Evidence map›Paper›PMID 36424575›Full record

SynthesisBMC public health2022

The role of school connectedness in the prevention of youth depression and anxiety: a systematic review with youth consultation.

Monika Raniti, Divyangana Rakesh, George C Patton, Susan M Sawyer

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Comparing Depression and Anxiety Symptom Networks in Chinese Students and Teachers.International journal of psychology : Journal international de psychologie · 2026
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Monika RanitiCentre for Adolescent Health, Murdoch Children's Research Institute and Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia. monika.raniti@mcri.edu.au.
Divyangana RakeshCentre for Adolescent Health, Murdoch Children's Research Institute and Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia.
George C PattonCentre for Adolescent Health, Murdoch Children's Research Institute and Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia.
Susan M SawyerCentre for Adolescent Health, Murdoch Children's Research Institute and Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundSchool connectedness reflects the quality of students' engagement with peers, teachers, and learning in the school environment. It has attracted attention from both the health and education sectors as a potentially modifiable protective factor for common mental health problems. However, the extent to which school connectedness may prevent the onset of youth depression or anxiety or promote their remission is unclear. This systematic review examined evidence for prospective relationships between school connectedness and depression and anxiety, and the effect of interventions to improve school connectedness on depression and anxiety.

methodsWe searched MEDLINE, PsycINFO, PubMed, and ERIC electronic databases for peer-reviewed quantitative longitudinal, or intervention studies published from 2011-21 in English examining relationships between school connectedness and anxiety and/or depression. Participants were 14-24 years old when depression and anxiety outcomes were assessed in any education setting in any country. We partnered with five youth advisers (aged 16-21 years) with lived experience of mental health problems and/or the schooling system in Australia, Indonesia, and the Philippines to ensure that youth perspectives informed the review.

resultsOur search identified 3552 unique records from which 34 longitudinal and 2 intervention studies were ultimately included. Studies were primarily from the United States of America (69.4%). Depression and anxiety outcomes were first measured at 14 years old, on average. Most studies found a significant protective relationship between higher levels of school connectedness and depressive and/or anxiety symptoms; more measured depression than anxiety. A few studies found a non-significant relationship. Both intervention studies designed to increase school connectedness improved depression, one through improvements in self-esteem and one through improvements in relationships at school.

conclusionsThese findings suggest that school connectedness may be a novel target for the prevention of depression and anxiety. We were not able to determine whether improving school connectedness promotes remission in young people already experiencing depression and anxiety. More studies examining anxiety, diagnostic outcomes, and beyond North America are warranted, as well as intervention trials.

trial registrationPROSPERO 2021 CRD42021270967.

Indexed as

AnxietyDepressionAdolescentAdultHumansProspective StudiesReferral and ConsultationSchoolsUnited StatesYoung AdultAdolescentsBelongingHealth promotionInterventionMental healthSchoolsYoung people

Identifiers

PMID36424575
PMCPMC9694921

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.