Academic Stress and Adolescents Mental Health: A Multilevel Structural Equation Modeling (MSEM) Study in Northwest of Iran.


Journal

Journal of research in health sciences
ISSN: 2228-7809
Titre abrégé: J Res Health Sci
Pays: Iran
ID NLM: 101480094

Informations de publication

Date de publication:
31 Oct 2020
Historique:
received: 08 08 2020
accepted: 24 10 2020
revised: 08 10 2020
entrez: 11 1 2021
pubmed: 12 1 2021
medline: 20 8 2021
Statut: epublish

Résumé

We aimed to determine the relation of different sources of academic stress and adolescents´ mental health through mediator variables on the student and school levels. A cross-sectional study. Overall, 1724 students aged 12-19 yr were selected from 53 high schools in Qazvin City, central Iran through stratified cluster sampling. The sources of academic stress include family conditions, education system, future concerns, academic competitions, interaction with teachers, school disciplines, peer pressure, parental involvement, and financial problems. Academic self-efficacy and self-concept were the mediator constructs. The students and schools´ information were considered on levels 1 and 2, respectively. A Multilevel Structural Equation Modeling (MSEM) analysis was done. High value of academic stress was associated with reduction of mental health. On the student level, the academic stress caused by the families 0.31 (95% CI: 0.28, 0.34), peers 0.29 (95% CI: 0.27, 0.32), and the education system 0.21 (95% CI: 0.18, 0.24) had the highest impact on the adolescents' mental health, respectively. There was a direct and indirect relation between academic stress and mental health through the self-concept. On the school level, only family conditions stress had a relation with mental health (P=0.015, b=1.08). Academic self-efficacy showed no significant relation in the model. The stress from the family is the most important source of stress associated with adolescent mental health. Self-concept unlike academic self-efficacy had an important mediating role in the relation between different sources of academic stress and adolescents' mental health.

Sections du résumé

BACKGROUND BACKGROUND
We aimed to determine the relation of different sources of academic stress and adolescents´ mental health through mediator variables on the student and school levels.
STUDY DESIGN METHODS
A cross-sectional study.
METHODS METHODS
Overall, 1724 students aged 12-19 yr were selected from 53 high schools in Qazvin City, central Iran through stratified cluster sampling. The sources of academic stress include family conditions, education system, future concerns, academic competitions, interaction with teachers, school disciplines, peer pressure, parental involvement, and financial problems. Academic self-efficacy and self-concept were the mediator constructs. The students and schools´ information were considered on levels 1 and 2, respectively. A Multilevel Structural Equation Modeling (MSEM) analysis was done.
RESULTS RESULTS
High value of academic stress was associated with reduction of mental health. On the student level, the academic stress caused by the families 0.31 (95% CI: 0.28, 0.34), peers 0.29 (95% CI: 0.27, 0.32), and the education system 0.21 (95% CI: 0.18, 0.24) had the highest impact on the adolescents' mental health, respectively. There was a direct and indirect relation between academic stress and mental health through the self-concept. On the school level, only family conditions stress had a relation with mental health (P=0.015, b=1.08). Academic self-efficacy showed no significant relation in the model.
CONCLUSION CONCLUSIONS
The stress from the family is the most important source of stress associated with adolescent mental health. Self-concept unlike academic self-efficacy had an important mediating role in the relation between different sources of academic stress and adolescents' mental health.

Identifiants

pubmed: 33424005
pii: 5960
doi: 10.34172/jrhs.2020.30
pmc: PMC8695784
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e00496

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Auteurs

Zahra Hosseinkhani (Z)

Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

Hamid-Reza Hassanabadi (HR)

Department of Educational Psychology, Kharazmi University, Tehran, Iran.

Mahboubeh Parsaeian (M)

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences. Tehran, Iran.

Mehrdad Karimi (M)

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences. Tehran, Iran.

Saharnaz Nedjat (S)

Department of Epidemiology and Biostatistics, School of Public Health, Knowledge Utilization Research center, Tehran University of Medical Sciences. Tehran, Iran. nejatsan@tums.ac.ir.

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Classifications MeSH