SOCIAL WORK AND MANAGEMENT ›› 2022, Vol. 22 ›› Issue (4): 48-61.

• SHEHUI GONGZUO • Previous Articles     Next Articles

Academic Stress and Internalizing Problems among Chinese High Schoolers: A Systematic Review of Potential Moderators and Implications

WEN Hao, Sile Hu   

  1. School of Social Work, Columbia University, New York City, 10027, U.S.
  • Received:2022-03-14 Online:2022-07-15 Published:2022-07-15

Abstract: How to reduce internalizing problems caused by academic stress for Chinese high school students? Previous research was not comprehensive enough in identifying potential moderator variables between academic stress and internalizing problems, so it is difficult to develop accurate intervention targets for social work practice. Therefore, a systematic review can be used to carry out a comprehensive and science-based evaluation of previous studies, and a ranking system is developed to identify and rank moderators concerning their importance. A total of 19 moderating variables have been identified by researchers. The ranking results show that the effect of six significant moderators including interpersonal relationship, gender, grade, family relationship, school environment and resilience decreases in turn. From the theoretical perspective of the biopsychosocial model, it can further explain the mechanism of moderating effects and bring great enlightenment to future social work interventions and research.

Key words: systematic review, academic stress of high school students, internalizing problems, moderator variables

CLC Number: 

  • C916
[1] ZHAO X, SELMAN R, HASTE H. Academic stress in Chinese schools and a proposed preventive intervention program[J]. Cogent Education, 2015, 2(1): 7-13
[2] SUN J, DUNNE M, HOU X. Academic stress among adolescents in China[J]. Australasian epidemiologist, 2012, 19(1): 9-12
[3] ZHAO X. Development under stress: the culture of academic competition and adolescent friendship participation in China’s secondary school [D]. Boston: Harvard University, 2011: 8-13.
[4] FANNING G. Academic stress and academic self-efficacy as predictors of psychological health in college students[D]. Columbus: Ohio University, 2016: 12-22.
[5] HESKETH T, ZHEN Y, LU L, et al. Stress and psychosomatic symptoms in Chinese school children: cross-sectional survey[J]. Archives of disease in childhood, 2010, 95(2): 136-140
[6] 许燕, 翁穗芸, 刘松康, 等. 广东地区青少年自伤自杀行为的现状调查及影响因素分析[J]. 上海预防医学, 2021(7): 566-569
[7] 沈艳辉, 江初, 沈源, 等. 北京海淀区中学生自我伤害和自杀相关行为现状及影响因素分析[J]. 中国公共卫生, 2020(6): 951-955
[8] ZHU X, HAEGELE J, LIU H, et al. Academic stress, physical activity, sleep, and mental health among Chinese adolescents[J]. International journal of environmental research and public health, 2021, 18(14): 2-7
[9] ACHENBACH T H. The classification of children’s psychiatric symptoms: a factor-analytic study[J]. Psychological monographs: general and applied, 1966, 80(7): 14-25
[10] CUI S, CHENG Y, XU Z, et al. Peer relationships and suicide ideation and attempts among Chinese adolescents[J]. Child:care, health and development, 2011, 37(5): 692-702
[11] GREENBERGER E, CHEN C, TALLY S, et al. Family, peer and individual correlates of depressive symptomatology among US and Chinese adolescents[J]. Journal of consulting and clinical psychology, 2000, 68(4): 209-219
