Beruflich Dokumente
Kultur Dokumente
A Research Proposal
for the course on
Practical Research 1 - STEM
Submitted by
April 7, 2017
Abstract
Mental health problems have become prevalent in the 21st century. One of those is anxiety,
difficulty in handling anxiety, and sleep problems (National Institute of Mental Health, 2016).
Because of the change in curriculum due to the implementation of the K to 12 program in the
Philippines, Senior High School students are given increased workload, and may have developed
anxiety symptoms. In this research, the relationship of anxiety symptoms and amount of workload
of Senior High School students in De La Salle University Manila will be determined through
statistical analysis, to identify factors that trigger anxiety symptoms and to propose solutions to
help students cope with anxiety. Purposive sampling will be used to get samples from the
socioeconomic status, anxiety levels, amount of academic workload, and other trigger factors.
Keywords: anxiety in secondary students, anxiety in high school students, factors that affect
Introduction 1
Research Methodology
Findings
References 18
Appendices
List of Tables
Table 2.1. Anxiety Levels of Boys in Seventh and Ninth Grade Before and After Lessons 14
Table 2.2. Anxiety Levels of Girls in Seventh and Ninth Grade Before and After Lessons 14
Introduction
Mental health problems have always been present in the lives of human beings. But they
are often seen with stigma, therefore people who have those disorders often hide their situation or
never consult a physician. Having mental health problems can affect how a person lives, mostly
interfering with their ability to do daily tasks. One of those disorders is the anxiety disorder.
Anxiety is a disorder wherein a feeling of worry or fear goes on for a period of time. This can
interfere with daily tasks, such as job activities, academic activities, and social relationships.
difficulty in handling anxiety, and sleep problems. There are different kinds of anxiety which are
the Generalized Anxiety disorder, characterized by excessive anxiety for months, Panic disorder,
characterized by frequent and unexpected panic attacks due to worry of impending doom, and
Social Anxiety disorder, characterized by fear of social performances. (National Institute of Mental
Health, 2016). Regardless of the kind of anxiety, the main problem is the same, which is having
Anxiety is called the disease of the 21st century. According to Downbiggin (2009), anxiety
has been rising since the Second World War. Anxiety is the most prevalent mental health problem
in the world, due to the increasing pace of modern society, but evidences show that anxiety-related
One of the sectors of society is the academe, which changes in a rapid pace. Students are
the ones who are most exposed to the rapid pace of academic life. With the addition of academic
demands and increasing workload, anxiety has become prevalent in students. According to the
American College Health Association (2014), 21.9% of students suffer from anxiety that affected
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their academic performance, 56.9% feel overwhelming anxiety, and 15.8% are diagnosed and
Recent studies show that anxiety in students is triggered by many factors. In an innovative
school in Kazakhstan, students displayed anxiety and emotional instability after lessons
(Konkabaeva et al., 2013). A significant percentage of secondary students in Cha Tho, Vietnam
experience depressive and anxiety symptoms mainly due to abuse in home and high educational
stress. In a study in the United Kingdom by Adeoye-Agboola and Evans (2015), it was shown that
anxiety was caused by academic stress, financial difficulty, and future aspirations, which affects
the students’ academic performance. In these studies, one of the factors that induce anxiety in
students is the academic workload or stress that it creates. It implied that academic workload has
In 2013, former Philippine President Benigno S. Aquino signed the Republic Act 10533,
known as the K-12 Act. It changed the Philippine school system from the 10-year basic education
system to the 12-year basic education system. It aims to prepare high school graduates for tertiary
prepare students for employment and higher education, more challenging subjects from the tertiary
curriculum were added to the basic education system or senior high school. Because of this, the
The increase in student workload due to the implementation of the K-12 program may have
led to an increase in the anxiety levels of Filipino senior high school students. As previous studies
were conducted in different locales, results may be different in the Philippine context. Different
locales exhibit different environments, situations, and status. According to Nikapota as cited in
Nguyen et. al. (2013), environmental stressors such as poverty and traumatic events correlates to
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the poor mental health of the youth. Different cities have different socio-economic development
status, and it can be implied from the stated study that students in cities with less developed
Although previous research already suggested the direct relationship between the anxiety
and school workload and proposed several ways in handling stress brought by the amount of
workload given to students, these discoveries and solutions may not apply to the Philippine setting,
given the differences in socioeconomic status. Due to the difference in demographics, the Senior
High School students of De La Salle University Manila may exhibit either higher tolerance or
lower tolerance to a certain amount of workload in contrast to those exhibited by foreign students.
