A Study to assess the Effectiveness of Self-Instructional Module on Reduction of Social Anxiety among Adolescents
Subscribe/Renew Journal
Background: Adolescence is the most alarming stage during which a sense of awareness develops. The awareness of self and society can make the adolescents perplexed as too much is expected from them at a primordial phase of life. The parental and peer group pressure are the two contributing factors towards increase in stress and anxiety. Many adolescents are sensitive of how others see them and react to them, and this awareness makes them feel apprehensive and socially anxious. Social anxiety then is manifested by anxiety about and avoidance of social interactions, often linked to negative outcomes from social interactions with family, friends and teachers. It thereby leads to stage fear, poor academic performance and low self esteem accompanied by problems in cognition and behavior.
Objectives:
1) To assess the level of social anxiety among adolescents
2) To develop a self instructional module to reduce social anxiety
3) To assess the effectiveness of self instructional module on reduction of social anxiety
Design: The research design selected for the present study was exploratory survey for the stage 1 and experimental study on one group pre test post test design for stage 2. Setting: Higher secondary schools, Pune city. Participants: 210 adolescents including both boys and girls fulfilling the inclusion criteria were selected by stratified random sampling technique. Out of which 23 students with moderate level of social anxiety were administered a self instructional module. Methods: The study was conducted in two stages. In stage 1, all participants were assessed with the help of a questionnaire and the level of social anxiety was denoted. Then a self instructional module was developed. In the stage 2, the interventional group of adolescents having moderate level of social anxiety were provided self instructional module to reduce social anxiety. The participants were instructed to refer it as and when they anticipate socially stressful situation. After three months of intervention a post test was conducted. Results: Out of 210 samples, (28.57%) adolescents’ father’s education was higher secondary, (35.71%) adolescents’ mother’s education was higher secondary and (39.05%) had family monthly income as Rs > 13500. The findings revealed that 99 (47.14%) adolescents have mild social anxiety, 88 (41.90%) have no social anxiety, 23 (10.95%) have moderate social anxiety and none have severe social anxiety. In the study 122 (58.10%) adolescents have an average home environment, 86 (40.95%) have good home environment and 2 (0.95%) have poor home environment. Results also denoted that 178 (84.76%) adolescents have an average school environment, 27 (12.86%) have good school environment and 5 (2.38%) have a poor school environment. The interventional group of 23 (10.95%) adolescents having moderate level of social anxiety has shown a marked reduction in the anxiety levels after using the self instructional module. The effectiveness of self instructional module was assessed by using‘t’ test which was significant at (P < 0.001) Conclusion: The adolescents have mild to moderate levels of social anxiety which calls for measures of reduction. In almost any socially stressful situation the adolescents have availed the benefits of this module, which has proven effective and handy in reducing the social anxiety.
Keywords
- Alexander K. Kaeppler. Stephan. A. Erath. Linking social anxiety with social competence in Early Adolescence: Physiological and coping moderators. Journal of Abnormal Child Psychology. June 2016. Available from URL: http://link.springer.com/article/10.1007/s10802-016-0173-5
- Annette M La Greca, et al. Preventing adolescent social anxiety and depression and reducing peer victimization: Intervention development and open trial. Child and Youth Care Forum. June 2016. Available from URL: http://link.springer.com/article/10.1007/s10566-016-9363-0
- Shu Su. Gregory S. Pettit. Stephan A. Erath. Peer relations, parental social coaching and young adolescent social anxiety. Journal of Applied Developmental Psychology. JanuaryFebruary 2016. Available from URL: http://www.sciencedirect.com/science/article/pii/S0193397315001124
- Jose PE, Wilkins H, Spendelow JS. Does social anxiety predict rumination and co-rumination among adolescents? Journal of Clinical Child and Adolescent Psychology. 2012, Jan;41(1):8691. Available from: URL:http://www.ncbi.nlm.nih.gov/pubmed/22233248
- Peng ZW, Lam LT, Jin J. Factors Associated with Social Interaction Anxiety among Chinese Adolescents. East Asian Archives of Psychiatry. 2011 Dec;21(4):135-41 Available from URL: http://www.ncbi.nlm.nih.gov/pubmed/22215787
- Van Zalk N, Van Zalk MH, Kerr M. Socialization of social anxiety in adolescent crowds. Journal of Abnormal Child Psychology. 2011 Nov; 39(8):1239-49. Available from URL: http://www.ncbi.nlm.nih.gov/pubmed/21695445
- Blumenthal H et al. Elevated social anxiety among early maturing girls. Developmental Psychology. 2011, Jul;47(4):1133-40. Available from URL :http://www.ncbi.nlm.nih.gov/pubmed/21604866
- Hofman Stefan .G, Dibartolo Patricia .M. Social anxiety. Second edition. London: Academic press; 2010.
