Associations of generalized anxiety and social anxiety with perceived difficulties in school in the adolescent general population.
academic impairment
adolescents
difficulties in school
generalized anxiety
social anxiety
social impairment
Journal
Journal of adolescence
ISSN: 1095-9254
Titre abrégé: J Adolesc
Pays: England
ID NLM: 7808986
Informations de publication
Date de publication:
20 Nov 2023
20 Nov 2023
Historique:
revised:
06
11
2023
received:
28
01
2023
accepted:
07
11
2023
medline:
21
11
2023
pubmed:
21
11
2023
entrez:
20
11
2023
Statut:
aheadofprint
Résumé
Generalized anxiety disorder (GAD), marked by excessive worry, and social anxiety disorder (SAD) are among the clinically most important anxiety disorders in the adolescent population. This study aimed to explore the associations between perceived difficulties in school and heightened levels of self-reported noncomorbid and comorbid GAD and SAD symptoms. Survey data of 37,905 Finnish upper secondary school students with a mean age of 17.33 years (SD = 0.63) were obtained from the School Health Promotion study, implemented in April and May 2015 in Finland. Exploratory factor analysis was used to determine indicators of academic and social difficulties in school. Logistic regression analysis was conducted to examine multivariate associations between anxiety symptoms and difficulties in the school. The anxiety symptom thresholds were based on the seven-item Generalized Anxiety Disorder Scale (≥10 points) for GAD-related symptoms and the Mini-SPIN (≥6 points) for SAD-related symptoms. Self-reported generalized anxiety and social anxiety were both significantly associated with various perceived difficulties in school among this adolescent general population sample. Noncomorbid and comorbid GAD and SAD symptoms were both associated with an increased risk of academic and social difficulties, even when controlling for school performance. Comorbid symptoms were associated with significantly higher rates of social difficulties than noncomorbid symptoms of GAD or SAD. Furthermore, GAD symptoms were associated with a high risk for academic difficulties, irrespective of comorbidity. Excessive worry, a defining feature of GAD, is central to school-related impairments among adolescents. The present study highlights the importance of school-based interventions for anxious adolescents. Interventions to improve adolescents'; school functioning should account for the interference of pathological worry related to GAD.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Academy of Finland
Organisme : Strategic Research Council
Organisme : Alli Paasikiven Säätiö
Organisme : OLVI-Säätiö
Organisme : Juho Vainion Säätiö
Organisme : Alli Paasikivi Foundation and the Olvi Foundation
ID : 20220354
Organisme : Juho Vainio Foundation
ID : 202100463
Organisme : Strategic Research Council (SRC)
ID : 352700
Organisme : Tampere University
ID : 353048
Informations de copyright
© 2023 The Authors. Journal of Adolescence published by Wiley Periodicals LLC on behalf of Foundation for Professionals in Services to Adolescents.
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