Prior research on the association of mental health and behavior problems with academic achievement is limited because it does not consider multiple problems simultaneously, take co-occurring problems into account, and control for academic aptitude. We addressed these limitations using data from the National Longitudinal Study of Adolescent Health (N = 6,315). We estimated the associations of depression, attention problems, delinquency, and substance use with two indicators of academic achievement (high school GPA and highest degree received) with controls for academic aptitude. Attention problems, delinquency, and substance use were significantly associated with diminished achievement, but depression was not. Combinations of problems involving substance use were especially consequential. Our results demonstrate that the social consequences of mental health problems are not the inevitable result of diminished functional ability but, rather, reflect negative social responses. These results also encourage a broader perspective on mental health by demonstrating that behavior problems heighten the negative consequences of more traditional forms of distress.
AchenbachThomas M.HowellCatherine T.QuayHerbert C.ConnersC. Keith. 1981. “National Survey of Problems and Competencies among Four- to Sixteen-Year-Olds: Parents’ Reports for Normative and Clinical Samples.” Monographs of the Society for Research in Child Development56, serial no. 225.
2.
AlexanderKarl L.EntwisleDoris R.DauberSusan L.1993. “First Grade Classroom Behavior: Its Short- and Long-Term Consequences for School Performance.” Child Development64:801–14.
3.
American Psychological Association Zero Tolerance Task Force. 2008. “Are Zero Tolerance Policies Effective in Schools? An Evidentiary Review and Recommendations.” American Psychologist63:852–62.
4.
AneshenselCarol S.RutterCarolyn M.LachenbruchPeter A.1991. “Social Structure, Stress, and Mental Health: Competing Conceptual and Analytic Models.” American Sociological Review56:166–78.
5.
AngoldAdrianCostelloE. JaneFarmerElizabeth M. Z.BurnsBarbara J.ErkanliAlaattin. 1999. “Impaired but Undiagnosed.” Journal of the American Academy of Child & Adolescent Psychiatry38:129–37.
6.
BradleyRobert H.CorwynRobert F.2002. “Socioeconomic Status and Child Development.” Annual Review of Psychology53:371–99.
7.
BreslauJoshua. 2010. “Health in Childhood and Adolescence and High School Dropout.” California Dropout Research Project Report #17. Retrieved May 5, 2010 (http://cdrp.ucsb.edu/dropouts/pubs_reports.htm).
8.
BreslauJoshuaLaneMichaelSampsonNancyKesslerRonald C.2008. “Mental Disorders and Subsequent Educational Attainment in a US National Sample.” Journal of Psychiatric Research42:708–16.
9.
CampbellSusan B.von StauffenbergCamilla. 2007. “Child Characteristics and Family Processes that Predict Behavioral Readiness for School.” Pp. 225–58 in Disparities in School Readiness: How Families Contribute to Transitions into School, edited by BoothA.CrouterA. C.Mahwah, NJ: Lawrence Erlbaum.
10.
CostelloE. JaneMustilloSarahErkanliAlaattinKeelerGordonAngoldAdrian. 2003. “Prevalence and Development of Psychiatric Disorders in Childhood and Adolescence.” Archives of General Psychiatry60:837–44.
11.
DuncanGreg J.DowsettChantelle J.ClaessensAmyMagnussonKatherineHustonAletha C.KlebanovPamelaPaganiLinda S.FeinsteinLeonEngelMimiBrooks-GunnJeanneSextonHollyDuckworthKathrynJapelCrista. 2007. “School Readiness and Later Achievement.” Developmental Psychology43:1428–46.
12.
EllicksonPhyllisBuiKanhaBellRobertMcGuiganKimberly A.1998. “Does Early Drug Use Increase the Risk of Dropping Out of High School?”Journal of Drug Issues28:357–76.
13.
FarkasGeorge. 1996. Human Capital or Cultural Capital? Ethnicity and Poverty Groups in an Urban School District. New York: Aldine de Gruyter.
14.
