Browse > Article
http://dx.doi.org/10.15434/kssh.2015.28.2.56

Effects of Academic Stress, Somatization Symptoms, and Social Support on Coping Responses in High School Students  

Lee, Eun Hee (Jumchon High School)
Kim, Young Im (Department of Nursing, Korea National Open University)
Geun, Hyo Geun (College of Nursing, Gachon University)
Lee, Young Shil (Graduate School of Public Health, Seoul National University)
Publication Information
Abstract
The purpose of this study was to investigate factors associated with coping responses in Korean public high school students. Methods: This study employed a descriptive survey research design. The sample included 263 high school students who responded to a self-report questionnaire. Variables included socio-demographic characteristics, health-related characteristics, academic stress, somatization symptoms, social support, and coping responses. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlations, and multiple regressions. Results: Participants, regarding their school life, reported moderate levels of academic stress ($M{\pm}SD=2.3{\pm}0.52$) and somatization symptoms ($M{\pm}SD=2.3{\pm}0.71$), and a relatively high level of social support ($M{\pm}SD=4.2{\pm}0.67$). All the variables were associated with the use of multiple coping responses. Active-cognitive coping ($M{\pm}SD=2.9{\pm}0.68$) was most frequently used, followed by active-behavioral coping ($M{\pm}SD=2.5{\pm}0.56$). and avoidant coping ($M{\pm}SD=2.3{\pm}0.75$). Significant relationships were found among the measured variables: positive relation between academic stress and somatization symptoms, but, negative between academic stress and both somatization symptoms and social support. Students who had higher stress and more somatization symptoms were more likely to use avoidant coping than the others. In multiple regression analysis, while factors associated with each coping response differed, gender appeared to be a significant factor in all methods. Variables included in the final model explained 27% of the variance in avoidant coping (F=11.40, p<.001). Conclusion: Based on the study results, schools should provide tailored educational programs to help high school students reduce multisource stress and somatization symptoms at school and cope with them in more active and effective ways.
Keywords
Academic stress; Coping responses; Social support; Somatization symptoms;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 Shin, H. K. (2003). An investigation on reliability and validity of the Korean children's somatization inventory and somatic symptoms in elementary school children. The Korean Journal of Clinical Psychology, 22(4), 829-846.
2 Song, M. R. (2001). A study on the correlations between family function, social support and perceived mother's love in the adolescents. Journal of Korean Academy of Community Health Nursing, 12(3), 785-794.
3 Won, H. T. (1991). Stress and coping strategies. Mental Health Research, 10, 37-50.
4 Yang, K. H., Kim, Y. H., & Lee, J. R. (2005). Factors affecting middle school students' smoking behavior. Journal of Korean Academy of Community Health Nursing, 16(1), 40-48.
5 American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (DSM). Wahington, DC: American Psychiatric Association.
6 Billings, A. G., & Moos, R. H. (1981). The role of coping responses and social resources in attenuating the stress of life events. Journal of Behavioral Medicine, 4(2), 139-157.   DOI
7 Cho, Y. C., & Lee, H. J. (2007). Psychosocial distress and its related factors among high school students in Daejeon city. The Journal of the Korean Society of School Health, 20(2), 91-102.
8 Choe, K. S., Kwon, S. B., & Cha, H. G. (2011). Boarding high school students' life stress and coping skills. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 20(1), 25-36.   DOI
9 Choi, H. I. (2002). Effects of stress, self-esteem, and external controllability on somatization symptoms in adolescents. Unpublished doctoral dissertation, Chonnam National University, Gwangju.
10 Folkman, S. (1984). Stress, appraisal, and coping: New York: Springer Publishing Company.
11 Folkman, S., & Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample. Journal of health and social behavior, 21(3), 219-239.   DOI
12 Gil, M. Y. (2014). The relationship between middle school students' stress coping ways and ego resilience in accordance with frequency of visiting school health service room. Unpublished master's thesis, Kyung Hee University, Seoul.
13 Jang, Y. H. (2013). Effect of adolescent stress on somatic symptoms: the moderating effects of social support. Unpublished master's thesis, Chung-Ang University, Seoul.
14 Go, H. Y. (2012). The mediating effects of self-esteem on the relationships between adolescents' stress and somatization. Unpublished master's thesis, Incheon University, Incheon.
15 Ham, J. Y., & Park, K. (2005). The relationships of stress, alexithymia and somatization of adolescents-focused on the highschool student. Journal of Student Guidance and Counseling, 18, 77-90.
16 Hwang, Y. S. (2007). A study on the factors of children's daily hassles and relationship with their coping behaviors. Unpublished master's thesis, Jeju National University, Jeju.
17 Kim, E. J., & Lim, J. Y. (2010). A correlational study of job stress, drinking and smoking of local government staffs. Journal of East-West Nursing Research, 16(1), 61-69.
18 Kim, H. L. (2001). A study on the relationship among stress, stress coping behavior and health problems of high school students. Unpublished master's thesis, Kangwon National University, Chuncheon.
19 Kim, J. H. (2004). A study on personality traits and school adaptation of elementary school students according to frequency of using infirmary. Unpublished master's thesis, Ajou University, Suwon.
20 Kim, J. H., Kim, G. I., & Won, H. T. (1983). Symptom checklist-90-revision (SCL-90-R) in psychiatric outpatients. Mental Health Research, 1, 150-168.
21 Kim, J. Y. (2009). Research on the stressors of high school students and how they deal with it. Unpublished master's thesis, Keimyung University, Daegu.
22 Min, B. Y. (2000). A study of stress types and coping behaviors of special-purpose high school students. Unpublished master's thesis, Konkuk University, Chungju.
23 Kim, S. H. (2007). A prediction model of health promotion behavior for school children. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
24 Kim, Y. I., Lee, E. H., Jeon, G. E., & Choi, S. J. (2013). A study on coping styles for dysmenorrhea and affecting factors in middle school students. Journal of Korean Academy of Community Health Nursing, 24(3), 264-272.   DOI
25 Korea Centers for Disease Control & Prevention. (2013). The Ninth Korea Youth Health Risk Behavior Web-based Survey. Osong: Author.
26 Ministry of Health and Welfare. (2006). The third Korea national health and nutrition examination survey (KNHANES III), 2005: health status and health behaviors of children and adolescents. Gwacheon.
27 No, S. H. (2001). A study on knowledge, attitude, coping to menstruation of elementary school students. Unpublished master's thesis, Kyunghee University, Seoul.
28 Oh, H. S. (2008). The study on relationship between school stress and stress coping behavior & mental.physical health about students of high school. Unpublished master's thesis, Kangwon National University, Chuncheon.
29 Park, S. N., Moon, Y. I., & Park, H. R. (2002). Physical stress symptoms and health risk behaviors between adolescent athletes and high school students. Child Health Nursing Research, 8(3), 251-259.
30 Seo, J. Y., & Kim, M. Y. (2006). Stress, physical symptoms, and coping styles of high school students. Child Health Nursing Research, 12(4), 470-477.