[12] LIU X, KURITA H, UCHIYAMA M, et al. Life events, locus of control, and behavioral problems among Chinese adolescents[J]. Journal of clinical psychology, 2000, 56(12): 1565-1577
[13] SHIMAZAKI T, UECHI H, BAO H, et al. Health behavior stage and the prevalence of health risk behaviors in Inner Mongolian secondary school students: a cross-sectional study[J]. Child & youth services, 2019, 40(2): 184-199
[14] COOK D, SACKETT D, SPITZER W. Methodological guidelines for systematic reviews of randomized control trials in health care from the Potsdam consultation on meta-analysis[J]. Journal of clinical epidemiology, 1995, 48(1): 167-171
[15] LIBERATI A, ALTMAN D, TETZLAFF J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration[J]. Journal of clinical epidemiology, 2009, 62(10): 7-22
[16] MOHER D, LIBERATI A, TETZLAFF J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement[J]. Annals of internal medicine, 2009, 151(4): 264-269
[17] 杨文梅, 蒋凤艳. 广西少女月经情况调查分析[J]. 广西医学, 2011(3): 296-299
[18] 冯婉玲, 刘小凤, 钟微子, 等. 2026名普通高中与重点高中女生痛经及相关心理因素比较[J]. 中国校医, 2011(4): 250-252
[19] GUO H, YANG W, CAO Y, et al. Effort-reward imbalance at school and depressive symptoms in Chinese adolescents: the role of family socioeconomic status[J]. International journal of environmental research and public health, 2014, 11(6): 6085-6098
[20] LIU Y, LU Z. Chinese high school students’ academic stress and depressive symptoms: gender and school climate as moderators[J]. Stress and Health, 2011, 28(4): 340-346
[21] XIANG Z, TAN S, KANG Q, et al. Longitudinal effects of examination stress on psychological well-being and a possible mediating role of self-esteem in Chinese high school students[J]. Journal of happiness studies, 2019, 20(1): 283-305
[22] ZHANG B, YAN X, ZHAO F, et al. The relationship between perceived stress and adolescent depression: the roles of social support and gender[J]. Social indicators research, 2015, 123(2): 501-518
[23] 凌宇, 杨娟, 章晨晨, 等. 社会支持调节青少年应激与抑郁症状的追踪研究[J]. 中国临床心理学杂志, 2010(5): 610-613
[24] 方怿. 高中生学习压力与考试焦虑的关系: 心理韧性的中介作用[J]. 软件(教育现代化)(电子版), 2018(8): 8-9
[25] 王功, 张青青, 黄丕兰. 中学生学业压力及情绪调节自我效能感对考试焦虑的影响[J]. 中小学心理健康教育, 2020(22): 25-27,30
[26] YU L, HU X, LIU C, et al. The interaction between peer social support and stressors predicts somatic and psychological depressive symptoms in Chinese adolescents[J]. Applied research in quality of life, 2021, 17(1): 333-349
[27] 彭子文, 麦锦城, 何燕嫦, 等. 广州市中学生亚健康状况及其影响因素分析[J]. 中国学校卫生, 2010(5): 526-528
[28] 姜晓梅, 张兰. 兰州市中学生心理健康状况及自杀态度的研究[J]. 湖南医科大学学报(社会科学版), 2009(4): 228-331
[29] 钟明天, 蚁金瑶, 凌宇. 高中生生活事件与抑郁症状的关系探析[J]. 教育测量与评价(理论版), 2012(4): 39-42
[30] 许有云, 邓慧华. 高中生的压力感在学校氛围和抑郁关系中的作用[J]. 现代预防医学, 2016(9): 1630-1633
[31] 马晓亮. 高中生抑郁情绪与生活事件、应对方式的关系研究[J]. 中国卫生产业, 2017(16): 170-172
[32] 刘晓雯. 高中生心理因素致口腔溃疡发病的临床探讨[J]. 河北医学, 2014(7): 1207-1209
[33] 李茜茜, 张大均, 郭兰婷, 等. 重庆市中学生焦虑敏感现状及其影响因素分析[J]. 中华流行病学杂志, 2007(9): 4
[34] 杨柳. 高中生睡眠质量的影响因素及其机制[J]. 中国健康心理学杂志, 2015(11): 1730-1735
[35] 李凌峰, 张志成. 高中生抑郁症患病情况调查及影响因素分析[J]. 中国卫生产业, 2017(19): 6-7,15
[36] 贾颖婕, 谢红涛, 王琦, 等. 高一新生抑郁情绪及其影响因素调查[J]. 中国儿童保健杂志, 2017(3): 278-280
[37] 盛兴兰. 高中生抑郁症患病情况调查及影响因素分析[J]. 中国教师, 2020(1): 3-4
[38] ZHANG W, YAN C, SHUM, et al. Responses to academic stress mediate the association between sleep difficulties and depressive/anxiety symptoms in Chinese adolescents[J]. Journal of affective disorders, 2020, 263(2): 89-98
