Anxiety in Late Adolescence
Ms. T.K. Kiruthika
Lecturer,
Dhanvantri College of Nursing, Namakkal
*Corresponding
author Email:
ABSTRACT:
The study was designed to assess the level
of anxiety of late adolescents pursuing professional courses residing in selected areas of Namakkal.
The data was collected from 50 adolescents
by using convenient sampling technique. Percentage distribution was used
to analyze the data. Major findings of the study was 52%
of adolescents had mild to moderate level of anxiety. Chi Square association had been
significant for the demographic variable
sex and the other variables are not significant.
KEY
WORDS: Maternity
care, Birth preparedness, Complication readiness, Attitude, High risk
pregnancy.
INTRODUCTION:
Adolescence is a critical phase
of life where an individual undergoes many changes. The word ‘adolescence’
comes from the Latin verb ‘adolescere’, which means
‘to grow’ or ‘to grow to maturity’. “Adolescence is much more than one rung up
the ladder from childhood. It is a built-in, necessary transition period for
ego development.
This
period from roughly age 12 through the late teens, is a time of dramatic and
far reaching change. It is a time when all early developmental issues were
reworked, a period when storm and stress were inevitable because of rapid
physical changes. Some of the behavioral changes are tied more closely to the
physical changes than to chronological age or level of cognitive development.
The impact of puberty on adolescents depends partly on its timing--- i.e.,
whether it occurs early, on schedule, or late compared with the majority of
their peers.
Today,
anxiety is a common phenomenon of every day’s life. It plays a crucial role in
human life because all of us are the victims of anxiety in different ways.
Generally, anxiety can either be a trait anxiety or a state anxiety. Trait
anxiety is a stable characteristic or trait of the person. State anxiety is one
which is aroused by some temporary condition of the environment such as examination,
accident, punishment etc.
BACKGROUND
OF THE STUDY:
“A
lot of the negative effects of anxiety appears to be caused by difficulties
with controlling attention. This suggests that training techniques designed to
enhance attention control the ability to ignore distractions and to switch
attention from one task to another could help anxious students to achieve their
academic potential” (Eysenck 2009)
H.
Durell Johnson, Joseph C. LaVoie,
Molly Mahoney show that late adolescents’ perceptions of their family
environment (i.e., perceptions of interparental
conflict and family cohesion) are associated with their reports of loneliness,
social anxiety, and social avoidance. It is proposed that interparental
conflict and family cohesion are positively associated with adolescents’
feeling of loneliness, which, in turn, are positively related to their reports
of social anxiety and avoidance. However, gender is expected to moderate the
association between adolescents’ reports of loneliness and perceptions of interparental conflict and family cohesion. Perceptions of interparental conflict are expected to be associated with
increased reports of loneliness for males, and family cohesion is expected to
be associated with increased reports of loneliness for females.
NEED
FOR THE STUDY:
Young
people those who fortunate enough to graduate, late adolescence ends with a
mixture of triumph, loss, anxiety, and regret. There is triumph from knowing
that one has actually completed high school. There is loss as one's community
of friends begins to disband and disperse. There is anxiety about managing the
next step into a larger world or job or further education. And there is regret
that the simpler time of living at home and going to school is over and now the
true complexity of earning and making one's way in the world begins. For those
who dropped out or were pushed out of high school, the challenge of finding
one's way has already begun, often handicapped with a lack of confidence for
not making it through, and the lack of diploma when seeking a job.
Risk-taking
– a common feature of early to middle adolescence, as individuals experiment
with ‘adult behaviour’ – declines during late adolescence, as the ability to
evaluate risk and make conscious decisions develops. Nevertheless, cigarette
smoking and experimentation with drugs and alcohol are often embraced in the
earlier risk-taking phase and then carried through into later adolescence and
beyond into adulthood. For example, it is estimated that 1 in 5 adolescents
aged 13–15 smokes, and around half of those who begin smoking in adolescence
continue to do so for at least 15 years. The flip side of the explosive brain
development that occurs during adolescence is that it can be seriously and
permanently impaired by the excessive use of drugs and alcohol. Girls in late
adolescence tend to be at greater risk than boys of negative health outcomes,
including depression, and these risks are often magnified by gender-based
discrimination and abuse. Girls are particularly prone to eating disorders such
as anorexia and bulimia; this vulnerability derives in part from profound
anxieties over body image that are fuelled by cultural and media stereotypes of
feminine beauty.
These
risks notwithstanding, late adolescence is a time of opportunity, idealism and
promise. It is in these years that adolescents make their way into the world of
work or further education, settle on their own identity and world view and
start to engage actively in shaping the world around them.