Other factors also differ from one school setting to another such as the curricula, teaching methods,
difficulty of lessons, and the school calendar. Attributed to these differences, the research wants
to determine what is the correlation between the anxiety symptoms of the Senior High School
students of De La Salle University Manila with the given workload in order to propose a solution
on how these students could cope with the anxiety brought by the academic demands of the K-12
educational system.
Several factors, such as the curriculum and scheduling of classes, can cause or add to the
intensity of the workload, and it may eventually result in the development of different mental
issues and disorders, one of which is anxiety. Compared to other ASEAN countries, the Philippines
has the lowest unemployment rate in the region at 7.1% and is considered the least peaceful,
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ranking 132nd in the 2014 Global Peace Index (Pacia, 2015), and a study done by the American
Psychological Association (2016) states that students with low socioeconomic backgrounds tend
The country’s low socioeconomic status can be reflected in the schools, which are under
resourced, therefore providing inadequate education and increased dropout rates. Besides the poor
socioeconomic background, the workload Filipino students face nowadays has been significantly
increased to help in the mastery of concepts and skills, and for a better transition to the tertiary
Given these issues, this study aims to discover the relations of anxiety and school workload
Developing a questionnaire that will determine anxiety symptoms with the aid of experts
in order to propose interventions that can help alleviate anxiety symptoms of students.
The population of the study is the Senior High School students of De La Salle University
Manila. De La Salle University Manila has started offering the Senior High School program in the
year 2016. Patterned with the college level, the Senior High School undergo a trimestral schedule.
This study will include students from both Grades 11 and 12, as well as students from different
strands namely the Science, Technology, Engineering, and Mathematics (STEM) strand, the
Accounting and Business Management (ABM) strand, and the Humanities and Social Sciences
(HUMSS) strand. Purposive sampling will be used in selecting participants as students who
experience anxiety symptoms are the target subjects of this study. The population of the study was
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chosen because it is relevant to these students as they are experiencing a major shift from Junior
High School to Senior High School, especially the increase in academic workload, that make them
prone to anxiety.
Data will be collected from online sources and surveys of participants. Diagnosis of anxiety
is outside the capabilities of the researchers as they are not experts in psychology, therefore, only
the presence of anxiety symptoms in students will be determined using scales and questionnaires.
These questionnaires will be developed in consultation with experts in psychology and psychiatry.
The questionnaires will include demographics including socioeconomic status, anxiety symptoms,
factors that trigger anxiety symptoms, and amount of workload. The amount of workload will be
based on the participant’s perception using a Likert scale, but criteria for determining the amount
of workload such as number of tests, presentations, and other activities will be also included to
guide the participants in determining the amount of their workload. These criteria will be based
from the interview from Senior High School administrators and teachers. Questionnaires will be
used as observing subjects to determine anxiety symptoms and amount of workload is time-
The proposition of intervention programs will be done after determining the relationship
of anxiety to the amount of school workload. The validity of the intervention programs will be
determined through survey, to know if students find them appropriate, and through expert
consultation. This will be done to determine the relevance of the proposed solutions and to know
As education plays a key role in improving the economy of a nation, students are being
given heavier academic workload to better prepare them for the demands of the future work
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environment. To cope with these demands, some students develop mental illnesses, such as
anxiety. Results from this study can therefore be used to help alleviate this problem in a number
of ways.
