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Stressors in secondary boarding school students: Association with stress, anxiety and depressive symptoms
Introduction Chronic stress in adolescents may cause physical, mental and emotional health issues which lead to poor outcomes if left untreated. The present study aimed to determine the prevalence of depression, anxiety and stress, and their association with stressors. Methods A cross‐sectional stud...
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Published in: | Asia-Pacific psychiatry 2013-04, Vol.5 (S1), p.82-89 |
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container_title | Asia-Pacific psychiatry |
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creator | Wahab, Suzaily Rahman, Fairuz Nazri Abdul Wan Hasan, Wan Muhammad Hafiz Zamani, Intan Zulaikha Arbaiei, Nabilah Che Khor, Siew Ling Nawi, Azmawati Mohammed |
description | Introduction
Chronic stress in adolescents may cause physical, mental and emotional health issues which lead to poor outcomes if left untreated. The present study aimed to determine the prevalence of depression, anxiety and stress, and their association with stressors.
Methods
A cross‐sectional study was conducted among 350 students in a selected boarding school. Two validated Malay version questionnaires were used as instruments, which comprised the 21‐item Depression, Anxiety and Stress Scale to assess depression, anxiety and stress level, and Soalselidik Stressor Sekolah Menengah to assess stressors.
Results
The prevalence of depression, anxiety and stress were 39.7%, 67.1% and 44.9%, respectively. The highest mean score was 2.3 (±0.80) for the academic‐related stressor. All stressors (academic, interpersonal, intrapersonal, teacher, learning/teaching and social group) had significant association with depression, anxiety and stress (P |
doi_str_mv | 10.1111/appy.12067 |
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Chronic stress in adolescents may cause physical, mental and emotional health issues which lead to poor outcomes if left untreated. The present study aimed to determine the prevalence of depression, anxiety and stress, and their association with stressors.
Methods
A cross‐sectional study was conducted among 350 students in a selected boarding school. Two validated Malay version questionnaires were used as instruments, which comprised the 21‐item Depression, Anxiety and Stress Scale to assess depression, anxiety and stress level, and Soalselidik Stressor Sekolah Menengah to assess stressors.
Results
The prevalence of depression, anxiety and stress were 39.7%, 67.1% and 44.9%, respectively. The highest mean score was 2.3 (±0.80) for the academic‐related stressor. All stressors (academic, interpersonal, intrapersonal, teacher, learning/teaching and social group) had significant association with depression, anxiety and stress (P < 0.001). Multiple regression showed that both the intrapersonal‐related stressor and learning/teaching‐related stressor were 2.8‐ and 2.0‐times more likely (adjusted odds ratio [OR] = 2.8 [P < 0.001] and OR = 2.0 [P = 0.002], respectively) to cause depressive symptoms. On the other hand, the interpersonal‐related stressor was 2.9‐times more likely (adjusted OR = 2.9, P < 0.001) to cause anxiety. The learning/teaching‐related and intrapersonal‐related stressors were 2.7‐ and 2.5‐times more likely to develop stress (adjusted OR = 2.7 [P < 0.001] and OR = 2.5 [P = 0.001], respectively).
Discussion
The possibility of introducing screening for mental health problems among boarding school students needs to be considered and investigated. Addressing the possible stressors and employing healthy coping may help in reducing negative emotional outcomes in these students.</description><identifier>ISSN: 1758-5864</identifier><identifier>EISSN: 1758-5872</identifier><identifier>DOI: 10.1111/appy.12067</identifier><identifier>PMID: 23857842</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Adolescent ; anxiety ; Anxiety - epidemiology ; Anxiety - etiology ; Cross-Sectional Studies ; depression ; Depression - epidemiology ; Depression - etiology ; Female ; Humans ; Malaysia - epidemiology ; Male ; Prevalence ; Psychiatric Status Rating Scales ; Schools - statistics & numerical data ; stress ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; stressors ; students ; Students - psychology ; Students - statistics & numerical data</subject><ispartof>Asia-Pacific psychiatry, 2013-04, Vol.5 (S1), p.82-89</ispartof><rights>Copyright © 2013 Wiley Publishing Asia Pty Ltd</rights><rights>Copyright © 2013 Wiley Publishing Asia Pty Ltd.</rights><rights>2013 Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4317-f6fb3c7e1e33bfd006b6fdea71b0f9b101892c0cf0efb98798c569dcd289a7853</citedby><cites>FETCH-LOGICAL-c4317-f6fb3c7e1e33bfd006b6fdea71b0f9b101892c0cf0efb98798c569dcd289a7853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23857842$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wahab, Suzaily</creatorcontrib><creatorcontrib>Rahman, Fairuz Nazri Abdul</creatorcontrib><creatorcontrib>Wan Hasan, Wan Muhammad Hafiz</creatorcontrib><creatorcontrib>Zamani, Intan Zulaikha</creatorcontrib><creatorcontrib>Arbaiei, Nabilah Che</creatorcontrib><creatorcontrib>Khor, Siew Ling</creatorcontrib><creatorcontrib>Nawi, Azmawati Mohammed</creatorcontrib><title>Stressors in secondary boarding school students: Association with stress, anxiety and depressive symptoms</title><title>Asia-Pacific psychiatry</title><addtitle>Asia-Pacific Psychiatry</addtitle><description>Introduction
Chronic stress in adolescents may cause physical, mental and emotional health issues which lead to poor outcomes if left untreated. The present study aimed to determine the prevalence of depression, anxiety and stress, and their association with stressors.
