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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
Main Authors: Wahab, Suzaily, Rahman, Fairuz Nazri Abdul, Wan Hasan, Wan Muhammad Hafiz, Zamani, Intan Zulaikha, Arbaiei, Nabilah Che, Khor, Siew Ling, Nawi, Azmawati Mohammed
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container_title Asia-Pacific psychiatry
container_volume 5
creator Wahab, Suzaily
Rahman, Fairuz Nazri Abdul
Wan Hasan, Wan Muhammad Hafiz
Zamani, Intan Zulaikha
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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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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 &lt; 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 &lt; 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 &lt; 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 &lt; 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 &amp; numerical data ; stress ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; stressors ; students ; Students - psychology ; Students - statistics &amp; 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 &lt; 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 &lt; 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 &lt; 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 &lt; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &amp; 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 &lt; 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 &lt; 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 &lt; 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 &lt; 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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