Students can benefit from the results of this study by understanding what workload causes
the most stress to them. They can approach someone, especially a person with expertise on the
subject, and ask for their help in dealing with this problem. School authorities can also use the
findings of this research to propose interventions and help students find a way to cope with the
workload given.
The government can benefit from the results of this study by using it as a reference in
adjusting the curriculum of the K-12 system. Since the curriculum is newly implemented in the
Philippines, very few studies have been done on this subject. As a result, the information provided
Future researchers can benefit from the results of this study because it examines whether
factors reviewed in previous studies apply in the Philippine context. Since this study is conducted
on the grade 11 and 12 students of the newly-implemented K-12 curriculum, researchers can use
it as a reference because the information would be relatively new. They can also use it as a basis
for conducting the same research but with a different population or student background.
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Review of Related Literature
Students are the ones mostly exposed to change due to rapid pace in the academe, as well as
transitioning from one level to another. Because of this, secondary or high school students exhibit
anxiety symptoms. In a study conducted by Hess (2014), the prevalence of anxiety in secondary
students in a rural school in New York was determined. The anxiety levels of students were
determined through the use of the Screen for Childhood Anxiety Related Emotional Disorders
(SCARED) which is a self-completed test to determine the potential of children ages 8-18 of
having an anxiety disorder. The SCARED has four factors for measuring different types of anxiety,
specifically the generalized anxiety disorder, social phobia, separation anxiety, and panic disorder.
The reliability of this test has been previously established and used, with an overall internal
consistency of Cronbach’s alpha ranging from 0.71 to 0.93. The SCARED has a significant
correlation with other child and adolescent anxiety tests. Having a score of 25 and higher in the
SCARED (with zero as the lowest possible score and 82 as the highest possible score) implies the
Participants were chosen through convenience sampling that consisted of 146 students in
grades 9 to 12. The questionnaire results were analyzed using Analysis of Variances (ANOVA),
multivariate tests, and chi-square tests to compare and to identify significant differences between
the mean scores of males and females, different grade levels, and the types of anxiety. The average
score of students from grades 9 to 12 are slightly below the level that indicates the presence of an
anxiety disorder, but 36% of the students got a score of 25 and higher. This shows that there is a
significant number of students experiencing anxiety. Results show that Grade 10 students exhibit
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the highest level of anxiety as they are the students who undergo transition the most. Also, males
and females experience anxiety differently. Females experience significantly higher levels of
anxiety than males, with the females having a mean score of 25.82 in the SCARED while males
having a mean score of 16.19. The most common type of anxiety that secondary students
experience were social anxiety, panic disorder, and the generalized anxiety disorder. Significant
differences were also found between the types of anxiety and the grade level of students. Using
ANOVA, results show that students in higher levels experience generalized anxiety disorder and
panic disorder.
In a study conducted by Nguyen et al. (2013), the prevalence of depression, anxiety, and
suicidal ideation were determined in secondary students in Can Tho, Vietnam. Data were collected
through the use of questionnaires that included demographic information, mental health scales,
specifically the Center for Epidemiology Studies Depression scale, an anxiety scale, the
Educational Stress Scale for adolescents, questions about suicidal ideation and questions about
possible solutions. The anxiety scale, consisting of 13 items, uses a three-point scale (never,
sometimes, often). The scale provided a reliable measure of anxiety for Vietnamese adolescents
with a high internal consistency of Cronbach’s alpha of 0.82. Purposive sampling was used to
choose 1260 participants from three different schools, however, 99 participants were excluded due
to insufficient data responses. The total population was 1159 students with 424 boys and 737 girls.
