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Lindblad V, Ravn RL, Gaardsted PS, Hansen LEM, Lauritzen FF, Melgaard D. Beyond the mind: Understanding the influence of mental health on youth NEET status in Europe-A systematic literature review. J Adolesc 2024. [PMID: 39021042 DOI: 10.1002/jad.12374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Revised: 06/13/2024] [Accepted: 06/29/2024] [Indexed: 07/20/2024]
Abstract
INTRODUCTION In the fields of labor market and education research, there is a vast interest in mental health factors affecting unsuccessful school-to-work transitions, dropout from school and labor market disconnections for young people. Young people who are not in employment, education or training are conceived of as NEET. AIM To get an overview we conducted a systematic review of the present literature on the influence of mental health on the likelihood of becoming NEET in Europe. METHOD A Systematic literature search was conducted in four databases on February 21, 2023, with an update on January 15, 2024. RESULTS 33,314 articles were screened whereas 41 studies involving 8,914,123 individuals were included. Poor mental health such as attention deficit hyperactive disorder, autism, depression, borderline, and psychosis during childhood and adolescence is strongly associated with becoming NEET. CONCLUSION Mental health issues, whether mild or severe, heighten significant the risk of adverse education and employment outcomes in early adulthood, extending to young individuals with personality disorders, borderline personality disorder, and psychoses. These observations inform early intervention strategies for children and young people grappling with mental health challenges. Timely treatment is essential. Future research should focus on the gap in research like specific disorders such as eating disorders and anxiety.
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Affiliation(s)
- Victoria Lindblad
- Department of Gynecology, Pregnancy and Childbirth, North Denmark Regional Hospital, Hjørring, Denmark
| | - Rasmus L Ravn
- Department of Politics and Society, Aalborg University, Aalborg, Denmark
| | | | - Line E M Hansen
- Department of Acute Medicine and Trauma Care, Aalborg University Hospital, Aalborg, Denmark
| | - Fie F Lauritzen
- Department of Acute Medicine and Trauma Care, Aalborg University Hospital, Aalborg, Denmark
| | - Dorte Melgaard
- Department of Acute Medicine and Trauma Care, Aalborg University Hospital, Aalborg, Denmark
- Faculty of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Lau MA, Temcheff CE, Poirier M, Commisso M, Déry M. Longitudinal relationships between conduct problems, depressive symptoms, and school dropout. J Sch Psychol 2023; 96:12-23. [PMID: 36641221 DOI: 10.1016/j.jsp.2022.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2021] [Revised: 06/24/2022] [Accepted: 10/10/2022] [Indexed: 12/13/2022]
Abstract
School dropout can be an ongoing process of academic failure and disengagement starting as early as elementary school. Given the multitude of factors involved and the importance of early identification of vulnerabilities, this study examined whether (a) initial levels of conduct problems and depressive symptoms predicted school dropout, (b) the rate of change in conduct problems and depressive symptoms predicted dropout, (c) the interaction between trajectories of conduct problems and depressive symptoms affected the likelihood of dropout, and (d) whether there were sex differences in these associations. Using a dataset of 364 children ages 6-9 (T1) years who had displayed conduct problems, mean trajectories of conduct problems and depressive symptoms over 6 years were drawn using parallel process latent growth curve modeling. Results showed that both the initial levels of and rate of change in conduct problems predicted dropout, whereas trajectories of depressive symptoms did not. The interaction between trajectories of conduct problems and depressive symptoms was non-significant and sex differences were not observed. These results suggest that, for boys and girls presenting early conduct problems, although a higher initial levels of conduct problems increases the risk of school dropout, a larger decrease in these problems over time may reduce this likelihood. Recognizing and treating conduct problems consistently may be crucial in reducing the risk of dropout in children with early-onset issues.
