External Publications Using GUI Data
Authors | Year ↑ | Title | Link | Journal/Book | Abstract |
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Carroll, E., McCoy, S., Mihut, G. | 2022 | Exploring cumulative disadvantage in early school leaving and planned post-school pathways among those identified with special educational needs in Irish primary schools | Open | British Educational Research Journal | |
Reflecting the neglect of childhood disability in social stratification research, there is a notable dearth of research on the mechanisms underpinning disability differentials in educational outcomes. Drawing on rich longitudinal data collected at 9, 13 and 17 years as part of Ireland’s ‘Growing Up in Ireland’ study, we look at the impact of special educational needs (SEN) identification in primary school on upper secondary outcomes. A bioecological framework and the Process–Person–Context–Time model allow us to understand how interactions with family, teachers, friends and school—as proximal processes—relate to early school leaving and post-school planned pathways after accounting for personal and context characteristics. Overall, young people identified at age 9 as having SEN are at increased risk of early school leaving and are more likely to plan to attend further education and training, rather than higher education. However, after accounting for proximal processes and personal and context variables, students identified at age 9 as having SEN are no longer distinct in terms of secondary attainment and post-school planning. Instead, these young people are more likely to experience forms of vulnerability that are important in shaping these outcomes. These key educational outcomes are strongly shaped by family and school-related factors—both proximal processes and context characteristics—suggesting that efforts to support retention and pathway planning should be underpinned by an ecological understanding of young people’s trajectories and the cumulative disadvantages they face. Key insights What is the main issue that the paper addresses? What are the main insights that the paper provides? | |||||
D'Urso, G., Symonds, J. | 2022 | Developmental Cascades of Internalizing and Externalizing Problems from Infancy to Middle Childhood: Longitudinal Associations with Bullying and Victimization | Open | Journal of School Violence | |
The current study investigates how internalizing and externalizing problems develop reciprocally across infancy to middle childhood, in relation to children’s gender, cognitive functioning, socioeconomic status, and parental stress. The study also examines the impact of the developmental cascade of internalizing and externalizing problems on bullying and victimization in middle childhood. The total sample comprised 11,134 participants studied across 9-months, 3-years, 5-years, 7/8-years and 9-years of age, from the Infant Cohort of the Growing Up in Ireland study (50.6% male). Using structural equation modeling, we discovered that externalizing problems predicted internalizing problems across time for both genders. However, internalizing problems predicted externalizing problems consistently across time for girls and not for boys. Furthermore, girls’ internalizing and externalizing problems were much more strongly predicted by socioeconomic status than boys’ problems were, suggesting a greater sensitivity to context for girls. Bullying in middle childhood was predicted by cognitive ability for both genders, and by externalizing problems for boys. In comparison, victimization was predicted by externalizing and internalizing problems for both genders. Theoretical and practical implications are discussed. | |||||
Department of Children, Equality, Disability, Integration and Youth | 2022 | Statistical Spotlight #7 - Experiences and Perceptions of Discrimination in Ireland | Open | Government of Ireland | |
Duggan, B., Mohan, G. | 2022 | A Longitudinal Examination of Young People's Gambling Behaviours and Participation in Team Sports | Open | Journal of Gambling Studies | |
This paper develops and expands upon social identity theory as an explanation for gambling among youth engaged in team sport. Analysing longitudinal data for over 4500 20-year-olds from the Growing Up in Ireland study, reveals that online gambling increased from 2.6 to 9.3% between 17 and 20 years in the cohort, with the increase driven by males. A statistically significant positive association is uncovered between playing team sports and regularly gambling, as well as online gambling behaviour, independent of socio-demographic and other risk factors for males but not for females. The findings provide support for a dose–response like effect for males, where a longer period of participation in team sports is associated with a higher likelihood of engaging in gambling behaviour compared to shorter periods. Implications of the findings for policy and practice are discussed. | |||||
Hoyne, C., Egan, S. M. | 2022 | ABCs and 123s: A large birth cohort study examining the role of the home learning environment in early cognitive development | Open | Journal of Experimental Child Psychology | |