REVIEW
OF LITERATURE:
Affective
symptoms and personality traits demonstrate moderate to high relative
stabilities during adolescence and early adulthood, there has been little work
done to examine differential stability among these constructs or to study the
manner in which the stability of these constructs is expressed. The present
study used a three-year longitudinal design in an adolescent/young adult sample
to examine the stability of depression symptoms, social phobia symptoms,
specific phobia symptoms, neuroticism, and extraversion. When considering one-,
two-, and three-year durations, anxiety and personality stabilities were
generally similar and typically greater than the stability of depression. The
full TSO(trait stability occasion) model was the best representation for
depression, a trait stability model was the most parsimonious of the
best-fitting models for the anxiety and personality constructs. Over three
years, the percentages of variance explained by the trait component for the
anxiety and personality constructs (73-84%) were significantly greater than
that explained by the trait component for depression (46%). These findings
indicate that symptoms of depression are more episodic in nature, whereas
symptoms of anxiety are more similar to personality variables in their
expression of stability.
Cummings,
Davies, and Simpson (1994); Harold, Fincham, Osborne,
and Conger (1997); and Snyder (1998) suggest that perceptions and
interpretation of intense interparental conflict may
be more damaging to child and adolescent development than the act of witnessing
conflict. This research shows that adolescents’ reports of and awareness of
conflict were associated with adjustment difficulties and internalizing
symptoms (i.e., anxiety, depression, worry, and withdrawal) over a 12-month
period
Schwab,
Scalise, Ginter, and
Whipple (1998) show that individuals who report feeling lonely are increasingly
aware of being embarrassed and/or rejected during social situations. This
feeling may increase adolescents’ anxiety when faced with social situations and
their desire to avoid these situations all together. Newcomb and Bagwell (1996)
state that individuals who experience high levels of loneliness are more likely
than others to distance themselves from social situations and feel increased
apprehension when faced with social interactions. As a result, feelings of
loneliness may be related to adolescents’ feelings of anxiety during social
interactions as well as their increased social isolation from others.
STATEMENT
OF THE PROBLEM:
Descriptive
study to assess the level of anxiety in late adolescents pursuing professional
courses residing in selected areas of Namakkal.
OBJECTIVES:
·
To describe the sample in terms of demographic characteristics.
·
To assess the level of anxiety in late adolescents pursuing
professional courses
·
To associate the level of anxiety with selected demographic
variables.
ASSUMPTION:
1.Late
adolescent girls are prone to profound anxiety than boys over body image
2.Substance
use in family members may influence the level of anxiety
Hypothesis:
There
is a significant association of level of anxiety with selected demographic
variables of late adolescents in Namakkal.
There
is significant level of anxiety among the late adolescents pursuing professional courses
MATERIALS AND METHODOLOGY:
Research
design: Univariate Descriptive design
Study
variable : Level of anxiety
Sample : Late adolescents in Namakkal
Sample
size : 50
Sampling
technique : Non probability convenient sampling technique
Tool : Division A :Demographic data
Division B : Zung self rating anxiety scale. It
is a twenty item likert type scale with four points.
Scoring Key
•
20-44 Normal
range
•
45-59 Mild to moderate Anxiety
•
60-74 Marked
to Severe Anxiety
•
75-80 Extreme
Anxiety
Data
Collection Procedure
Self-report
method is used to collect the data. Oral informed consent has been obtained
from the subject.
Data analysis plan
Descriptive
statistics: Percentage, mean
Inferential
statistics: Chi-square test
RESULTS
AND DISCUSSION:
Section A
Description of samples according to the
Demographic Variables.
Table 1 :
Frequency and percentage distribution of demographic variables.
|
S.No |
Demographic Variables |
Frequency |
Percentage |
|
1 |
Age in Years ·
16-18 ·
19-21 |
32 18 |
64% 36% |
|
2 |
Sex ·
Male ·
Female |
24 26 |
48% 52% |
|
3 |
Religion ·
Hindu ·
Muslim ·
Christian ·
Others |
39 0 11 0 |
78% 0% 22% 0% |
|
4 |
Residence ·
Urban ·
Rural |
8 42 |
16% 84% |
|
5 |
Socio Economic Status ·
Low class ·
Middle class ·
High Class |
3 42 5 |
6% 84% 10% |
|
6 |
Substance abuse by family
member(s) ·
Yes ·
No |
41 9 |
82% 18% |
|
7 |
Type of Family ·
Nuclear ·
Joint ·
Extended |
27 14 9 |
54% 28% 18% |
|
8 |
Marked inter-parental conflict ·
Yes ·
No |
13 37 |
26% 74% |
Section B Assess the level of Anxiety of
late adolescents
Fig 1: Percentage
distribution of level of anxiety of late adolescents
Table 2 : Mean ,
standard deviation and mean percentage of level of anxiety
|
ANXIETY |
MEAN |
SD |
MEAN% |
|
NORMAL |
29 |
5.7 |
61.25% |
|
MILD-MODERATE |
50 |
5 |
62.5% |
|
MODERATE -SEVERE |
66 |
4.4 |
82.5% |
|
EXTREME |
0 |
0 |
0% |
Section C Associate the level of Anxiety
with selected demographic variables.
