TSI—Teacher stress inventory, DP—Depersonalization, PA—Personal accomplishment, EE—Emotional exhaustion, Y-CBT—Yoga-Based Cognitive Behavioral Therapy, CBT—Cognitive Behavioral Therapy, MBI—Mindfulness-Based Intervention, MBSR—Mindfulness-Based Stress Reduction, WLC—Waitlist control, RCT—Randomized control trial, NR—Not reported, IG—Intervention group, CG—Control group, CASS—Classroom Assessment Scoring System, SD—Standard Deviation, h (s)—Hour (s).
Other interventions to reduce stress and burnout in teachers.
Authors/Year | Country | Study Design | Intervention: Focus and Content | Study Procedures | Participants, Sample Size | Age (Range, Mean, SD) | Scales Used to Measure Primary Outcome | Key Findings |
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Chesak et al., 2019 [ ] | USA (North America) | Non RCT: Prospective, single-group follow-up study | Focus: Stress Content: Stress Management and Resiliency Training Program (SMART). Initial 1.5 h session for discussion of the essential components of the program. The online program consisted of 12 self-paced modules. Weekly emails were sent to the participants (weeks 8 through 52) of the study. Eight 1-h teleconferences were provided at regular intervals. | SMART program participants completed a follow-up survey at 2, 6, and 12 months. | Teachers n = 55 | Mean age = 47.7 (SD = 9.9) | Perceived Stress Scale (PSS-10) | Stress was significantly lower at each follow-up (2, 6, and 12 months) compared with baseline ( = 0.003). |
Chirico et al., 2020 [ ] | Italy (Europe) | RCT | Focus: Burnout Content: Christian prayer and prayer-reflection. Combination of individual Christian prayer and a focus group of prayer-reflection. Participants received two 30 min training sessions a week over 2 months. | Teachers were randomized into two: prayer treatment (n = 25) or CG (n = 25). | Teachers n = 50 | IG: mean age = 35.6 years (SD = 6.8) CG: mean age = 37.5 years (SD = 8.2). | Maslach Burnout Inventory- Educators Survey (MBI-ES), Italian version | Significant improvement across all outcome measures in the treatment group; EE ( < 0.001), DP ( < 0.001) with moderate to large effect size. |
Dewi et al., 2018 [ ] | Indonesia (Asia) | Non RCT: Quasi-experimental design | Focus: stress Content: Daily Progressive Muscle Relaxation with Music and Aromatherapy (PMR). Four sessions in four days. Each session lasted for 20 min. During the intervention, music was also played for 20 min. | Teachers were evenly assigned to the IG and CG. | Vocational and high school teachers n = 46 | The in the IG: mean age = 32.4 years CG: mean age = 32.8 years | Teacher Stress Inventory (TSI) | Stress level in the IG decreased compared to participants in CG ( = 0.000), indicating significant differences in the stress levels between the IG and the CG. |
Schoeps et al., 2019 [ ] | Spain (Europe) | Non RCT: Quasi-experimental design | Focus: Stress, burnout Content: The Ability Model of Emotional Intelligence Training Program. Five 2 h sessions, over three months in groups of 15–20 teachers. | Participants were assigned to the IG (n = 135) or to the CG (n = 205). Outcome measures were collected before the training (T1), after the training (T2), and at 6--month follow-up (T3). | Teachers n = 340 | Age range 22 to 63 years Mean age = 42.6 years (SD = 9.00). | Spanish Burnout Inventory. Depression, Anxiety and Stress Scales (DASS-21), Spanish version | IG showed marginal significant differences for burnout ( = 0.06), but no significant differences for emotional symptoms, ( = 0.31). Reduced levels of work-related stress and emotional symptoms in IG compared to the CG. |
Kim & Gurvitch, 2020 [ ] | USA (North America) | Non RCT: Mixed-methods, quasi-experimental design | Focus: Stress Content: Sports-Based Physical Activity Program included 7 weeks of training in Catchball, a team sport and a tournament as the culminating event. | Program participants IG (n = 12) or non-program participants CG (n = 20). | Teachers n = 32 | IG: age range 24 to 55 Mean age = 40.1 years CG: age range 28 to 67 Mean age = 47.5 years. | Perceived Stress Scale (PSS-10) | Qualitative result: Sports-Based Physical Activity Program helped decrease the teachers’ stress level. PSS score did not appreciably change. |
Oliveira et al., 2022 [ ] | Portugal (Europe) | Non RCT: Quasi-experimental study | Focus: Stress, burnout Content: A+ intervention, an online social and emotional learning intervention. | 42 assigned to the experimental group. Data on the efficacy of the A+ was collected across four waves using a set of self-report questionnaires | Elementary-school teachers n = 81 | Mean age = 46.2 years (SD = 4.8), | Perceived occupational stress scale. Maslach Burnout Inventory—Educators Survey (MSB-ES) (Portuguese version) | A+ increased emotional wellbeing, decreased occupational stress and EE symptoms. |
Schnaider-Levi et al., 2020 [ ] | Israel (Asia) | Non RCT: Quasi-experimental design. | Focus: Stress, burnout Content: Inquiry-Based Stress Reduction (IBSR) cognitive-reframing program.12-week IBSR program with 4.5 h of weekly engagement. The IBSR intervention included weekly group meetings (3.5 h per meeting) and weekly individual sessions with a facilitator (1 h/session) for 12 weeks | Prospective intervention with a passive CG. | Teachers n = 53 | IG: mean age 46.3 years (SD = 6.5) CG: mean age 46.5 years (SD = 6.1) | Maslach Burnout Inventory -MBI Perceived Stress Scale (PSS-10); Depression, Anxiety, Stress Scales (DASS-21) | Teachers in the IG showed improvements in EE; ( = 0.01) and PA ( = 0.04). Significant changes in DASS scales were not observed within or between groups. |
Sun et al., 2018 [ ] | China (Asia) | Non RCT: Prospective controlled longitudinal study | Focus: Stress Content: Group sandplay. 3-h tutorial on the effect of psychological pressure at work and participants were introduced to the working principles and process of sandplay. | Participants were equally divided into two groups: An experimental sandplay group EG (n = 97) or CG (n = 97). | 194 Teachers | EG (Mean age 36.9 years SD 12.2) CG (Mean age 37.5 years SD 10.6) | Simplified Coping Style Questionnaire | EG participants shifted from passive coping to active coping. Group sandplay effectively improved teachers’ overall stress coping abilities. |
Thephilah et al., 2020 [ ] | India (Asia) | Non RCT: Group comparison study | Focus: Stress, burnout Content: Autogenic relaxation Stress Management Program. 6 sessions, once a week for 6 weeks. Progressive steps are introduced and practiced for 15–20 min whilst concentrating on breathing and relaxation of muscles. | Teachers assigned to a CG (n = 14) and experimental group (n = 14). | Private and fully aided schoolteachers n = 28 | Age range 25 to 60 years. | Maslach Burnout inventory teacher Stress Inventory (TSI) | Median value in the pre-test scores were significantly different from the median post-test scores for EE ( = 0.02). Work-Related Stressors (t = 244 = 0.05) subscales |
Zadok-Gurman et al., 2021 [ ] | Israel (Asia) | Non RCT: Prospective controlled trial | Focus: Stress, Burnout Content: Blended Inquiry-Based Stress Reduction (IBSR). 10 biweekly group meetings (2.5 h/meeting) and biweekly individual sessions with a facilitator (1 h/session) for 20 weeks. Face-to-face, and online learning. | IBSR IG (n = 35) and CG (n = 32). The sessions were conducted in blended learning that included traditional learning (face-to-face) and online learning. | Teachers n = 67 | Age ranged between 34 to 67 (M = 45) years | Perceived Stress Scale (PSS-10). Maslach Burnout Inventory (MBI) | Teachers in both IG and CGs showed deterioration in EE scores but IG was less substantial than in the CG ( < 0.01). PSS-10 scores: no differences were observed between the groups. |
Mindfulness-based interventions, CBT, and Yoga, either alone or in combination.