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Affiliation(s)
- Marianne A Lau
- Department of Educational and Counselling Psychology, McGill University, 3700 McTavish Street, Montreal H3A 1Y2, Quebec, Canada.
| | - Caroline E Temcheff
- Department of Educational and Counselling Psychology, McGill University, 3700 McTavish Street, Montreal H3A 1Y2, Quebec, Canada.
| | - Martine Poirier
- Department of Educational Science, Université du Québec à Rimouski, 300 allée des Ursulines, Rimouski G5L 3A1, Quebec, Canada.
| | - Melissa Commisso
- Department of Psychology, Concordia University, 7141 Sherbrooke West, PY-146, Montreal H4B 1R6, Quebec, Canada
| | - Michèle Déry
- Faculty of Education, Université de Sherbrooke, 2500 boul. de l'Université, Sherbrooke J1K 2R1, Quebec, Canada.
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Askeland KG, Bøe T, Sivertsen B, Linton SJ, Heradstveit O, Nilsen SA, Hysing M. Association of Depressive Symptoms in Late Adolescence and School Dropout. SCHOOL MENTAL HEALTH 2022. [DOI: 10.1007/s12310-022-09522-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AbstractThe present study investigated the association between symptoms of depression in late adolescence and completion of upper secondary school, taking symptoms of ADHD and conduct disorder, and parental education into account. The study is based on the youth@hordaland-survey, conducted in Western Norway in 2012. A total of 9157 adolescents (aged 16–19 years, 53% girls) consented to participation and registry linkage and comprised the sample of the present study. Symptoms of depression, ADHD, and conduct disorder were based on adolescent self-report. Information on parental education, grade point average (GPA), and upper secondary school completion was retrieved from the National Education Database. In the sample, 14.8% had not completed upper secondary education within 5 years. Symptoms of depression were associated with higher odds of failure to graduate within 5 years (adjusted odds ratio (AOR) = 1.50). The association was attenuated but remained significant when adjusting for symptoms of ADHD, conduct disorder, and parental education. Adolescents reporting high levels of both depression and conduct disorder had the highest odds of dropout (AOR = 4.15). GPA partially mediated the association between symptoms of depression and dropout. The results show a consistent, but small association between symptoms of depression in late adolescence and failure to complete upper secondary education within five years. Given the high rate of depressive symptoms in the adolescent population, it is important to identify protective factors that promote school functioning and graduation for adolescents experiencing such symptoms.
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Tomasiello M, Temcheff CE, Martin-Storey A, Bégin V, Poirier M, Déry M. Self and parent-reported sleep problems of adolescents with childhood conduct problems and comorbid psychological problems. J Adolesc 2021; 92:165-176. [PMID: 34547674 DOI: 10.1016/j.adolescence.2021.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Revised: 09/07/2021] [Accepted: 09/11/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Childhood conduct problems (CP) are characterized by maladaptive externalizing behaviors and are linked with poor sleep. CP are highly comorbid with other psychological problems, including attention deficit/hyperactivity disorder and depression, which are also associated with disturbed sleep. The present study examined if childhood CP and comorbid depressive and/or attentional-hyperactivity problems were prospectively associated with parent and self-reported sleep difficulties in adolescence. METHODS Participants (N = 744; 53% boys) from an ongoing longitudinal study in Québec, Canada were assessed for CP and comorbidities when they were between 6 and 9 years old. Participants were classified as without CP, CP only, CP and depressive symptoms, CP and attention-hyperactivity problems, or CP, depressive symptoms, and attention-hyperactivity problems. Regressions were conducted to examine the associations between comorbidity groups, parent, and self-reported sleep problems 7 years later (Median age = 15.33 years), controlling for sex, age, family income, primary caregiver education and medication. RESULTS Adolescents in all CP groups had higher self and parent-reported sleep problems compared to adolescents without histories of CP. Adolescents with histories of CP, depressive symptoms and attention-hyperactivity problems had more sleep problems than all other groups according to self-reports, but not parent-reports. CONCLUSION Childhood CP was prospectively linked to sleep problems in adolescence, and comorbid conditions exacerbated these problems, according to youth but not parents.
