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  "path": "/news/2026-04-school-grades-affect-mental-health.html",
  "publishedAt": "2026-04-21T13:40:11.000Z",
  "site": "https://medicalxpress.com",
  "textContent": "Schools increasingly rely on testing, grading and performance accountability. In England, Ofsted inspections and school league tables sharpen the focus on measurable performance. Similar developments have taken place in Sweden, where repeated reforms have introduced earlier and more detailed assessments.",
  "title": "How school grades can affect mental health, particularly for girls"
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