|
1
|
Gregory T, Monroy NS, Grace B, Finlay-Jones A, Brushe M, Sincovich A, Heritage B, Boulton Z, Brinkman SA. Mental health profiles and academic achievement in Australian school students. J Sch Psychol 2024; 103:101291. [PMID: 38432734 DOI: 10.1016/j.jsp.2024.101291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Revised: 08/12/2023] [Accepted: 01/25/2024] [Indexed: 03/05/2024]
Abstract
This study explored mental health profiles in Australian school students using indicators of well-being (i.e., optimism, life satisfaction, and happiness) and psychological distress (i.e., sadness and worries). The sample included 75,757 students (ages 8-18 years) who completed the 2019 South Australian Wellbeing and Engagement Collection. Latent profile analysis identified five mental health profiles consisting of (a) complete mental health (23%), (b) good mental health (33%), (c) moderate mental health (27%), (d) symptomatic but content (9%), and (e) troubled (8%). Findings provide partial support for the dual-factor model of mental health. Distal outcomes analysis on a sub-set of students (n = 24,466) found students with a symptomatic but content, moderate mental health, or troubled profile had poorer academic achievement than students with complete mental health. Implications for schools and education systems are discussed, including the need to pair clinical supports for students with psychological distress with population-level preventative health approaches to build psychological well-being.
Collapse
Affiliation(s)
- Tess Gregory
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia; School of Public Health, The University of Adelaide, Level 4, 50 Rundle Mall, Rundle Mall Plaza, Adelaide, South Australia 5005, Australia.
| | - Neida Sechague Monroy
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia
| | - Blair Grace
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia
| | - Amy Finlay-Jones
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia
| | - Mary Brushe
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia
| | - Alanna Sincovich
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia
| | - Brody Heritage
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia
| | - Zara Boulton
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia
| | - Sally A Brinkman
- Telethon Kids Institute, The University of Western Australia, Ground Floor, 108 North Terrace, Adelaide, South Australia 5000, Australia; School of Public Health, The University of Adelaide, Level 4, 50 Rundle Mall, Rundle Mall Plaza, Adelaide, South Australia 5005, Australia
| |
Collapse
|
|
2
|
Mitchell RJ, McMaugh A, Lystad RP, Cameron CM, Nielssen O. Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort. BMC Health Serv Res 2022; 22:1359. [DOI: 10.1186/s12913-022-08789-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 11/04/2022] [Indexed: 11/17/2022] Open
Abstract
Abstract
Background
To inform healthcare planning and resourcing, population-level information is required on the use of health services among young people with a mental disorder. This study aims to identify the health service use associated with mental disorders among young people using a population-level matched cohort.
Method
A population-based matched case-comparison retrospective cohort study of young people aged ≤ 18 years hospitalised for a mental disorder during 2005–2018 in New South Wales, Australia was conducted using linked birth, health, and mortality records. The comparison cohort was matched on age, sex and residential postcode. Adjusted rate ratios (ARR) were calculated for key demographics and mental disorder type by sex.
Results
Emergency department visits, hospital admissions and ambulatory mental health service contacts were all higher for males and females with a mental disorder than matched peers. Further hospitalisation risk was over 10-fold higher for males with psychotic (ARR 13.69; 95%CI 8.95–20.94) and anxiety (ARR 11.44; 95%CI 8.70-15.04) disorders, and for both males and females with cognitive and behavioural delays (ARR 10.79; 95%CI 9.30-12.53 and ARR 14.62; 95%CI 11.20-19.08, respectively), intellectual disability (ARR 10.47; 95%CI 8.04–13.64 and ARR 11.35; 95%CI 7.83–16.45, respectively), and mood disorders (ARR 10.23; 95%CI 8.17–12.80 and ARR 10.12; 95%CI 8.58–11.93, respectively) compared to peers.
Conclusion
The high healthcare utilisation of young people with mental disorder supports the need for the development of community and hospital-based services that both prevent unnecessary hospital admissions in childhood and adolescence that can potentially reduce the burden and loss arising from mental disorders in adult life.
Collapse
|