- R Sreevani. A Guide to Mental Health and Psychiatry Nursing. Third edition. New Delhi: Jaypee Brothers Medical Publishers; 2010.
- Clement I. Sociology for nurses. India: Dorling Kindersley; 2010
- Randy O. Frost, Katharine Glossner, Sarah Maxner. Social Anxiety Disorder and Its Relationship to Perfectionism. Clinical, Developmental, and Social Perspectives. Social anxiety. 2010. Second Edition. Available from URL: http://www.sciencedirect.com/science/article/pii/B9780123750969000055
- James D. Herbert, Alyssa A. Rheingold, Lynn L. Brandsma. Assessment of social anxiety and social phobia. Clinical, Developmental, and Social Perspectives. Social Anxiety. 2010. Second Edition. Available from URL: http://www.sciencedirect.com/science/article/pii/B978012375096900002X
- Blöte AW et al. Nervousness and performance characteristics as predictors of peer behavior towards socially anxious adolescents. Journal of Youth and Adolescence. 2010, Dec; 39(12):1498-507. Available from: URL: http://www.ncbi.nlm.nih.gov/pubmed/19842023
- Cakin Memik N et al. Social anxiety level in Turkish adolescents. European Child and Adolescent Psychiatry. 2010 Oct; 19(10):765-72. Available from URL: http://www.ncbi.nlm.nih.gov/pubmed/20614147
- R Sreevani. Psychology for nurses. First edition. New Delhi: Jaypee Brothers Medical Publishers; 2009.
- Tomas Furmark. Guided and unguided self help for social anxiety disorder: randomized controlled trial. The British Journal of Psychiatry. October 2009. Available from URL: http://bjp.rcpsych.org/content/195/5/440.short
- Blumenthal Heidemarie et al. Interactive Roles of Pubertal Timing and Peer Relations in Predicting Social Anxiety Symptoms among Youth. Journal of Adolescent Health. 2009 April; 44(4):401–403. Available from URL: http://www.sciencedirect.com/science/article/pii/S1054139X08004199
- Anbumalar .A, Habeeb Roshan. Psychological status- Prevalence of anxiety among prepubertal and pubertal girls. Prism’s Nursing Practice. 2008; Vol 4 (1 and 2): 38
- Naik S.C, Tiwari T.N. Society and Environment. New Delhi: Mohan Primlani for Oxford and IBH Publishing; 2007.
- Katja Beesdo Ph D et al. Incidence of Social Anxiety Disorder and the Consistent Risk for Secondary Depression in the First Three Decades of Life. 2007. August. Vol 64. No. 8 . Available from URL: http://archpsyc.jamanetwork.com/article.aspx?articleid=482391
- Stuart Gail .W, Laraia Michele .T. Principles and Practice of Psychiatric Nursing. Eighth edition. New Delhi: Elsevier publication; 2005.
- Eric A Storch, Carrie Masia-Warner. The relationship of peer victimization to social anxiety and loneliness in adolescent females. Journal of Adolescence. 2004. June. Volume 27, Issue 3 Available from URL: http://www.sciencedirect.com/science/article/pii/S0140197104000351
- Social anxiety. From Wikipedia, the free encyclopedia. [Online] (cited on 2012 February 09 at 7:30 pm). Available from URL: http://en.wikipedia.org/wiki/Social_anxiety
Abstract Views: 315
PDF Views: 0