Anxiety and Its Associated Factors Among School-aged Adolescents in East Jakarta, Indonesia during the Coronavirus Disease-2019 Pandemic

Authors

  • Ucha Maulana Akbar Undergraduate Studies, Faculty of Medicine, Universitas Trisakti, West Jakarta, Indonesia
  • Yenny Yenny Department of Pharmacology and Medical Pharmacy, Faculty of Medicine, Universitas Trisakti, West Jakarta, Indonesia https://orcid.org/0000-0001-9390-5527

DOI:

https://doi.org/10.3889/oamjms.2022.9448

Keywords:

Anxiety, Adolescents, Physical activity, Knowledge, COVID-19

Abstract

BACKGROUND: The coronavirus disease-2019 (COVID-19) pandemic can be a significant psychological stressor which is associated with increased levels of anxiety and stress during the COVID-19 pandemic.

AIM: To determine adolescent anxiety prevalence and associated risk factors.

MATERIALS AND METHODS: An online cross-sectional survey was performed from February to April 2021 at SMPN 9, East Jakarta, on 304 adolescents. The subjects were examined using sociodemographic form and self-report measures of anxiety, COVID-19 knowledge, and physical activity. The statistical significance level was set at p ˂ 0.05.

RESULTS: Median age was 14 years (range 12–16) and prevalence of anxiety 19.4%. Multivariable logistic regression findings: gender (adjusted odd ratio [aOR] = 2.50; 95% confidence interval [CI] = 1.26–4.98; p = 0.009), physical activity (aOR = 2.16; 95% CI = 1.15–4.06; p = 0.017;), knowledge level of COVID-19 (aOR = 1.81; 95% CI = 0.99–3.32; p = 0.053); age (aOR = 0.53; 95% CI = 0.19–1.46; p = 0.218); education (aOR = 0.96; 95% CI = 0.35–2.64; p = 0.932). Gender and physical activity were significantly associated with risk of adolescent anxiety.

CONCLUSION: Inactive physical activity status increases the risk of adolescent anxiety. Governmental regulations are needed on the planning and implementation of a health education program for increasing physical activity among adolescents to improve physical and mental health. As a follow-up to this study, there is a need for conducting a study to determine changes in prevalence rates of adolescent anxiety during as well as after the pandemic and its associated risk factors with a better design study.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Djalante R, Lassa J, Setiamarga D, Sudjatma A, Indrawan M, Haryanto B, et al. Review and analysis of current responses to COVID-19 in Indonesia: Period of January to March 2020. Prog Disaster Sci. 2020;6:100091. https://doi.org/10.1016/j.pdisas.2020.100091 PMid:34171011 DOI: https://doi.org/10.1016/j.pdisas.2020.100091

Governor of Special Capital Region of Jakarta. Regulation of the Governor of the Special Capital Region of Jakarta No. 33 2020 on the implementation of Large-Scale Social Restriction; 2020. Available from: https://covid19.go.id/p/regulasi/pergub-dki-jakarta-nomor-33-tahun-2020. [Last accessed on 2021 Nov 28].

Fawaz M, Samaha A. E-learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID-19 quarantine. Nurs Forum. 2021;56(1):52-7. https://doi.org/10.1111/nuf.12521 PMid:33125744 DOI: https://doi.org/10.1111/nuf.12521

Lee J. Mental health effects of school closures during COVID- 19. Lancet Child Adolesc Health. 2020;4(6):421. https://doi.org/10.1016/S2352-4642(20)30109-7 PMid:32302537 DOI: https://doi.org/10.1016/S2352-4642(20)30109-7

Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, et al. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. Eur Child Adolesc Psychiatry. 2020;29(6):749-58. https://doi.org/10.1007/s00787-020-01541-4 PMid:32363492 DOI: https://doi.org/10.1007/s00787-020-01541-4

