale-Revised for Japanese Attendance at School, self-esteem was measured using the Rosenberg Self-Esteem Scale, children's mental health status was measured using the Strengths and Difficulties Questionnaire, and social support was measured using the Oslo 3-item Social Support Scale. We performed between-group comparisons and multiple regression analysis. Results: The SRB had a significantly lower HRQOL than the control group in several of the KIDSCREEN-52 dimensions. In the SRB group, 35.7% had chronic disease and 35.7% of their parents had health problems and were receiving treatment. The multiple regression analysis revealed that, within the SRB group, a psychiatric diagnosis was associated with a lower HRQOL. However, this was not the case for a diagnosis of autistic spectrum disorder. Self-esteem positively affected HRQOL in six dimensions of the KIDSCREEN-52 within the SRB group. Conclusion: Our results could inform the development of support strategies for young people with SRB. Namely, support that enhances self-esteem could be used to increase HRQOL in young people with SRB. Furthermore, the presence of psychiatric disorders should be assessed as early as possible.

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Associations between school difficulties and health-related problems and risky behaviours in early adolescence: A cross-sectional study in middle-school adolescents in France

Cited by 32 publications

References 45 publications

Consumption of alcohol and drugs and school absenteeism among high school students of public schools

Consumption of alcohol and drugs and school absenteeism among high school students of public schools

Are school difficulties an early sign for mental disorder diagnosis and suicide prevention? A comparative study of individuals who died by suicide and control group

<p>Influence of Self-Esteem and Psychiatric Diagnosis on Health-Related Quality of Life in Children and Adolescents with School Refusal Behavior</p>

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