FarkasGeorge. 2003. “Cognitive Skills and Noncognitive Traits and Behaviors in Stratification Processes.” Annual Review of Sociology29:541–62.
15.
FarmerAlvin D.BiermanKaren L.2002. “Predictors and Consequences of Aggressive-Withdrawn Problem Profiles in Early Grade School.” Journal of Clinical Child and Adolescent Psychology31:299–311.
16.
FinnKristin V.2006. “Patterns of Alcohol and Marijuana Use at School.” Journal of Research on Adolescence16:69–77.
17.
FletcherJason M.2008. “Adolescent Depression: Diagnosis, Treatment, and Educational Attainment.” Health Economics17:1215–35.
18.
FletcherJason M.2010. “Adolescent Depression and Educational Attainment: Results Using Sibling Fixed Effects.” Health Economics19:855–71.
19.
GaléraC.MelchiorM.ChastangJ.-F.BouvardM.-P.FombonneE.2009. “Childhood and Adolescent Hyperactivity-Inattention Symptoms and Academic Achievement 8 Years Later: The GAZEL Youth Study.” Psychological Medicine39:1895–906.
20.
GoveWalter R.1982. “The Current Status of the Labeling Theory of Mental Illness.” Pp. 273–300 in Deviance and Mental Illness, edited by GoveW. R.Beverly Hills, CA: Sage.
21.
GoveWalter R.2004. “The Career of the Mentally Ill: An Integration of Psychiatric, Labeling/Social Construction, and Lay Perspectives.” Journal of Health and Social Behavior45:357–75.
22.
GrahamJohn W.OlchowskiAllison E.GilreathTamika D.2007. “How Many Imputations are Really Needed? Some Practical Clarifications of Multiple Imputation Theory.” Prevention Science8:206–13.
23.
HamreBridget K.PiantaRobert C.2001. “Early Teacher-Child Relationships and the Trajectory of Children’s School Outcomes Through Eighth Grade.” Child Development72:625–38.
24.
HaynieDana L.2001. “Delinquent Peers Revisited: Does Network Structure Matter?”Social Forces106:1013–57.
25.
HenricssonLisbethRydellAnn-Margret. 2004. “Elementary School Children with Behavior Problems: Teacher-Child Relations and Self-Perception. A Prospective Study.” Merrill-Palmer Quarterly50:111–38.
26.
HinshawStephen P.1992. “Externalizing Behavior Problems and Academic Underachievement in Childhood and Adolescence: Causal Relationships and Underlying Mechanisms.” Psychological Bulletin111:127–55.
27.
HobbsNicholas. 1982. The Troubled and Troubling Child. San Francisco, CA: Jossey-Bass.
28.
HuntJustinEisenbergDanielKilbourneAmy M.2010. “Consequences of Receipt of a Psychiatric Diagnosis for Completion of College.” Psychiatric Services61:399–404.
29.
JohnsonJeffrey G.CohenPatriciaDohrenwendBruce P.LinkBruce G.BrookJudith S.1999. “A Longitudinal Investigation of Social Causation and Social Selection Processes Involved in the Association between Socioeconomic Status and Psychiatric Disorders.” Journal of Abnormal Psychology108:490–9.
30.
KesslerRonald C.2004. “The Epidemiology of Dual Diagnosis.” Biological Psychiatry56:730–7.
31.
KesslerRonald C.ChiuWai TatDemlerOlgaWaltersEllen E.2005. “Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey Replication.” Archives of General Psychiatry62:617–27.
32.
KesslerRonald C.FosterCindy L.SaundersWilliam B.StangPaul E.1995. “Social Consequences of Psychiatric Disorders, I: Educational Attainment.” American Journal of Psychiatry152:1026–32.
33.
LewinsohnPeter M.RohdePaulSeeleyJohn R.1995. “Adolescent Psychopathology: III. The Clinical Consequences of Comorbidity.” Journal of the American Academy of Child and Adolescent Psychiatry34:510–9.
34.
