Abstract

ABSTRACT Mental health problems are increasingly common risk factors for chronic pain, while stressors in school are associated with persistent and recurrent pain among students, and negatively associated with educational achievements. Clearly, it is important to identify elements that influence frequencies or intensities of mental health problems. To assist such efforts, this study analysed views of interviewed upper secondary students, in terms of physical, social and mental spaces. The results corroborate previous findings, such as the importance of school staff members collaboratively addressing students’ problems. However, the participants also explicitly or implicitly suggested other improvements in school environments and practices that could help them to cope, thereby enhancing their functioning. These included treating mental health problems as general problems rather than problems of a specific group, to reduce stigmatisation and frequencies of symptoms. They also indicate that small interventions, e.g. providing help with structuring schoolwork and other activities may be surprisingly beneficial.

Highlights

  • Common mental health problems among school children (Cederquist, 2006), are risk factors for onset and persistence of chronic pain (Claar, Kaczynski, Minster, McDonald-Nolan, & LeBel, 2013), including recurrent headache, stomach ache and neck pain (Alfvén, 2003; Petersen, Brulin, & Bergström, 2006)

  • A systematic review of 16 interventions concluded that universal school

  • The empirical material used for the analysis presented here was collected during the Help overcoming pain early (HOPE) interventional project

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Summary

Introduction

Common mental health problems among school children (Cederquist, 2006), are risk factors for onset and persistence of chronic pain (Claar, Kaczynski, Minster, McDonald-Nolan, & LeBel, 2013), including recurrent headache, stomach ache and neck pain (Alfvén, 2003; Petersen, Brulin, & Bergström, 2006). Stressors in school, such as high academic pressure, are positively associated with frequencies of persistent and recurrent pain in adolescents (Hjern, Alfven, & Östberg, 2008). Research on mental health of school aged children and adolescent is mainly published in healthcare rather than education journals (Ragnarsson et al, 2019). A systematic review of 16 interventions concluded that universal school

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