Tang S, Xiang M, Cheung T, Xiang YT. Mental health and its correlates among children and adolescents during COVID-19 school closure: The importance of parent-child discussion. J Affect Disord. 2021;279:353-60. https://doi.org/10.1016/j.jad.2020.10.016 PMid:33099049 DOI: https://doi.org/10.1016/j.jad.2020.10.016

Chen X, Qi H, Liu R, Feng Y, Li W, Xiang M, et al. Depression, anxiety and associated factors among Chinese adolescents during the COVID-19 outbreak: A comparison of two cross-sectional studies. Transl Psychiatry. 2021;11(1):148. https://doi.org/10.1038/s41398-021-01271-4 PMid:33654058 DOI: https://doi.org/10.1038/s41398-021-01271-4

World Health Organization. Adolescent Mental Health. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health. [Last accessed on 2021 Aug 17].

Membride H. Mental health: Early intervention and prevention in children and young people. Br J Nurs. 2016;25(10):552-4, 556- 7. https://doi.org/10.12968/bjon.2016.25.10.552 PMid:27231738 DOI: https://doi.org/10.12968/bjon.2016.25.10.552

de Lijster JM, Dieleman GC, Utens E, Dierckx B, Wierenga M, Verhulst FC, et al. Social and academic functioning in adolescents with anxiety disorders: A systematic review. J Affect Disord. 2018;230:108-17. https://doi.org/10.1016/j.jad.2018.01.008 PMid:29407534 DOI: https://doi.org/10.1016/j.jad.2018.01.008

Tegethoff M, Belardi A, Stalujanis E, Meinlschmidt G. Association between mental disorders and physical diseases in adolescents from a nationally representative cohort. Psychosom Med. 2015;77(3):319-32. https://doi.org/10.1097/PSY.0000000000000151 PMid:25851547 DOI: https://doi.org/10.1097/PSY.0000000000000151

Raknes S, Pallesen S, Himle JA, Bjaastad JF, Wergeland GJ, Hoffart A, et al. Quality of life in anxious adolescents. Child Adolesc Psychiatry Ment Health. 2017;11:33. https://doi.org/10.1186/s13034-017-0173-4 PMid:28814971 DOI: https://doi.org/10.1186/s13034-017-0173-4

Pella JE, Slade EP, Pikulski PJ, Ginsburg GS. Pediatric anxiety disorders: A cost of illness analysis. J Abnorm Child Psychol. 2020;48(4):551-9. https://doi.org/10.1007/s10802-020-00626-7 PMid:32078089 DOI: https://doi.org/10.1007/s10802-020-00626-7

Xie X, Xue Q, Zhou Y, Zhu K, Liu Q, Zhang J, et al. Mental health status among children in home confinement during the coronavirus disease 2019 outbreak in Hubei Province, China. JAMA pediatrics. 2020;174(9):898-900. https://doi.org/10.1001/jamapediatrics.2020.1619 PMid:32329784 DOI: https://doi.org/10.1001/jamapediatrics.2020.1619

Silva LR, Seguro CS, de Oliveira CG, Santos PO, de Oliveira JC, de Souza Filho LF, et al. Physical inactivity is associated with increased levels of anxiety, depression, and stress in Brazilians during the COVID-19 pandemic: A cross-sectional study. Front Psychiatry. 2020;11:565291. https://doi.org/10.3389/fpsyt.2020.565291 PMid:33312136 DOI: https://doi.org/10.3389/fpsyt.2020.565291

Wright LJ, Williams SE, van Zanten JJ. Physical activity protects against the negative impact of coronavirus fear on adolescent mental health and well-being during the COVID-19 pandemic. Front Psychol. 2021;12:580511. https://doi.org/10.3389/fpsyg.2021.580511 PMid:33776827 DOI: https://doi.org/10.3389/fpsyg.2021.580511