The aim of this study was to examine the role of different types of home learning activities, such as reading, singing, painting, playing games, and letters and numbers (ABCs and 123 s), in the development of nonverbal reasoning skills in young children. Although much previous research has focused on the role of the home learning environment in the development of language and numeracy skills, few studies have explored other aspects of cognitive development such as nonverbal reasoning. The data were drawn from the Growing Up in Ireland study, a nationally representative longitudinal birth cohort study. We examined whether learning activities were associated with scores on standardized nonverbal reasoning and vocabulary tests of the British Ability Scales in a sample of 9793 3-year-old children. The regression models also controlled for other factors that potentially influence cognitive development such as the parent–child relationship and maternal education. The findings indicate that activities such as reading, games, and painting/drawing have a small but statistically significant association with nonverbal reasoning scores, as well as with vocabulary scores, even after controlling for other factors in the model. Teaching the alphabet or numbers did not make significant contributions to the model. The findings of the study highlight the importance of considering the role of different types of home learning activities, as well as other environmental factors, in different aspects of cognitive development. We consider the implications of the findings for theories of cognitive development and for supporting cognitive development in young children. | |||||
Kelly, L., Murray, A., Quail, A., McNamara, E. | 2022 | Adaptations to a cohort study in response to the COVID-19 pandemic: insights from Growing Up in Ireland | Open | Longitudinal and Life Course Studies | |
Growing Up in Ireland (GUI) is the national longitudinal study of children and young people in the Republic of Ireland and has followed two cohorts for over ten years to date: Cohort ’98 who were recruited into the study at age nine years and Cohort ’08, recruited at age nine months. The study aims to describe the lives of Irish children and young people in terms of their development, with a view to positively affecting policies and services available for them. Traditionally, data collection involved in-home visits from an interviewer who conducted face-to-face interviews, recorded physical measurements of study participants and administered cognitive assessments. However, with the onset of the COVID-19 pandemic and the associated restrictions, significant adaptations were required to these methods to ensure data collection for the pilot and main fieldwork for Cohort ’08 at age 13 could continue to the expected timeline. Face-to-face interviews with participants were replaced with telephone and web-based modes, interviewer training was conducted online, online resources were made available for interviewers and participants and COVID-19 related items were added to questionnaires. In addition to the scheduled data collection, a special COVID-19 survey was also conducted on both GUI cohorts in December 2020 to explore the impact of the pandemic on participants’ lives. This paper outlines the adaptations made to traditional data collection methods in GUI, highlighting the challenges that were met, but also the benefits of some changes that may be worth incorporating into future waves of GUI. | |||||
Leech, K.A., McNally, S., Daly, M. & Corriveau, K.H. | 2022 | Unique effects of book-reading at 9-months on vocabulary development at 36-months: Insights from a nationally representative sample of Irish families | Open | Early Childhood Research Quarterly | |
It is well-established that participation in shared book reading interactions with caregivers supports children’s early language and literacy development. Most of this literature focuses on reading experiences during the preschool period. Less is known about the nature and importance of such practices during infancy. Therefore, the goal of this study was to examine literacy practices between parents and infants in a large cohort study, Growing Up in Ireland. Interview, survey, and direct measurements of children’s language skills were used to examine whether parent-report of book reading practices when children were 9-months predicted child expressive vocabulary at 36-months (N = 9171). Regression analysis indicated that approximately 80% of 9-month-old Irish children are read to by parents. Characteristics of families who were more likely to report reading with children emerged: those with higher educational attainment, fewer depressive symptoms, and those who report a high-quality home language environment (e.g., reported talking more to children during everyday activities). Furthermore, children who were read to at 9-months had stronger expressive vocabulary skills at 36-months, even after accounting for socio-demographic and home literacy environment covariates measured at both 9- and 36-months. Results are discussed using a bioecological framework to describe how proximal and distal factors in the child’s environment converge to impact early childhood literacy development. | |||||
