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SPRB113: Stress Among Young Adults

UNIVERSITI TENAGA NASIONAL

SPRB113 – SPORT AND RECREATIONAL MANAGEMENT AT


WORKPLACE

SEMESTER 1 18/19

PROJECT TITLE : STRESS AMOUNG YOUNG ADULTS

SECTION :1

GROUP :6

GROUP MEMBERS:
1. Muhammad Luqman Syakir Bin Rosli (ME0100662)
2. Muhammad Azfahsyah Fahmi Bin Mohamad Ghous
(ME0105188)
3. Muhamad Syahmi Bin Johari (ME0100789)
4. Aiman Ismat Bin Mohd Radzi (CE0100974)
5. Ribie Amir Bin Rushdan (ME0103581)
6. Shafiq Zafri Bin Zakri (CE0100145)
7. Luqman Hakim Bin Shaarom (VM0103363)
8. Hoo Keng Bing (VM0103401)
9. Alsubaie Abdulelah (EP0103307)

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CONTENTS

1.0 INTRODUCTION…………………………………………………………………(3)
1.1 PROJECT INTRODUCTION……………………………………………(3)
1.1.1 WHAT IS STRESS?.............................................................(4)
1.1.2 HOW STRESS HAPPENED?..............................................(4)
1.1.3 WHY STRESS HAPPENED?..............................................(5)
1.2 OBJECTIVES……………………………………………………………..(6)
2.0 LITERATURE REVIEW………………………………………………………….
2.1 ARTICLE 1: MENTAL HEALTH OF MALAYSIAN STUDENTS
CAUSE OF WORRY…………………………………….(7)
2.2 ARTICLE 2: FORM 4 STUDENTS MENTAL HEALTH ISSUES…...(9)
2.3 ARTICLE 3: TOO MANY TEENS SUFFERING FROM STRESS…(11)
3.0 METHODOLOGY………………………………………………………………...
3.1 POPULATION/ SAMPLE………………………………………………(14)
3.2 INSTRUMENT USED FOR RESEARCH…………………………….(15)
3.3 ANALYSIS……………………………………………………………….(15)
4.0 RESULTS………………………………………………………………………..(25)
4.1 DEMOGRAPHY OF FINDINGS……………………………………….(25)
4.2 COMPARISON BETWEEN FINDINGS……………………………….(26)
4.3 CORRELATION BETWEEN FINDINGS……………………………(27)
5.0 DISCUSSION………………………………………………………………….(29)
5.1 SUGGESTION…………………………………………………………(30)
5.2 SUMMARY…………………………………………………………….(31)
6.0 REFERENCES…………………………………………………………………(32)

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1.0 INTRODUCTION

1.1 PROJECT INTRODUCTION

Stress is a common problem that affects almost all of us at some point in our
lives. Learning to identify when you are under stress, what is stressing you, and
different ways of coping with stress can greatly improve both your mental and physical
well-being. When there is a change in life, we adjust ourselves to fit in the new
condition. For a student, stress may be caused by failure in academic or sports,
financial problems, health problems or loss of a family member or close friend. Such
events that bring stress are called stressors. A sudden change in life or stressors may
affect a person’s lifestyle or even his/her physical and mental health. The impact of a
stressor leaves on a person depends on how the person takes the tension. If the person
takes the event positively by accepting it as a part of challenge in life and find ways to
deal with it, the stress will fade away and gone when he/she gets over it. Conversely,
the consequence may leave the person a prolonged emotional disturbance.

University provides students’ tertiary education and psychosocial development.


Besides pursuing knowledge in university, a student also gets to socialize with different
kinds of people and undergo psychological development. Studies show that entering
university may bring strain or stress. This is because university students face a
changing education system, lifestyle, and social environment. University students need
to reach certain levels of academic achievement to graduate. The academic
achievement is determined by their performance during classroom activities,
assignments, presentations and examinations. This means that they are evaluated
throughout the semester.

Besides, most students have moved out from home and they have to be wise in
managing their time and activities. They now meet people of different ages and

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backgrounds; thus interpersonal skills are needed to socialize with the people around
them. Past research shows that some undergraduate students significantly experience
stress. First-year university students were found to be particularly prone to stress.

