Prevalence of perceived stress among higher secondary school students in an educational district of South Kerala

Authors

  • Raj Keerthi Department of Psychiatry, Azeezia Medical College and Hospital, Kollam, Kerala, India
  • Sivasubramoney Krishnan Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India
  • Anilal Lallchand Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.30834/KJP.37.1.2024.429

Keywords:

Adolescents, perceived stress, academic performance, higher secondary schools, Thiruvananthapuram educational district

Abstract

Background: Adolescence is a period when one’s mental resilience builds up. Also, it is a period when one may develop mental health problems, stress being one of the causes. Schools become a medium for early detection of those suffering from such issues and a platform for providing preventive measurements. Hence, this study aimed to assess the prevalence of perceived stress among students in higher secondary schools of the Thiruvananthapuram educational district, Kerala. Also, this study attempted to find the association between various socio-demographic factors and perceived stress. Methods: This was a community-based, cross-sectional study conducted using stratified cluster sampling in 539 adolescents of 48 different classes from eight higher secondary schools (four government, two private-aided, and two private-unaided) over one year from August 2018, using the Perceived Stress Scale-10. Informed consent and assent were obtained as required from the participants. A Chi-square analysis was performed to assess statistical significance. Odds Ratio and confidence intervals were calculated to estimate the strength of association. Logistic regression analysis was done to determine the risk factors. The correlation of academic performance with perceived stress was assessed using the Spearman-Rank test. Results: Significant levels of stress were observed in 34.1% of the participants, and 8.7% of those with significant stress had severe perceived stress. The levels of perceived stress were high among those who performed better academically and there was a positive correlation between both. Age and stream of their study were the factors that showed an association with the stress levels experienced by the students. Conclusion: Adolescents undergo immense stress, academics being an unavoidable stressor. Contrary to expectations, higher stress levels were observed in students who performed better. Employment of stress reduction programs in schools ought to be considered a priority.

References

UNICEF Data. Investing in a safe, healthy and productive transition from childhood to adulthood is critical [Internet]. [place unknown]: UNICEF DATA;2024. [updated on 2024; cited 2024 Jun 23]. Available from: https://data.unicef.org/topic/adolescents/overview/.

UNICEF India. Adolescent development and participation [Internet]. [place unknown]: UNICEF India; [cited 2024 Jun 23]. Available from: https://www.unicef.org/india/what-we-do/adolescent-development-participation.

Office of the Registrar General & Census Commissioner, India & United Nations Population Fund – India. A profile of adolescents and youth in India: Gender composition of adolescent and youth population. New Delhi: Government of India; 2014.

Hazen E, Schlozman S, Beresin E. Adolescent psychological development: A review. Pediatr Rev 2008;29:161–7.

Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036):2423–78.

World Health Organization. Mental health of adolescents [Internet]. Switzerland: World Health Organization; 2021 [updated on 2021 Nov 17; cited 2024 Jun 23]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health.

World Health Organization. Adolescent and young adult health [Internet]. Geneva: World Health Organization; 2023 [updated 2023 April 28; cited 2024 Jun 23]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions.

Wu D, Yu L, Yang T, Cottrell R, Peng S, Guo W, et al. The impacts of uncertainty stress on mental disorders of Chinese college students: Evidence from a nationwide study. Front Psychol 2020;11. Available from: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00243.

Selye H. Stress without distress. In: Serban G, editor. Psychopathology of human adaptation. Boston, MA: Springer US; 1976. p. 137–46. Available from: https://doi.org/10.1007/978-1-4684-2238-2_9.

Roberts AG, Lopez-Duran NL. Developmental influences on stress response systems: Implications for psychopathology vulnerability in adolescence. Compr Psychiatry 2019; 88:9–21.

Phillips AC. Perceived stress. In: Gellman MD, Turner JR, editors. Encyclopedia of behavioral medicine. New York: Springer; 2013. p. 1453–4. Available from: https://doi.org/10.1007/978-1-4419-1005-9_479.

Seo EJ, Ahn JA, Hayman LL, Kim CJ. The association between perceived stress and quality of life in university students: The parallel mediating role of depressive symptoms and health-promoting behaviors. Asian Nurs Res 2018;12:190–6.

Lindholdt L, Labriola M, Andersen JH, Kjeldsen MMZ, Obel C, Lund T. Perceived stress among adolescents as a marker for future mental disorders: A prospective cohort study. Scand J Public Health 2022;50:412–7.

Kaczmarek M, Trambacz-Oleszak S. School-related stressors and the intensity of perceived stress experienced by adolescents in Poland. Int J Environ Res Public Health. 2021;18:11791. Available from: doi: 10.3390/ijerph182211791.

World Bank Group| Data. School enrollment, secondary (% gross) [Internet]. [place unknown]: World Bank Group 2024 [updated 2024 Apr 24; cited 2024 Jun 23]. Available from: https://data.worldbank.org/indicator/SE.SEC.ENRR.

UNICEF Data. Secondary education and enrollment statistics [Internet]. UNICEF Data; 2022 [place unknown]: UNICEF Data [updated 2022 Jun; cited 2024 Jun 23]. Available from: https://data.unicef.org/topic/education/secondary-education/.

