School burnout among students with and without disabilities before, during, and after the COVID-19 pandemic

Disability and health journal, Journal Year: 2025, Volume and Issue: unknown, P. 101841 - 101841

Published: April 1, 2025

Language: Английский

Immigrant Origin and Disability Increase Risk for Anxiety Among Youth During COVID-19: The Role of Unmet Needs for Support in Distance Learning and Family Conflicts

Journal of Adolescent Health, Journal Year: 2024, Volume and Issue: 74(5), P. 916 - 924

Published: Feb. 5, 2024

PurposeShifting to distance learning due COVID-19 may decrease teacher support and increase family conflicts, potentially increasing anxiety. Nevertheless, there is scarce information on this topic among disability and/or immigrant-origin groups. Thus, we investigated whether these minority groups reported more anxiety than the reference group—Finnish-origin youth without disabilities—and unmet needs for in conflicts mediated differences during pandemic. Differences mediators were also investigated.MethodsPopulation-based data of 165,033 aged 12 29 from cross-sectional Finnish School Health Promotion study obtained 2021 using total population sampling. Logistic regressions with Stata used investigate between target (youth disabilities, immigrant backgrounds, or both characteristics) The Karlson–Holm–Breen method was test mediation.ResultsThe disabilities (odds ratio [OR] = 4.14 [95% confidence interval (CI): 4.02–4.27]), backgrounds (OR 1.15 CI: 1.06–1.25]), characteristics 5.03 4.59–5.52]) often group. difference significant. Immigrant-origin most vulnerable prone needs. Unmet accounted 28% association anxiety, whereas mediating percentage smaller (13%) Finnish-origin (11%).DiscussionImmigrant-origin need targeted prevent Alleviating crises could help Support should be provided regardless their backgrounds.

Language: Английский

Adolescent depression treatment pathways in Primary Care – protocol for a longitudinal Cohort Study Describing Naturalistic Flow of Treatment and Evaluating Effectiveness and Cost- effectiveness of Interpersonal Counseling Compared to Treatment as Usual

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 23, 2024

Background:Implementation of evidence-based interventions is one the proposed responses to increased demand for treatment adolescent depression. While efficacy interpersonal psychotherapy treat depression adolescents (IPT-A) well established, effectiveness and cost-effectiveness shorter counseling (IPC-A) remains open. Objective: We present a protocol prospective evaluation naturalistic flow with sustained depression, IPC-A, as compared usual or no Methods: will collect cohort grade 7 9 (13–16-year-olds) in selected Finnish schools using convenience sampling (n=9000). We compare three groups defined at 6 months (targeting n=100; (TAU), n=200; treatment, n=100). The primary outcome measure will be proportion who received specialized psychiatric services by 2 years after baseline. Secondary measures include longitudinal changes PHQ-9-A scores 12 months, positive mental health, social inclusion, quality life. Cost-effectiveness evaluated survey data an economic evaluation register information on service use before up 10 A universal all adolescents, independent mood, provide description a) sustained depression over follow-up period (Patient Health Questionnaire items, version, ≥ two measurements months), b) self-reported need motivation support, c) therapeutic intervention, d) benefits harms treatment. describe treatment received predictors based reports from caretakers, therapists, electronic patient records. Impact training IPC-A competence access evaluated. Conclusions: The study will describe for, pathways to, content health depressed adolescents. The results can improve detection equal care, inform decision -makers about best practices prevention, including utility implementation IPC-A. Trial registration: ClinicalTrials.com NCT06390462 registered 2024-03-19

Language: Английский