The number of participants from grades 10 to 12 were equal. Descriptive analysis, Chi-square test,
and multivariate logical regression analysis were used to determine significant differences in the
The mean score of students in the anxiety scale is 22.6. Results show that 23% of the
students reported anxiety symptoms at a statistically significant level. Females have three times
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more chance of having anxiety symptoms than males. Anxiety was also shown to be independently
associated with physical and emotional abuse and high educational stress. Results also show that
anxiety and depression are the main predictors of suicide attempts. Proposed solutions from
students include reduction of academic demands, the presence of a confidential counselor, attitude
change from punitive to supportive and counselling knowledge for teachers and parents.
evaluated in secondary schools in Port Harcourt, Nigeria. Two-stage stratified sampling was used
to determine schools and simple random sampling was used to determine participants. Nine
hundred and fifty students from four different schools were chosen to participate in the study. Data
were collected through the use of questionnaires, which included questions about demographics
and the Vanderbilt ADHD Diagnostic Teacher Rating Scale for anxiety and depression symptoms.
Students who exhibit at least three behaviors in the questionnaire exhibit anxiety symptoms and
have a chance of having an anxiety disorder. Direct interviews were conducted for students who
have anxiety symptoms to determine the type of anxiety they have and were given special
counselling sessions. Results show that 885 students displayed anxiety symptoms and 91 of them
met the criteria for anxiety disorder diagnosis. This shows that there is a 10.28% of prevalence of
Anxiety is a mental disorder that can be triggered by many factors, such as type of academic
environmental factors, future aspirations, parenting and family life, major life events, cultural and
social factors, and gender roles. In the research conducted by Adeoye-Agboola and Evans (2015),
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factors such as exams, finances, language, weather, library facilities, social life and support
services were considered in order to identify which triggers anxiety to international students and
which does not. The research was conducted in the University of Bedfordshire, Luton-UK, and
international students consisting of Africans and Asians from the field of health, business,
information technology, natural sciences, and arts were asked regarding the factors that contribute
to their school anxiety. Out of the 105 questionnaires that were distributed, only 103 were
retrieved.
First, one of the prevalent concerns of international students is the type of assessment that
would be used to evaluate their learning; 54% of African students prefer writing exams compared
to 46% of Asian students. Second, one of the factors that could be attributed to the anxiety of
students is financial resources needed for their education; 74 students were reported to have no
jobs. Another factor that could contribute to the anxiety of students is learning English as their
secondary language; 9% of students were reported to feel anxious in listening to English lectures,
32% were reported to feel anxious in speaking in English, 19% were reported to feel anxious in
reading English texts, and 37% were reported to feel anxious in writing in English.
The anxiety of the international students could also be attributed to the weather; 54% of
the respondents reported that the change in weather affected them while only 46% reported that
they were unaffected the change in weather. Other factors such as library facilities and student
social life and support services were considered in the research, however, none of the two factors
were shown to significantly increase the anxiety of international students; 88% of the respondents
were reported to be happy with the library facilities while more than half of the respondents were
satisfied with the support services that were offered by their school. Chi-squared test was also
utilized in examining the relationship of the academic course with the availability of library
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material and student’s assessment regarding library facility but it did not show any significant
relationship (=0.99). Lastly, the international students’ career aspiration was considered; more
than half of the respondents agreed that it is a major concern if they achieve their goals. Chi-
squared test was also used in determining the gender relationship of student’s frustration and career
aspirations, that is p=0.01 which is significant; 61% of the females of the total respondents were
reported to be anxious when they did not attain their academic goals.
In the research conducted by Vitasari (2010), five potential sources of anxiety namely:
identify which among these factors trigger anxiety the most and the least. The respondents of the
research consist of first-year and second-year undergraduate students from five engineering
faculties at the Universiti Malaysia Pahang. Among the 770 respondents, 395 are male while 375
are female. The questionnaires distributed to the respondents consist of 40-item question regarding
the anxiety brought by the factors that are being examined in the research. The Likert Scale was
utilized in determining which among the five potential sources contribute to their anxiety.