MacIver, L., Girard, L.C. | 2022 | The association between paternal depression and adolescent internalising problems: A test of parenting style as a mediating pathway | Open | Current Psychology | |
Whilst there is a large evidence base demonstrating the impact of maternal depression on the development of adolescent internalising problems, less is known about the association between paternal depression and adolescent internalising problems, and the mechanisms through which risk is conferred. This study examined the association between paternal depression and adolescent internalising problems, investigating parenting style as a pathway through which this association may be mediated. Participants included 4048 families taking part in the Growing Up in Ireland child cohort study. Self-report measures of paternal depression were completed when the study child was aged 9. Adolescents assessed paternal demandingness, responsiveness and autonomy granting at the age of 13. Adolescent internalising symptoms were measured at the age of 17/18 by the primary caregiver. A parallel multiple mediator model was used to test the total and specific indirect effects of the three parenting styles, whilst controlling for covariates and other mediators in the model. A direct effect of paternal depression on adolescent internalising problems was found (B = .051, 95% CI: 0.020, 0.083). However, no support for mediation via any of the paternal parenting styles (i.e., responsiveness, demandingness, or autonomy-granting) were found. These findings build on an emerging evidence-base demonstrating a specific direct association between paternal depression and adolescent internalising problems, and suggest that interventions ought to also target fathers suffering from depression to help reduce the risk of adolescent internalising problems. | |||||
Madden, D. | 2022 | The Dynamics of Multidimensional Poverty in a Cohort of Irish Children | Open | Clinical Indicators Research | |
This paper examines multidimensional poverty for three waves of a cohort of Irish children ranging from ages 9 to 17. Poverty is measured over the dimensions of health, education and family resources and both unidimensional and multidimensional poverty is examined. Both show a clear gradient with respect to maternal education. The dynamics of both unidimensional and multidimensional poverty are also analysed. The greatest degree of mobility is observed with respect to family resources. Mobility also is higher for children whose mothers have lower levels of education, with net movements into rather than out of poverty. | |||||
Martin, R., Murphy, J., Molina-Soberanes, D., Murtagh, E.M. | 2022 | The clustering of physical activity and screen time behaviours in early childhood and impact on future health-related behaviours: a longitudinal analysis of children aged 3 to 8 years | Open | BMC Public Health | |
Background Methods Results Conclusions | |||||
McCoy, S., Byrne, D. | 2022 | Shadow Education uptake among final year students in Irish secondary schools: Wellbeing in a high stakes context | Open | ESRI Working Paper 724 | |
This paper assesses the role of shadow education (SE), i.e. organised learning activities outside formal schooling, in the lives of secondary school students of different social backgrounds and in different school settings, in a high-stakes context. It draws on multilevel analysis of longitudinal Growing Up in Ireland data, alongside narratives from in-depth case study research in 10 schools. Framed within a social reproduction approach, we show how access to SE as an educational resource is socially stratified, accessible to those with greater levels of family resources, and those attending schools with higher socio-economic student intakes. SE is viewed as an investment, particularly among students with average and above average levels of prior attainment, while high attaining students are less likely to use SE. Perhaps reflecting the normalisation of SE in the Irish context, students do not directly link engagement in such tuition to their socio-emotional wellbeing. | |||||
McCoy, S., Byrne, D., O’Connor, P. | 2022 | Gender stereotyping in mothers’ and teachers’ perceptions of boys’ and girls’ mathematics performance in Ireland | Open | Oxford Review of Education | |
Parents’ and teachers’ beliefs and evaluations of young people are important. Using a feminist institutionalist perspective, and drawing on rich data from one in seven nine-year-old children in Ireland, this paper examines mothers’ (who make up the overwhelming majority of primary care-givers) and teachers’ perceptions of boys’ and girls’ mathematics performance. The evidence shows that girls’ mathematics performance is underestimated by both relative to boys’. Mother’s gender bias was evident among high performing children, at all levels of children’s academic self-concept, and among mothers with at least third level education. While the judgements reflect children’s actual performance and engagement, a notable gender gap remains. It is suggested that the results reflect gender stereotypes: overestimating boys’ and underestimating girls’ mathematics achievements. The article indicates the importance of the informal dimension of institutions and the part played by women in the effective devaluation of girls by endorsing gendered stereotypes. Women teachers are less likely to rate children highly in mathematics, taking account of performance: arguably reflecting their own lack of confidence in mathematics assessment. The findings raise concerns for girls’ futures since mathematics is seen as an indicator of intelligence. Given the move towards teacher-assessed grading during COVID-19, understanding, and challenging, gender-stereotyping is pressing. | |||||