Tab 3 :
Association of level of anxiety with selected demographic variables
|
S.No |
Demographic Variables |
DF |
Chi Square |
Table Value |
Level of significance |
|
1 |
Age |
2 |
1.34 |
5.99 |
P=0.05,Not Significant |
|
2 |
Sex |
1 |
6.79 |
3.84 |
P=0.05, Significant |
|
3 |
Religion |
3 |
0.005 |
7.82 |
P=0.05,Not Significant |
|
4 |
Socio Economic Status |
2 |
2.42 |
5.99 |
P=0.05,Not Significant |
|
5 |
Substance Abuse in Family Member(s) |
3 |
2.7 |
7.82 |
P=0.05,Not Significant |
|
6 |
Type of family |
3 |
1.32 |
7.82 |
P=0.05,Not Significant |
|
7 |
Residence |
1 |
0.005 |
3.85 |
P=0.05,Not Significant |
|
8 |
Marked inter-parental
conflict |
1 |
0.22 |
3.84 |
P=0.05,Not Significant |
IMPLICATIONS
IN NURSING:
Various
interventional packages in reducing anxiety shall be tried to early, middle, and
late adolescents.
The
state anxiety of students in times of examination, shifting to hostel, adapting
to college atmosphere should be addressed.
Community
level programmes focusing on family cohesion, inter
parental unity, healthy child rearing practices are quite proving.
RECOMMENDATIONS:
The
study shall be replicated to adolescents of various age groups.
The
impact of parent - adolescent relationship on the level of anxiety shall be
addressed
Studies shall be conducted in knowing the effectiveness of
relaxation exercises, complementary therapies on anxiety of adolescents
Impact
analysis of academic programme, peer stress,
substance use, cultural constraints on the level of anxiety of adolescents
shall be studied
CONCLUSION:
This study focus
on anxiety 50 late adolescents. Subjects were recruited by convenient sampling
Technique. Chi square association has been proved for the demographic variable
sex. 52% of late adolescents had mild to moderate level of anxiety; 14% had
moderate to severe level of anxiety; 34% were in the normal range. This study
proves the assumption that adolescent girls are more anxious than adolescen boys and does not prove the impact of substance
abuse in family member(s) on the level of anxiety of late adolescents.
REFERENCE:
1. Late-adolescence (15–18) =
Acting More Grown
Up.psychologytoday.com/...adolescence/.../late-adolescence-15-18-acti. Mar 6,
2009 Carl E. Pickhardt, Ph.D. in Surviving (Your
Child's) Adolescence
2. J Abnorm
Psychol. 2011 Nov;120(4):832-43. doi:
10.1037/a0023939. Epub 2011 May 23.Are anxiety and
depression just as stable as personality during late adolescence? Results from
a three-year longitudinal latent variable study. Prenoveau
JM1, Craske MG, Zinbarg RE,
Mineka S, Rose RD, Griffith JW
3. Cummings, E. M., Davies, P. T.,
& Simpson, K. S. (1994). Marital conflict, gender, and children’s
appraisals and coping efficacy as mediators of child adjustment.Journal
of Family Psychology,8, 141-149
4. Schwab, S. H., Scalise, J. J., Ginter, E. J.,
& Whipple, G. (1998). Self-disclosure, loneliness, and four interpersonal
targets: Friends, group of friends, stranger, and group of strangers.
Psychological Reports, 82, 1264-1266.
5. http://jar.sagepub.com
DOI: 10.1177/0743558401163004 2001; 16; 304 Journal of Adolescent Research H. Durell Johnson, Joseph C. Lavoie and Molly Mahoney
Avoidance in Late Adolescence Interparental Conflict
and Family Cohesion: Predictors of Loneliness, Social Anxiety, and Social
Avoidance in late adolescence
Received on 17.12.2014 Modified on 27.12.2014
Accepted on 07.01.2015 ©
A&V Publication all right reserved
Int. J. Nur. Edu. and Research 3(1):
Jan.-March, 2015; Page 74-77
DOI: