Mental Health Difficulties in Early Adolescence: A Comparison of Two Cross-Sectional Studies in England From 2009 to 2014

Fink, Elian; Patalay, Praveetha; Sharpe, Helen; Holley, Simone; Deighton, Jessica; Wolpert, Miranda

doi:10.1016/j.jadohealth.2015.01.023

Cited by 127 publications

(141 citation statements)

References 17 publications

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“…One recent cross-sectional study conducted in England provided information about changing mental health trends in early adolescence and specifically identified a significant increase in emotional problems in girls aged 11–13 years [32]. Our findings were concordant with those of previous studies, which reported that students who regularly ate breakfast were more likely to behave better in school and get along with their peers better than those who did not [33].…”

Section: Discussionsupporting

confidence: 88%

Effect of School-Based Home-Collaborative Lifestyle Education on Reducing Subjective Psychosomatic Symptoms in Adolescents: A Cluster Randomised Controlled Trial

Watanabe

Yamaoka

et al. 2016

PLoS ONE

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In this study, we aimed to assess the effectiveness of a school-based home-collaborative lifestyle education program for adolescents (PADOK) in reducing poor subjective psychosomatic symptoms (SPS). The study was designed as a two-armed parallel cluster randomised controlled trial and the study population comprised adolescent students (aged 12–14 years, n = 1,565) who were recruited from 19 middle schools in Japan. The PADOK intervention or usual school programme was provided in schools to all eligible participants. The primary outcome was the SPS score at 6 months, while secondary outcomes included lifestyle factors, BMI, and dietary intakes. Analyses were undertaken on an intention to treat (ITT) basis accounting for the clustered design. Nineteen schools were randomised to the PADOK group (10 schools) and control group (9 schools). The numbers of students used for analysis were 1,509 for ITT and 1,420 (94.1%) for PPS. At 6 months, the crude mean change from baseline of the SPS scores by ITT analysis showed a significantly greater reduction in the PADOK group compared to that in the control group (−0.95, 95% CI −1.70 to −0.20, P = 0.016), while those for baseline-adjusted and multivariate-adjusted values showed similar directionality but were not significant (P = 0.063 and P = 0.130). The results indicated that the PADOK program may improve poor SPS scores among adolescents.

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Section: Discussionsupporting

confidence: 88%

Effect of School-Based Home-Collaborative Lifestyle Education on Reducing Subjective Psychosomatic Symptoms in Adolescents: A Cluster Randomised Controlled Trial

Watanabe

Yamaoka

et al. 2016

PLoS ONE

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“…The most recent data suggest that one in five children with a significant mental health difficulty receive specialist help (Meltzer, Gartward, Goodman, & Ford, 2000). In the light of evidence of rising levels of need (Fink et al, 2015) together with several years of reductions in specialist provision of child and adolescent mental health services (CAMHS;Health Committee, 2014;YoungMinds, 2013), schools across England are increasingly a focus of attention as a key site for support for mental health and wellbeing (Durlak, Weissberg, Dymnicki, Taylor, & Schellinger, 2011;Stallard, Simpson, Anderson, Hibbert, & Osborn, 2007;Weare & Nind, 2011). Teachers are the most commonly contacted mental health support (Ford, Hamilton, Meltzer, & Goodman, 2007).…”

Section: Introductionmentioning

confidence: 99%

Survey of schools’ work with child and adolescent mental health across England: a system in need of support

Sharpe

Ford

Lereya

et al. 2016

Child Adoles Ment Health

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Background With evidence of rising need around mental health in young people, cuts in specialist health provision and increasing recognition of the central role of schools in supporting young people with mental health problems, it is important to understand the provision of mental health support currently available in schools, the nature of the relationship with health and other providers of child and adolescent mental health (CAMH) services, and what are the key barriers to accessing support. Method The study was a convenience sample survey of 577 school staff from 341 schools in England. Participants completed an online survey about the provision of specialist mental health support in their school, including what support is available, who provides it, and perceived barriers to supporting the mental health of young people. Data were linked to publicly available data on school characteristics. Results Over two thirds of schools reported having some specialist support available, with specialist provision more common in secondary schools. Staff training and whole‐school approaches were the most frequently employed specific approaches. Support was most often provided by educational psychologists, followed by counsellors. School staff particularly valued support and feedback within the schools context. The most frequently cited barrier to mental health support was the limited capacity of specialist CAMH services. Conclusions The results suggest a need to enhance the availability of specialist support for mental health both within schools and in CAMH services.

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“…A recent survey (Fink et al 2015) found that mental health issues in children have increased over the last two years, with school staff believing at least a quarter of students in their schools were affected by mental health problems. These findings have been replicated in Kirklees where increasingly children are presenting at weight management services with social and psychological problems in addition to weight problems: these include eating disorders, low self-esteem, anger management, mood swings, depression and self-harming.…”

Section: Why Is the Current Model Not Working?mentioning

confidence: 99%

Should strategies to tackle childhood obesity also focus on mental health?

Lewis

Mackenzie

2015

British Journal of School Nursing

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Childhood obesity continues to be a concern in the UK as in many other countries. Although there has been a ‘levelling off’ of BMI recorded through the National Childhood Measurement Programme in recent years, the upward trend continues in older and more deprived children. Childhood obesity has been linked to poor mental health; whether psychological and social problems are a consequence or a contributor to obesity is unknown. Childhood obesity programmes that recognise and address psychosocial problems are proving useful in addressing obesity problems, but their continued support is subject to funding. School nurses, by measuring children's height and weight, can identify children at risk of obesity, but this is ineffective on its own and more support and advice is needed for school nurses on how to tackle the complex conditions surrounding childhood obesity.

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Mental Health Difficulties in Early Adolescence: A Comparison of Two Cross-Sectional Studies in England From 2009 to 2014

Cited by 127 publications

References 17 publications

Effect of School-Based Home-Collaborative Lifestyle Education on Reducing Subjective Psychosomatic Symptoms in Adolescents: A Cluster Randomised Controlled Trial

Effect of School-Based Home-Collaborative Lifestyle Education on Reducing Subjective Psychosomatic Symptoms in Adolescents: A Cluster Randomised Controlled Trial

Survey of schools’ work with child and adolescent mental health across England: a system in need of support

Should strategies to tackle childhood obesity also focus on mental health?

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