1.1.1 What is Stress?

Stress is your body's way of responding to any kind of demand. It can be caused
by both good and bad experiences. When people feel stressed by something going on
around them, their bodies react by releasing chemicals into the blood. These chemicals
give people more energy and strength, which can be a good thing if their stress is
caused by physical danger. But this can also be a bad thing, if their stress is in
response to something emotional and there is no outlet for this extra energy and
strength. This class will discuss different causes of stress, how stress affects you, the
difference between 'good' or 'positive' stress and 'bad' or 'negative' stress, and some
common facts about how stress affects people today.

1.1.2 How stress happened?

According to Kirsi Bhasin, stress is your body’s response to events that make
you feel threatened. When you sense danger—whether real or imagined—the body’s
defenses are activated in a rapid, automatic response known as the “fight or flight”
reaction, or the stress response. During this time, your body releases stress hormones
called cortisol and adrenaline, which cause your heart to beat faster, your muscles to
tighten, your blood pressure to rise, your breathing to quicken, and your senses to
become sharper, all in order to prepare you to either fight or flee from the danger at
hand. Some stress is good, for example, when the car in front of you stops
unexpectedly, and you instinctively slam on the brakes to avoid an accident. But when
stress starts to occur without direction, it can become a serious problem for both your
physical and psychological health.
Unfortunately for us, stress can be caused by a number of factors. Chemical
stress (such as diet), emotional stress (such as loss of a loved one, nervousness, etc.),

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mental stress (negative outlooks, racing thoughts), and physical stress can all take a toll
on our bodies and our minds. However, identifying what causes our stress is the first
step to managing that stress.

1.1.3 Why stress happened?

We all react differently to stressful situations. What is stressful to one person may
not be stressful to another. Almost anything can cause stress. Different situations can
trigger stress for different people. For some people, just thinking about something or
several small things can cause stress. Common major life events that can trigger stress
include:

● job issues or retirement


● lack of time or money
● bereavement
● family problems
● illness
● moving home
● relationships, marriage, and divorce

Other commonly reported causes of stress are:

● abortion or miscarriage
● driving in heavy traffic or fear of an accident
● fear of crime or problems with
● neighbors pregnancy and becoming a parent
● excessive noise, overcrowding, and pollution
● uncertainty or waiting for an important outcome

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1.2 OBJECTIVES

1. To find the common symptoms of stress in Uniten students.


2. To find out the causes of stress in Uniten students.
3. To find out the stress management technique used by students.
4. To recommend strategies to cope the stress .

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2.0 LITERATURE REVIEW

2.1 ARTICLE 1: MENTAL HEALTH OF MALAYSIAN STUDENTS CAUSE


OF WORRY

Based on article above that qualified to be related to our field of research was
based on Bernama – September, 2016 titled Mental Health of Malaysian Students
cause of worry published on New Straits Time. The article strongly related to our topics
(Stress in Young Adults in Malaysia). The article stated that Heath Ministry statistically
reveal a worsening state of mental health problems among Malaysian students, from
one in 10 individuals in 2011 to one in five in 2016. Experts cite stress and depression
as the main causes of mental health problems among students not ruling out the
influence of drugs as factor.

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Dr Mohd Suhaimi Mohamad said a prolonged state of mental health problems


could make students become withdrawn, suffer from schizophrenia and develop the
inclination to commit suicide.

Referring to the causes, Dr Mohd Suhaimi said stress develop from emotional
disorder due to family background, own problems, education, relationship and sports
that widely have strong relationship with stress.

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2.2 ARTICLE 2: FORM 4 STUDENTS MENTAL HEALTH ISSUES

Based on an article posted by SAYS by Nadini Balakrishnan-10 Nov 2017 titled


More Than 100,000 Form 4 Students In Malaysia Say That They Have Mental Issues.
This article is strongly related to our related studies Stress Among Young Adults in
Malaysia. Health Minister, Datuk Dr. S. Subramaniam recently revealed that more than
100,000 From 4 students in Malaysia are dealing with mental health issues. The mental
health screening were conducted by the Health Ministry in collaboration with the
Education Ministry.

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“From the screening we did in schools, more than 100,000 students have said
that they have mental health issues” - Dr Subramaniam

Based on these statement and screening, we can conclude that mental health
issues such as stress are affected among young adults at early age such stress on
studies, own problems, family background, relationship and sports.

We can conclude that the statement strongly related to studies, as Form 4


students are usually stressed out because they have to prepare for their Sijil pelajaran
Malaysia (SPM) next year. Mostly most of the stress also comes from family members
as there are pushing their children for success with lots of homework and hopes.