LewinsohnPeter M.RohdePaulSeeleyJohn R.1998. “Major Depressive Disorder in Older Adolescents: Prevalence, Risk Factors, and Clinical Implications.” Clinical Psychology Review18:765–94.
35.
LinkBruce G.CullenFrancis T.FrankJamesWozniakJohn F.1987. “The Social Rejection of Former Mental Patients: Understanding Why Labels Matter.” American Journal of Sociology92:1461–500.
36.
LinkBruce G.CullenFrancis T.StrueningElmer L.ShroutPatrick E.DohrenwendBruce P.1989. “A Modified Labeling Theory Approach to Mental Disorders: An Empirical Assessment.” American Sociological Review54:400–23.
37.
LovejoyM. Christine1996. “Social Inferences Regarding Inattentive-Overactive and Aggressive Child Behavior and their Effects on Teacher Reports of Discipline.” Journal of Clinical Child Psychology25:33–42.
38.
LynskeyMichaelHallWayne. 2000. “The Effects of Adolescent Cannabis Use on Educational Attainment: A Review.” Addiction95:1621–30.
39.
MaguinEugeneLoeberRolf. 1996. “Academic Performance and Delinquency.” Crime and Justice20:145–264.
40.
McLeodJane D.2013. “Social Stratification and Inequality.” Pp. 229-53 in Handbook of the Sociology of Mental Health, edited by AneshenselC. S.PhelanJ. C.BiermanA.New York: Springer.
41.
McLeodJane D.KaiserKaren. 2004. “The Relevance of Childhood Emotional and Behavioral Problems for Subsequent Educational Attainment.” American Sociological Review69:636–58.
42.
McNeelyClea A.NonnemakerJames M.BlumRobert W.2002. “Promoting School Connectedness: Evidence from the National Longitudinal Study of Adolescent Health.” Journal of School Health72:138–146.
43.
MiechRichard A.CaspiAvshalomMoffittTerrie E.WrightBradley R. EntnerSilvaPhil A.1999. “Low Socioeconomic Status and Mental Disorders: A Longitudinal Study of Selection and Causation during Young Adulthood.” American Journal of Sociology104:1096–131.
44.
MirowskyJohnRossCatherine E.1995. “Sex Differences in Distress: Real or Artifact?”American Sociological Review60:449–68.
45.
MirowskyJohnRossCatherine E.2002. “Measurement for a Human Science.” Journal of Health and Social Behavior43:152–70.
46.
MullinsLarry L.ChardShelley R.HartmanValerie L.BowlbyDavidRichLouiseBurkeCeliann. 1995. “The Relationship between Depressive Symptomatology in School Children and the Social Responses of Teachers.” Journal of Clinical Child Psychology24:474–82.
47.
MurrayChristopherMurrayKelly M.2004. “Child Level Correlates of Teacher-Student Relationships: An Examination of Demographic Characteristics, Academic Orientations, and Behavioral Orientations.” Psychology in the Schools41:751–62.
48.
National Center for Addiction and Substance Use. 2011. Adolescent Substance Use: America’s #1 Public Health Problem. New York: National Center for Addiction and Substance Use.
49.
NeedhamBelinda L.2009. “Adolescent Depressive Symptomatology and Young Adult Educational Attainment: An Examination of Gender Differences.” Journal of Adolescent Health45:179–86.
50.
NeedhamBelinda L.CrosnoeRobertMullerChandra. 2004. “Academic Failure in Secondary School: The Inter-Related Role of Health Problems and Educational Context.” Social Problems51:569–86.
51.
NewcombMichael D.AbbottRobert D.CatalanoRichard F.HawkinsJ. DavidBattin-PearsonSaraHillKarl. 2002. “Mediational and Deviance Theories of Late High School Failure: Process Roles of Structural Strains, Academic Competence, and General Versus Specific Problem Behaviors.” Journal of Counseling Psychology49:172–86.
52.
