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3 Emotional and behavioural problems, mental wellbeing and equalities
This section details factors that are linked to differences in emotional and behavioural problems and mental wellbeing for adolescents. Here, we focus our analysis on the relationship between area based deprivation (using the Scottish Index of Multiple Deprivation (SIMD[12])), long-term illness or disability, caring responsibilities, emotional and behavioural problems (using the SDQ overall score) and mental wellbeing (using WEMWBS mean scores).
It should be kept in mind that using SIMD means that we are looking at an area based measure to identify deprivation in individuals. Many people who are materially disadvantaged as individuals live in areas that are not particularly deprived in terms of SIMD. Equally, many people living in deprived areas (as identified by SIMD) may not be particularly disadvantaged.
Deprivation
Emotional and behavioural problems
There was a clear link between SIMD and emotional and behavioural problems. As Figure 3.1 shows, in 2018 pupils who lived in SIMD 5[13] (the least deprived areas) were less likely to have a borderline or abnormal overall SDQ score (at 34%) than those in SIMD 1 (the most deprived areas) (at 42%).
Base: See Appendix A
Mental wellbeing
With the exception of 15 year old boys, where there was very little difference in pupils' mental wellbeing across SIMD areas. WEMWBS mean scores increased (indicating better mental wellbeing) as deprivation decreased. For example, among 13 year old boys, those living in SIMD 1 (the most deprived areas) had an average WEMWBS score of 48.4, compared with an average score of 51.2 among those living in SIMD 5 (the least deprived areas) (Figure 3.2).
Base: See Appendix A
Long term illness or disability
Emotional and behavioural problems
Pupils who reported that they had a long term illness or disability were twice as likely as those who did not to have a borderline or abnormal overall SDQ score (60% compared with 30%) (Figure 3.3.)
Base: See Appendix A
Mental wellbeing
Those with a long term illness or disability had lower levels of mental health and wellbeing than those who did not – this was true across both genders and age groups (Figure 3.4).
Base: See Appendix A
Caring responsibilities
Emotional and behavioural problems
Pupils were asked: 'Do you care for or look after someone in your home because, for example, they have long-term physical/mental ill health/disability? In other words, are you a young carer?'
Eleven per cent of pupils had caring responsibilities at home. Pupils who were young carers were considerably more likely to have a borderline or abnormal overall SDQ score. 53% of pupils with caring responsibilities had a borderline or abnormal overall SDQ score compared with 35% of who did not have caring responsibilities (Figure 3.5).
Base: See Appendix A
Mental wellbeing
Pupils who had some form of caring responsibility at home were more likely to have lower mental wellbeing than those who did not (Figure 3.6), but this was much less pronounced than the association with emotional and behavioural problems.