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The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving

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 a...

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Autores principales: Esch, Pascale, Bocquet, Valéry, Pull, Charles, Couffignal, Sophie, Lehnert, Torsten, Graas, Marc, Fond-Harmant, Laurence, Ansseau, Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244046/
https://www.ncbi.nlm.nih.gov/pubmed/25159271
http://dx.doi.org/10.1186/s12888-014-0237-4
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author Esch, Pascale
Bocquet, Valéry
Pull, Charles
Couffignal, Sophie
Lehnert, Torsten
Graas, Marc
Fond-Harmant, Laurence
Ansseau, Marc
author_facet Esch, Pascale
Bocquet, Valéry
Pull, Charles
Couffignal, Sophie
Lehnert, Torsten
Graas, Marc
Fond-Harmant, Laurence
Ansseau, Marc
author_sort Esch, Pascale
collection PubMed
description 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-014-0237-4) contains supplementary material, which is available to authorized users.
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spelling pubmed-42440462014-11-26 The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving Esch, Pascale Bocquet, Valéry Pull, Charles Couffignal, Sophie Lehnert, Torsten Graas, Marc Fond-Harmant, Laurence Ansseau, Marc BMC Psychiatry Research Article 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12888-014-0237-4) contains supplementary material, which is available to authorized users. BioMed Central 2014-08-27 /pmc/articles/PMC4244046/ /pubmed/25159271 http://dx.doi.org/10.1186/s12888-014-0237-4 Text en © Esch et al.; licensee BioMed Central Ltd. 2014 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Esch, Pascale
Bocquet, Valéry
Pull, Charles
Couffignal, Sophie
Lehnert, Torsten
Graas, Marc
Fond-Harmant, Laurence
Ansseau, Marc
The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving
title The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving
title_full The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving
title_fullStr The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving
title_full_unstemmed The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving
title_short The downward spiral of mental disorders and educational attainment: a systematic review on early school leaving
title_sort downward spiral of mental disorders and educational attainment: a systematic review on early school leaving
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244046/
https://www.ncbi.nlm.nih.gov/pubmed/25159271
http://dx.doi.org/10.1186/s12888-014-0237-4
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