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Affiliation(s)
- Melina Tomasiello
- Department of Educational and Counselling Psychology, McGill University, Education Building, 3700 McTavish Street, Montreal, Québec, Canada.
| | - Caroline Elizabeth Temcheff
- Department of Educational and Counselling Psychology, McGill University, Education Building, 3700 McTavish Street, Montreal, Québec, Canada.
| | - Alexa Martin-Storey
- Groupe de recherche et d'intervention sur les adaptations sociales de l'enfance, Département de Psychoéducation, Université de Sherbrooke, Pavillon A7, 2500 Boul. de L'Université, Sherbrooke, Québec, Canada.
| | - Vincent Bégin
- Research group on psychosocial maladjustment in children, School of Criminology, Université de Montréal, 3150 Jean-Brillant, Montréal, Québec, Canada.
| | - Martine Poirier
- Département de Secteur Disciplinaire des Sciences de L'éducation, Université Du Québec à Rimouski, 300 Allée des Ursulines, Rimouski, Québec, Canada.
| | - Michèle Déry
- Groupe de recherche et d'intervention sur les adaptations sociales de l'enfance, Département de Psychoéducation, Université de Sherbrooke, Pavillon A7, 2500 Boul. de L'Université, Sherbrooke, Québec, Canada.
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Granrud MD, Bisholt B, Anderzèn-Carlsson A, Steffenak AKM. Overcoming barriers to reach for a helping hand: adolescent boys’ experience of visiting the public health nurse for mental health problems. INTERNATIONAL JOURNAL OF ADOLESCENCE AND YOUTH 2020. [DOI: 10.1080/02673843.2020.1711529] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Affiliation(s)
- Marie Dahlen Granrud
- Faculty of Social and Health Sciences, Inland Norway University of Applied Science , Elverum, Norway
- Faculty of Health, Science and Technology, Department of Health Science, Karlstad University , Karlstad, Sweden
| | - Birgitta Bisholt
- Faculty of Health, Science and Technology, Department of Health Science, Karlstad University , Karlstad, Sweden
| | - Agneta Anderzèn-Carlsson
- Faculty of Health, Science and Technology, Department of Health Science, Karlstad University , Karlstad, Sweden
- Faculty of Medicine and Health, University Health Care Research Center, Örebro University , Örebro, Sweden
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GP follow-up after first diagnosing psychological problems among adolescents: a nationwide register-based study. Br J Gen Pract 2018; 68:e794-e802. [PMID: 30297437 DOI: 10.3399/bjgp18x699425] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Accepted: 05/29/2018] [Indexed: 10/31/2022] Open
Abstract
BACKGROUND Psychological problems are common among adolescents. Many GPs consider these problems challenging, even after diagnosis. AIM To explore how Norwegian GPs follow-up patients after a first diagnosis of a psychological problem at age 15-16 years. DESIGN AND SETTING Nationwide longitudinal, register-based study using claims data for all GPs in the national list patient system, and for adolescents born in 1993 and 1994 (n = 129 499). METHOD National databases and registers were used to determine how many adolescents received a first diagnosis of a psychological problem in a GP consultation at age 15 or 16 years. Further consultations, collaborative contacts in primary care, and referrals to secondary care during the year after diagnosis were then identified and used as outcomes in regression analyses to investigate associations with initial diagnosis, parental education, and GP characteristics. RESULTS In total, 6809 (5.3%) adolescents received a first diagnosis of a psychological problem in a GP consultation at age 15 or 16 years. Internalising problems constituted 50.5% of initial diagnoses among females and 28.8% among males. Behaviour and attention problems accounted for 21.3% for females and 45.0% for males. In total, 46.6% of females and 39.9% of males had ≥1 follow-up consultation, and 32.8% of females and 27.0% of males were referred to secondary care. GPs reported primary care collaboration for 22.1% of females and 19.1% of males. GPs with larger patient lists had higher referral rates, but collaborated less within primary care. Males with a male GP had more follow-up consultations than males with a female GP. CONCLUSION GP follow-up after diagnosing psychological problems among adolescents is limited, but predominantly comprised referrals and some multidisciplinary cooperation. GP follow-up consultations should be studied more thoroughly, and the role of GPs warrants further policy discussions.
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