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Cited by 54School Health and Nursing EducationEducational Environments and Student OutcomesChild and Adolescent Psychosocial and Emotional Development

School environment and mental health in early adolescence - a longitudinal study in Sweden (KUPOL)

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Galanti, Maria Rosaria, Hultin, Hanna, Dalman, Christina, Engström, Karin, Ferrer-Wreder, Laura, Forsell, Yvonne, Karlberg, Martin, Lavebratt, Catharina +5 more·2016·BMC Psychiatry
DOI 10.1186/s12888-016-0919-1PMC PMC4947256
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Abstract

BACKGROUND: Longitudinal studies indicate strong associations between school proficiency and indicators of mental health throughout adulthood, but the mechanisms of such associations are not fully elucidated. The Kupol study is a prospective cohort study in Sweden set up in order to: (i) describe the association of school pedagogic and social environment and its specific dimensions with the risk of mental ill-health and psychiatric disorders in adolescence; (ii) evaluate the direct effects of school pedagogic and social environment on mental health and the effects mediated by the individual's academic achievements; and (iii) assess if school pedagogic and social environment are associated with mental ill-health through epigenetic mechanisms, in particular those involving genes regulating the response to stress. METHODS: The Kupol cohort at baseline consists of 3959 children attending the 7th grade of compulsory school (13-14 years old) in 8 regions of central Sweden in the school years 2013-2014 or 2014-2015. Three follow-up surveys in subsequent years are planned. Teachers' and students' perceptions of the culture, climate and ethos of their schools, and students' mental ill-health are assessed at the whole school level by annual questionnaire surveys. In order to conduct epigenetic analyses saliva specimens are collected from a nested sample of students at inception and two years later. Further, class-, family- and child-level information is collected at baseline and during each year of follow-up. Self-reported information is being complemented with register data via record-linkages to national and regional health and administrative registers. DISCUSSION: The topic being investigated is new, and the sample constitutes the largest adolescent cohort in Sweden involved in an ad hoc study. Epigenetic analyses centered on environmental cues to stress response are a thoroughly new approach. Finally a notable feature is the multi-informant and multi-method data collection, with surveys at the school, class, family, and student level. Collaboration and data access: interested investigators should contact the coordinating centre. Additional information is available on the study's website, http://kupolstudien.se/ .

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  • The participation rate at inception in the KUPOL study was low (20%), with strong selection of adolescents with highly educated parents and intact families, which impairs generalizability to populations with relative social disadvantage.

    “The participation rate at inception in the KUPOL study was low (20%), with strong selection of adolescents with highly educated parents and intact families (see cohort profile Galanti et al. [32]), which impairs the generalizability of the results to populations with a relative social disadvantage.”

    From Social Media and Mental Health Among Early Adolescents in Sweden: A Longitudinal Study With 2-Year Follow-Up (KUPOL Study). (2021) · cites this paper as Galanti et al. [32]

    The Discussion reports low baseline response rates of 19% for schools and 29% for students, not a 20% adolescent participation rate. Table 3 in Methods/Design shows that most participants had highly educated parents and lived with both parents, but the Discussion says only that low response rates may have increased inclusion of high-socioeconomic-status participants. The claimed strong selection and impaired generalizability to socially disadvantaged populations go beyond what this paper establishes. (LLM, conf=0.87)

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Authors
Galanti, M. R., Hultin, H., Dalman, C., Engström, K., Ferrer-Wreder, L., Forsell, Y., Karlberg, M., Lavebratt, C., Magnusson, C., Sundell, K., Zhou, J., Almroth, M., & Raffetti, E.
Affiliations
  • Karolinska Institutet (SE)
  • Uppsala University (SE)
  • SBU - Swedish Agency for Health Technology Assessment and Assessment of Social Services (SE)
Corresponding author
Galanti, Maria Rosaria
ORCID
Venue
BMC Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2016-07-16
Volume
16
Issue
1
Pages
243-243
ISSN
1471-244X (ISSN-L)
DOI
10.1186/s12888-016-0919-1
PMC
PMC4947256
OpenAlex
W2463269987
Cited by
54
References
9
Citations by year
2026: 4 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 11 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 2
FWCI
11.10
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DiVA (Stockholm University) (submittedVersion, other-oa)
  • KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
Funders
Formas (259-212-48)
Topics
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Social Sciences › Education › Educational Environments and Student Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
school environment, adolescent mental health, school climate, school culture, school ethos, academic performance, epigenetics, stress response genes, mental illness, longitudinal cohort
MeSH terms
School Teachers, Adolescent, Mental Disorders, Educational Status, Female, Humans, Longitudinal Studies, Male, Prospective Studies, Surveys and Questionnaires, Schools, Social Environment, Stress, Psychological, Students, Sweden, Epidemiologic Research Design, Self Report

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