Reference : The downward spiral of mental disorders and educational attainment: a systematic revi...
Scientific journals : Article
Human health sciences : Public health, health care sciences & services
Educational Sciences
http://hdl.handle.net/10993/37513
The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving.
English
Esch, Pascale mailto [Luxembourg Institute of Health - LIH > Department of Health Population > Epidemiology and Public Health Research Unit > ; Centre Hospitalier Universitaire de Liège - CHU > Département des sciences cliniques > Psychiatrie et psychologie médicale]
Bocquet, Valery [Luxembourg Institute of Health - LIH > Competence Center for Methodology and Statistics]
Pull, Charles [Luxembourg Institute of Health - LIH]
Couffignal, Sophie [Luxembourg Institute of Health - LIH > Department of Population Health > Epidemiology and Public Health Research Unit]
Lehnert, Torsten [Hôpitaux Robert Schuman Luxembourg]
Graas, Marc [Centre Hospitalier Neuro-Psychiatrique Luxembourg]
Fond-Harmant, Laurence [Luxembourg Institute of Health - LIH > Department of Population Health > Epidemiology and Public Health Research Unit]
Ansseau, Marc [Centre Hospitalier Universitaire de Liège - CHU > Faculté de Médecine > Service de Psychiatrie]
2014
BMC psychiatry
14
237
Yes
International
1471-244X
1471-244X
England
[en] Adolescent ; Anxiety Disorders/epidemiology/psychology ; Child ; Educational Status ; Female ; Humans ; Male ; Mental Disorders/epidemiology/psychology ; Mental Health ; Schools ; Student Dropouts/psychology/statistics & numerical data ; Substance-Related Disorders/epidemiology/psychology
[en] BACKGROUND: Most psychiatric disorders present symptom patterns that cause severe impairment on the emotional, cognitive and social level. Thus, adolescents who suffer from a mental disorder risk finding themselves in a downward spiral caused by the reciprocal association of psychological symptoms and negative school experiences that may culminate in early school leaving. In addition to previous collective work that mainly focused on school refusing behaviour among children and was presented as an expert's opinion, the following systematic review fills the knowledge gap by providing a structured overview of the bidirectional association between mental health and secondary school dropout based on a sound methodology and with a particular focus on mediating factors. METHODS: Four electronic databases were searched from January 1990 until June 2014. Selected references were assessed for study details, main results, mediating factors and methodological limitations. Standardized risk of bias assessment was conducted. RESULTS: Mood and anxiety disorders seemed to have a less consequential direct effect on early school leaving than substance use and disruptive behaviour disorders. The association between externalizing disorders and educational attainment was even stronger when the disorder occurred early in life. On the other hand, internalizing disorders were reported to develop as a consequence of school dropout. Only few studies had addressed gender differences, with discrepant results. Socio-economic background, academic achievement and family support were identified as significant mediating factors of the association between mental disorders and subsequent educational attainment. CONCLUSIONS: Findings suggested a strong association between mental health and education, in both directions. However, most studies focused on mediating factors that could not be targeted by intervention programs.
http://hdl.handle.net/10993/37513
10.1186/s12888-014-0237-4

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