Prevalence of mental health problems in schools: poverty and other risk factors among 28 000 adolescents in England

Deighton, Jessica; Lereya, Suzet Tanya; Casey, Polly; Patalay, Praveetha; Humphrey, Neil; Wolpert, Miranda

doi:10.1192/bjp.2019.19

Cited by 164 publications

(135 citation statements)

References 15 publications

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“…The finding of our study is consistent with the view that girls have a higher risk of experiencing mental health problems than boys [5,41,42]. The older age groups reported significantly higher risk of psychological symptoms, which was in line with previous surveys in England [43]. Our study showed that students from low-income families were more prone to be distressed by psychological symptoms, which was in agreement with previous researches [44][45][46][47].…”

Section: Discussionsupporting

confidence: 93%

Mental health problems and associated school interpersonal relationships among adolescents in China: a cross-sectional study

Jia

et al. 2020

Child Adolesc Psychiatry Ment Health

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Background: During adolescence, middle school students facing psychophysical changes are vulnerable to psychological problems. The present study aimed to investigate mental health status and associated school interpersonal relationships among adolescents in China, which may help to inform effective prevention strategies to reduce the prevalence of mental health problems. Methods: In the cross-sectional study, a total of 10,131 middle school students were selected from three cities in eastern China by stratified random sampling. The Symptom Checklist-90 (SCL-90), Teacher-Student Relationship Questionnaire (TSRQ) and Peer Relationship Scale (PRS) were used to evaluate psychological symptoms, the quality of relationship with teachers and the quality of relationship with peers, respectively. Multivariable logistic regression analysis was conducted to explore the association between school interpersonal relationships and mental health problems in adolescents. Results: 36% of the middle school students reported positive in mental health problems assessed by the SCL-90. The most prevalent dimensional symptom was obsessive-compulsive (43.3%). The risk of all types of psychological symptoms was significantly associated with school interpersonal relationships. Moreover, a higher risk of mental health problems was associated with poorer school interpersonal relationships. Conclusions: Mental health problems were prevalent among adolescents and highly associated with school interpersonal relationships. Our findings underscore the pressing need for school administrators to make efforts to improve school interpersonal relationships among adolescents.

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Section: Discussionsupporting

confidence: 93%

Mental health problems and associated school interpersonal relationships among adolescents in China: a cross-sectional study

Jia

et al. 2020

Child Adolesc Psychiatry Ment Health

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“…Four main themes arose from the analysis of the data 2 : the role of the GP; 3 clarity on help available; 4 getting advice and support; 5 and development needs. These themes are discussed narratively below:…”

Section: Methodsmentioning

confidence: 99%

“… 4 The rising prevalence and future implications highlight the importance of prevention and early intervention for child and adolescent mental health problems. 5 There has been much attention recently on the role of schools in providing mental health support, both in British government policy and research studies. 5 , 6…”

Section: Introductionmentioning

confidence: 99%

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GP perceptions of community-based children’s mental health services in Pennine Lancashire: a qualitative study

et al. 2020

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BackgroundGP satisfaction with specialist Child & Adolescent Mental Health Services (CAMHS) is often reported as low in the UK, and internationally.AimTo explore GP perceptions of local children’s mental health services and to understand their experiences of a novel GP-attached Primary Mental Health Worker (PMHW) service.Design & settingQualitative research involving GPs in Pennine Lancashire.MethodSemi-structured face-to-face interviews of GPs (n = 9) were carried out. Thematic analysis was undertaken.ResultsThemes identified included: 1) The role of the GP: most GPs perceived their role to be signposting and referring patients with mental health issues to specialist services, rather than offering care directly; 2) Clarity on help available: GPs were unclear about specialist CAMHS referral criteria and alternative resources available. GPs experienced communication challenges with specialist CAMHS; 3) Getting advice and support: PMHWs enabled GPs to have informal discussions, and to seek advice about children. Some GPs felt they could recognise problems earlier and were able to access help more quickly; and 4) Development needs: some GPs felt they required increased training in supporting children with mental health problems, and identified a need for further collaboration with schools and specialist CAMHS.ConclusionThe study identified challenges that GPs face with accessing and utilising specialist CAMHS. GPs who had PMHWs based in their practices expressed increased satisfaction with these services. GP-attached PMHWs can potentially reduce the challenges faced by GPs in primary care by offering timely and accessible advice, and improving access to specialist CAMHS.

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“…Determining which questions have value is more challenging, since allocating resources to any priority comes at the cost of divesting them from alternatives. For example, the focus on mechanistic approaches to psychological treatments could distract from other, pervasive determinants of mental disorders, like poverty (Deighton, et al, 2019), income inequality (Patel, et al, 2018) or living in a conflict zone (Jayasuriya, Jayasuriya, Tay, & Silove, 2016). Specifically, proposing a simple behavioral intervention like the Tetris game to tackle intrusive memories in refugees from warzones like Syria (Holmes, et al, 2017) might deflect from the disabling and enduring consequences of war-related trauma (Silove, et al, 2014).…”

Section: Are Research Decisions Based On Questions Relevant To Users mentioning

confidence: 99%

Increase value and reduce waste in research on psychological therapies

Cristea

Naudet

2019

Behaviour Research and Therapy

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A seminal Lancet series focussed on increasing value and reducing waste in biomedical research, providing a transferrable template to diagnose problems in research. Our goal was to document how some of these sources of waste apply to mental health and particularly psychological treatments research. We synthesize and critically evaluate empirical findings in relation to four major sources: i) defining research priorities; ii) research design, methods and analysis; iii) accessibility of research information; iv) accuracy and usability of research reports. We demonstrate that each source of waste considered is well-represented and amply documented within this field. We describe hype and insufficient consideration of what is known in defining research priorities, persistent risk of bias, particularly due to selective outcome reporting, for psychotherapy trials across mental disorders, intellectual and financial biases, direct and indirect evidence of publication bias, largely inexistent adoption of data sharing, issues of multiplicity and fragmentation of data and findings, and insufficient adoption of reporting guidelines. We expand on a few general solutions, including supporting meta-research, properly testing interventions to increase research quality, placing open science at the center of psychological treatment research and remaining vigilant particularly regarding the strains of research currently prioritized, such as experimental psychopathology.

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Prevalence of mental health problems in schools: poverty and other risk factors among 28 000 adolescents in England

Cited by 164 publications

References 15 publications

Mental health problems and associated school interpersonal relationships among adolescents in China: a cross-sectional study

Mental health problems and associated school interpersonal relationships among adolescents in China: a cross-sectional study

GP perceptions of community-based children’s mental health services in Pennine Lancashire: a qualitative study

Increase value and reduce waste in research on psychological therapies

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