McEvoy, O., Cronin, F., Brannigan, R., Stanistreet, D., Layte, R. | 2022 | The role of family, school and neighbourhood in explaining inequalities in physical activity trajectories between age 9 and 18 | Open | SSM - Population Health | |
Differentials in physical activity (PA) between social and economic groups has been shown to contribute significantly to social gradients in health and life expectancy, yet relatively little is known about why differentials in PA emerge. This paper uses longitudinal data on a nationally representative sample of 6,216 young people aged between 9 and 18, from Ireland, to measure the role of family, school and neighbourhood level factors in accounting for differentials in PA trajectories between groups of young people, defined by level of maternal education, whilst adjusting for the individual characteristics of the young person (sex, age, personality, body mass index and health-status). Levels of PA fall significantly across the sample between 9 and 18, and the decline in PA is larger for the children of lower educated mothers. We find a clear gradient in PA at each age by maternal education for both males and females. Descriptive analyses found social gradients in the majority of our risk factors. Using multi-level, linear spline regression models to decompose differentials between groups, we find that family-level mechanisms account for the biggest proportion of the differential in PA for both males (50.8%) and females (35.1%). Differences in income across maternal education categories accounted for 24.1% of the differential for males and 14.7% among females, making it the second most effective mechanism in explaining the social patterning of PA. Neighbourhood-level processes resulted in a modest reduction in the same differential, while school level processes had the effect of equalising differences in PA across maternal education groups. | |||||
Ceatha, N., Gates, G. J., Crowley, D. | 2023 | LGBT+ Self-Identification Among Youth in Ireland Aged 17-18 Years: A Research Brief | Open | Population Research and Policy Review | |
In 2016, for the first time, a nationally representative survey of 6216 respondents, Growing Up in Ireland (GUI), included measurement of sexual orientation and gender identity (SOGI) among young people. Irish LGBTI+ youth and inclusion strategies identified collection of SOGI data as a policy objective, prioritizing analyses of GUI. In line with policy objectives, this research brief reports previously unpublished LGBT+ self-identification for youth in Ireland from Cohort ’98 born five years after decriminalization of homosexuality, with their coming-of-age coinciding with the marriage equality referendum, and legislation providing for greater gender recognition (2015). Ten percent of youth in Ireland, at 17-18 years, identify as lesbian, gay, bisexual, transgender, questioning, asexual or describe their gender as other. Female youth are significantly more likely to identify as a sexual minority, and to be bisexual than their male peers. A quarter of LGBT+ youth are questioning their sexual orientation. This finding supports the inclusion of a ‘questioning’ response in surveys collecting SOGI data, and also suggests sexual orientation self-identification is a dynamic process. A small percentage identify as asexual (0.2%). Just over 1% of young people identify as transgender or describe their gender as other. As the first generation in Ireland to grow up in an environment with increased LGBT+ visibility and social acceptance, these findings of a relatively high proportion of sexual and gender minorities among young people likely reflect improved social and legal climates. The importance of publication of SOGI estimates is underscored. GUI are committed to ensuring visibility of LGBT+ youth populations in data collection. Suggestions for improved SOGI placement and phrasing will be considered in the questionnaire with Cohort ’08 at age 17, currently being drafted. The findings from these analyses will inform future policy and research. GUI offers rich possibilities for future comparative cross-cohort analyses. | |||||
Laurence, J., Russell, H., Smyth, E. | 2023 | What Protected the Wellbeing of Mothers during the Pandemic? | Open | Economic & Social Research Institute | |