[39] 王极盛, 丁新华. 中学生抑郁与其相关影响因素的综合研究[J]. 中国学校卫生, 2003(4): 336-338
[40] 张勇, 刘思凡, 汤益民, 等. 江西省九江市高中生学业压力 学业压力易感性与焦虑 抑郁 自杀意念的关系研究[J]. 基层医学论坛, 2017(28): 3799-3800
[41] 李孟瑶, 屈燕, 胡瑜. 中学生抑郁的状况调查及心理危机干预对策[J]. 心理月刊, 2021(22): 22-24
[42] 岳彩镇, 杨志雯, 费秀芬, 等. 重庆市某区青少年心理健康状况及影响因素分析[J]. 保健医学研究与实践, 2021(3): 15-21
[43] 席居哲, 左志宏. 不同学习压力承受能力高中生的家庭生态比较[J]. 中国心理卫生杂志, 2006(4): 231-233
[44] 蒋智勇, 付文彬, 何新云, 等. 安化县中学生心理健康问题及成因流行病学调查[J]. 实用预防医学, 2014(5): 538-540
[45] 王世嫘, 赵洁. 济宁市高中生睡眠质量与特质焦虑影响因素分析[J]. 中国学校卫生, 2015(4): 532-534
[46] 王季馨, 李天滋, 邴秀阳, 等. 济南在校高中生体质情况与生活事件相关性分析[J]. 中国卫生产业, 2017(19): 166-168
[47] 袁飞, 俞晓红, 于颖慧. 张家港市中学生自杀行为及其影响因素分析[J]. 中国学校卫生, 2007(12): 1076-1077
[48] ALDER R. Engel’s biopsychosocial model is still relevant today[J]. Journal of psychosomatic research, 2019, 67(6): 607-611
[49] PARK J, KITAYAMA S, KARASAWA M, et al. Clarifying the links between social support and health: culture, stress, and neuroticism matter[J]. Journal of health psychology, 2013, 18(2): 226-235
[50] PEIRCE R, FRONE M, RUSSELL M, et al. A longitudinal model of social contact, social support, depression, and alcohol use[J]. Health psychology, 2008, 19(1): 28-38
[51] MURRAY K, BYRNE D, RIEGER E. Investigating adolescent stress and body image[J]. Journal of adolescence, 2011, 34(2): 269-278
[52] BARNES S, BROWN K, KRUSEMARK E, et al. The role of mindfulness in romantic relationship satisfaction and responses to relationship stress[J]. Journal of marital and family therapy, 2007, 33(4): 482-500
[53] VERHALLEN A, RENKEN R, MARSMAN J, et al. Romantic relationship breakup: an experimental model to study effects of stress on depression (-like) symptoms[J]. Public library of science one, 2019, 14(5): e0217320
[54] LIU C, WEI Y, LING Y, et al. Identifying trajectories of Chinese high school students’ depressive symptoms: an application of latent growth mixture modeling[J]. Applied research in quality of life, 2019, 14(1): 8-14
[55] WALKER E, DIFORIO D. Schizophrenia: a neural diathesis-stress model[J]. Psychological review, 1997, 104(4): 667
[56] BOUMA E, ORMEL J, VERHULST F, et al. Stressful life events and depressive problems in early adolescent boys and girls: the influence of parental depression, temperament and family environment[J]. Journal of affective disorders, 2008, 105(1–3): 185-193
[57] CRAWFORD T, COHEN P, MIDLARSKY E, et al. Internalizing symptoms in adolescents: gender differences in vulnerability to parental distress and discord[J]. Journal of research on adolescence, 2001, 11(1): 99-103
[58] HANKIN B, MERMELSTEIN R, ROESCH L. Sex differences in adolescent depression: stress exposure and reactivity models[J]. Child development, 2007, 78(1): 289-295
[59] RUDOLPH K, HAMMEN C. Age and gender as determinants of stress exposure, generation, and reactions in youngsters: a transactional perspective[J]. Child development, 1999, 70(3): 660-677
[60] SHIH J, EBERHART N, HAMMEN C, et al. Differential exposure and reactivity to interpersonal stress predict sex differences in adolescent depression[J]. Journal of clinical child and adolescent psychology, 2006, 35(1): 103-115
[61] BANGASSER D, CURTIS A, REYES B, et al. Sex differences in corticotropin-releasing factor receptor signaling and trafficking: potential role in female vulnerability to stress-related psychopathology[J]. Mol psychiatry, 2010, 15(9): 877,896-904
