Poor School-Related Well-Being among Adolescents with Disabilities or ADHD

Poor school-related well-being may influence adolescents’ school performance and lifestyle. Adolescents having disabilities or ADHD are in a vulnerable situation for having poor school-related well-being, compared to adolescents not having disabilities. We used cross-sectional data from a school-based survey among 15–18-year-olds (N = 4071) in Sörmland, Sweden, to analyse the association between poor school-related well-being and disabilities or ADHD. The analyses were carried out by logistic regression models, adjusting for background factors, school-related factors, and health-compromising behaviours. Adolescents having disabilities (n = 827) or ADHD (n = 146) reported that their disability had a negative influence on school. Compared to peers without disability, those having disabilities had an increased chance (OR = 1.40 95% CI: 1.17–1.68) of poor school-related well-being. The corresponding OR was doubled for adolescents reporting ADHD (2.23 95% CI: 1.56–3.18). For the ADHD group, the adjOR for poor school-related well-being remained significant (1.67 95% CI: 1.13–2.50) after adjustments for school-related factors and health-compromising behaviours, but not for the disability group. In conclusion, adolescents having ADHD are a particularly vulnerable group at school, having a greater risk of poor school-related well-being. Schools should actively work to achieve school satisfaction for adolescents having disabilities, to ensure that all students have similar opportunities for favourable development, health and achievement of their academic goals.

School Re-Entry of Adolescent Patients Discharged from Psychiatric Hospital: One Step in Continuous Quality Improvement

Objective: School re-entry following hospitalization for psychiatric care has been reported as difficult for many adolescent patients. Continuous quality improvement initiatives may improve programming to enhance school re-entry experiences. The purpose of this study was to explore the school re-entry perspectives of the youth discharged from a psychiatric inpatient unit after implementing programs that patients previously identified as needed. Methods: A survey was administered to the youth about one month after discharge to gather their perspective of their school re-entry, along with self-rated resilience and stress. Results: Twenty-six youth (23%) participated in the post-discharge survey who reported a mean age of 15.6 years (SD 1.0), 77% identified as female, 13 (50%) provided very positive re-entry comments, eight (31%) reported moderately positive experiences, and five (19%) reported a very poor school re-entry. Mean perceived resilience (4.01, SD 0.6) and stress (3.42, SD 0.8) scores suggest youth thought they had good resilience and moderate stress. Conclusions: Most youth reported a good school re-entry. Considerable concerns remain for the 19% who reported a poor school re-entry who may benefit from specialized outpatient or day programming post-discharge before attempting a return to school. Future directions for research are provided.

Pattern of comorbidities in school-aged children with cerebral palsy in Cross River State, Nigeria

Background To describe the pattern of comorbidities in school-aged children with cerebral palsy (CP) and to identify which, if any, were associated with poor school attendance. A cross-sectional study, using the key informant methodology, between December 2017 and July 2018 was conducted in Cross River State, Nigeria. Assessments, confirmation of CP and identification of systemic comorbidities using standard tools and questionnaires were performed. Children confirmed to have CP between the ages 4 to 15 years were included. Results Three hundred and eighty-eight children were confirmed to have CP, 59% males. The mean age was 9.2 years ± SD 4.0; 28% were non-ambulatory (gross motor function classification system (GMFCS) level IV-V) and spastic CP was seen in 70%. Comorbidities included Speech impairment 85%, feeding difficulties 86%, and swallowing difficulties 77%, learning difficulties 88%, abnormal behaviour 62%, visual acuity impairment 54%, objective perceptual visual disorders 46%, communication difficulties 45%, epilepsy 35%, hearing impairment 12% and malnutrition 51%. Learning difficulties (OR 10.1, p < 0.001; CI: 3.6–28.1), visual acuity impairment (OR 2.8, p = 0.002; CI: 1.5–5.3), epilepsy (OR 2.3, p = 0.009; CI:1.2–4.3) manual ability classification scale 4–5 (OR 4.7,p = 0.049; CI:1.0–22.2) and CP severity (GMFCS V-VI) OR 6.9 p = 0.002, CI: 2.0–24.0.) were seen as increasing the likelihood of poor school attendance. Conclusion Comorbidities were common, and some were associated with limited school attendance. A multidisciplinary tailored approach to care, with application of available therapeutic interventions for comorbidities is suggested. This may be useful in reducing barriers to school attendance.