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2.3 ARTICLE 3:TOO MANY TEENS SUFFERING FROM STRESS

Based on the article above, drastically the numbers of young adults in Malaysia
increase every year by huge different in number. Statically the affected young adults
aged between 13 to 17 are critically suffering from mental health problem such stress
and depressions.
According to the Education Ministry’s Healthy Mind Programme (Program Minda
Sihat) 2017, which had 284,516 students participating, 5,104 youngsters received
intervention from their school’s counsellors.
The survey on students’ problems found that 50% of 120,420 students faced
personal problems that included exam stress, 29% faced family problems, 11% faced
issues with friends, and 10% faced problems with their teachers.

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Among the objectives of the programme is to encourage mental health


awareness to identify stress, anxiety and depression levels among schoolchildren.
Universiti Teknologi Malaysia Counselling Centre director Dr Zulfikar Ahmad
advised parents not to put unnecessary pressure on their children sitting for
examination as this could stress them and end up with poor performances.
Dr Zulfikar advised parents to regularly monitor changes in behavioural patterns
of their children as examinations are nearing as these could be the tell-tale signs that
their children were having problems with their studies.

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Figure 1: Based on the pictogram above showed a research of Stress Among Teenagers in
Malaysia.

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3.0 METHODOLOGY

Survey analysis and discussion.


Stress is a type of psychological pain. Everyone in the world no matter where he/she
came from or who he/she is can experienced stress. Stress can happen anytime and
anywhere and the way how we manage it is so vital to avoid a series of unfortunate
event. The survey is conducted to get the thought of young adults about Stress from
them. We choose young adults since millennials are found to be the highest suffer from
stress compared to other generations based on research [1].

3.1 Population/Sample
We have distributed some questionnaires related to Stress among young adults
in UNITEN and outside of UNITEN to have their feedback regarding this symptom.

Figure 2
Of all the respondents, 73.2% of them are age of between 21-22 years old,
17.9% of 18-20 years old and the rest are between 23-27 as shown in figure (). From
this distribution, we can investigate which group of age are aware about stress.

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3.2 Instrument used for Research


This questionnaires was taken from this set of questionnaires based from Teen
Wellness Assessment Organization [11]. This series of questions include some
questions regarding general knowledge about stress and how they do cope their stress.
From the questionnaires, we can see how they manage their stress and they somehow
realize the importance of managing stress.

3.3 Analysis and Descriptive Survey


All data obtained from survey forms are collected and tabulated to extract the feedbacks
and to demonstrate the pattern. We choose to use Microsoft Excel to analyse and
calculate the percentage of each questions provided in questionnaires and pie chart is
drawn for every question.
a) General question: Group of age

Figure 3
The survey is conduct especially to young adults thus the respondents are in the
age of below 27. This is because from some research by American Psychological
Association, Millennials report the highest average stress levels along with Gen Xers
[6]. From the survey, the most contributors are from a group of age 21 to 22. This is
because at this age, it is quite difficult for some young adults to manage their stress
compared to others.

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Figure 4
From Figure 4, majority of the respondents are currently undergraduates who are
pursuing Bachelor Degree with 82.1%. Next is diploma study levels with 10.7% and
remaining is 7.2% from other study levels.

Figure 5
Based on Figure 5, students are the highest respondents with 91.1% then
followed by government/private servants with 7.1% and remaining is 1.8% who works
alone. From some researches and studies, there is no doubt that students are the most
who suffer stress compared to adults. The agency’s Stress in America survey found that
30% of teens reported feeling sad because of stress and 31% felt overwhelmed [4].

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b) Survey Questions.

Figure 5
83.9% of the respondents answered Yes for the questions while 10.7% answered
maybe and 5.4% answered no. This shows that most of the respondents are aware
about stress and it is a good sign to show they are concern about themselves. While for
others, they seems does not sure that they sometimes having stress and remaining
does not realized at all. Stress can cause many bad impacts not only just to someone
lifestyle but also to their surrounding and work performance. Based on survey by
Reader’s Digest, most of people realizes they are in stress but they doing nothing about
it [10].