[62] MEANEY M. Epigenetics and the biological definition of genex environment interactions[J]. Child development, 2010, 81(1): 41-79
[63] PETRONIS A. Human morbid genetics revisited: relevance of epigenetics[J]. Trends in Genetics, 2001, 17(3): 142-146
[64] BEATTY W. Gonadal hormones and sex differences in nonreproductive behaviors in rodents: organizational and activational influences. Sexual differentiation[J]. Hormones and behavior, 1979, 12(2): 142-153
[65] OLWEUS D, MATTSSON ?, SCHALLING D, et al. Testosterone, aggression, physical, and personality dimensions in normal adolescent males[J]. Psychosomatic medicine, 1980, 42(2): 253-269
[66] ESCHENBECK H, KOHLMANN C, LOHAUS A. Gender differences in coping strategies in children and adolescents[J]. Journal of individual differences, 2007, 28(1): 18-26
[67] POTTER D. Psychosocial well-being and the relationship between divorce and children’s academic achievement[J]. Journal of marriage and family, 2010, 72(4): 933-946
[68] MULHOLLAND D, WATT N, PHILPOTT A, et al. Academic performance in children of divorce: psychological resilience and vulnerability[J]. Psychiatry, 2019, 54(3): 268-280
[69] LOUKAS A, ROBINSON S. Examining the moderating role of perceived school climate in early adolescent adjustment[J]. Journal of research on adolescence, 2004, 14(2): 229-233
[70] LUTHAR S, CICCHETTI D, BECKER B. The construct of resilience: a critical evaluation and guidelines for future work[J]. Child development, 2000, 71(3): 543-562
[71] AHNERT L, HARWARDT-HEINECKE E, KAPPLER G, et al. Student–teacher relationships and classroom climate in first grade: how do they relate to students’ stress regulation?[J]. Attachment & human development, 2012, 14(3): 252-259
[72] ANYAN F, HJEMDAL O. Adolescent stress and symptoms of anxiety and depression: resilience explains and differentiates the relationships[J]. Journal of affective disorders, 2016, 203(10): 213-220
[73] ERATH S, BUB K, TU K. Responses to peer stress predict academic outcomes across the transition to middle school[J]. The journal of early adolescence, 2016, 36(1): 5-28
[74] DUMONT M, PROVOST M. Resilience in adolescents: protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression[J]. Journal of youth and adolescence, 1999, 28(3): 343-363
[75] TRIGUEROS R, AGUILAR-PARRA J, CANGAS A, et al. Influence of emotional intelligence, motivation and resilience on academic performance and the adoption of healthy lifestyle habits among adolescents[J]. International journal of environmental research and public health, 2019, 16(16): 2810
[76] ARCHER T. Health benefits of physical exercise for children and adolescents[J]. Journal of Novel Physiotherapies, 2014, 4(2): 203
[77] BAILEY R. Physical education and sport in schools: a review of benefits and outcomes[J]. Journal of school health, 2006, 76(8): 397-401
[78] WANG D. Improving school physical education to increase physical activity and promote healthy growth of Chinese school-aged children——time for action[J]. Journal of sport and health science, 2017, 6(4): 384-385,505
[79] 卢元镇. 中国学校体育必须走出困境[J]. 沈阳体育学院学报, 2012(6): 1-3
[80] 谭晖, 安爱华, 王震维, 等. 高中女生月经症状及应对措施[C]//中华预防医学会会议论文集. 南京: 中华预防医学会儿少卫生分会第六届全国学术交流会、中国健康教育协会学校分会第三届学术交流会, 2005: 172-175.