Authors/Year | Country (Continent) | Study Design | Intervention: Focus and Content | Study Procedures | Participants, Sample Size | Age (Range, Mean, SD) | Scales Used to Measure Primary Outcome | Key Findings |
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Akanaeme et al., 2021 [ ] | Nigeria (Africa) | Randomized control trial (RCT), with “waitlist” control (WLC) | Focus: Stress Content: Yoga and CBT (Y-CBT) program. (12 weekly 2-h sessions including meditation practices and breathing exercises). | Participants were randomly assigned to a Y-CBT group (n = 29) or WLC group (n = 29). Pre-, post- and follow-up outcome assessment. | Special education teachers, n = 58 | Y-CBT: mean age = 31.8 years. WLC: mean age = 32.1 | Single Item Stress Question (SISQ); Teacher Stress Inventory (TSI) | Improvement in TSI score of Y-CBT and WLC groups at post-test, ( = 0.00), and follow-up. ( = 0.00). Improved SISQ ratings in the Y-CBT participants compared to the WLC group. |
Ansley et al., 2021 [ ] | USA (North America) | RCT | Focus: Burnout Content: 8 self-paced, 30 min, asynchronous, online modules on occupational wellness, self-care, mindfulness, and cognitive restructuring. | Participants were randomly assigned to the online IG or CG. Self-report scales collect pre-, and post-intervention information. | Teachers (e.g., Special education, general education teachers, paraeducators etc., n = 51) | Age ≤ 24 years (31%); 25–34 years (49%); 35+ years (40%) | Maslach Burnout Inventory—Educators Survey (MBI-ES) | IG experienced improvement in coping ability, efficacy, and P.A, although PA increases were not significant. IG also experienced significant decreases in E.E. ( = 0.05) and D.P ( = 0.07). |
Bonde et al., 2022 [ ] | Denmark (Europe) | Cluster RCT waitlist | Focus: Stress Content: Mindfulness-Based Stress Reduction (MBSR) is a curriculum-based intervention consisting of 8 weekly 2.5 h sessions, 7 h silent retreat, and daily mindfulness practice (1 h, 6 days per week). | Teachers were cluster randomized to the first offering of MBSR program (in 2019) or WLC group (which received the intervention in 2020). | Teachers n = 191 | Mean age 45.2 years | Perceived Stress Scale (PSS-10) | At 3 months PSS scores were lower for the IG compared to WLC participants. Similar results were obtained at 6 months for the CG. |
Carroll et al., 2022 [ ] | Australia (Oceania) | Non RCT: Matched sample longitudinal design | Focus: Stress, Burnout Content: Mindfulness-Based Stress Reduction Intervention (MBSR). 8 weekly 2.5-h group session, daily home practice, and a full day retreat in week 5 or 6. | Participants were assigned to either the (MBSR group; n = 42) or Health Enhancement Program (HEP group; n = 41), Participants were assessed across three time points: | 75 Teachers | Age range: 22 to 69 years Mean age = 45.28 (SD = 11.5) | Perceived Stress Scale (PSS-10). Copenhagen Burnout Inventory (CBI). Depression Anxiety Stress Scales (DASS–21) | Both MBSR and HEP resulted in reduced perceived stress from pre-to post-intervention and follow-up. PSS scores ( ≤ 0.001). DASS stress, ≤ 0.001, and work burnout, ( < 0.001) with large effect sizes. |
Cheng et al., 2022 [ ] | China (Asia) | Non RCT: Quasi-experimental (mixed methods) design | Focus: Stress; Burnout Content: 4 sessions, weekly mindfulness training (MT) intervention included MBSR and Mindfulness-Based Cognitive Therapy (MBCT exercises). | Participants were assigned to the MT IG s (n = 35, comparison group n = 35, qualitative group n = 24) | kindergarten teachers n= 70 qualitative n = 24 | Age range 21 to 50 years. Mean age = 30.96 years (SD = 6.7). | Depression, Anxiety and Stress Scales (DASS-21). Maslach Burnout Inventory (MBI- GS). | Reduction in MT and comparison group Stress; DASS total score = 0.03, and burnout = 0.02 Depersonalization = 0.02 No significant differences were found for EE = 0.2, Lack of PA = 0.08 |
Dave et al., 2020 [ ] | USA (North America) | Non RCT: Longitudinal cohort design | Focus: Burnout Content: Inner Journey Mindfulness-Based Stress Reduction (IJ-MBSR): an original MBSR, eight 2.5–3-h classes sessions, a day silent retreat, 45 min of daily structured practice. the IJ-MBSR format emphasized loving kindness and included elements of MBCT. | The first two cohorts (n = 78) completed the IJ-MBSR. n = 158. | 236 (Private and public K-12 Teachers) | Age range 22 to 68 years Mean age = 48.8 years (SD = 11.4) | Maslach Burnout Inventory—Educator Survey (MSB-ES) | Statistically significant differences were found in two components of burnout; EE decreased, ( = 0.001), and P.A increased ( = 0.001). |
Dike et al., 2021 [ ] | Nigeria (Africa) | Group-RCT | Focus: Stress, burnout Content: Yoga and Cognitive Behavioral Therapy (Y-CBT). 12 weekly 2-h, sessions. | Participants were randomly assigned to Y-CBT (n = 29) or WLC (n = 29) groups. Baseline, post-test, and follow-up assessment. | Special education teachers, n = 58 | NR | Single Item Stress Questionnaire (SISQ); Maslach Burnout Inventory—Educators Survey (MBI-ES) | Y-CBT group reported significant reduction in overall MBI-ES scores across Time 1 and 2; ( = 0.00); but not significant across Time 2–3; ( = 0.21). No significant changes in MBI-ES scores in the WLC group across Time 1–2, = 0.12, and Time 2–3 = 0.1 |
Fabbro et al., 2020 [ ] | Italy (Europe) | Non RCT: Prospective, controlled longitudinal study. | Focus: Stress, Burnout Content: Mindfulness-Oriented Meditation (MOM): 8 weekly sessions (no day-long mindfulness retreat). | Teachers were assigned to a MOM group (n = 19) or a WLC group (n = 20). | Female Teachers n = 39 | MOM: age range 28–63 Mean age 51.5 (SD = 9.2) CG: age range 34–60 Mean age = 50.2 (SD = 8.28) | Teacher Stress Inventory (TSI); Maslach Burnout Inventory—Educators Survey (MSB-ES) | Teachers in the MOM group had lower stress and burnout levels compared to the WLC group. = 0.04. Post-hoc test showed decrease of TSI scores in the MOM group ( = 0.01) EE subscale, ( = 0.02), and ( = 0.06) respectively. |
Ghasemi et al., 2022 [ ] | Iran (Asian) | RCT | Focus: Burnout Content: Group-based cognitive–behavioral therapy (CBT) program (8 weeks-session) | Teachers were randomly assigned to either a group- CBT program or a WLC group. Multiple assessments at pre-treatment, post-treatment, and 6-month follow-up. | Teachers n = 62 | Mean age = 31.5 years (SD = 4.6) | Maslach Burnout Inventory—Educators Survey (MBI-ES) | Improved outcomes for treatment group compared to the WLC on the three subscales of the MBI-ES (E.E, D.P, and reduced P.A) scores (teachers at post-treatment, with improvement maintained at 6-month follow-up |
Hepburn et al., 2021 [ ] | Australia (Oceania) | Non RCT: mixed methods design | Focus: Burnout, Stress Content: 6 weekly sessions of an intervention focused on strategies and techniques for enhancing awareness and regulation of the stress response through cognitive and physiological mechanisms. | Self-selected participants registered for the study. Both qualitative and quantitative. Multiple assessments: pre-, post-, and 3-month follow-up. | Teachers n = 24 | Age range 23 to 58 years. Mean age = 36.9 (SD = 11.7). | Perceived Stress Scale (PSS-10); Maslach Burnout Inventory—Educators Survey (MBI-ES). | IG: a significant decrease in perceived stress scores. There was also a decrease in MSI-ES, E.E, PA and D.P subscales scores. |
Hwang et al., 2019 [ ] | Australia (Oceania) | Cluster RCT design | Focus: Stress Content: Mindfulness-based intervention (MBI) including yoga. 8 weekly 1.5 hrs. organized at 10 schools. | Teachers were randomized to an IG or a CG MBI was implemented at 10 schools. The same intervention I was provided at 10 schools in the CG during the third school term. | Teachers n = 185 | IG: mean age = 42.3 years CG: mean age = 43.7 years. | Perceived Stress Scale (PSS-10) | IG had lower levels of perceived stress ( < 0.01). |
Kuyken et al., 2022 [ ] | England (UK) (Europe) | Cluster RCT | Focus: Stress, Burnout Content: Universal School-Based Mindfulness Training (SBMT). 8-sessions Mindfulness-Based Cognitive Therapy for life (MBCT-L) program. Each session was 2 h a week and 40 min per day of mindfulness practice. | Teachers from 85 schools were randomized to either teaching as usual (TAU) or include universal SBMT. 8-week personal | Teachers n = 672 | SBMT: mean age 40.2 years (SD 8.9) TAU: mean age 39.1 years (SD 9.2) | Maslach Burnout Inventory—Educator Survey (MBI-ES); Perceived Stress Scale (PSS-10) | EE (−0.22; 95% CI −0.38 to −0.05); PA (−0.21; −0.41, −0.02); Effects on burnout were not significant at 1-year follow-up. SBMT supports short-term changes in teacher burnout |
