Mental health problems and school performance in first graders: results of the prospective cohort study ikidS.

We aimed to estimate unbiased effects of mental health problems (MHPs) on school performance in first graders, with an emphasis on rigorous adjustment for potential confounders. A population-based prospective cohort study was performed in the area of Mainz-Bingen (Germany). In 2015, all preschoolers...

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Publicado en:European Child & Adolescent Psychiatry Vol. 28; no. 10; pp. 1341 - 1353
Autores principales: Gräf, Christine, Hoffmann, Isabell, Diefenbach, Christiane, König, Jochem, Schmidt, Martina F., Schnick-Vollmer, Kathleen, Huss, Michael, Urschitz, Michael S.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2019
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      pub: Springer Nature
      place: New York, New York
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        atl: Mental health problems and school performance in first graders: results of the prospective cohort study ikidS.
      aug:
        au:
          Gräf, Christine
          Hoffmann, Isabell
          Diefenbach, Christiane
          König, Jochem
          Schmidt, Martina F.
          Schnick-Vollmer, Kathleen
          Huss, Michael
          Urschitz, Michael S.
        affil: Division of Paediatric Epidemiology, Institute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Centre of the Johannes Gutenberg-University, Obere Zahlbacher Str. 69, 55131, Mainz, Germany
      sug:
        subj:
          Mental Disorders Complications
          Academic Performance Evaluation
          Risk Assessment
          Adaptation, Psychological
          Students, Elementary Psychosocial Factors
          Child Health
          School Health
          Human
          Prospective Studies
          Germany
          Chronic Disease
          Health Status Evaluation
          Child, Preschool
          Questionnaires
          Reading
          School Health Services
          Writing
          Teachers
          Male
          Female
          Child
          Confidence Intervals
          Attention Deficit Hyperactivity Disorder Prevention and Control
          Academic Achievement
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Male
          Female
      ab: We aimed to estimate unbiased effects of mental health problems (MHPs) on school performance in first graders, with an emphasis on rigorous adjustment for potential confounders. A population-based prospective cohort study was performed in the area of Mainz-Bingen (Germany). In 2015, all preschoolers were approached, and the presence and type of MHP (externalising/internalising) and other physical chronic health conditions were identified by the preschool health examination and study-specific questionnaires. At the end of the first grade, school performance (reading, writing, numeracy, and science) was assessed by the class teacher and rated on a four-item scale ranging from − 8 to + 8. Of 3683 children approached, 2003 (54%) were enrolled. School performance was available for 1462 children (51% boys, mean age 7.3 years). Of these, 41% had signs of at least one MHP. Compared to children without indications of mental and physical chronic health conditions, children with MHPs had lower school performance scores [adjusted mean difference − 0.98, 95% CI (− 1.35; − 0.61); P < 0.001]. Regarding the type of MHP, externalising MHPs were associated with poor school performance [adjusted mean difference − 1.44, 95% CI (− 1.83; − 1.05); P < 0.001], while internalising MHPs were not. Children with hyperactivity inattention problems were most affected [adjusted mean difference − 1.96, 95% CI (− 2.36; − 1.56); P < 0.001]. Externalising MHPs and in particular hyperactivity inattention problems may already affect school performance in early primary school. Identification of children with externalising MHPs prior to school entry may help to prevent impaired academic achievement in affected children.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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