Stress and suicidal ideation among adolescents having academic difficulty.
Stress and suicidal ideation among adolescents having academic difficulty.
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DOI：
10.4103/ipj.ipj_5_17
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发表时间：
2017-01-01
影响因子：
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通讯作者：
Chavan, Bir Singh
中科院分区：
文献类型：
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作者：
Arun, Priti;Garg, Rohit;Chavan, Bir Singh
材料和方法：在一项横断面研究中，75名学业成就优秀的青少年与105名学业困难的学生和52名特殊学习障碍(SLD)的学生进行了比较。使用教师筛查量表、智商和国家心理健康和神经科学研究所SLD指数评估学习功能。使用一般健康问卷、自杀风险-11和穆尼问题清单(MPC)评估压力和自杀念头。结果：三组在年龄、性别、母亲工作状况、是否独生子女、核心家庭、自述学业成绩下降、学校类型等方面具有可比性。大约一半的青少年在一般健康问卷上报告了心理问题(所有组的平均得分均为3)。与学业困难的青少年相比，学业成绩优秀的青少年在同伴关系、规划未来和自杀意念方面表现出更高的压力源。青少年面临着担心考试、家庭不了解孩子在学校要做什么、考试不公平、某些科目功课太多、害怕功课不及格、没有花足够的时间学习、父母期望、想要更受欢迎、担心家庭成员、规划未来以及对未来的恐惧等方面的压力。一般健康问卷得分与MPC的所有四个分量表均呈显著正相关。自杀意念与MPC.INTERPRETATIONS及结论呈负相关。结论：无论学习能力和成绩如何，青少年在多个领域都承受着相当大的压力。因此，对青少年压力的评估和管理必须超越学业困难。
BACKGROUND AND OBJECTIVES: Academically typically achieving adolescents were compared with students having academic difficulty on stress and suicidal ideas.MATERIALS AND METHODS: In a cross-sectional study, 75 academically typically achieving adolescents were compared with 105 students with academic difficulty and 52 students with specific learning disability (SLD). Academic functioning was assessed using teacher's screening instrument, intelligence quotient, and National Institute of Mental Health and Neurosciences index for SLD. Stress and suicidal ideas were assessed using general health questionnaire, suicide risk-11, and Mooney Problem Checklist (MPC). Appropriate statistical methods were applied.RESULTS: Three groups were comparable on age, gender, mother's working status, being only child, nuclear family, self-reported academic decline, and type of school. About half of adolescents reported psychological problems on General Health Questionnaire (mean score >3 in all the groups). Academically typically achieving adolescents showed higher stressors in peer relationships, planning for future and suicidal ideation compared to adolescents with academic difficulty. Adolescents face stress regarding worry about examinations, family not understanding what child has to do in school, unfair tests, too much work in some subjects, afraid of failure in school work, not spending enough time in studies, parental expectations, wanting to be more popular, worried about a family member, planning for the future, and fear of the future. Significant positive correlation was seen between General Health Questionnaire scores and all four subscales of MPC. Suicidal ideas showed a negative correlation with MPC.INTERPRETATIONS AND CONCLUSIONS: Adolescents experience considerable stress in multiple areas irrespective of their academic ability and performance. Hence, assessment and management of stress among adolescents must extend beyond academic difficulties.