Rosen Z, Weinberger-Litman S, Rosenzweig C, Rosmarin DH. Anxiety and Distress among the First Community Quarantined in the U.S Due to COVID-19: Psychological Implications for the Unfolding Crisis; 2020. https://doi.org/10.31234/osf.io/7eq8c DOI: https://doi.org/10.31234/osf.io/7eq8c

Jiao WY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello-Mantovani M, et al. Behavioral and emotional disorders in children during the COVID-19 epidemic. J Pediatr. 2020;221:264-6.e1. https://doi.org/10.1016/j.jpeds.2020.03.013 PMid:32248989 DOI: https://doi.org/10.1016/j.jpeds.2020.03.013

NurCita B, Susantiningsih TS. Dampak pembelajaran jarak jauh dan physical distancing pada tingkat kecemasan mahasiswa. J Borneo Holist Health. 2020;3(1):58-68. DOI: https://doi.org/10.35334/borticalth.v3i1.1389

Plomin R, Asbury K. Nature and nurture: Genetic and environmental influences on behavior. Ann Am Acad Pol Soc Sci. 2005;600:86-98. DOI: https://doi.org/10.1177/0002716205277184

Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934. DOI: https://doi.org/10.1016/j.psychres.2020.112934

Saefi M, Fauzi A, Kristiana E, Adi WC, Muchson M, Setiawan ME, et al. Survey data of COVID-19-related knowledge, attitude, and practices among Indonesian undergraduate students. Data Brief. 2020;31:105855. https://doi.org/10.1016/j.dib.2020.105855 PMid:32607405 DOI: https://doi.org/10.1016/j.dib.2020.105855

World Health Organization. Coronavirus Disease (COVID-19): Staying Active. How Much Physical Activity being Recommended? March 27; 2020. Available from: https://apps.who.int/iris/bitstream/handle/10665/44399/9789241599979_eng.pdf;jsessionid=1CA0AB344ADA8498780C49A85807429B?sequence=1. [Last accessed on 2020 Jun 05].

Erskine HE, Baxter AJ, Patton G, Moffitt TE, Patel V, Whiteford HA, et al. The global coverage of prevalence data for mental disorders in children and adolescents. Epidemiol Psychiatr Sci. 2017;26(4):395-402. https://doi.org/10.1017/S2045796015001158 PMid:26786507 DOI: https://doi.org/10.1017/S2045796015001158

Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745-52. https://doi.org/10.7150/ijbs.45221 PMid:32226294 DOI: https://doi.org/10.7150/ijbs.45221

Ifdil I, Putri YE, Amalianita B. Stress and anxiety among adolescents, during the covid-19 outbreak. Konselor. 2021;10(1):1-5. https://doi.org/10.24036/0202094111941-0-00 DOI: https://doi.org/10.24036/0202094111941-0-00

Sukmawati I, Ardi Z, Ifdil I, Zikra Z. Development and validation of acceptability of mental-health mobile app survey (AMMS) for android-based online counseling service assessment. J Phys Conf Ser. 2019;1339:012124. https://doi.org/10.1088/1742-6596/1339/1/012124 DOI: https://doi.org/10.1088/1742-6596/1339/1/012124

Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X, et al. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J Affect Disord. 2020;275:112-8. https://doi.org/10.1016/j.jad.2020.06.029 PMid:32658812 DOI: https://doi.org/10.1016/j.jad.2020.06.029

Magson NR, Freeman JY, Rapee RM, Richardson CE, Oar EL, Fardouly J. Risk and protective factors for prospective changes in adolescent mental health during the COVID-19 pandemic. J Youth Adolesc. 2021;50(1):44-57. https://doi.org/10.1007/s10964-020-01332-9 PMid:33108542 DOI: https://doi.org/10.1007/s10964-020-01332-9

Altemus M, Sarvaiya N, Neill Epperson C. Sex differences in anxiety and depression clinical perspectives. Front Neuroendocrinol. 2014;35(3):320-30. https://doi.org/10.1016/j.yfrne.2014.05.004 PMid:24887405 DOI: https://doi.org/10.1016/j.yfrne.2014.05.004