Results of the survey showed that the leading factor that triggers anxiety to students are
examinations, with the mean score of 1870.29 and a standard deviation of 99.52. The second
leading factor that triggers anxiety is presentations, with the mean score of 1715.20 and a standard
deviation of 108.99. Furthermore, based on the survey mathematics is the third leading factor that
triggers anxiety with a mean score of 1694 with a standard deviation of 152.49. With a difference
of 21.8 to the mean score of mathematics, language is reported to be the second least factor that
triggers anxiety based on the five potential sources with a mean score of 1672.20 with a standard
deviation of 90.67. Lastly, society is reported to be the least contributing factor of anxiety to the
undergraduate students at the Universiti Malaysia Pahang with a mean score of 1463.43 and
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standard deviation of 97.34 in contrast to the other contributing factors considered in the research.
Although society is reported to be the least contributing factor of anxiety compared to other
potential sources of anxiety to students, it is important to consider that the mean score of society
A study done by Brook and Schmidt (2008) has been done regarding the environmental
risk factors that affect anxiety. The goal of their study was to expand and provide a new review of
factors that can affect anxiety in adolescents. These factors are parenting and family life, major
life events, cultural and social factors, and gender roles. The data of their study on the
socioeconomic factor was collected through the analysis of papers of similar context. However,
different studies suggested different ideas, one of which being that poverty influences anxiety, and
another stating that poverty can act as a prediction of anxiety. Besides the collection and analysis
of similar studies, the researchers also used community samples by interviewing people, putting
into consideration their sociodemographic characteristics and health problems. It was concluded
that the socioeconomic status aids in the development of anxiety, with the association being
stronger in developing countries because of how vital socioeconomic conditions are for everyday
survival.
As a summary of the findings, the factors that affect anxiety determined from different
major life events, cultural and social factors, gender roles, and socioeconomic status. Assessment,
Students are the ones who experience anxiety as they work at a rapid pace and undergo a
lot of changes. Studies show that students’ anxiety levels increase when academic workload also
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increases, especially during examinations and lectures. In a study conducted by Adeoye-Agboola
and Evans (2015), the relationship between anxiety and academic performance in the University
of Bedfordshire, Luton-UK was studied. The data was gathered through a survey given to 4,000
sampling. One hundred and thirty-one questionnaires were distributed, but only 105 of them were
answered and returned. These 105 questionnaires were coded and analyzed through the use of
SPSS version 19, a software used for statistical analysis. Among the students, 63% were male,
36% were female, and 1% did not put their gender. From the survey results, students said that too
much coursework makes it harder for them to focus on their studies. They also said that not
fulfilling goals set made them frustrated. From this, it can be inferred that student’s anxiety
increases when they are given a heavier workload and they fail to achieve the goals they set for
themselves.
and ninth grade students in an innovative school in Kazakhstan was determined. The tests
conducted were the Spielberger-Khanin test for situational anxiety; HAM test for assessment of
health, activity, and mood; Eysenck Questionnaire for determination of the student’s emotional
stability. These tests were conducted before and after six to eight lessons. Participants included 20
students from seventh grade and 20 students from ninth grade. The results were processed on
Microsoft Excel and were analyzed using the Student’s t-test. Table 2.1 shows that boys in both
seventh and ninth grade experience an increase in the level of anxiety after lessons. The percentage
of boys with low anxiety decreased and students with high anxiety increased. Table 2.2 shows
almost the same results in girls. The percentage of girls with low anxiety decreased and the
percentage of high anxiety increased. From those, it implies that the levels of anxiety in the
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students increase after lessons. Analysis show that boys deteriorate more than girls after lessons
that result to emotional instability and anxiety. This is because heavier workload is given to
students on days when the intellectual working capacity of students are at the lowest, which are on
Table 2.1. Anxiety Levels of Boys in Seventh and Ninth Grade Before and After Lessons
Table 2.2. Anxiety Levels of Girls in Seventh and Ninth Grade Before and After Lessons
In a different study conducted in India by Mani (2010), the students’ perception of course
load on their exam stress was studied. The exam stress, or test anxiety, is comprised of three
components: physical, cognitional, and emotional. The physical component is the reactions in a
person’s body when exposed to stress, while the cognitional element is the thoughts about what
results might happen after the test. On the other hand, the emotional component is the mental
responses to the test such as nervousness and tension. Data were gathered by employing a cross-
sectional survey to 70 college students studying the Master of Business Administration (MBA) in
one of the self-finance colleges in Chennai, Tamil Nadu, India. These students were chosen
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through convenience sampling. The survey questionnaires included questions such as their
perception of the course load for every year they were enrolled and their time management skills.