Maratos et al., 2019 [ ] | England (UK) (Europe) | Non RCT: Mixed methods | Focus: Stress, Burnout Content: 6 sessions, each lasting about 2.5 h compassionate mind training (CMT) program | The psychoeducational aspect was followed by the introduction of two short exercises. Quantitative and qualitative design outcome measures collected 2 months prior to first session—T1, one week prior to—T2, and one-month post-intervention—T3; qualitative analysis of implementation (post-intervention focus group). | Teachers and support staff, n = 70 | T1- Mean age = 40.5 years T2- Mean age = 38.1 years T3- Mean age = 36.1 years | Depression, Anxiety and Stress Scales (DASS-21). Maslach Burnout Inventory (MBI-GS) | EE significantly decreased from T1 to T2 ( = 0.03). P.A significantly increased from T1 to T2, ( = 0.03). No significant differences with respect to E.E or P.A were obtained at T3 compared to T2 ( > 0.1). |
Matos et al., 2022 [ ] | Portugal (Europe) | RCT (waitlist) | Focus: Stress, Burnout Content: 8 weekly sessions, 2.5 h each Compassionate Mind Training program for Teachers (CMT-T) | Teachers were randomized to a CMT-T group or a WLC group. | Public school teachers n = 155 | Age: range 25 to 63 years Mean age = 51.4 (SD = 7.2). | Depression, Anxiety and Stress Scales (DASS-21). Shirom-Melamed Burnout Measure (SMBM). | CMT-T group: significant decrease in burnout from T1 to T2. WLC participants who received CMT-T showed decreases in burnout and stress. Burnout ( = 0.036) All differences reflected large effect sizes. |
Mihic et al., 2020 [ ] | Croatia (Europe) | Non RCT, Prospective controlled longitudinal study | Focus: Burnout Content: Mindfulness-Based Social-Emotional Learning Program CARE 30 h over five in-person training days (6 h each). 2-day weekend session (12 h) followed by a 2-day session a week later. Then a 1-day booster session | The CARE for Teachers training. n = 25 received CARE f and n = 29 was in the control condition. | Teachers and school personnel from public schools n = 54 | Age range23 to 63 Mean age = 42.55 (SD = 10.63). | Maslach Burnout Inventory—MBI | There were no effects of the intervention on burnout measures at follow-up. |
Molloy Elreda et al., 2019 [ ] | USA (North America) | Cluster RCT | Focus: Stress Content: Mindfulness-Based Emotion Skills Program. Interpersonal mindfulness. Each observation was composed of three 22-min cycles, including 15 min of observing CLASS indicators and 7 min of coding. | Trained, independent researchers used the K-3 CLASS to observe and assess participants on two separate days within the same week for approximately an hour each day while the target teacher was leading the class. | Teachers n = 224 | Age range 22 to 73 years. | Perceived Stress Scale (PSS-10) | Significant relation between teachers’ perceived stress and teachers’ emotional supportiveness in the classroom ( = 0.04). Interpersonal mindfulness served as a protective factor for teachers at high levels of stress. |
Song et al., 2020 [ ] | China (Asia) | Non RCT: Group comparison study | Focus: Stress Content: Mindfulness Training (MT) 4-day intensive program. The training course delivered by the therapist lasted 8 h from 9 a.m. to 5 p.m. with 2 h midday rest on each day. | Teachers voluntarily signed up to participate in different monthly courses depending on their work schedules, mindfulness group, April course, or the waitlist group July course. | Primary, middle, and high school public teachers n = 161 | Age range 24 to 55 years Mean age = 38.5 years (SD = 6.8) | Perceived Stress Scale (PSS-10), Chinese version | MT program decreased teachers’ stress and improved emotional health. |
Tarrasch et al., 2020 [ ] | Israel (Asia) | Random/passive control trial | Focus: Stress, burnout Content: “Call to Care—Israel for Teachers” (C2CIT) program utilizes mindfulness, compassion, and social-emotional skill training, and self-care. 20 weekly meetings. Each session in the 3 modes lasted 90 min. | Teachers were allocated into either the C2CIT program, or passive control. Sessions included psychoeducational materials. | Middle school teachers n = 44 | Age range 28 to 52 Mean age = 34.9 (SD = 7.9) | Perceived Stress Scale (PSS-10), Maslach Burnout Inventory (MBI) | Distress, perceived stress, and self-compassion scores improved for teachers in the C2CIT group. Significant change in perceived stress, < 0.001 in C2CIT group. C2CIT vs Passive Control: E.E: = 0.85, = 0.068 D.P: = 0.47, = 0.53 Reduced P.A: = 0.61, = 0.29 |
Taylor et al., 2021 [ ] | USA (North America) | Randomized waitlist-control design. | Focus: Stress, Burnout Content: Brief Mindfulness-Based Interventions (bMBI). Four total sessions; six total contact hours. Duration, 16 weeks and included one 90-min session per month. | Teachers were randomly assigned to either the IG (n = 12) or WLC (n = 12) group and received the intervention respectively (January to June) and the Fall (August to November) semester of 2018. | High school teachers n = 24 | Age range 25 to 70 Mean age = 42.8 | Maslach Burnout Inventory—Educators Survey (MBI-ES); Teacher Stress Inventory (TSI) | Significant reductions in teacher stress for the IG from pre-to post intervention = 0.001 and work-Related Stressors, = 0.01 Significant reductions in symptoms of burnout from pre-to post-intervention ( = 0.01) Significant reductions from pre-to post-intervention on the EE; = 0.003 but not DP or PA. |
Todd et al., 2019 [ ] | Wales (UK) (Europe) | Non RCT: Mixed methods “natural experiment evaluation”. | Focus: Stress Content: Mindfulness-Based Stress Reduction (MBSR). 8-week, 2 h per week MBSR course focused on experiential learning, and 8-week, 1.5 h per week informational-focused mindfulness course (“Foundations”) | Comparison of a MBSR and informational-focused mindfulness course (“Foundations” courses) | Primary and secondary school teachers; n = 69 | MBSR- Age range 28 to 61 years Mean age = 42.5 years Foundation Course Age range 24 to 58 years Mean age = 40. | Perceived Stress Scale (PSS-10) | Both courses were associated with significant reductions in stress. |
Tsang et al., 2021 [ ] | China (Asia) | RCT (waitlist) | Focus: Stress Content: Mindfulness-Based Interventions—“Foundations course”. 8 weekly 1.5 h sessions based on MBSR and MBCT, with audio guides to support 20 min daily practice. | Teachers were randomly assigned to mindfulness training (eight-week Foundations) or WLC condition. Multiple assessments. | Primary and secondary school teachers n = 186 | Age range 22 to 59 years Mean age = 39.6. (SD = 9.4) | Perceived Stress Scale (PSS-10) | IG reported significantly higher levels of life satisfaction, positive affect and general health. IG had significantly lower levels of stress than the WLC at post-test and 2-month follow-up. The effect sizes were medium to large. |
Berkovich-Ohana et al., 2020 [ ] | Israel (Asia) | Non-RCT Convenience sampling | Focus: Stress Content: MBI course “Applied Mindful Pedagogy for Educators” 10-session (30 h, 3-month course) Mindful Self in School Relationships (MSSR) model. cognitive intervention | MBI group completed a 30 h, 6-month training course called Teaching for Understanding on Constructivist Pedagogy. Multiple assessments. | Elementary school teachers, n = 39 | NR | Perceived Stress Scale (PSS 10) | Significant decrease in stress in the MBI group between T1 and T3 ( < 0.01). There was also a significant difference between the groups at T3; ( < 0.05) |
Dahal and Pradhan 2018 [ ] | Nepal (Asia) | Non-RCT | Focus: Stress Content: Cyclic Meditation (CM) Deep Relaxation Intervention was held for 1 month and combines physical postures and movement with relaxation procedures—20 daily 30 min sessions over one month. | Pre- and post-intervention comparison. | High school teachers n = 62 | Age range 25 to 55 years. Mean age = 37.4 (SD = 8.6). | Perceived Stress Scale (PSS 10) | Significant reduction in stress (PSS stress scores ( < 0.001) after the intervention.) |
This review found 40 articles with sixteen types of interventions for addressing burnout and stress in teachers: (a) 18 studies on mindfulness-based interventions [ 12 , 23 , 24 , 25 , 27 , 29 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ] including in combination with yoga [ 32 ] or in combination with Cognitive Behavioural Therapy (CBT) [ 26 , 42 ], (b) seven studies reported on CBT only [ 30 , 31 ] or CBT in combination with yoga [ 22 , 28 ], or other derivatives, e.g., Inquiry-Based Stress Reduction (IBSR) [ 57 , 60 ] and Cyclic meditation [ 43 ] (c) seven studies used Rational Emotive Behavior Therapy [ 44 , 45 , 46 , 47 , 48 , 49 , 50 ], (d) one study on Sports-Based Physical Activity Program [ 55 ] (e) Christian prayer and prayer-reflection [ 52 ] (f) Group Sandplay [ 58 ], (g) stress reduction training (e.g., Stress Management and Resiliency Training Program (SMART) [ 51 ], Autogenic Training [ 59 ], Progressive Muscle Relaxation with music and aromatherapy [ 53 ]), and (h) interventions focusing on building social and emotional competence (e.g., A+ intervention [ 56 ], Ability Model of Emotional intelligence [ 54 ].