Peper JS, Dahl RE. Surging hormones: Brain-behavior interactions during puberty. Curr Dir Psychol Sci. 2013;22(2):134-9. https://doi.org/10.1177/0963721412473755 PMid:26290625 DOI: https://doi.org/10.1177/0963721412473755

Östberg V, Plenty S, Låftman SB, Modin B, Lindfors P. School demands and coping resources-associations with multiple measures of stress in mid-adolescent girls and boys. Int J Environ Res Public Health. 2018;15(10):2143. https://doi.org/10.3390/ijerph15102143 PMid:30274260 DOI: https://doi.org/10.3390/ijerph15102143

Suresh R, Alam A, Karkossa Z. Using peer support to strengthen mental health during the COVID-19 pandemic: A review. Front Psychiatry. 2021;12:714181. https://doi.org/10.3389/fpsyt.2021.714181 PMid:34322045 DOI: https://doi.org/10.3389/fpsyt.2021.714181

Ali K, Farrer L, Gulliver A, Griffiths KM. Online peer-to-peer support for young people with mental health problems: A systematic review. JMIR Ment Health. 2015;2(2):e19. https://doi.org/10.2196/mental.4418 PMid:26543923 DOI: https://doi.org/10.2196/mental.4418

Khosravi M. COVID-19 quarantine: Two-way interaction between physical activity and mental health. Eur J Transl Myol. 2021;30(4):9509. https://doi.org/10.4081/ejtm.2020.9509 PMid:33520149 DOI: https://doi.org/10.4081/ejtm.2020.9509

Zhang Y, Zhang H, Ma X, Di Q. Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: A longitudinal study of college students in China. Int J Environ Res Public Health. 2020;17(10):3722. https://doi.org/10.3390/ijerph17103722 PMid:32466163 DOI: https://doi.org/10.3390/ijerph17103722

Buchan MC, Romano I, Butler A, Laxer RE, Patte KA, Leatherdale ST. Bi-directional relationships between physical activity and mental health among a large sample of Canadian youth: A sex-stratified analysis of students in the COMPASS study. Int J Behav Nutr Phys Act. 2021;18(1):132. https://doi.org/10.1186/s12966-021-01201-z PMid:34627283 DOI: https://doi.org/10.1186/s12966-021-01201-z

Mailey EL, Wójcicki TR, Motl RW, Hu L, Strauser DR, Collins KD, et al. Internet-delivered physical activity intervention for college students with mental health disorders: A randomized pilot trial. Psychol Health Med. 2010;15(6):646-59. https://doi.org/10.1080/13548506.2010.498894 PMid:21154018 DOI: https://doi.org/10.1080/13548506.2010.498894

Deng CH, Wang JQ, Zhu LM, Liu HW, Guo Y, Peng XH, et al. Association of web-based physical education with mental health of college students in Wuhan during the COVID-19 outbreak: Cross-sectional survey study. J Med Internet Res. 2020;22(10):e21301. https://doi.org/10.2196/21301 PMid:32997639 DOI: https://doi.org/10.2196/21301

Jackson SB, Stevenson KT, Larson LR, Peterson MN, Seekamp E. Outdoor activity participation improves adolescents’ mental health and well-being during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18(5):2506. https://doi.org/10.3390/ijerph18052506 PMid:33802521 DOI: https://doi.org/10.3390/ijerph18052506

Downloads

Published

2022-04-25

How to Cite

1.
Akbar UM, Yenny Y. Anxiety and Its Associated Factors Among School-aged Adolescents in East Jakarta, Indonesia during the Coronavirus Disease-2019 Pandemic. Open Access Maced J Med Sci [Internet]. 2022 Apr. 25 [cited 2024 Apr. 16];10(B):1122-8. Available from: https://oamjms.eu/index.php/mjms/article/view/9448

Funding data