School achievement in adolescence and the risk of mental disorders in early adulthood: a Finnish nationwide register study

التفاصيل البيبلوغرافية
العنوان: School achievement in adolescence and the risk of mental disorders in early adulthood: a Finnish nationwide register study
المؤلفون: Tarja Weckström, Marko Elovainio, Laura Pulkki-Råback, Kimmo Suokas, Kaisla Komulainen, Sari Mullola, Petri Böckerman, Christian Hakulinen
المساهمون: Tampere University, Health Sciences
المصدر: Molecular Psychiatry.
بيانات النشر: Springer Science and Business Media LLC, 2023.
سنة النشر: 2023
مصطلحات موضوعية: opintomenestys, school achievement, koulusaavutukset, early adulthood, 3142 Public health care science, environmental and occupational health, mielenterveysongelmat, mental disorders, Cellular and Molecular Neuroscience, Psychiatry and Mental health, aikuisuus, mielenterveyshäiriöt, nuoruus, adolescence, Molecular Biology, komorbiditeetti
الوصف: School grades in adolescence have been linked to later psychiatric outcomes, but large-scale nationwide studies across the spectrum of mental disorders are scarce. In the present study, we examined the risk of a wide array of mental disorders in adulthood, as well as the risk of comorbidity, associated with school achievement in adolescence. We used population-based cohort data comprising all individuals born in Finland over the period 1980–2000 (N = 1,070,880) who were followed from age 15 or 16 until a diagnosis of mental disorder, emigration, death, or December 2017, whichever came first. Final grade average from comprehensive school was the exposure, and the first diagnosed mental disorder in a secondary healthcare setting was the outcome. The risks were assessed with Cox proportional hazards models, stratified Cox proportional hazard models within strata of full-siblings, and multinomial regression models. The cumulative incidence of mental disorders was estimated using competing risks regression. Better school achievement was associated with a smaller risk of all subsequent mental disorders and comorbidity, except for eating disorders, where better school achievement was associated with a higher risk. The largest associations were observed between school achievement and substance use disorders. Overall, individuals with school achievement more than two standard deviations below average had an absolute risk of 39.6% of a later mental disorder diagnosis. By contrast, for individuals with school achievement more than two standard deviations above average, the absolute risk of a later mental disorder diagnosis was 15.7%. The results show that the largest mental health burden accumulates among those with the poorest school achievement in adolescence.
وصف الملف: application/pdf; fulltext
تدمد: 1476-5578
1359-4184
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8cd052835191cff87d57bdf81c0e462cTest
https://doi.org/10.1038/s41380-023-02081-4Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....8cd052835191cff87d57bdf81c0e462c
قاعدة البيانات: OpenAIRE