Mindfulness is the most popularly utilized intervention studied to reduce stress and burnout among teachers, and most studies reported high efficacy [ 25 , 27 , 29 , 38 ], with a significant decrease in Teacher Stress Inventory (TSI) scores and emotional exhaustion subscale. However, one study reported no change in the depersonalization subscale of burnout [ 27 ]. Most mindfulness-based interventions are time intensive; Mindfulness-Based Stress Reduction (MBSR), for example, includes eight weekly 2.5 h sessions and a 7 h or full day retreat [ 24 , 32 ], and Compassionate Mind Training (CMT) program extends for 12 weeks [ 34 ]. Yoga-based practices for teachers complement some mindfulness-based interventions, with reported lower levels of perceived stress [ 32 ].
CBT-based interventions resulted in statistically significant improvements in perceived stress [ 31 ] and MBI-ES subscales for emotional exhaustion and depersonalization [ 30 , 31 ] and personal accomplishment [ 30 ]. Yoga in combination with CBT (Y-CBT) involved sessions of physical/posture exercises and meditation practices associated with reductions in perceived stress and burnout [ 22 , 28 ].
Rational Emotive Occupational Health Coaching (REOHC), though similar to CBT, focuses on rational thinking and positive regard for the self. It involves a 12-week of 2 h weekly stress management program and has been employed mostly among teachers of children with special needs, including children with autism [ 46 , 48 , 49 ]. REOHC significantly decreased job burnout and emotional exhaustion among special needs teachers [ 46 , 48 , 49 ].
This intervention is a cognitive-reframing program and includes 3.5 h weekly group meetings and weekly individual sessions with a facilitator (1 h/session) for 12 weeks [ 57 ]. The outcome of one study indicated that teachers in the intervention group showed greater improvements in emotional exhaustion ( p = 0.01) and personal accomplishment ( p = 0.04) compared to controls [ 57 ]. This contradicts the outcome reported by Zadok-Gurman et al., which suggested no difference in personal accomplishment scales between the intervention and control groups [ 60 ].
Other interventions to decrease teachers’ stress and burnout include the A+ intervention [ 56 ], sports-based physical activity program [ 55 ], the ability model of the emotional intelligence training program [ 54 ], progressive muscle relaxation with music and aromatherapy [ 53 ], Christian prayer and prayer reflection [ 52 ], Stress Management and Resiliency Training Program; SMART [ 51 ], group sandplay [ 58 ], and Autogenic training [ 59 ].
The A+ intervention had reported positive impacts on emotional well-being, occupational stress and emotional exhaustion symptoms in one study [ 56 ]. The sports-based physical activity program [ 55 ] comprises seven weeks of training in catchall, a team sport and a tournament as the culminating event. Qualitative results suggested this program helped decrease teachers’ stress levels. However, quantitative results indicated no significant pre–post main effect on the Perceived Stress Scale (PSS-10) scores. The ability model of emotional intelligence [ 54 ] training program consisted of five two hours sessions for three months. The effect size was moderate to high, but the differences at Time 2 were only partially maintained at Time 3, and multivariate tests indicated only marginal significance for burnout ( p = 0.06). In addition, no significant differences were found for emotional symptoms ( p = 0.31). However, the intervention group experienced reduced levels of work-related stress and emotional symptoms compared to the control group. Progressive muscle relaxation with music and aromatherapy [ 53 ] included four 20 min therapy sessions over four days. Participants in the intervention group reported a significant reduction in the Teacher Stress Inventory, compared to no change in the control group. The Christian prayer and prayer reflection [ 52 ] involved two 30 min training sessions a week over two months. This intervention is a combination of individual Christian prayer and a focus group of prayer reflection. Teachers who received this intervention reported significant improvement in emotional exhaustion ( p < 0.001) and depersonalization ( p < 0.001) levels. SMART [ 51 ] program consists of an initial 90-min introductory session, followed by 12 online, self-paced modules, which participants complete at their convenience and desired pace. Weekly emails were also sent to the participants during weeks 8 to 52 of the study. In addition, eight one-hour teleconferences were provided at regular intervals. This program was associated with significantly lower stress at each follow-up survey (2, 6, and 12 months) compared to baseline ( p = 0.003). Group sandplay [ 58 ] engaged participants in group sandplay activities where they were given opportunities to create scenes and themes. These are then analyzed, and problems regarding work-related stress scenarios are solved while receiving social support from the other group members. This study reported significant improvement in the experimental sandplay group, with a shift from passive coping pre-test to active coping post-test, suggesting that group sandplay improved overall stress-coping abilities. The final intervention showing a reduction in work-related stressors ( p = 0.05) was Autogenic training [ 59 ]. This relaxation training technique involves six progressive steps practiced for 15–20 min while concentrating on breathing and relaxing the muscles.
Stress and burnout among teachers can negatively impact their capacity to perform job functions, productivity and their ability to build positive relationships related to their role [ 8 , 61 ]. This is an important global problem, given the connection between stress and burnout and the subsequent development of anxiety and depression among teachers, as highlighted in a recent scoping review [ 8 ]. Thus, interventions designed to reduce stress response, burnout, associated negative beliefs and other aspects of functioning may be essential to reducing teachers’ anxiety and depression. Identifying effective interventions for addressing stress and burnout among teachers is a vital initial step in dealing with this global problem. This scoping review identified 40 studies examining interventions to reduce or mitigate teachers’ stress and burnout. Moreover, effective coping, which may be improved during such programs, is an instrumental skill set that ultimately benefits the teachers’ role [ 62 ]. Although most interventions intended to reduce teachers’ stress and burnout have had limited success [ 9 ], this scoping review found that some interventions can potentially address stress and burnout among teachers.
Mindfulness is an attribute of consciousness and can play a critical role in promoting the psychological well-being of teachers [ 63 , 64 ]. Mindfulness has been used across several fields of health to prevent or reduce stress and burnout symptoms [ 65 ]. In addition, mindfulness in teachers has been reported to show a negative association with negative emotional states such as burnout (emotional exhaustion) [ 63 ]. In clinical practice, mindfulness-based interventions have been found efficacious for depression and anxiety and placed in the same category as CBT [ 66 , 67 ]. Mindfulness-based interventions have also shown small-to-medium positive effects on therapeutic processes and therapeutic outcomes [ 9 ] and had a medium treatment effect on teacher outcomes and an inverse relation with teachers’ psychological distress [ 9 , 63 ]. In other professionals, such as nurses, mindfulness meditation has also decreased stress and burnout [ 68 , 69 ]. Most mindfulness-based interventions require time to practice and learn [ 24 , 32 , 34 ]. Teachers already experience high levels of stress associated with intense job demands even when working conditions are optimal [ 70 ], which may make these interventions challenging to access, especially during the school term. Researchers have proposed a 4-day intensive mindfulness training program [ 38 ], which may have higher acceptance and feasibility than the standard 8-week training program. A program with a shorter duration may improve engagement, and hence teachers may benefit from participating. This may be a promising way to decrease teachers’ stress and improve their emotional health.
