Donaldson Caitlyn, Morgan Kelly, Ouerghi Safia, Lewis James J, Moore Graham
Centre for Development, Evaluation, Complexity and Implementation in Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Sbarc, Maindy Road, Cardiff, CF24 4HQ UK.
Wolfson Centre for Young People's Mental Health, Cardiff University, Cardiff, UK.
Child Indic Res. 2025;18(2):885-904. doi: 10.1007/s12187-024-10213-7. Epub 2025 Jan 8.
Schools are an important setting for interventions to improve mental health. There is growing evidence that school climate - sometimes expressed as the perceptions that children have about the relationships, safety, values, and beliefs within their school - can impact child mental health. Poor child mental health is associated with feelings of distress as well deficits in functioning. However, while most studies have focused on school climate, climate at lower levels of nesting, including year group, may be important. Cross-sectional data on emotional and behavioural difficulties from 32,606 children in primary schools in Wales (ages 7-11, year groups 3-6) were collected via a school survey, delivered online and within the classroom environment to all children who consented, and analysed using multilevel modelling. Models were then extended to consider how aggregated measures of year group and school climate are associated with mental health outcomes. The unadjusted variance partition coefficients (VPCs) indicated that 2.8% of the variance in emotional difficulties and 3.2% in behavioural difficulties were attributable to differences in the year group, while school-level differences represented 2.4% and 3.5%, respectively. More positive year group and school climate were associated with more positive mental health outcomes. School and year group climate are independently associated with primary school children's mental health. Interventions to support mental health should aim to optimise the whole school climate, as well as climate within year group clusters.
The online version contains supplementary material available at 10.1007/s12187-024-10213-7.
学校是改善心理健康干预措施的重要场所。越来越多的证据表明,学校氛围——有时表现为儿童对学校内人际关系、安全、价值观和信仰的认知——会影响儿童心理健康。儿童心理健康状况不佳与痛苦情绪以及功能缺陷有关。然而,虽然大多数研究都集中在学校氛围上,但较低层次嵌套(包括年级组)的氛围可能也很重要。通过一项学校调查收集了威尔士32606名小学生(7至11岁,3至6年级)的情绪和行为困难的横断面数据,该调查通过在线方式并在课堂环境中向所有同意参与的儿童发放,并使用多层模型进行分析。然后扩展模型以考虑年级组和学校氛围的综合测量与心理健康结果之间的关联。未经调整的方差划分系数(VPC)表明,情绪困难方差的2.8%和行为困难方差的3.2%可归因于年级组差异,而学校层面的差异分别占2.4%和3.5%。更积极的年级组和学校氛围与更积极的心理健康结果相关。学校和年级组氛围与小学生心理健康独立相关。支持心理健康的干预措施应旨在优化整个学校氛围以及年级组集群内的氛围。
在线版本包含可在10.1007/s12187-024-10213-7获取的补充材料。