NonnemakerJames M.McNeelyClea A.BlumRobert W.2003. “Public and Private Domains of Religiosity and Adolescent Health Risk Behaviors: Evidence from the National Longitudinal Study of Adolescent Health.” Social Science and Medicine57:2049–54.
53.
PallasAaron M.2003. “Educational Transitions, Trajectories, and Pathways.” Pp. 165–84 in Handbook of the Life Course, edited by MortimerJ. T.ShanahanM. J.New York: Kluwer/Plenum.
54.
PerryBrea L.2011. “The Labeling Paradox: Stigma, the Sick Role, and Social Networks in Mental Illness.” Journal of Health and Social Behavior52:460–77.
55.
RadloffLenore S.1977. “The CES-D Scale: A Self-Report Depression Scale for Research in the General Population.” Applied Psychological Measurement1:385–401.
56.
RawlingsSteveSaluterArlene. 1995. Household and Family Characteristics: March 1994. U.S. Bureau of the Census, Current Population Reports, P20-483. Washington, DC: U.S. Government Printing Office.
57.
RobertsRobert E.AndrewsJudy A.LewinsohnPeter M.HopsHyman. 1990. “Assessment of Depression in Adolescents Using the Center for Epidemiologic Studies Depression Scale.” Psychological Assessment2:122–8.
58.
RoeserRobert W.EcclesJacquelynne S.StrobelKaren R.1998. “Linking the Study of Schooling and Mental Health: Selected Issues and Empirical Illustrations at the Level of the Individual.” Educational Psychologist33:153–76.
59.
RohdePaulLewinsohnPeter M.SeeleyJohn R.1991. “Comorbidity of Unipolar Depression: II. Comorbidity with Other Mental Disorders in Adolescents and Adults.” Journal of Abnormal Psychology100:214–22.
60.
RosenbaumJames. 2001. Beyond College for All: Career Paths for the Forgotten Half. New York: Russell Sage Foundation.
61.
RoystonPatrick. 2005a. “Multiple Imputation of Missing Values: Update.” Stata Journal5:188–201.
62.
RoystonPatrick. 2005b. “Multiple Imputation of Missing Values: Update of ICE.” Stata Journal5:527–36.
63.
SatterfieldJames H.HoppeChristiane M.SchellAnne M.1982. “A Prospective Study of Delinquency in 110 Adolescent Boys with Attention Deficit Disorder and 88 Normal Adolescent Boys.” The American Journal of Psychiatry139:795–8.
64.
ScheffThomas J.1966. Being Mentally Ill: A Sociological Theory. Chicago, IL: Aldine.
65.
SchulenbergJohnBachmanJerald D.O’MalleyPatrick M.JohnstonLloyd D.1994. “High School Educational Success and Subsequent Substance Use: A Panel Analysis Following Adolescents into Young Adulthood.” Journal of Health and Social Behavior35:45–62.
66.
SchwartzSharon. 2002. “Outcomes for the Sociology of Mental Health: Are We Meeting Our Goals?”Journal of Health and Social Behavior43:223–35.
67.
StaffJeremyPatrickMegan E.LokenEricMaggsJennifer L.2008. “Teenage Alcohol Use and Educational Attainment.” Journal of Studies of Alcohol and Drugs69:848–58.
68.
SwansonJames M.1992. School-Based Assessments and Interventions for ADD Students. Irvine, CA: KC Publishing.
69.
ThoitsPeggy A.2010. “Stress and Health: Major Findings and Policy Implications.” Journal of Health and Social Behavior51:S41–53.
70.
UmbersonDebraWilliamsKristiAndersonKristin. 2002. “Violent Behavior: A Measure of Emotional Upset?”Journal of Health and Social Behavior43:189–206.
von HippelPaul T.2007. “Regression with Missing Ys: An Improved Strategy for Analyzing Multiply Imputed Data.” Sociological Methodology37:83–117.
73.
WierzbickiMichael. 2005. “Reliability and Validity of the Wender Utah Rating Scale for College Students.” Psychological Reports96:833–9.
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