There were very few online or computerized interventions. Online interventions may be more accessible and flexible for teachers who already have busy schedules, improving feasibility. In addition, this may improve access and address the needs of those in remote areas [ 71 ]. For instance, the SMART intervention [ 51 ] was an online-based program that eliminated the face-to-face nature of other interventions and positively impacted teacher stress and burnout [ 32 ]. SMART intervention [ 72 ] has also been employed among nurses resulting in statistically significant decreases in stress and burnout and increases in resilience. However, SMART consists of 12 modules, requiring significant time to complete [ 51 , 72 ].
CBT is based on the theory that dysfunctional thoughts and beliefs are the main drivers of distress and that thoughts, behaviors, and emotions all impact each other. CBT has been adopted in several healthcare sectors [ 73 ], with proven benefits for various psychiatric disorders, including depression, anxiety, and personality disorders [ 74 ]. For instance, a group-based CBT program [ 30 ] reported significantly greater improvements, compared to the control condition, on the total burnout subscales scores (emotional exhaustion, depersonalization, and reduced personal accomplishment) at post-treatment, with treatment effects maintained at 6-month follow-up. REBT, similar to CBT, has also demonstrated positive impacts on stress and burnout, among special educators [ 46 , 47 , 48 ] and in the health sector, in addition to reducing depression in adults with congenital heart disease [ 75 ].
In contrast, yoga is a complementary mind-body intervention with a limited focus on cognition and yet has also been found helpful in reducing psychosomatic challenges such as stress and burnout in the clinical sample [ 76 ]. Interestingly, the combination of yoga-based CBT interventions among teachers [ 22 , 28 ] has been reported to be effective in reducing stress and burnout, perhaps by combining benefits derived from both cognitive and body-based foci. Nonetheless, this intervention is also time-consuming, involving two hours weekly program for 12 weeks, which may create excess time demands, contributing to additional stress. Stress is presumed to occur when a person perceives an external demand as exceeding their capability [ 77 ]. Thus, teachers, when work or time demand exceeds their capability, then they may be stressed. Therefore, future research should therefore focus on teachers teaching different groups of students with different abilities, socioeconomic backgrounds and special needs to address the research gaps arising from differences in the effects of interventions to mitigate stress and burnout. Furthermore, some interventions involving physical activities [ 22 , 55 ] may be inaccessible to individual teachers with mobility or morbidity issues.
Christian prayer and prayer-reflection interventions [ 52 ] are novel and have rarely been used as a management strategy for stress or burnout in other professions. However, exploring the spirituality of physicians through a survey, respondents indicated barriers to time and training [ 78 ]. Christian prayer and prayer-reflection intervention [ 52 ] seemed to have a significant positive effect on depersonalization, unlike brief mindfulness-based interventions [ 12 ], which showed no significant effects for either the depersonalization subscale or the personal accomplishment subscale. However, not all teachers may be willing to access this intervention due to its faith-based nature. Depersonalization or cynicism is the interpersonal dimension of burnout and is associated with the negative, callous, or excessively detached response to other people [ 79 ]. Prayer/spiritual intervention may relieve teachers of the subscale depersonalization by helping them to focus on something larger than themselves and address some of the beliefs or narratives that might contribute to depersonalization. This speculation remains to be tested empirically.
Unlike Christian prayer and prayer-reflection [ 52 ], Blended Inquiry-Based Stress Reduction (IBSR) technique does not require any religious or spiritual preparation or intellectual ability but rather one’s desire to deepen self-awareness [ 60 , 80 ]. Compared to other interventions [ 34 , 55 , 58 ], IBSR does not require a trained facilitator. IBSR [ 60 ] resulted in no change in the personal accomplishment scales in the intervention group compared to an increase in the control group. However, a contradictory report was found in another study [ 57 ], which reported improvements in emotional exhaustion and personal accomplishment. IBSR intervention also includes weekly group meetings (3.5 h per meeting) requiring teachers to set time aside. This contradiction indicates that more advanced research with a representative sample is needed to validate the impact of IBSR.
Another unique intervention is group sandplay [ 58 ], which has not been extensively researched among educators or other professionals. Sandplay has, however, been adopted among college students to improve their interpersonal sensitivity level, which was reported to be significantly lower than that before the intervention ( p < 0.01) [ 81 ]. This intervention helped teachers’ overall stress-coping abilities by shifting from passive to active coping [ 58 ]. However, there was no direct measurement of changes in stress or burnout levels among the teachers and therefore, the results need to be further consolidated in future research. Furthermore, the dynamics and mechanisms employed in this intervention have yet to be extensively investigated among teachers; hence future research may further explore this gap.
First, the scales used to measure stress and burnout scores in the various studies identified through this scoping review differed. However, the Perceived Stress Scale-10 and Maslach Burnout Inventory-Educator Survey (MBI-ES) were the most commonly used. The use of different scales makes an effective comparison of the efficacy of all the interventions difficult. Future systematic reviews and meta-analyses can target studies in which only specific valid and reliable scales were used for uniformity and accuracy when reporting and comparing the impact of these interventions on teacher stress and burnout.
Second, most of the interventions identified through this scoping review, although effective in mitigating teacher stress and burnout, require a considerable amount of time to complete, and this presents a barrier, as there is demand for teachers’ time is already significant. Considering the busy school environment and the issue of time for most of these interventions, alternative interventions, such as mobile text-based programs to reduce stress and burnout in teachers, can be explored. Mobile text technology is an evidence-based, innovative, convenient, easily accessible, low-cost, and scalable intervention. It has been adopted as a means of delivering psychological treatments and support for the public and patients [ 71 , 82 , 83 , 84 , 85 ]. Such innovations can easily be implemented at the school level to support teachers’ psychological needs. For example, the Wellness4Teachers program, currently being evaluated in Canada, is a CBT-based supportive messaging program that delivers daily text messages and mental health literacy information to teachers [ 85 ]. If found effective, this intervention can potentially reduce the time demand and the need for face-to-face interventions [ 55 , 58 ]. The outcomes of the Wellness4Teachers program evaluation will have implications for the support available to teachers to reduce their stress and burnout and improve their general well-being.
Third, this scoping review summarizes currently available interventions to address teacher stress and burnout. Although most identified interventions reported positive outcomes, the methodological quality of intervention studies has yet to be explored. Therefore, a meta-analysis or systematic review of these interventions is warranted to determine the levels of evidence of the intervention’s effectiveness.
Fourth, burnout has been described as an occupational illness, yet none of the interventions primarily focuses on causes such as overwork, lack of systemic support, work modifications, or specific work skills development. Future studies regarding interventions that prioritize and incorporate some of these parameters are needed.
Five, recently, Acceptance and Commitment Therapy (ACT), a ‘third wave’ more cognitive therapy updated version of CBT) has also been applied as an intervention for stress-related illnesses such as anxiety and depression [ 86 ]. Burnout has usually been linked with personal values related to cynicism [ 87 ]. Thus, ACT may be a better therapy than CBT or REBT, as it includes mindfulness and cognitive strategies and focuses on self-concept, values, psychological flexibility, and committed action to make a positive change, such as coping through efficacy.
Finally, given the physical stress responses inherent in burnout and the effectiveness of Progressive muscle relaxation (PMR) and autogenic training, it would be beneficial in the future to investigate other interventions that directly target the stress response, including activating the parasympathetic nervous system.
The scoping review has some limitations. First, the search strategy was limited by the year of publication which may have excluded other potentially effective interventions. Second, only English language databases were searched; thus, some relevant studies in other languages may have been left out, impacting the interpretation of the findings. Third, the overall search strategy may have been biased towards health and sciences databases, and searching other bibliographic databases may have generated additional relevant studies. Five, the sample size for most of the individual studies included in this scoping review was small. Finally, two of the included studies, Okeke et al. 2021 [ 47 ] and Obiweluozo et al. 2021 [ 45 ] were published in the same year, utilizing the exact same study sample, sample size, study setting and intervention. The two studies also had the same study objectives, methods, flow chart and results, even though they had different authors and were published in different journals. Despite the similarities between the two manuscripts, the different authors made it impossible to determine which of the two manuscripts to exclude from the review. Notwithstanding these limitations, this scoping review offers good insight into the interventions used to reduce stress and burnout among teachers.
