Evidence map›Paper›PMID 39411471›Full record

ArticleJCPP advances2024

The diminishing association between adolescent mental disorders and educational performance from 2006-2019.

Magnus Nordmo, Thomas H Kleppestø, Bjørn-Atle Reme, Hans Fredrik Sunde, Tilmann von Soest, Fartein Ask Torvik

Abstract read
In one paragraph

Article in JCPP advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Sex differences in adults with attention-deficit/hyperactivity disorder: A population-based study.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  3. Article
  4. Article
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

6 authors.

Magnus NordmoDepartment of Educational Science University of South-Eastern Norway Notodden Norway.ORCID https://orcid.org/0000-0002-1977-1038
Thomas H KleppestøDepartment of Psychology, Norwegian University of Science and Technology Trondheim Norway.
Bjørn-Atle RemeCentre for Fertility and Health Norwegian Institute of Public Health Oslo Norway.
Hans Fredrik SundeCentre for Fertility and Health Norwegian Institute of Public Health Oslo Norway.ORCID https://orcid.org/0000-0001-8797-5422
Tilmann von SoestDepartment of Psychology PROMENTA Research Center University of Oslo Oslo Norway.
Fartein Ask TorvikCentre for Fertility and Health Norwegian Institute of Public Health Oslo Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A rising prevalence of adolescent mental disorders in the Western world has been widely reported, raising concerns for adolescent development and well-being. Mental disorders are known to negatively impact educational performance. Yet it remains uncertain whether the relationship between mental disorders and educational outcomes has also changed over time and if the change is more pronounced among high compared to low performing students. The aims of this paper are to (1) describe the change over time in the prevalence of common mental disorders in adolescence; (2) determine whether the change in prevalence of common mental disorders differs between high and low performing students; and (3) assess whether the associations between mental health disorders and educational performance have changed over time. Methods: To address these issues, this study examines potential shifts in the associations between diagnoses of ADHD and internalizing disorders and educational performance among 843,692 Norwegian students graduating from lower secondary education between 2006 and 2019. We utilize population-wide register data on ADHD and internalizing disorders from primary and specialist care combined with educational outcomes. Results: Our analysis revealed a marked rise in ADHD prevalence, from 1.0% in 2006 to 2.6% in 2019. Concurrently, diagnoses of internalizing disorders also increased from 1.9% to 4.2%. This increasing trend in diagnoses spanned across all high school grade point average (GPA) categories, thereby not supporting the notion that the rise is predominantly observed among high-performing adolescents. Importantly, the strength of the associations of internalizing disorders and ADHD with GPA diminished significantly over time. For instance, the difference between the average GPA standardized score for boys with and without an ADHD diagnosis shrunk from 1.0 in 2006 to 0.73 in 2019. Conclusions: We discuss various potential explanations for this observation and suggest that changes in diagnostic thresholds is a contributing factor.

Indexed as

ADHDadolescent mental healtheducational performanceinternalizing disorders

Identifiers

PMID39411471
PMCPMC11472808

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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.