Figure 6

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64.3% of the respondents know the risk caused by stress and its consequences,
28.6% answered ‘Maybe’ while remaining answered ‘No’. This portrayed a good sign of
respondents that they know what to do and they concern about effect of stress so they
would not do something that might lead to unfortunate events on themselves. Stress
can lead to many things that might affect not just our mood but our body and our
behaviour. For example;
1. Common effects of stress on our body:
- headache.
- chest pain.
- fatigue.
- stomach upset.
2. Common effects of stress on our mood:
- anxiety.
- lack of motivation.
- sadness or depression.
3. Common effects of stress on our behaviour:
- drug or alcohol abuse.
- social withdrawal.
- overeating or undereating.

Figure 7
76.8% of respondents answered ‘No’ while others say ‘Yes’. This shown that
most of the respondents have not attended to any event/talks related to stress. During

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the events for example World Mental Health Day, there are many things that are offered
to help people to manage stress such as counselling, fun activities and Depression
Anxiety Stress Scale (DASS) scales.

Figure 8
Different people have different way to release stress. It is vital for everyone to
release stress so stress would not harm their mind, body and mood. When someone
release stress, they can improve their mood, boost immune function and allow them to
be more productive.

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Figure 9
Based on Figure 9, majority are agreed that financial problem can lead to stress.
Young adults lack a formal education in managing their finances. Furthermore, most
young adults who are still pursuing their studies are in debt for their study loans. Next,
desire to have luxury lifestyle also contribute to financial problem among young adults
that leads to stress.

Figure 10
75% (42) respondents answered Yes, 21.4% (12) answered Maybe and 3.6% (2)
answered No. A good relationship with parents can make you feel you are loved and
you know someone is cared about you. From good relationship we can reduce effect of

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stress. If we are having stress, we have someone to share about it. So a good
relationship with parents can actually help us to reduce stress. Some people do not
have a good relationship with their own parents and this also can lead to stress. For
example, someone who have a family issues seems to distance themselves from their
family and they do not have a place to share their problem.

c) DASS questions.
*0: Does not portrayed my condition at all,
*1: This portrayed about my condition a little bit,
*2: Quite portrayed about my conditions a lot,
*3: Really shows my condition.

Figure 11
From this Figure 11, majority of respondents with 41.1% answered 1 then
followed by 2 by with 32.1%, 17.9% answered 3 and 8.9% answered 0. Based on this
question, they aware they find themselves quite hard to calm down. When in stress, it is
important to hold yourself so that you would not do somethings that might harm you.

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Figure 12
Based on the Figure 12, 42.9% (24) respondents answered 0 followed by 33.9 %
(19) answered 1, 16.1% (9) answered 2 and 7.1% (4) answered 3. This proves that
most of the respondents still think rational even when they are in stress. We can say
that it is important to think first before we do something even we are in stress so no bad
things happened to us.

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Figure 13
From Figure 13, 37.5% (21) respondents choose 2 which is this statement
portrayed about themselves a lot. Next, 25% (14) respondents choose 1 which is this
statement portrayed about themselves a little bit. Then 23.2% (13) respondents choose
3 which is this statement really portrayed about themselves and finally 14.3% (8)
respondents choose 0 which is this statement does not represent about them. Stress is
due to something that we think a lot. If someone worried too much, he/she will face a lot
of difficulties and this can lead to Insomnia. Thinking too much before sleeping is one of
the factors for Insomnia. If he or she is a student, this might be a big problem and can
affect their academic.

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Figure 14
Based on Figure 14, the most chosen answer is 3 with 43.4% (23) which means they
distance themselves from others when they are in stress. Next, 26.4% (14) for 2 which
means they agreed this statement portrayed about themselves a lot and 20.8% (11)
choose 1 which is this statement does not portrayed about them much. Finally, 9.4% (5)
respondents choose 0 which is this statement does not portray about themselves at all.
Some people tend to distance themselves from others because they afraid they might
hurt other people when they are in stress and they think this is the best option. There
are some people who seeks for other when they are in stress. It is recommended to
reach out for people when you are in stressed so you do not have to carry the burden
alone. At least, you will feel much better when you share your problem with others.