Stress and burnout in the teaching profession are widespread, and intervention to reduce these problems warrants attention both at the level of policy and practice. This review summarizes and discusses interventions that have been used to mitigate educator stress and burnout. This summary of the evidence may help inform health and education leaders to develop policies and adopt programs that are effective in addressing teacher stress and burnout. The review identified several effective interventions to address stress and burnout, although there are some shortfalls, especially regarding time constraints. Due to teachers’ busy schedules, time-consuming interventions may be challenging to undertake or may even add to teachers’ stress. Notwithstanding, schools need to promote and prioritize some of these interventions specifically designed to reduce teachers’ stress and burnout. Implementing suitable school-based interventions at all schools is appropriate and necessary to improve teachers’ stress-coping ability with the expectation that this will prevent or reduce the likelihood of burnout. Future studies need to investigate the effectiveness of teacher stress and burnout reduction programs that do not have time constraints and that are cost-effective, geographic location independent and easily scalable, such as the Wellness4Teachers program in Canada. The virtual nature of such programs may offset the need for teachers’ physical presence at a particular set time. Despite both the methodological differences and variations in the interventions used in the studies included in this scoping review, each of the interventions was found to reduce educator stress and burnout. These methodological differences and the quality of the included studies make it impossible to draw conclusions about which interventions are most effective in supporting educators’ mental health based on this scoping review.
Researchers need to work in partnership with governments, policymakers and school boards in the design, co-creation, implementation, monitoring and evaluation of teacher wellness initiatives to ensure their adoption.
This study was supported by the Mental Health Foundation and the Douglas Harden Trust Fund. The funder had no role in the design and conduct of the study; collection, management, analysis, data interpretation; preparation, review, or approval of the manuscript; or the submission of the results for publication.
Conceptualization, B.A.; software and validation, B.A. and V.I.O.A.; methodology and formal analysis, B.A.; data curation, B.A. and V.I.O.A.; investigation and resources, B.A., V.I.O.A. and Y.W.; writing—original draft preparation, B.A.; writing—review and editing, B.A., P.B.-M., L.B., V.I.O.A. and Y.W.; supervision, P.B.-M. and Y.W. All authors have read and agreed to the published version of the manuscript.
Informed consent statement, data availability statement, conflicts of interest.
The authors declare no conflict of interest.
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How to de-stress when you're feeling overwhelmed
No doubt about it, school is stressful. Academic deadlines, worrying about grades, pressure from parents and teachers, and juggling these challenges with your other responsibilities can leave you feeling frazzled and anxious.
The bad news is that all this stress can take a toll on your health, happiness, relationships, and grades. The good news is that learning to utilize some effective stress management strategies for students can help you tame these anxieties and keep your stress at manageable levels—even during midterms and finals.
Most students experience significant amounts of stress. This can significantly affect your academic performance, social life, and well-being. Learning stress management techniques can help you avoid negative effects in these areas. Strategies that can help include:
Let's take a closer look at why stress management is so important for students and what you can do to get a handle on the stress in your life.
A study by the American Psychological Association (APA) found that teens report stress levels similar to adults. This means teens are experiencing significant levels of chronic stress and feel their stress levels generally exceed their ability to cope effectively .
Roughly 30% of the teens reported feeling overwhelmed, depressed, or sad because of their stress. According to one Pew Research Center report, 70% of teens view anxiety and depression as major problems for people their age.
Stress can also affect health-related behaviors. Stressed students are more likely to have problems with disrupted sleep, poor diet, and lack of exercise. This is understandable given that nearly half of APA survey respondents reported completing three hours of homework per night in addition to their full day of school work and extracurriculars.
Why are students today so stressed? According to the APA 2023 Stress in America report, Gen Z and younger millennials are overwhelmed by stress. The causes of this stress come from many areas. Financial worries , loneliness and isolation, climate concerns, political strife, the collective trauma linked to the pandemic, and other world events are all factors that play a part in the pressure on young people today.
Another study found that much of high school students' stress originates from school and activities, and that this chronic stress can persist into college years and lead to academic disengagement and mental health problems.
Common sources of student stress include:
High school students face the intense competitiveness of taking challenging courses, amassing impressive extracurriculars, studying and acing college placement tests, and deciding on important and life-changing plans for their future. At the same time, they have to navigate the social challenges inherent to the high school experience.
This stress continues if students decide to attend college. Stress is an unavoidable part of life, but research has found that increased daily stressors put college-aged young adults at a higher risk for stress than other age groups.
Making new friends, handling a more challenging workload, feeling pressured to succeed, being without parental support, and navigating the stresses of more independent living are all added challenges that make this transition more difficult. Romantic relationships always add an extra layer of potential stress.
Students often recognize that they need to relieve stress . However, all the activities and responsibilities that fill a student’s schedule sometimes make it difficult to find the time to try new stress relievers to help dissipate that stress.
Here you will learn 10 stress management techniques for students. These options are relatively easy, quick, and relevant to a student’s life and types of stress .
Blend Images - Hill Street Studios / Brand X Pictures / Getty Images
Students, with their packed schedules, are notorious for missing sleep. Unfortunately, operating in a sleep-deprived state puts you at a distinct disadvantage. You’re less productive, may find it more difficult to learn, and may even be a hazard behind the wheel.
Research suggests that sleep deprivation and daytime sleepiness are also linked to impaired mood, higher risk for car accidents, lower grade point averages, worse learning, and a higher risk of academic failure.
Don't neglect your sleep schedule. Aim to get at least 8 hours a night and take power naps when needed.
David Malan / Getty Images
Guided imagery can also be a useful and effective tool to help stressed students cope with academic, social, and other stressors. Visualizations can help you calm down, detach from what’s stressing you, and reduce your body’s stress response.
You can use guided imagery to relax your body by sitting in a quiet, comfortable place, closing your eyes, and imagining a peaceful scene. Spend several minutes relaxing as you enjoy mentally basking in your restful image.
Consider trying a guided imagery app if you need extra help visualizing a scene and inducting a relaxation response. Research suggests that such tools might be an affordable and convenient way to reduce stress.
One of the healthiest ways to blow off steam is to get regular exercise . Evidence indicates that students who participate in regular physical activity report lower levels of perceived stress.
While these students still grapple with the same social, academic, and life pressures as their less-active peers, these challenges feel less stressful and are easier to manage.
Finding time for exercise might be a challenge, but there are strategies that you can use to add more physical activity to your day. Some ideas that you might try include:
Exercise can help buffer against the negative effects of student stress. Starting now and keeping a regular exercise practice throughout your lifetime can help you live longer and enjoy your life more.
When your body is experiencing a stress response, you’re often not thinking as clearly as you could be. You are also likely not breathing properly. You might be taking short, shallow breaths. When you breathe improperly, it upsets the exchange of oxygen and carbon dioxide in your body.
Studies suggest this imbalance can contribute to various physical symptoms, including increased anxiety, fatigue, stress, emotional problems, and panic attacks.
A quick way to calm down is to practice breathing exercises . These can be done virtually anywhere to relieve stress in minutes.
Because they are fast-acting, breathing exercises are a great way to cope with moments of acute stress , such as right before an exam or presentation. But they can also help manage longer-lasting stress such as dealing with relationships, work, or financial problems.
Another great stress management technique for students that can be used during tests, before bed, or at other times when stress has you physically wound up is progressive muscle relaxation ( PMR ).
This technique involves tensing and relaxing all muscles until the body is completely relaxed. With practice, you can learn to release stress from your body in seconds. This can be particularly helpful for students because it can be adapted to help relaxation efforts before sleep for a deeper sleep.
Once a person learns how to use PMR effectively, it can be a quick and handy way to induce relaxation in any stressful situation, such as bouts of momentary panic before a speech or exam, dealing with a disagreement with your roommate, or preparing to discuss a problem with your academic advisor.
As convenient stress reliever that has also shown many cognitive benefits, music can help relieve stress and calm you down or stimulate your mind depending on what you need in the moment.
Research has found that playing upbeat music can improve processing speed and memory. Stressed students may find that listening to relaxing music can help calm the body and mind. One study found that students who listened to the sounds of relaxing music were able to recover more quickly after a stressful situation.
