Authors
Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background and Aim: Students in junior high school, particularly in the third level, are
prone to a variety of stressors. This in turn might lead to stress, anxiety, depression, and
other health‑related problems. There are a very limited number of action research studies to
identify the effect of stress management techniques among students. Therefore, a study was
conducted to assess the effect of a program used in the math class to decrease the student’s
level of stress, anxiety, and depression. Material and Methods: This was an action research
study, which was conducted in region three of the Education and Training Office of Isfahan,
in the year 2012. Fifty‑one students in a junior high school were selected and underwent a
comprehensive stress management program. This program was prepared in collaboration
with the students, their parents, teachers, and managers of the school, and was implemented
approximately during a four‑month period. The student’s stress, anxiety, and depression were
measured before and after the program using the DASS‑21 questionnaire. Findings: The
t‑test identified that the mean scores of stress, anxiety, and depression after the intervention
were significantly lower than the corresponding scores before the program. One‑way analysis
of variance (ANOVA) also showed that the students from the veterans (Janbaz) families
had higher levels of stress compared to their classmates, who belonged to the non‑veteran
families (P < 0.05). Results: Education and implementation of stress management techniques
including cognitive and behavioral interventions along with active and collaborative methods
of learning in the math class might be useful both inside and outside the class, for better
management of stress and other health‑related problems of students.
Keywords
et al. Adolescent subthreshold‑depression and anxiety:
Psychopathology, functional impairment and increased suicide
risk. J Child Psychol Psychiatry 2013;54:670‑7.
2. Ospina‑Ospina Fdel C, Hinestrosa‑Upegui MF, Paredes MC,
Guzmán Y, Granados C. Symptoms of anxiety and depression in
adolescents between 10 to 17 year‑old attending schools in Chia,Colombia. Rev SaludPublica (Bogota) 2011;13:908‑20.
3. Milne LC, Lancaster S. Predictors of depression in female
adolescents. Adolescence 2001;36:207‑23.
4. Sooky Z, Sharifi K, Tagharrobi Z, Akbari H, Mesdaghinia A.
Depression prevalence and its correlation with the psychosocial
need satisfaction among Kashan high‑school female students. Feyz,
J Kashan Univ Med Sci 2010;14:256‑63.
5. Zargham A. Parental attachment and its relationship with depression
in high school students in Isfahan. Master of pediatric nursing thesis.
Tehran, Iran: Tarbiat Modarres University; 1996.
6. Kheirkhah M, Mokarie H, Nisanisamani L, Hosseini AF. Relationship
between anxiety and self‑concept in female adolescents. Iran J
Nurs (IJN) 2013;26:19‑29.
7. Hajamini Z, Ajalli A, Fathi‑Ashtiani A, Ebadi A, Dibaei M, Delkhosh M.
The effect of life skills training on emotional reactions in adolescents.
J Behav Sci 1997;2:263‑70.
8. Yarmohammadivasel M. Predictors of math anxiety and its
relation to academic performance in mathematics. J Educ Psychol
2009;14:19‑38.
9. Kashani A, Noorbaksh Z. Investigating the causes of failure in school
mathematics. J Math Educ Dev 2008;91:54.
10. Sobhaninejad M, Fardeebenam K, Abedi A. Study on influence of
attributive reconstructing on changing attitude of girl studentsto
Math in Middle School grade in Isfahan Province. Train Learn Res
2011;2:109‑17.
11. Rahmani N, Akbar nataj K, Alipour H. Assessment and comparison
of self‑esteem and depression in war handicapped and
non‑warhandicapped children of Shahed guidance schools in Sari
city. Iran J War Public Health 2012;4:29‑34.
12. Taheri F, MoradiA, Azad Fallah P, Mirzaei J, Alizadeh R, Moosavian N.
Active memory performance in adolescent children of veterans with
post‑traumatic stress disorder (PTSD).Thought Behav Clin Psychol
2011;5:31‑42.
13. Craig DV. Action research essentials. Sanfransico; Jossey‑bass; 2009.
14. Rafiepour A. Introducing a model for mathematics classroominquiry.
J Technol Educ 2012;6:305‑15.
15. Shareefan A, Reyazee SR, Sardaree S. Action research, why and
how? Elem Educ Dev 2013;2:40.
16. Lovibond F, Lovibond SH. The structure of negative emotional
states. Behav Res Ther 1995;33:335‑43.
17. Psychology Foundation of Australia, Depression, anxiety, stress
scales (DASS). Available from: http://www2.psy.unsw.edu.au/
dass. [Last accessed on 2013 Dec 23].
18. Psychology Foundation of Australia, Overview of the DASS and
its uses, Available from: http://www2.psy.unsw.edu.au/dass/over.
htm. [Last accessed on 2013 Dec 23].
19. Afzali A, DelavarA, Borjali A, Mirzamani M, Psychometric Properties
of DASS‑42 as assessed in a sample of Kermanshah high school
students. J Res Behav Sci 2008;5:81‑91.
20. Seaward BL. Managing stress. Translated by M Grachedage.Tehran
Peykan Pub; 2009.
21. Stein A, Peace in dream. CD‑ROM, Tehran, Poya Music Publication:;
2010.
22. Hooraee M. Self steem in 10 days.: Tehran, Dokmeh Gran
Publication; 2010.
23. Emamjomeh SM. Collaborative education: Definition, positive and
negative effects. Teach Dev Q J 2012;3:15‑7.
24. Abedi A, Oreyzee HR, Lali M. Comparing the effectiveness of
acceptance and commitment therapy and stress inoculation training
in the reduction of mathematics anxiety of students in the second
year of high school. Couns Res Dev 2010;9:125‑43.
25. Kodabaksh MR, Mehdizadeh E, Kiani F, Fooladvand K,
Hajizadennadaf S. Effectiveness of the teaching model based on
mathematical creativity on the performance of female students in
mathematics. Q J Educ Leadersh Adm 2013;1:139‑54.
26. Gholamali LM, Hejazi E, Khandan F. The effect of cooperative
learning on mathematics anxiety and help seeking behavior.
J Psychol 2012;15:397‑411.
27. Gazeaskar N, Malekpour M, Maulavi H, Amiri S. Effectiveness of
inoculation against stress on mathematics anxiety and performance
of female students with mathematics learning disabilities. Res
Except Child 2010;9:309‑20.
28. Mousavi SF. Comparison of the effectiveness of private peer
education and cognitive self‑learning on the development of
anxiety and attitudes toward mathematics. Teach Learn Stud
2012;l4:137‑56.
29. Ahmadzadeh G, Malekeyan A.Comparing aggression, anxiety
and social development in adolescents of PTSD veterans with
adolecents of non veterans in Isfahan city. Lorestan Univ Med Sci
Q J 2003;19:63‑7.
30. Radfar SH, Haghani H, Tavalaei SA, Modirian E, Falahati M.
Evaluation of mental health state in veterans family. J Mil Med
2005;7:203‑9.
31. Bozorgnejad H, Hasanzadehesfahani Z. The effect of religious beliefs
on students’ aggression in children of martyered, veterans and
normal families in femal Shahed schools in Tehran in 2010. J Soc
Res 2010;3:169‑83.
Source of Support: Nil, Conflict of Interest: The authors declare that
they have no competing interests