Shuang Zhang, WeiWei Wang, Shan Wu, Hong Ye, LiXiao Dong, JingRu Wang, XiaoTong Ning, HuiXia Cui
Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students' mental health literacy
BMC nursing
students earlystarting conduct problems often poorly school disproportionately placed restrictive educational placements outside mainstream classrooms although intended benefit students research suggests restrictive placements may exacerbate maladjustment youth conduct problems mixed findings small samples flawed designs limit utility existing research study examined impact restrictive educational placements three adolescent outcomes high school noncompletion conduct disorder depressive symptoms sample 861 students earlystarting conduct problems followed longitudinally kindergarten age 56 causal modeling propensity scores used adjust confounding factors associated restrictive placements analyses explored timing placement elementary vs secondary school moderation impact initial problem severity restrictive educational placement secondary school elementary school iatrogenic increasing risk high school noncompletion severity adolescent conduct disorder negative effects amplified students conduct problem behavior less cognitive impairment avoid harm students society schools must find alternatives restrictive placements students conduct problems secondary school particularly students cognitive impairments might warrant specialized educational supports