Introduction Data and Methods The study looks at four sets of factors: (1) mothers’ social resources, such as the level of social cohesion in their neighbourhood (e.g., trust and reciprocity among neighbours) or the support they receive from friends/family; (2) their economic resources, such as the share of income received from welfare, or how difficult they feel it is to ‘make ends meet’; (3) the quality of mothers’ local environment, such as the degree of traffic problems; and (4) their religiosity, such as how often they attend church. All of these factors are measured prior to the onset of the pandemic to reflect the resources mothers had at their disposal going into the crisis. To understand how these buffering factors may have cushioned mothers’ mental health, the study uses a set of measures on what experiences mothers had during the pandemic. These include whether they found supervising their child’s schoolwork stressful, whether they experienced a loss of income/employment, or whether they had COVID or were anxious about friends/family contracting it. Results In the years prior to the pandemic (2013/2014 to 2017/2018), levels of depression among mothers remained relatively low and stable. However, depression scores among mothers rose steeply with the onset of the pandemic (compared to 2017/18), nearly doubling. Yet, not all mothers experienced an equal increase in depression scores. Stronger economic resources, and better household conditions, played a protective role: depression scores rose less among mothers who reported being able to ‘financially make ends meet’ easily (compared to those who found it difficult) and among mothers who lived in less overcrowded housing. The local environments in which mothers were living also helped cushion their mental health. Mothers who lived in neighbourhoods where heavy traffic was not a problem, and those who lived in rural areas, saw their depression scores increase less over the pandemic, compared to mothers in more urban areas or where traffic was a major problem. The strongest protective factors were mothers’ social resources and their religiosity. Mothers who, just before the pandemic, had a partner in the household and who felt they got the help they needed from friends and family saw their depression scores increase less over the pandemic. Those who reported living in more socially cohesive neighbourhoods (where neighbours trust each other, exchange favours, or feel more attached) – what are termed in the research literature as high social capital areas – were more strongly protected against depression during the pandemic. Symptoms of depression also increased much more steeply among mothers who never attended church before the pandemic compared to mothers who used to attend daily or weekly (even though in-person services had not resumed at the time of the survey). How did these buffering factors protect mothers’ mental health? Social resources cushioned mothers’ mental health because, during the pandemic, these mothers experienced better family relations and struggled less with care work, home schooling, and their children’s return to school. Economic resources supported mental wellbeing by reducing financial stresses, enabling better home/outdoor environments, and likely allowing families to purchase the tablets, laptops, and high-speed internet needed to engage in home schooling and working more easily. A better-quality local environment allowed mothers to spend more time outside and improved family relations. It was harder to explain the protective role of religiosity, but it may relate to greater optimism or a stronger sense of meaning in life that help protect people from the stress of adversity. Conclusion and policy implications | |||||
O'Reilly, C., Mohan, G. | 2023 | Parental influences on excessive Internet use among adolescents | Open | Emerald Insight | |
Purpose: Using longitudinal data, this study aims to provide a greater understanding as to how parenting factors, including the employment of various disciplinary techniques, during a young person's early adolescence may contribute to excessive Internet use (EIU) in later adolescence. Design/methodology/approach: Employing “Problem Behaviour” theory (PBT) as a guiding framework, this study uses data from the Growing Up in Ireland ’98 Cohort to investigate the effect of proximal and distal parental influences, measured when children were 13 years old, on symptoms of EIU in young adults at 17 or 18 years. Multiple regression models control for other child and family factors, and separate models for males and females examine sex differentials. Findings: Estimation did not find a statistically significant association between internet-specific mediation practices in early adolescence and EIU in later adolescence. However, regularly playing games or sports together is a protective factor. Parent-adolescent conflict and spending time home alone are estimated as risk factors. How parents deal with misbehaviour is a strong predictor of EIU, with the direction of association dependent upon the type and frequency of discipline employed. Practical implications: The findings are of practical significance in informing parents of modifiable aspects of their behaviour that can lead to EIU. Originality/value: The study applies a longitudinal modelling framework and considers the effect on EIU of various parental disciplinary techniques, representing a novel contribution. | |||||
Sharma, V., Cassetti, O., Winning, L., O’Sullivan, M., Crowe, M. | 2023 | Protocol for developing a dashboard for interactive cohort analysis of oral health-related data | Open | BMC Oral Health | |