Methods
A cross‐sectional study was conducted among 350 students in a selected boarding school. Two validated Malay version questionnaires were used as instruments, which comprised the 21‐item Depression, Anxiety and Stress Scale to assess depression, anxiety and stress level, and Soalselidik Stressor Sekolah Menengah to assess stressors.
Results
The prevalence of depression, anxiety and stress were 39.7%, 67.1% and 44.9%, respectively. The highest mean score was 2.3 (±0.80) for the academic‐related stressor. All stressors (academic, interpersonal, intrapersonal, teacher, learning/teaching and social group) had significant association with depression, anxiety and stress (P < 0.001). Multiple regression showed that both the intrapersonal‐related stressor and learning/teaching‐related stressor were 2.8‐ and 2.0‐times more likely (adjusted odds ratio [OR] = 2.8 [P < 0.001] and OR = 2.0 [P = 0.002], respectively) to cause depressive symptoms. On the other hand, the interpersonal‐related stressor was 2.9‐times more likely (adjusted OR = 2.9, P < 0.001) to cause anxiety. The learning/teaching‐related and intrapersonal‐related stressors were 2.7‐ and 2.5‐times more likely to develop stress (adjusted OR = 2.7 [P < 0.001] and OR = 2.5 [P = 0.001], respectively).
Discussion
The possibility of introducing screening for mental health problems among boarding school students needs to be considered and investigated. Addressing the possible stressors and employing healthy coping may help in reducing negative emotional outcomes in these students.</description><subject>Adolescent</subject><subject>anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - etiology</subject><subject>Cross-Sectional Studies</subject><subject>depression</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Malaysia - epidemiology</subject><subject>Male</subject><subject>Prevalence</subject><subject>Psychiatric Status Rating Scales</subject><subject>Schools - statistics & numerical data</subject><subject>stress</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - etiology</subject><subject>stressors</subject><subject>students</subject><subject>Students - psychology</subject><subject>Students - statistics & numerical data</subject><issn>1758-5864</issn><issn>1758-5872</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9kU1v1DAQhiMEoqVw4QcgS1wqRErGdmKH27ZAC6pgJUDAyXL8QV2SONgObf493m67Bw7MZUYzz7wazVsUT6E6ghyv5DQtR4Crht0r9oHVvKw5w_d3dUP3ikcxXlaZAEofFnuY8JpxivcL9zkFE6MPEbkRRaP8qGVYUOdl0G78iaK68L5HMc3ajCm-RqtMKyeT8yO6cukijzYKL5Ecr51JS84aaTNtmu6PQXEZpuSH-Lh4YGUfzZPbfFB8fff2y8lZef7p9P3J6rxUlAArbWM7opgBQ0hndb65a6w2kkFX2baDCniLVaVsZWzXctZyVTetVhrzVjJek4PicKs7Bf97NjGJwUVl-l6Oxs9RAAUMDVBCM_r8H_TSz2HM1wkgtG6BMIwz9WJLqeBjDMaKKbghP0lAJTYGiI0B4saADD-7lZy7wegdevfxDMAWuHK9Wf4jJVbr9Y870XK742Iy17sdGX6JPGW1-PbxVHx4s14fE_pdEPIX-pyh1w</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Wahab, Suzaily</creator><creator>Rahman, Fairuz Nazri Abdul</creator><creator>Wan Hasan, Wan Muhammad Hafiz</creator><creator>Zamani, Intan Zulaikha</creator><creator>Arbaiei, Nabilah Che</creator><creator>Khor, Siew Ling</creator><creator>Nawi, Azmawati Mohammed</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Stressors in secondary boarding school students: Association with stress, anxiety and depressive symptoms</title><author>Wahab, Suzaily ; Rahman, Fairuz Nazri Abdul ; Wan Hasan, Wan Muhammad Hafiz ; Zamani, Intan Zulaikha ; Arbaiei, Nabilah Che ; Khor, Siew Ling ; Nawi, Azmawati Mohammed</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4317-f6fb3c7e1e33bfd006b6fdea71b0f9b101892c0cf0efb98798c569dcd289a7853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - etiology</topic><topic>Cross-Sectional Studies</topic><topic>depression</topic><topic>Depression - epidemiology</topic><topic>Depression - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Malaysia - epidemiology</topic><topic>Male</topic><topic>Prevalence</topic><topic>Psychiatric Status Rating