NEUROPSYCHOLOGICAL PREDICTORS OF POOR SCHOOL PERFORMANCE

Relevance. Underachieving schoolchildren are characterized by underdevelopment of higher mental functions (HMF) as compared to well-performing pupils. At the same time, there is a lack of explicit data on which dysfunctions are the most specific to underachievers. It is unknown how much particular neurocognitive dysfunctions affect school performance and what are the possibilities to compensate for isolated defects. Objectives. To identify the predictors of poor academic performance in school and to evaluate capabilities for children with certain neurocognitive dysfunctions for better progress at school. Method. The neuropsychological examination was used to evaluate the characteristics of neurocognitive development. Four daily routine activities, fourteen HMF, and the overall level of neurocognitive development were assessed. The index of isolation-multiplicity of neurocognitive dysfunctions was calculated. To evaluate academic performance (average grade for all disciplines) interviews with pupils and their parents were conducted, school exercise-books and assignment books were thoroughly studied. The study involved 427 children (292 boys and 135 girls) aged from 6 to 17 years, (11.7 ± 3). Results. The results of neuropsychological diagnostics explain 24% variance in the academic performance in school grades 1–4 and 18% variance in grades 5–11. Underachievement is predominantly related to the reduction in thinking, attention, audio-verbal memory, and overall level of neurocognitive development. Time orientation turns out to be more reduced than other everyday functions in underachievers. Certain mental functions in underperforming elementary school pupils can spontaneously improve through education. Isolated neurocognitive dysfunctions (up to 3) do not result in poor school performance. Conclusion. Thinking, attention, and audio-verbal memory dysfunctions against the background of the low overall level of neurocognitive development are most specific to underachieving schoolchildren. Under-development of attention is the most significant predictor of poor school performance in 1–4 school grades, low level of thinking — in 5–11 grades. Isolated neurocognitive dysfunctions (up to 3) that can be compensated for have no negative impact on educational performance.

Educational outcomes of children from long-term foster care: Does foster parents’ educational attainment matter?

Parental education is a robust predictor of children’s educational outcomes in general population studies, yet little is known about the intergenerational transmission of educational outcomes in alternative family settings such as children growing up in foster care. Using Swedish longitudinal register data on 2.167 children with experience of long-term foster care, this study explores the hypothesized mediating role of foster parents’ educational attainment on foster children’s educational outcomes, here conceptualized as having poor school performance at age 15 and only primary education at age 26. Results from gender-stratified regression analyses suggest that there was an association between foster parental educational attainment and foster children’s educational outcomes but that the educational transmission was weak and inconsistent and differed somewhat between males and females. For males, lower educational attainment in foster parents was associated with poor school performance but was not associated with educational attainment at age 26. The reverse pattern was found among females: the educational gradient was inconsistent for poor school performance but appeared in educational attainment. The results indicate that supported interventions for improving foster children’s educational achievements are needed, even when placements are relatively stable and foster parents have a long formal education.

At-Risk Students

Students in danger of not completing a particular level of schooling have been termed “at-risk.” Reasons that students may be at risk include individual characteristics, family circumstances, poor school conditions, and lack of community resources. Studies of single factors, multiple factors, and programmatic interventions have all identified specific variables associated with greater risk of dropping out of school. The various factors associated with dropping out can offset one another to reduce the risk or reinforce one another to enhance the risk that students will leave school early.

School connectedness and adult depressiveness, longitudinal study of the Northern Swedish Cohort

Background The aim of this study was to use Bronfenbrenner’s ecological theory to investigate adolescents’ school connectedness and family climate as potential predictors of depressiveness in adulthood. Methods The data are from the Northern Swedish Cohort and the sample consists of 481 women and 526 men born 1965 that participated in data collection at four time points, at age 16, 21, 30 and 43. Multivariate linear regression was used to examine the associations between school connectedness and family climate and depressiveness, respectively. Results Poor school connectedness was found to be associated with depressiveness up to mid adulthood and social/material adversities in adolescence were found to expand this association in young adulthood. Conclusions This study show that poor school connectedness can have long lasting effects on mental health. Thus, mental health promoting initiatives with holistic approach aiming at enhancing both sense of belonging in school, peer relations and academic achievements are needed. The study accentuates the complex processes determining mental health and propose a theoretical approach appealing for public mental health research. To advance the knowledge of the mechanisms behind the associations between proximal processes and depressiveness in adulthood, additional life-course studies are called for. Key messages Poor school connectedness can have long lasting effects on mental health. Initiatives aiming at enhancing both sense of belonging in school, peer relations and academic achievements are needed.

Post-Traumatic Stress and School Adaptation in Adolescent Survivors Five Years after the 2010 Yushu Earthquake in China

(1) Background: The devastating Ms 7.1 earthquake struck Yushu city, China, in 2010, leading to serious consequences and damage in the central Tibetan Plateau. This study aimed to assess school adaptation and post-traumatic stress disorder (PTSD) symptoms of adolescent survivors five years after the Yushu earthquake. (2) Methods: A large-scale, school-based mental health survey was conducted 5 years after the earthquake among Tibetan students in the city of Yushu using the Adolescent’s School Adaptation Scale (ASAS) and the PTSD Checklist. (3) Results: A total of 1976 questionnaires were collected. A total of 30.7% of Tibetan adolescents had poor school adaptation and 19.5% were estimated as having probable PTSD. Logistic regression showed that females (OR = 0.73, 95% CI: 0.60–0.89), senior students (OR = 0.48, 95% CI: 0.39–0.59), and those who participated in post-disaster reconstruction (OR = 0.68, 95% CI: 0.54–0.85) were less likely to have poor school adaptation, while a positive association was observed among those buried under a collapsed building (OR = 1.47, 95% CI: 1.04–2.09) and those who experienced bereavement (OR = 1.77, 95% CI: 1.27–2.45). Students who had experienced bereavement were also more likely to have PTSD (OR = 1.60, 95% CI: 1.12–2.28). (4) Conclusions: The post-traumatic effects of the Yushu earthquake on Tibetan adolescents were severe and long-lasting. Sustainable long-term mental health services to help adolescents to restructure their mental health are necessary.