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4.0 RESULTS AND FINDINGS


4.1 Demography of Findings
Based on the survey conducted, the information about personal characteristics have
been collected which are age, gender, study levels and occupation. These
characteristics portray who are the respondents based on their genetic makeup and
socially developed characteristics. The backgrounds of each respondents are important
to examine the relationship between personality and level of depression. Other factors
that may influence this study are social trust and religious beliefs that most of the time
are the secrets of anti-depression. Research proves that people higher in self-esteem
seem less likely to suffer from stress [1].
According to the survey, age is one of the personality question being asked
because many differences in life circumstances are related to this aspect. For
instances, the level of matured, health, income and employment have been
psychologically and physically controlled by age. The young adults are completely
different than those at the old age as they are different in level of health. In contrast, the
gender effect often can be neglected as it has not much effect (except women
menstruation cycle) and can be set as constant variables. Result shows that 73.2% of
the respondents are at the age of 21-22 years old, 17.9% at the age of 18-20 years old
while the rest are 23-27 years old which most of the time have been graduated from
studies.
As can be seen the respondents of the age 21-22 years old are mostly students
who are currently pursuing bachelor degree in their 3 rd or final year of studies.
Therefore, it is expected that most of them suffer depression to complete a lot of works
given by the lecturers and at the same time have to face examination and
presentations. From the findings, 82.1 % of the respondents are from undergraduates
while others from diploma, foundation and master level. Among the respondents,
majority of them are students, which is 91.1%, 7.1% are from government/private
servants while others are self-employment. The area that requires more investigations
is the amount of time people spend at work that give effect to depression. Based on
observations, students at the age of 21-22 years old consume most of their time to do
works regardless daytime or night compared to employed people.

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4.2 Comparison between Findings (DASS)


Table 1: Comparison between the variables in the Depression Anxiety Stress Scale.

Questions Ratings

Not portrayed Portrayed my Portrayed my Really shows


my condition condition a condition a lot my condition
little bit

I found myself 8.9% 41.1% 32.1% 17.9%


hard to calm
down

I tend to do 42.9% 33.9% 16.1% 7.1%


something
harmful when I
am in stress

I worried too 14.3% 25% 37.5% 23.2%


much on little
things that are
beyond my
control

I avoid people 9.4% 26.4% 20.8% 43.4%


when I am
stressed out

Table 1 shows that most people having depression agreed on the level of anxiety
portrayed by them whereas majority vote for a little bit agreed when being asked about
their tendency to calm down when in stress. Stress can be relieved in many forms,
similarly as it comes from many areas of life. The first step strategies is important for
quick relief of stress to help people de-stress their mind and relax their physiology. For
examples, they can do stress relief breathing, laugh, mini meditation and aromatherapy.
If these steps are taken, people can think clearly and avoid any negative impacts due to
chronic stress.

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Meanwhile, people are still positive when facing stress as almost half of the
respondents disagreed to do something harmful. This proves that people are afraid and
can think rational when involving physical damages either to themselves or others. In
most cases, people can cope with stress after some time having a short break. They
need to separate themselves from the stressor for a few moments that can calm them
such as turning away from works, organizations and activities involved.
Moreover, most of the respondents agreed of having too much worried on little
things which are beyond their control such as worrying the examination date, their loved
ones and examination results when in stress. The consequence probably occur is that
they are thinking of all kind of stuffs that they have hardly control over it in fear. This
results in jolting the adrenaline and difficult to shut the emotion down. The findings also
show that almost all of the respondents agreed that they will avoid people when having
stress. In such situation, most of the time, time is the best medicine. Even the children
forget their mother in few months, people also can forget their problems in short period
of time.

4.3 Correlation between Findings (DASS)


People facing stress most of the time having all the characteristics of depression
anxiety but what makes them different is the intensity level. Some people is easy to
calm down but they avoid to see people in the meantime. The reason arise is that
they’re still thinking of changes that can be the kick-starts for a better lives. Some may
argue that they’re not ready to face the public due to their own mistakes or are still
traumatized of the past incidents. All they need is the time to recover. In contrast, some
people is hard to calm down but never dismiss to meet people to continue their daily
routines even in stressful condition because they believe by remaining so busy can
avoid the overthinking of their problems. Some people also realize of having stress can
cause negative effects, so they quickly consult with the closer people around them.
Another case is that, people are worrying too much on little things that are
beyond their control and to relief the stress they tend to do something harmful. They
may think that this is the only way to reach out their satisfaction or solve the problems
such as by getting themselves into drunk, damage other people properties and the most

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terrible is throwing themselves into ravine. The studies find that suicide is one of the
leading causes of death in the United States, especially among young people. In the
United States, it is the tenth leading cause of death, claiming the lives of more than
44,000 people. While in Malaysia, research shows that suicide is the second leading
causes of death among youths aged between 15 -29 years old [1].