Introduction: A working knowledge of data analytics is becoming increasingly important in the digital health era. Interactive dashboards are a useful, accessible format for presenting and disseminating health-related information to a wide audience. However, many oral health researchers receive minimal data visualisation and programming skills. Objectives: The objective of this protocols paper is to demonstrate the development of an analytical, interactive dashboard, using oral health-related data from multiple national cohort surveys. Methods: The flexdashboard package was used within the R Studio framework to create the structure-elements of the dashboard and interactivity was added with the Shiny package. Data sources derived from the national longitudinal study of children in Ireland and the national children’s food survey. Variables for input were selected based on their known associations with oral health. The data were aggregated using tidyverse packages such as dplyr and summarised using ggplot2 and kableExtra with specific functions created to generate bar-plots and tables. Results: The dashboard layout is structured by the YAML (YAML Ain’t Markup Language) metadata in the R Markdown document and the syntax from Flexdashboard. Survey type, wave of survey and variable selector were set as filter options. Shiny’s render functions were used to change input to automatically render code and update output. The deployed dashboard is openly accessible at https://dduh.shinyapps.io/dduh/. Examples of how to interact with the dashboard for selected oral health variables are illustrated. Conclusion: Visualisation of national child cohort data in an interactive dashboard allows viewers to dynamically explore oral health data without requiring multiple plots and tables and sharing of extensive documentation. Dashboard development requires minimal non-standard R coding and can be quickly created with open-source software. | |||||
Ceatha, N., Koay, A. C. C., Kelly, A., Killeen, T., McCabe, K., Murray, J., Pope, J., Scully, N., Buggy, C., Crowley, D. | 2023 | LGBT+ Youth Perspectives on Sexual Orientation and Gender Identity Questions in the Growing Up in Ireland Survey: A Qualitative Study | Open | Youth | |
The increasing importance of identifying lesbian, gay, bisexual and transgender (LGBT+) populations is a key driver in changes to demographic data collection in representative surveys of youth. While such population-based data are rare, Growing Up in Ireland (GUI), an Irish, government-funded, longitudinal survey, includes sexual orientation and gender identity (SOGI) measurements. This qualitative study responds to a query from the GUI study team and aims to identify how best to collect SOGI data in future waves of GUI. A university Human Research Ethics Committee granted approval for online consultations with LGBT+ youth (n = 6) with experiential expertise in policy making. The research is underpinned by rights-based public patient involvement (PPI) with recorded discussions, which were transcribed and imported into NVivo 12, generating the theme “recognition in research, policy and society”. This co-created article, with the LGBT+ young PPI Panel members, commends the inclusion of SOGI data in GUI and recommends changes in question placement and phrasing. Aligning with best practice, the PPI members provide a template for wording on consecutive sex and gender questions, expanded sexual orientation identity categories and maintaining the existing well-phrased transgender question from GUI. This offers potential to improve the quality of the SOGI data collected and the experience of those completing the questionnaire. These findings extend beyond GUI, with relevance for surveys with youth populations. This paper underscores the potential and benefits of participatory approaches to research with youth and views their role beyond simply as sources of data. Keywords: LGBT+, sexual minority youth (SMY), gender minority youth (GMY), Growing Up in Ireland (GUI), SOGI measurement, quantitative, qualitative, survey design, PPI | |||||
Montero-Marin, J., Hinze, V., Mansfield, K., Slaghekke, Y., Blakemore, SJ., Byford, S., Dalgleish, T., Greenberg, M.T., Viner, R.M., Ukoumunne, O.C., Ford, T., Kuyken, W., and the MYRIAD Team | 2023 | Young People’s Mental Health Changes, Risk, and Resilience During the COVID-19 Pandemic | Open | JAMA network | |
Importance As young people’s mental health difficulties increase, understanding risk and resilience factors under challenging circumstances becomes critical. Objective To explore the outcomes of the COVID-19 pandemic on secondary school students’ mental health difficulties, as well as the associations with individual, family, friendship, and school characteristics. Design, Setting, and Participants For this cohort study, follow-up data from the My Resilience in Adolescence (MYRIAD) cluster randomized clinical trial were collected across 2 representative UK cohorts. Mainstream UK secondary schools with a strategy and structure to deliver social-emotional learning, with an appointed head teacher, and that were not rated “inadequate” in their latest official inspection were recruited. A total of 5663 schools were approached, 532 showed interest, and 84 consented. Cohort 1 included 12 schools and 864 students, and cohort 2 included 72 schools and 6386 students. COVID-19 was declared a