The research used SPSS with the alpha level set as 0.05 to analyze the results of the survey and
for further interpretation of the data, descriptive analyses, Spearman correlation analyses and
analysis of variance (ANOVA) were also employed. The results of this survey indicated that most
students feel anxiety before and during the examination. It was also stated in the research that M2
students, who had the highest perception of a heavy course load and least time management,
The research done by Vitasari (2010) has also stated specific causes of anxiety among the
five potential sources. One of the study anxiety sources is language anxiety, which generally stems
from the thinking of both the student and teacher about the learning a language, interactions using
the language, and classroom procedures. In this scenario, how anxiety affects the performance of
a student is presented, with the study stating how students suffering from high anxiety tend to
commit more grammatical errors and have more difficulty giving speeches compared to students
with low anxiety. Math anxiety is the incapability for a person to solve a math problem. People
with high math anxiety would often react express dislike, worry, or mental disorganization, among
Class presentations are also sources of anxiety, with research showing that it has a negative
impact on the student’s communication, this is also known as presentation anxiety. Students are
made to give presentations frequently, but several studies have shown that the act of public
speaking is the number one fear among people, with students being no exception. The anxiety
caused by presentations has a huge impact on the students, with some effects being the inability
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2.4. Anxiety Intervention Programs
programs. In a review done by Griffiths, Farrer, and Christensen (2010), the efficacy of internet
interventions for depression and anxiety disorders were determined. They compared different
existing intervention programs that targets an anxiety or depression condition through a website
or application. The intervention works either by having a monitor or by a self-help program. People
with monitors should tell their experiences to the monitors and they will be advised on what to do
and guided on how to overcome the symptoms. This may be done one-on-one or with a group that
shares experiences regularly. A self-help program uses pre-made guides that the person needs to
follow if he/she does not want to disclose his/her situation with another person. The mean outcome
scores of each patient before and after the program were determined. With the use of effect size
difference (ESD), it was shown that the internet interventions are effective.
A study done by Anderson et al. (2012) discusses school-based intervention programs for
children and adolescence with anxiety. The paper likewise compares several existing school-based
intervention programs, which are usually implemented by mental health clinicians employed by
research teams. These programs can be done in group sessions, which involve slow exposure to
factors that trigger anxiety and coping techniques, or these can be done in individual sessions,
Four programs were reviewed in the study, the first of which being The Cool Kids Program:
School Version. This is an eight-session program that lasts an hour each during school days with
a group of eight to ten students. It focuses on cognitive-behavioral treatment, and the development
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The second program is the Baltimore Child Anxiety Treatment Study in the Schools
(BCATSS), which provides mental health treatment for urban adolescents with anxiety disorders.
The program was made for a school environment and lower socioeconomic class; having twelve
weekly sessions that last thirty-five minutes each. Students are taught relaxation techniques,
held for students aged 10 to 15 who express symptoms of post-traumatic stress disorder (PTSD)
and depression from trauma exposure. This program was made to be done in a multicultural urban
setting, having ten weekly sessions that last an hour each with five to eight students per group.
There are also one to three individual sessions and two optional parent meetings. The treatment
Lastly, Skills for Academic and Social Success (SASS) is a group treatment for adolescents
with social anxiety disorder. This consists of twelve weekly sessions that last for 40 minutes, two
individual meetings, two parent meetings, two teacher meetings, and four social events. The group
sessions involve social skill training and assertiveness, while the individual sessions focus on goal
The effectivity of these programs was determined by comparing the scores of students that
undergo these therapies in school with the scores of other patients that receive treatment from
professional clinics. Results show that both patients in both settings statistically improved in their
condition but the school-based programs are more accessible than the programs in clinics.
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