[81] HIRSHKOWITZ M, WHITON K, ALBERT S, et al. National sleep foundation’s sleep time duration recommendations: methodology and results summary[J]. Sleep health, 2015, 1(1): 40-43
[82] JOZEFOWICZ-SIMBENI DM. An ecological and developmental perspective on dropout risk factors in early adolescence: role of school social workers in dropout prevention efforts[J]. Children & schools, 2008, 30(1): 49-62
[83] WILSON DB, GOTTFREDSON DC, NAJAKA SS. School-based prevention of problem behaviors: a meta-analysis[J]. Journal of quantitative criminology, 2001, 17(3): 247-72
[84] THOMASON TC, QIONG X. School counseling in China today[J]. Journal of school counseling, 2008, 6(11): 5-13
[85] MOSHER RL, SPRINTHALL NA. Psychological education in secondary schools: a program to promote individual and human development[J]. American psychologist, 1970, 25(10): 911-924
[86] KESNER J, ROBINSON M. Teachers as mandated reporters of child maltreatment: comparison with legal, medical, and social services reporters[J]. Children & schools, 2002, 24(4): 222-231
[87] GOLOMB S, PICKOVER S, BENNETT-GARRAWAY J, et al. Mandated reporting: a guide for graduate educators of mental health professionals[J]. The practitioner scholar:journal of counseling and professional psychology, 2016, 5(1): 60-72
[88] 曾庆德. 高中家庭经济困难学生的心理问题及措施分析[J]. 中文信息, 2019(8): 108
[1] TONG Min, WU Baohong. From Heroism to Civilian Care: Reflection and Reconstruction of Social Work Ethics [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 5-12.
[2] ZHAO Fang, KONG Chunyan. A Research on the Practice of Social Work Ethics Based on Relationship [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 13-19.
[3] HE Longtao, WU Han. Teaching and Training Model for Building Reflexivity in Coping with Ethical Dilemmas in Social Work [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 20-30.
[4] QIN Haibo, LI Yukun, ZHAO Yanyan, CHENG Haiyuan. Will Higher Wages Retain Social Workers? The Moderating Effect of Job Autonomy [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 31-40.
[5] JIN Shuheng, DAI Haijing. Community Incivilities and Migrant Mothers’ Feelings of Safety: Considering Social Work Space Intervention [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 41-47.
[6] LEI Jie, YI Xuejiao, ZHANG Zhongmin. Administration-Led Neo-Managerialism: Building of Township (Street) Social Work Stations and Government Purchase of Social Work Services. A Case Study of “He Plan” in A City of Hunan Province [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 62-74.
[7] PAN Li, SUN Jie, WANG Yean. A Study on the Mechanism of Building Rural Community Resilience from Co-Production in Township Social Work Stations: Taking the “He Project” in Wangcheng District as an Example [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 75-85.
[8] YU Tieshan, JU Zheng. Mutual Embedment of Politics and Professionalism: A Study on the Development of Party Construction and Advanced Service of Social Work Institutions. Taking 27 Social Work Institutions in D City in Guangdong as an Example [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 86-92.
[9] ZHOU Xiaoyan, ZHANG Jianhua. Research on Policy Regulation to Alleviate the Fertility Problem of the Rural Population in Northeast China [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(4): 93-100.
[10] WEN Jun, AO Shufeng. From Fragmentation to Integration: Exploration of the Local Practice Path of Volunteering: Taking X District of Wuxi City as an Example [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(3): 5-12.
[11] HAN Yangdi, HUANG Cuiping, ZHANG Xuefeng, WANG Chendi, LI Xiangpu. “Chengxi” Mutual Support: Living with Hope Program for Family Caregivers of Cancer Patients in an Evidence-Informed Approach: Taking the Department of Oncology of Shanghai H Hospital as an Example [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(3): 13-22.
[12] ZHAO Di, ZHANG Zhipeng, ZHANG Wei. Identification through Professionalization: A Qualitative Study on the Subjective Status Identification of Social Workers in Nanjing [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(3): 23-34.
[13] CHEN Beibei. Crisis Response of Social Work Institutions under Classification: Based on the Survey of H City, Hubei Province [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(3): 35-44.
[14] SHI Yiwen, ZHOU Jing. Research on Social Work Service Model of Left-Behind Children in China’s Ethnic Minority Areas from Integration: Based on the Needs Assessment of Left-Behind Ethnic Minority Children in Y County, Yunnan Province [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(3): 45-54.
[15] GAO Liru. Rural Adolescents’ Excessive Viewing of Short Videos: A Qualitative Study on Fourteen Rural Adolescents [J]. SOCIAL WORK AND MANAGEMENT, 2022, 22(3): 55-63.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!