Scales</topic><topic>Schools - statistics & numerical data</topic><topic>stress</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - etiology</topic><topic>stressors</topic><topic>students</topic><topic>Students - psychology</topic><topic>Students - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wahab, Suzaily</creatorcontrib><creatorcontrib>Rahman, Fairuz Nazri Abdul</creatorcontrib><creatorcontrib>Wan Hasan, Wan Muhammad Hafiz</creatorcontrib><creatorcontrib>Zamani, Intan Zulaikha</creatorcontrib><creatorcontrib>Arbaiei, Nabilah Che</creatorcontrib><creatorcontrib>Khor, Siew Ling</creatorcontrib><creatorcontrib>Nawi, Azmawati Mohammed</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asia-Pacific psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wahab, Suzaily</au><au>Rahman, Fairuz Nazri Abdul</au><au>Wan Hasan, Wan Muhammad Hafiz</au><au>Zamani, Intan Zulaikha</au><au>Arbaiei, Nabilah Che</au><au>Khor, Siew Ling</au><au>Nawi, Azmawati Mohammed</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stressors in secondary boarding school students: Association with stress, anxiety and depressive symptoms</atitle><jtitle>Asia-Pacific psychiatry</jtitle><addtitle>Asia-Pacific Psychiatry</addtitle><date>2013-04</date><risdate>2013</risdate><volume>5</volume><issue>S1</issue><spage>82</spage><epage>89</epage><pages>82-89</pages><issn>1758-5864</issn><eissn>1758-5872</eissn><abstract>Introduction
Chronic stress in adolescents may cause physical, mental and emotional health issues which lead to poor outcomes if left untreated. The present study aimed to determine the prevalence of depression, anxiety and stress, and their association with stressors.
Methods
A cross‐sectional study was conducted among 350 students in a selected boarding school. Two validated Malay version questionnaires were used as instruments, which comprised the 21‐item Depression, Anxiety and Stress Scale to assess depression, anxiety and stress level, and Soalselidik Stressor Sekolah Menengah to assess stressors.
Results
The prevalence of depression, anxiety and stress were 39.7%, 67.1% and 44.9%, respectively. The highest mean score was 2.3 (±0.80) for the academic‐related stressor. All stressors (academic, interpersonal, intrapersonal, teacher, learning/teaching and social group) had significant association with depression, anxiety and stress (P < 0.001). Multiple regression showed that both the intrapersonal‐related stressor and learning/teaching‐related stressor were 2.8‐ and 2.0‐times more likely (adjusted odds ratio [OR] = 2.8 [P < 0.001] and OR = 2.0 [P = 0.002], respectively) to cause depressive symptoms. On the other hand, the interpersonal‐related stressor was 2.9‐times more likely (adjusted OR = 2.9, P < 0.001) to cause anxiety. The learning/teaching‐related and intrapersonal‐related stressors were 2.7‐ and 2.5‐times more likely to develop stress (adjusted OR = 2.7 [P < 0.001] and OR = 2.5 [P = 0.001], respectively).
Discussion
The possibility of introducing screening for mental health problems among boarding school students needs to be considered and investigated. Addressing the possible stressors and employing healthy coping may help in reducing negative emotional outcomes in these students.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>23857842</pmid><doi>10.1111/appy.12067</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent anxiety Anxiety - epidemiology Anxiety - etiology Cross-Sectional Studies depression Depression - epidemiology Depression - etiology Female Humans Malaysia - epidemiology Male Prevalence Psychiatric Status Rating Scales Schools - statistics & numerical data stress Stress, Psychological - epidemiology Stress, Psychological - etiology stressors students Students - psychology Students - statistics & numerical data |
title | Stressors in secondary boarding school students: Association with stress, anxiety and depressive symptoms |
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