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5.0 DISCUSSION
5.1 PAST STUDY

Stress is a reaction of an individual to a short-lived situation or a long term


situation. Stress can be dangerous if it interferes with their ability to live a normal life
over an extended period. These individuals may feel tired, unable to concentrate or
irritable. Stress can also damage physical health. Stress is a very common problem
among individuals globally. Based on a 2013 survey by the APA found that stress is
extremely common among teenagers and young adults. It is found that the respondents
reported that they experience unhealthy levels of stress, especially during their studies.
Individuals ranging from 13 to 17 year olds are experiencing stress levels higher than
they consider to be healthy. The survey also found that more than a quarter of teens
report symptoms including neglecting responsibilities, feeling overwhelmed, having
negative thoughts or changes in sleeping habits. More than a third reported feeling tired,
feeling nervous or anxious, or experiencing irritability and anger. Scientifically, past
studies has proven there is correlation between mental health and physical health. Its
shows that poor mental health can lead to negative impacts to a person’s physical
health.

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5.2 SUGGESTION

Everyone is affected by stress at one time or another, and it can feel


overwhelming. With the right tools, though, you can learn to manage stress
before it takes a toll on your health. Parents can help their teen in these ways:
- Monitor if stress is affecting their teen's health, behavior, thoughts, or feelings
- Listen carefully to teens and watch for overloading
- Learn and model stress management skills
- Support involvement in sports and other pro-social activities

Young adults can decrease stress with the following behaviours and techniques;
- Find activities you enjoy and build them into your routine such as yoga, hiking,
skateboarding or walking.
- Don’t drink caffeine late in the day
- Talk to a parent, teacher or other trusted adult
- Get enough sleep
- Eat well
- Exercise
- Avoid unnatural energy boosters
- Try not to overload yourself
- Avoid relaxing with alcohol, Smoking
- Listening music
- Try to see the positive side
- Laugh
- Build a network of friends who help you cope in a positive way

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5.3 SUMMARY
Stress is the body's response to physical, mental, or emotional changes,
situations, and forces. Stress can result from external factors (e.g., events,
environment) or from internal factors (e.g., expectations, attitudes, feelings).
Stress often occurs in response to situations that are perceived as being difficult
to handle or threatening. Common causes for stress (called stressors) include illness,
injury, fear, and anxiety. Each person reacts to stress differently. A healthy response to
stress begins quickly; is appropriate in degree and in length; and can improve function,
motivation, and productivity.
The body's response to stress is initiated and controlled by the central nervous
system (brain and spinal cord). In response to a stressful situation, the brain first signals
the inner portion of the adrenal gland (called the adrenal medulla) to release hormones
(e.g., adrenaline [epinephrine], norepinephrine) that initiate the "flight-or-fight" response.
Next, the brain triggers the release of other hormones, such as cortisol, to sustain this
response. Effects of these hormones include the following:
● Changes in digestion (caused by increased blood flow to the muscles and
reduced blood flow to the gastrointestinal tract)
● Dilation of blood vessels
● Increased breathing (respiration) rate
● Increased heart rate and blood pressure (caused by increased blood flow to the
brain)
● Increased blood sugar levels (to provide more energy) [12]

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References:

[1] “Understanding and dealing with stress”. [Online]. Available:


http://mtstcil.org/skills/stress-deal.html. [Accessed: Jan. 2, 2019].

[2] Kirsi Bhasin “How does stress occur?” in sharecare. [Online]. Available:
https://www.sharecare.com/health/stress-reduction/how-does-stress-occur. [Accessed:
Jan. 2,2019].

[3] Christian Nordqvist “Why stress happens and how to manage it” in Medical News
Today, Nov, 28.2017. [Online]. Available:
https://www.medicalnewstoday.com/articles/145855.php. [Accessed: Jan. 2,2019].

[4] Stress management teens, 18 February 2013. [Online]. Available :


https://www.aacap.org/aacap/families_and_youth/facts_for_families/fff-guide/Helping-
Teenagers-With-Stress-066.aspx

[5] Positive mental health care among students in Malaysia 2013; 2(2): 73-82
Published online June 10, 2013 (http://www.sciencepublishinggroup.com/j/pbs)

[6] Loria, K. (2015, February 06). It's official: Millennials are the most stressed-out
generation. Retrieved January 10, 2019, from
https://www.businessinsider.com/millennials-are-the-most-stressed-out-2015-2/?IR=T

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[7] The ability to keep track of and make good use of possessions, money, and time
[article]. (2015, September 5). Retrieved April 4, 2015, from
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