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BMC Psychiatry
Published in: BMC Psychiatry 1/2014

Open Access 01-12-2014 | Research article

Delayed school progression and mental health problems in adolescence: a population-based study in 10,803 adolescents

Authors: Wanda M Tempelaar, Christiaan P Otjes, Clothilde J Bun, Carolien M Plevier, Willemijn A van Gastel, James H MacCabe, René S Kahn, Marco PM Boks

Published in: BMC Psychiatry | Issue 1/2014

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Abstract

Background

Accumulating evidence suggests that several adult mental disorders, particularly psychoses, are preceded by impairments in cognitive function, reflected in scholastic underachievement. This study investigates the association between scholastic underachievement and general mental health problems in adolescence, using delay in school progression as a marker of poor scholastic performance.

Method

Cross-sectional secondary school survey comprising 10,803 adolescents. Participants completed the Strengths and Difficulties Questionnaire (SDQ) to assess mental health problems. The association of delayed school progression with the SDQ was investigated using logistic regression with SDQ as outcome and delayed school progression as primary exposure of interest while adjusting for socio-demographic characteristics, adverse life events, school-related factors, risk taking behaviour, healthy lifestyle and physical health.

Results

Unadjusted analysis showed an association between delayed school progression and total mental health problems (OR 1.83, 95% CI 1.27 – 2.63) in adolescents. After adjusting for other risk factors (socio-demographic factors and life events) in a logistic regression model the association between delayed school progression en mental health problems was attenuated (OR 1.33, 95% CI 0.86 – 2.05).

Conclusion

Delayed school progression is associated with general mental health problems in adolescence, but this relationship is heavily confounded by other factors. A causal relationship between impaired cognitive function such as poor scholastic performance and general mental health at adolescence is less likely and delayed school progression may merely be considered an indicator of risk for mental health problems.
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Metadata
Title
Delayed school progression and mental health problems in adolescence: a population-based study in 10,803 adolescents
Authors
Wanda M Tempelaar
Christiaan P Otjes
Clothilde J Bun
Carolien M Plevier
Willemijn A van Gastel
James H MacCabe
René S Kahn
Marco PM Boks
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2014
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-014-0244-5

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