Title: Warwick-Edinburgh Mental Well-being Scale (WEMWBS) in English and Scottish Secondary School Students – Exploring factors affecting Mental Wellbeing in the school environment Aim to explore factors in secondary schools in Scotland and England associated with positive mental wellbeing in children aged 14 and 16 years Why it is interesting? Background Emotional and behavioural problems are rapidly taking precedence over physical complaints as the major cause of ill health in adolescents of industrialised nations.1 A critical time of transition in terms of self-identity, thought processes and social roles, the nature of an individual’s passage through adolescence is crucial in shaping life as an adult.2,3 Wellbeing can be defined as a positive and sustainable mental state that allows individuals, groups and nations to thrive and flourish.4 There is increasing evidence that positive mental health constitutes more than the mere absence of mental illness, and plays an independent role in health outcomes.5,6,7 Positive wellbeing in childhood and adolescence is associated with greater educational attainment and better health and occupational functioning in adulthood.3 In contrast, high levels of negative emotions at this time are associated with a higher incidence of adult risk-taking, depression, and impaired social relationships as well as an increased risk of cardiovascular disease.8,9 A 2003 systematic review found the promotion of positive mental health to be more effective in sustaining positive wellbeing than interventions which concentrate on mental illness during adolescence.10 Schools are thought to be ideally placed to identify individuals experiencing poor positive mental health and to tackle the specific predictors of poor wellbeing, which include involvement in bullying,11,12 teenage pregnancy,13 and low levels of physical exercise,14,15 as well as unhelpful parenting.16,17 Promotion of positive wellbeing in adolescence is a UK national priority, related to outcomes set out in “Every Child Matters.”18 Ofsted are currently considering a number of indicators to formally assess school performance in this area, including pupil self-reports.19 However mental wellbeing is clearly complex and multifactorial. 19 Objectives 1. To use previously gathered data on ~1,800 pupils from 6 schools in Scotland and England to construct a model of adolescent wellbeing which draws on school-level variables; individual socio-demographic variables; and individual physical health variables 2. To assist in making recommendations to Ofsted and to local authorities on indicators to formally assess school performance in the area of pupils’ mental wellbeing which take account of the above factors. Data Available Double-entered, cleaned date will be available covering a number of measures of individual mental and physical wellbeing as well as variables relating to individual socioeconomic status and to the school environment e.g. post code/deprivation; pupil attainment etc Techniques Required Modelling to understand/explore the roles of the different factors in their associations with wellbeing Prospective deliverables A report to Dr Tim Friede and Dr Aileen Clarke Relation to end/downstream users: who should benefit from this [line of] research? To make recommendations to local authorities/Primary Care Trusts and to Ofsted on how this work should be carried forward and focused. Eventually teenagers might benefit from this line of work Prospects for this miniproject leading into a PhD project : good References 1. Barlow, J. & Underdown, A. (2005) Promoting the social and emotional health of children: where to now? Journal of the Royal Society of Health 125(2):64-70 2. Bergman, M.M. & Scott, J. (2001) Young adolescents’ wellbeing and health-risk behaviours: gender and socio-economic differences. Journal of Adolescents 24(2):183-97 3. Hazell, P. (2007) Does the treatment of mental disorders in childhood lead to a healthier adulthood? Current Opinion in Psychiatry 20(4):315-8 4. Huppert, F.A., Baylis, N., Keverne, B. (2004) Why do we need a science of wellbeing? Philosophical Transactions of the Royal Society of London. B 359, 1331-1332 (doi:10.1098/rstb2004.1519) 5. Huppert, F.A. & Whittington, J.E. (2003) Evidence for the independence of positive and negative well-being: implications for quality of life assessment. British Journal of Psychology 8(1):107-22 6. Huppert, F.A. & Whittington, J.E. (1995) Symptoms of psychological distress predict 7-year mortality. Journal of Psychological Medicine 25(5):1073-86 7. Whittington J.E., Huppert, F.A. (1998) Creating invariant subscales of the GHQ30. Social Science and Medicine. 46:1429-1440 8. Barlow, J. & Parsons, J. (2003) Group-based parent-training programmes for improving emotional and behavioural adjustment in 0-3 year old children. Cochrane Database of Systematic Reviews Issue 2. Art. No.: CD003680. DOI: 10.1002/14651858 9. Keyes, C.L. (2004) The nexus of cardiovascular disease and depression revisited: the complete mental health perspective and the moderating role of age and gender. Aging and Mental Health. 8:266-274 10. Wells, J., Barlow, J., Stewart-Brown, S. (2003) A systematic review of universal approaches to mental health promotion in schools. Health Education. 103(4):197-220 11. Barker, G. & Olukoya, A. (2005) Young people, social support and help-seeking. International Journal of Adolescent Mental Health 17(4):315-35 12. Richter, M., & Bowles, D. (2007) Bullying, psychosocial health and risk behaviour in adolescence. Gesundheitswesen 69(8-9):475-82 13. Paranjothy, S., Broughton, H.K., Adappa, R. & Fone, D. (2008) Teenage Pregnancies: who suffers? Archives of Diseases of Children. [E-publication ahead of print] PMID: 19019886 14. Steptoe, A. & Butler, N. (1996) Sports participation and emotional wellbeing in adolescents. Lancet 347(9018):1789-92 15. Ussher, M.H. & Owen, C.G. (2007) The relationship between physical activity, sedentary behaviour and psychological wellbeing among adolescents. Social Psychiatry and Psychiatric Epidemiology 42(1):851-6 16. Lachowski, S. & Lachowska, B. (2007) Mental wellbeing of children engaged in agricultural work activities and quality of family environment. Annals of Agricultural and Environmental Medicine 14(1):115-21 17. Shek, D.T. (1997) The relation of family functioning to adolescent psychological well-being, school adjustment and problem behaviour. Journal of Genetic Psychology 158(4):467-79 18. Every Child Matters (2003) Green Paper CM5860 Crown Copyright http://www.everychildmatters.gov.uk [Accessed 29/01/2009] 19. Blake A. Putz R. Personal Communication. 2009