World Bank Group| Data. School enrollment, secondary (% gross) India [Internet]. [place unknown]: World Bank Group 2024 [updated 2024 Apr 24; cited 2024 Jun 23]. Available from: https://data.worldbank.org/indicator/SE.SEC.ENRR?locations=IN.

Narmandakh A, Roest AM, de Jonge P, Oldehinkel AJ. Psychosocial and biological risk factors of anxiety disorders in adolescents: a TRAILS report. Eur Child Adolesc Psychiatry 2021;30:1969–82.

Zohuri B, Zadeh, S. Global suicide rate among youngsters increasing significantly. Online Journal of Neurology and Brain Disorders 2020;3:300-10. Available from: DOI:10.32474/OJNBD.2020.03.000175.

Arun P, Garg R, Chavan BS. Stress and suicidal ideation among adolescents having academic difficulty. Ind Psychiatry J 2017;26:64–70.

Kumar KS, Akoijam BS. Depression, anxiety and stress among higher secondary school students of Imphal, Manipur. Indian J Community Med 2017;42:94–6.

Cohen S, Kamarck T, Mermelstein, R. (). A global measure of perceived stress. Journal of Health and Social Behavior 1983;24, 385-96.

Gajula M, Bant D, Bathija GV. Perceived stress among adolescent school students in Hubli: A cross-sectional study. Natl J Community Med 2021;12:169–74.

Schraml K, Perski A, Grossi G, Simonsson-Sarnecki M. Stress symptoms among adolescents: The role of subjective psychosocial conditions, lifestyle, and self-esteem. J Adolesc 2011;34:987–96.

Ali NM, Nowshad NA, Mansoor KM, Ibnouf RA, Albehiery RM, Carrick FR, et al. Perceived academic and psychological stress among adolescents in United Arab Emirates: Role of gender, age, depression, and high expectation of parents. Psychiatr Danub 2019;31(Suppl 3):331–7.

Gupta A, Sharma RP, Goyal P, Midha T. Perceived stress among adolescents – A cross–sectional study in high school students of Kanpur City. Indian Journal of Maternal and Child Health 2010;12:2-5.

Crystal DS, Chen C, Fuligni AJ, Stevenson HW, Hsu CC, Ko HJ, et al. Psychological maladjustment and academic achievement: a cross-cultural study of Japanese, Chinese, and American high school students. Child Dev 1994;65:738–53.

OECD. PISA 2015 Results (Volume III): Students’ well-being [Internet]. Paris: PISA, OECD Publishing; 2017. Available from: https://doi.org/10.1787/9789264273856-en.

Sharma S, Chamola BP, Pandey N. Comparative study of stress among students of different streams science and arts. Int J Engl Lit Soc Sci 2021;6:298–308.

Subramani C, Kadhiravan S. Academic stress and mental health among high school students. Indian Journal of Applied Research;2017; 7:404-6.

Sonali S. Impact of academic stress among adolescents in relation to gender, class and type of school organization. Int J Appl Res 2016;2:317-22.

McGuire DP, Mitic W, Neumann B. Perceived stress in adolescents: What normal teenagers worry about. Can Ment Health. 1987;35:2–5.

Singh A, Upadhyay A. Age and sex differences in academic stress among college students. Social Science International 2008;24:78–88.

Hampel P, Petermann F. Perceived stress, coping, and adjustment in adolescents. J Adolesc Health 2006;38:409–15.

Nair BK, Elizabeth K. Prevalence of stress, anxiety and its correlates among adolescents in Kannur District, Kerala, India. Int J Health Sci Res 2016;6:225-8.

Upreti K. Stress among adolescents in relation to their gender and region of residence. Sch Res J Humanit Sci Eng Lang 2017;4/24. Available from: https://doi.org/10.21922/srjhsel.v4i24. 10409.

Elgar FJ, Arlett C, Groves R. Stress, coping, and behavioural problems among rural and urban adolescents. J Adolesc. 2003;26:574–85.

Devenish B, Hooley M, Mellor D. The pathways between socioeconomic status and adolescent outcomes: A systematic review. Am J Community Psychol. 2017;59:219–38.

Nath Y, Paris J, Thombs B, Kirmayer L. Prevalence and social determinants of suicidal behaviours among college youth in India. Int J Soc Psychiatry 2012;58:393–9.

Burt CE, Cohen LH, Bjorck JP. Perceived family environment as a moderator of young adolescents’ life stress adjustment. Am J Community Psychol 1988;16:101–22.

Deb S, Strodl E, Sun J. Academic stress, parental pressure, anxiety and mental health among Indian high school students. Int J Psychol Behav Sci 2015;5:26–34.

Meyrose AK, Klasen F, Otto C, Gniewosz G, Lampert T, Ravens-Sieberer U. Benefits of maternal education for mental health trajectories across childhood and adolescence. Soc Sci Med 2018;202:170–8.

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Published

2024-09-11

How to Cite

Keerthi, R. ., S. Krishnan, and A. . Lallchand. “Prevalence of Perceived Stress Among Higher Secondary School Students in an Educational District of South Kerala”. Kerala Journal of Psychiatry, vol. 37, no. 1, Sept. 2024, pp. 1-12, doi:10.30834/KJP.37.1.2024.429.

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Section

Research Report