Students can harness the benefits of music by playing classical music while studying, playing upbeat music to "wake up" mentally, or relaxing with the help of their favorite slow melodies.
Halfpoint Images / Getty Images
Having emotional support can help create a protective buffer against stress. Unfortunately, interpersonal relationships can also sometimes be a source of anxiety for students. Changes in friendships, romantic breakups, and life transitions such as moving away for college can create significant upheaval and stress for students.
One way to combat feelings of loneliness and make sure that you have people to lean on in times of need is to expand your support network and nurture your relationships.
Look for opportunities to meet new people, whether it involves joining study groups or participating in other academic, social, and leisure activities.
Remember that different types of relationships offer differing types of support . Your relationships with teachers, counselors, and mentors can be a great source of information and resources that may help you academically. Relationships with friends can provide emotional and practical support.
Widening your social circle can combat student stress on various fronts and ensure you have what you need to succeed.
Niedring/Drentwett / Getty Images
You may not realize it, but your diet can either boost your brainpower or sap you of mental energy. It can also make you more reactive to the stress in your life. As a result, you might find yourself turning to high-sugar, high-fat snacks to provide a temporary sense of relief.
A healthy diet can help combat stress in several ways. Improving your diet can keep you from experiencing diet-related mood swings, light-headedness, and more.
Unfortunately, students are often prone to poor dietary habits. Feelings of stress can make it harder to stick to a consistently healthy diet, but other concerns such as finances, access to cooking facilities, and time to prepare healthy meals can make it more challenging for students.
Some tactics that can help students make healthy choices include:
One way to improve your ability to manage student stress is to look for ways you cut stress out of your life altogether. Evaluate the things that are bringing stress or anxiety into your life. Are they necessary? Are they providing more benefits than the toll they take on your mental health? If the answer is no, sometimes the best option is just to ditch them altogether.
This might mean cutting some extracurricular activities out of your schedule. It might mean limiting your use of social media. Or it might mean learning to say no to requests for your time, energy, and resources.
While it might be challenging at first, learning how to prioritize yourself and your mental well-being is an important step toward reducing your stress.
When you find yourself dealing with stress—whether it's due to academics, relationships, financial pressures, or social challenges—becoming more aware of how you feel in the moment may help you respond more effectively.
Mindfulness involves becoming more aware of the present moment. Rather than judging, reacting, or avoiding problems, the goal is to focus on the present, become more aware of how you are feeling, observe your reactions, and accept these feelings without passing judgment on them.
Research suggests that mindfulness-based stress management practices can be a useful tool for reducing student stress. Such strategies may also help reduce feelings of anxiety and depression.
It is important to remember that stress isn't the same for everyone. Figuring out what works for you may take some trial and error. A good start is to ensure that you are taking care of yourself physically and emotionally and to experiment with different stress relief strategies to figure out what works best to help you feel less stressed.
If stress and anxiety are causing distress or making it difficult to function in your daily life, it is important to seek help. Many schools offer resources that can help, including face-to-face and online mental health services. You might start by talking to your school counselor or student advisor about the stress you are coping with. You can also talk to a parent, another trusted adult, or your doctor.
If you or a loved one are struggling with anxiety, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.
For more mental health resources, see our National Helpline Database .
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Pew Research Center. Most U.S. teens see anxiety and depression as a major problem among their peers .
American Psychological Association. Stress in America 2023 .
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By Elizabeth Scott, PhD Elizabeth Scott, PhD is an author, workshop leader, educator, and award-winning blogger on stress management, positive psychology, relationships, and emotional wellbeing.
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Unlike adults, who can communicate about how stress impacts their lives, children and teens may not recognize or even have the words to describe how they’re feeling. Students are experiencing stress at growing rates, with a 2014 American Psychological Association study finding teens in the U.S. are even more stressed than adults.
However, parents and teachers can watch for short-term behaviors and physical symptoms that manifest when stress becomes a problem. Since age plays a major role in how stress affects us, here are some common causes and symptoms for students in elementary school, middle school, high school and college to help identify when there may be a concern.
While most kids don’t enjoy taking tests, it can cause extreme stress in some children. Those with extreme test anxiety may end up completely shutting down during exams, which can directly impact a student’s grades.
Getting up in front of the class is scary for students worried they’ll do something embarrassing and become the fodder for peer gossip.
In addition to the dread of being picked last when the class divides into teams, kids often must prove they’ve met fitness standards (curl-ups, push-ups, etc.) in front of the group each semester.
Whether it’s for being tardy, eating an unusual-looking lunch or not knowing the answer when called on, being the center of attention can be stressful for young children.
School lockdowns, fire drills, tornado drills … kids are reminded about potential dangers on a regular basis.
The amount of homework students receive in middle school is markedly higher than elementary school, with an average of over 3 hours of homework per night for students with 5 classes according to one study.
For middle schoolers involved in activities outside of school (sports, dancing, playing an instrument, and other enrichment) finding downtime can difficult.
Even before middle school begins students are starting to care more about what their peers think including drugs and alcohol.
Social media has created a 24-hour-a-day platform for peer pressure and bullying, a problem that didn’t exist for their parents.
In middle school, kids who can’t afford the hottest brands of clothing, backpacks or smartphone can feel left out.
Pressure to be in a romantic relationship picks up in high school and cause stress for students, especially for those questioning their sexuality.
High school teens, especially those who don’t have an established peer group, worry about making friends and avoiding bullying.
Keeping grades up to get into college becomes increasingly difficult as classes become more challenging.
It takes considerable time and effort to decide which colleges to apply to, complete applications, visit schools, go on interviews, etc.
Parents often put pressure on their high schoolers to excel and get into a good college at the same time teens are trying to establish independence.
Keeping up with classes can be hard, especially for students juggling large course louds and part- or full-time jobs.
Because learning to balance social activities and academic responsibilities takes time, mistakes are often made along the way.
It’s easy to skimp on sleep when there is so much competing for your time.
For college students living on campus, homesickness and loneliness are common.
Whether working part-time, full-time, or living on financial aid, learning to manage money is an issue in college.
By senior year, students feel pressure to secure a job for after graduation.
Because children and teens spend most of the day in classrooms, teachers can play a powerful role in limiting stress. One way to “displace nervous energy,” according to mental health professional Stefanie Juliano, is to allow students to use standing desks, sit on exercise balls or even work on the floor. She also suggests creating a quiet, serene corner by adding a beanbag chair, relaxing pictures and positive sayings.
Below are some additional ideas teachers can use to limit stress in the classroom:
Jessica Tappana, a mental health therapist who works with students of various ages, calls things that stress them out “cling-ons.” Here are three strategies she teaches to students that teachers can use for wiping these stressors away:
Beginning at the top of the head use your hands to gently brush down the face and front of the body, flicking away the negative energy (not onto the person next to you!). Then repeat for the back of the body, arms and sides. When finished, shake your hands and stomp your feet!
Place a small paper shredder, paper, pens and a trash bin by the classroom door. Ask students to write a word or sentence that represents something causing them stress and then have them shred it! The problem won’t disappear, but the activity encourages them to leave stress outside the classroom.
Sometimes when we are stressed, it feels like we are floating above the earth so it’s important to ground your feet and reconnect. Stand tall and bend your knees a bit and imagine your body is a tree trunk. Pretend that there are roots growing out of your feet and picture them growing into the earth. Then imagine your arms are branches and reach out and stretch into the sunshine!
When children suffer from stress, it affects the entire family. Because parents are used to being able to fix problems, not knowing how to intervene can be frustrating and even add to stress in the home. Fortunately, parents can take action by instituting the following tips to reduce symptoms of toxic stress.
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When sadness and depression become unmanageable it can be a sign of a mood disorder, which affect 1 in 5 children . While experts can identify many reasons why mood disorders occur in children, such as parents getting divorced, loss of a loved one and emotional trauma, stress can be a trigger. In addition, coping with stress can exacerbate symptoms, increasing the pressures associated with having a mood disorder. Here are some examples of mood disorders related to stress and links to more information.
Primary symptoms of continued sadness and hopelessness that interfere with the ability to function and last longer than two weeks. Other symptoms of depression may include irritability, changes in sleep, loss of appetite and mood swings.
Families for Depression Awareness
Anxiety and Depression Association of America
Excessive worry and fear that interfere with normal activities. Children and young adults with GAD commonly feel anxiety over past or future events involving family, peers and school which can also present as physical symptoms.
