1 Centre for Research on Child and Adolescent Mental Health, Karlstad University, Sweden and Department of Social Work, Umeå University, Sweden.
2 Centre for Research on Child and Adolescent Mental Health, Karlstad University, Sweden.
Scand J Public Health. 2019 Mar;47(2):174-181. doi: 10.1177/1403494817725687. Epub 2017 Aug 18.
The aim of the present study was to examine changes over time in the relationship between self-reported school demands and psychosomatic problems, also considering the impact of student influence and teacher support.
Data from a cross-sectional study (Young in Värmland) including eight data collections (1988-2011) among Swedish students aged 15-16 were used ( n = 20,115). Analyses with multinomial logistic regression and descriptive statistics were applied.
Between 1988 and 2011, the proportions of students with a higher degree of psychosomatic problems increased, as did the proportion of students experiencing school demands that were too high. Finer-level analyses based on stratification of student groups did not show any associations at the aggregated level between increases of school demands and psychosomatic problems. Similarly, individual level analyses showed that the strength of the association between school demands and psychosomatic problems was not affected by year of investigation.
Changes in school demands over time could not explain the increasing trend in psychosomatic problems among adolescents. Since the relationship between school demands and psychosomatic problems is strong across time, there is, however, a continued need for school-based interventions. More studies are required to gain further understanding of adolescent mental health from a trend perspective.
本研究旨在考察自我报告的学校要求与身心问题之间关系随时间的变化，同时考虑学生影响力和教师支持的影响。
本研究使用了一项包括 8 次数据收集（1988-2011 年）的瑞典 15-16 岁学生的横断面研究（青年在瓦尔默兰）的数据（n=20115）。采用多项逻辑回归和描述性统计进行分析。
1988 年至 2011 年间，身心问题程度较高的学生比例以及感受到学校要求过高的学生比例均有所增加。基于学生群体分层的更精细层次分析并未显示在综合层面上，学校要求的增加与身心问题之间存在任何关联。同样，个体层面的分析表明，学校要求与身心问题之间的关联强度不受调查年份的影响。
随时间推移，学校要求的变化不能解释青少年身心问题的增加趋势。由于学校要求与身心问题之间的关系在整个时间跨度内都很强，因此仍然需要进行基于学校的干预。需要更多的研究来从趋势角度进一步了解青少年的心理健康。