pandemic after cohort 1 had completed all assessments (September 2018 to January 2020), but cohort 2 had not (September 2019 to June 2021). Exposures Cohort 2 was exposed to the COVID-19 pandemic, including 3 national lockdowns. Associations of individual, family, friendship, and school characteristics with students’ mental health were explored. Main Outcomes and Measures Changes in students’ risk for depression (Center for Epidemiological Studies-Depression scale); social, emotional, and behavioral difficulties (Strengths and Difficulties Questionnaire); and mental well-being (Warwick-Edinburgh Mental Well-Being Scale). Results Of the 7250 participants included, the mean (SD) age was 13.7 (0.6) years, 3947 (55.4%) identified as female, and 5378 (73.1%) self-reported their race as White. Twelve schools and 769 of the 864 students (89.0%) in cohort 1 and 54 schools and 2958 of the 6386 students (46.3%) in cohort 2 provided data and were analyzed. Mental health difficulties increased in both cohorts but to a greater extent among students exposed to the pandemic, including for risk of depression (adjusted mean difference [AMD], 1.91; 95% CI, 1.07-2.76); social, emotional, and behavioral difficulties (AMD, 0.76; 95% CI, 0.33-1.18); and mental well-being (AMD, −2.08; 95% CI, −2.80 to −1.36). Positive school climate, high home connectedness, and having a friend during lockdown were protective factors during the pandemic. Female gender and initial low risk for mental health difficulties were associated with greater mental health deteriorations. Partial school attendance during lockdown was associated with better adjustment than no attendance when returning to school. Conclusions and Relevance This cohort study of secondary school students demonstrated that to promote mental health and adjustment, policy interventions should foster home connectedness, peer friendship, and school climate; avoid full school closures; and consider individual differences. | |||||
Montero-Marin, J., Hinze, V., Mansfield, K., Slaghekke, Y., Blakemore, SJ., Byford, S., Dalgleish, T., Greenberg, M.T., Viner, R.M., Ukoumunne, O.C., Ford, T., Kuyken, W., and the MYRIAD Team | 2023 | Young People’s Mental Health Changes, Risk, and Resilience During the COVID-19 Pandemic | Open | JAMA network | |
Importance As young people’s mental health difficulties increase, understanding risk and resilience factors under challenging circumstances becomes critical. Objective To explore the outcomes of the COVID-19 pandemic on secondary school students’ mental health difficulties, as well as the associations with individual, family, friendship, and school characteristics. Design, Setting, and Participants For this cohort study, follow-up data from the My Resilience in Adolescence (MYRIAD) cluster randomized clinical trial were collected across 2 representative UK cohorts. Mainstream UK secondary schools with a strategy and structure to deliver social-emotional learning, with an appointed head teacher, and that were not rated “inadequate” in their latest official inspection were recruited. A total of 5663 schools were approached, 532 showed interest, and 84 consented. Cohort 1 included 12 schools and 864 students, and cohort 2 included 72 schools and 6386 students. COVID-19 was declared a pandemic after cohort 1 had completed all assessments (September 2018 to January 2020), but cohort 2 had not (September 2019 to June 2021). Exposures Cohort 2 was exposed to the COVID-19 pandemic, including 3 national lockdowns. Associations of individual, family, friendship, and school characteristics with students’ mental health were explored. Main Outcomes and Measures Changes in students’ risk for depression (Center for Epidemiological Studies-Depression scale); social, emotional, and behavioral difficulties (Strengths and Difficulties Questionnaire); and mental well-being (Warwick-Edinburgh Mental Well-Being Scale). Results Of the 7250 participants included, the mean (SD) age was 13.7 (0.6) years, 3947 (55.4%) identified as female, and 5378 (73.1%) self-reported their race as White. Twelve schools and 769 of the 864 students (89.0%) in cohort 1 and 54 schools and 2958 of the 6386 students (46.3%) in cohort 2 provided data and were analyzed. Mental health difficulties increased in both cohorts but to a greater extent among students exposed to the pandemic, including for risk of depression (adjusted mean difference [AMD], 1.91; 95% CI, 1.07-2.76); social, emotional, and behavioral difficulties (AMD, 0.76; 95% CI, 0.33-1.18); and mental well-being (AMD, −2.08; 95% CI, −2.80 to −1.36). Positive school climate, high home connectedness, and having a friend during lockdown were protective factors during the pandemic. Female gender and initial low risk for mental health difficulties were associated with greater mental health deteriorations. Partial school attendance during lockdown was associated with better adjustment than no attendance when returning to school. Conclusions and Relevance This cohort study of secondary school students demonstrated that to promote mental health and adjustment, policy interventions should foster home connectedness, peer friendship, and school climate; avoid full school closures; and consider individual differences. |