{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T16:58:40Z","timestamp":1769360320994,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T00:00:00Z","timestamp":1743897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T00:00:00Z","timestamp":1743897600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T00:00:00Z","timestamp":1743897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand Pacific Project","doi-asserted-by":"publisher","award":["20\/284"],"award-info":[{"award-number":["20\/284"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.tandfonline.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal Society of New Zealand"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Approximately 15% of adolescents experience a mental health disorder, accounting for a significant proportion of the global burden of illness. Moreover, the rates of diagnosed mental and behavioural disorders in adolescents have risen significantly over recent years. The prevalence of poor mental health in Pacific Island populations remains poorly defined, particularly during the period of adolescence which represents a sensitive period for the development of mental health disorders. In the present study, a survey of mental health in adolescents in the Cook Islands was undertaken using the Strengths and Difficulties Questionnaire (SDQ). Fifty\u2010seven adolescents (aged 13\u201314 years) representing three schools across the Cook Islands completed the self\u2010report SDQ. A large proportion of students presented with total SDQ scores that well exceeded those mapped against the expected band prevalence with 38% of adolescents having total difficulties scores in the High\u2010Very High category versus an expected banding for these categories at 10%. This study has highlighted a current significant mental health burden in Cook Island adolescents and identified an urgent need to develop scaffolded resources to support these students, their families, the schools and wider community.<\/jats:p>","DOI":"10.1080\/03036758.2025.2486046","type":"journal-article","created":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T20:33:21Z","timestamp":1743971601000},"page":"2689-2701","update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of mental health in Cook Island adolescents: a baseline survey"],"prefix":"10.1002","volume":"55","author":[{"given":"Metua","family":"Daniel\u2010Atutolu","sequence":"first","affiliation":[{"name":"Liggins Institute University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelene","family":"Daniela\u2010Wong","sequence":"additional","affiliation":[{"name":"Te Marae Ora, Cook Islands Ministry of Health Rarotonga Cook Islands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacquie L.","family":"Bay","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland Auckland New Zealand"},{"name":"Koi Tu \u2013 Centre for Informed Futures University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neti","family":"Tamarua\u2010Herman","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Porio","sequence":"additional","affiliation":[{"name":"Cook Islands Ministry of Education Rarotonga Cook Islands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4876-9356","authenticated-orcid":false,"given":"Mark H.","family":"Vickers","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland Auckland New Zealand"},{"name":"Maurice Wilkins Centre University of Auckland Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.05.018"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17197327"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e3181985068"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107610.1997.tb01545.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583\u2010200111000\u201000015"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s007870050057"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/e557702010-001"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev\u20102020\u2010044050"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052470"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e32816ebc8c"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12897"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.866323"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073432"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.07.030"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17228479"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/nature25759"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12381"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.06.022"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010021\u201001726\u20105"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2023.04.009"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010022\u201002131\u20102"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/camh.12501"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2017.11.022"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/21501319221131684"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/pedi.13389"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l295"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(22)01012\u20101"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/10105395211046763"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1017\/s2040174418000466"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010005\u20100521\u20104"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034\u2010021\u201000437\u20108"},{"key":"e_1_2_10_33_1","unstructured":"WHO.2015.Global school\u2010based student health survey. Cook Islands 2015 Fact Sheet. World Health Organization.https:\/\/www.who.int\/publications\/m\/item\/2015\u2010gshs\u2010factsheet\u2010cook\u2010islands."},{"key":"e_1_2_10_34_1","unstructured":"WHO.2021.Mental health of adolescents. World Health Organization. Report.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/adolescent\u2010mental\u2010health."}],"container-title":["Journal of the Royal Society of New Zealand"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/rsnz.onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/03036758.2025.2486046","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rsnz.onlinelibrary.wiley.com\/doi\/full-xml\/10.1080\/03036758.2025.2486046","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rsnz.onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/03036758.2025.2486046","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T12:55:26Z","timestamp":1769345726000},"score":1,"resource":{"primary":{"URL":"https:\/\/rsnz.onlinelibrary.wiley.com\/doi\/10.1080\/03036758.2025.2486046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,6]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1080\/03036758.2025.2486046"],"URL":"https:\/\/doi.org\/10.1080\/03036758.2025.2486046","archive":["Portico"],"relation":{},"ISSN":["0303-6758","1175-8899"],"issn-type":[{"value":"0303-6758","type":"print"},{"value":"1175-8899","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,6]]},"assertion":[{"value":"The publishing and review policy for this title is described in its Aims & Scope.","order":1,"name":"peerreview_statement","label":"Peer Review Statement"},{"value":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=tnzr20","URL":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=tnzr20","order":2,"name":"aims_and_scope_url","label":"Aim & Scope"},{"value":"2024-12-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}