Child Mind Institute: Anxiety
Coping Skills for Kids: Calming Anxiety in Children
Sudden, unexpected episodes of intense anxiety. People who suffer from panic disorder may feel shortness of breath, sweating and heart palpitations as well as an overall feeling of loss of control.
National Institute of Mental Health (NIMH): Panic Disorder
American Psychological Association (APA): Panic Disorder
Sleep disorders occur when abnormal sleep patterns interrupt emotional, mental and physical health. Stress and anxiety can cause sleep disorders such as Excessive Sleepiness, Insomnia and Sleep Apnea, among others.
National Sleep Foundation: Sleep Disorders
National Alliance of Mental Illness (NAMI): Sleep Disorders
Young people with social anxiety disorder experience an overwhelming fear of social situations. They also have difficulty when performing in front of others or being the center of attention at school or during sports activities.
AnxietyBC: Social Anxiety
Anxiety Disorders Association of America (ADDA): Triumph Over Shyness
PTSD can occur after a stressful or traumatic event. While the symptoms (anxiety, intrusive thoughts, difficulty functioning) are normal reactions to trauma, PTSD occurs when they negatively affect the ability to function. A less severe form of PTSD is Acute Stress Disorder, which is also triggered by a stressful event but is short-term.
StudentsFIRSTProject.org: Posttraumatic Stress
Learning & the Brain: How to Recognize PTSD in the Classroom
Repeated drug use changes the way the brain functions. Young adults who suffer from anxiety and depression may use drugs to cope.
National Institute on Drug Abuse: College-Age and Young Adults
National Institute on Drug Abuse for Teens: Drug Abuse and the Brain
Most people get nervous before taking a test. In fact, feeling nervous motivates us to study so we can pass! But for some students, it goes beyond feeling nervous to the point that it causes them to freeze up and be unable to perform well. In this section, we discuss the definition and symptoms of test anxiety and how students can prevent it from getting out of control.
Students with test anxiety become so anxious that it causes a physical response. They may feel their heart beating fast, begin to sweat and become nauseous. Unfortunately, the more they are preoccupied with the anxious feelings, the more anxious they become, creating a seemingly never-ending cycle. In other words, it’s the worrying about worrying that gets in the way.
The main symptom of test anxiety is an accelerated heart rate. However, there are additional physical, emotional, and behavioral symptoms that can occur. For instance, students may feel light-headed, have digestive problems and sweat profusely. It’s also common to become angry and scared and feel disappointed in yourself. All these symptoms make it impossible to concentrate.
Therapist Jessica Tappana explains that knowing how to breathe is an important part of fighting test anxiety. “Breathing helps us to ground and center and feel present. The increased oxygen flow to the brain will help students think more clearly.”
Getting a good night sleep and eating a balanced meal in the morning is mandatory, adds mental health professional Stefanie Juliano. College students should avoid substances such as alcohol before a test.
Juliano stresses that knowing your triggers will help. “If you feel yourself tensing, getting a headache, feeling your back hurt, or so on, take a quick break either standing (if able) or seated and continue to breathe. Older students can also investigate alternative practices prior to major tests, such as acupuncture, essential oils, massage or chiropractic care.”
Learning how to recognize signs of stress and practicing ways to address these symptoms are important steps on the path to good mental health. Here are some activities from our mental health experts that parents and educators can teach children and teens to get them started.
Draw your feelings.
Children respond well to visual manifestations of stress. Ask them to draw their feelings of stress on a piece of paper. They can use crayons, markers, colored pencils or even paint. Then ask them to crumple up the paper or tear it into pieces. As they get up to throw the paper away, explain to them that they are also throwing away the negative feelings and stressors.
Breathing exercises are good practice for learning how the body responds when we breathe correctly. Ask children to take a deep breath through the nose and then slowly, slowly, slowly breathe out as though they are blowing bubbles, dandelions or candles on a birthday cake. Remind them to pay attention to how their stomach and chest move in and out.
This activity models how to feel safe even when feeling stressed. Instruct children to image they are in a big bubble that surrounds them completely. Inside the bubble are all the people and things that make them feel safe like family members, friends, pets and stuffed animals. Let them sit for a few minutes as you prompt them to listen to how their bodies feel in a safe space that they can go to in their minds when they are feeling stressed.
Silent catch.
This activity requires complete silence, so children should be instructed that there is no talking at all. Use a lightweight ball such as a nerf ball to ensure nobody gets hurt. Tell the children to throw the ball to each other but that they can’t throw it to the same person who threw it to them. If they miss, they must sit down. This activity can relieve stress and calm down an anxious classroom.
Teach older children how to stretch correctly to relieve tension and help their bodies relax. It can be done at any time of day for a quick break.
Neck: Put your hands behind your back, grasping your right wrist with your left hand. Use your left hand to gently straighten your right arm, pulling it slightly. Lower your left ear toward your shoulder and hold for 30 seconds. Switch to the other side. Repeat with your left wrist and right hand.
Back: Lie on the floor stretching your arms above your head and pointing your toes. Bend your right leg to your chest with your hands behind your knee and hold for 30 seconds. Repeat with the left leg.
Progressive muscle relaxation.
Progressive muscle relaxation is a useful tool for teens to relax, especially at night when having trouble falling asleep. They can sit or lay on the floor. Instruct them to relax each part of the body, starting with their toes and working up until they get to their heads. Take time to address each part in detail. Instruct them to repeat what you say in their heads, “I’m relaxing my toes, relaxing the top of my foot, bottom of my foot, etc.”
Because breathing becomes erratic when we are stressed, it’s helpful to practice breathing from the diaphragm which is the natural method. Lie down, place a hand on your chest and a hand on abs. Breathe in through nose and out through mouth.
Classical music slows your pulse and heart rate, lowers your blood pressure and decreases stress hormones . Make it a habit to play classical music in the classroom and at home to reduce stress and prevent distractions . Free classical music is available on Spotify and YouTube.
Visual imagery.
Visual imagery involves using the imagination to create soothing feelings. Using free guided imagery scripts like those available from Healthy Place PSU at Plymouth State University, teaches students how to use visual imagery to feel calm and centered.
There are many benefits associated with mindfulness including lowered heart rate, decreased stress hormone levels, and better physical and emotional health. Instruct students to sit on floor with their legs crossed. Posture should be straight but relaxed. Have students place their hands on their legs. They should become aware of their breathing, letting their thoughts go. It’s alright if a thought comes, in which case they should acknowledge it and let it go while continuing to breathe in and out.
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Our reasons may vary, but everyone experiences stress. Here are some of the common reasons high school students feel stressed, and what they can do about it.
Exams. Choosing a college. Figuring out what to do with your life.
No doubt, high school can be a high-pressure time in life. And high school students, as a result, get stressed out.
In fact, according to the American Psychological Association’s Stress in America 2020 survey, teens who are already under stress due to the normal pressures of high school have felt even more stress in recent years, thanks to the pandemic. About 43 percent of teens surveyed in 2020 said their stress levels had gone up, and 45 percent said they had a hard time concentrating on schoolwork. Many reported feeling less motivated.
Although life has mostly returned back to normal, that doesn’t mean the stress that high school students feel has disappeared.
The typical challenges that anyone faces in high school continue as they always have, and, in some cases, have grown more complicated. Consequently, surveys suggest, many teens continue to experience a decline in mental and physical health.
If you’re in high school and stressed, we get it. In this blog, we’ll talk about what stress is, what triggers it, and how you can manage it.
“Stress” is a term we use constantly in conversation, but what does it really mean?
Stress can be defined as our physical and mental responses to some external event. The event might be considered “good” like preparing to go to the prom, or bad, like feeling tense after an illness, an argument with a friend, or while preparing for an upcoming test.
The good thing about most stress is that it usually goes away once the external event causing the stress is over.
Alternatively, there is a type of stress that results more from an internal dialogue than an external event. We call this “anxiety.” It involves persistent feelings of dread or apprehension that interfere with your daily life, even after the test, the argument, or prom, are just a distant memory.
Simply being a teenager can be hard. Your body is changing. You may be grappling with your sexuality or gender identity. Add to that the academic demands of high school and throw in the pressures of social media, and the tension mounts.
“Some of the common triggers of stress in teens might be anxiety to perform well in academics such as getting into a good college, peer pressure, interpersonal relationships, or body image issues,” says Sakshi Khurana, Research Fellow at Harvard’s Weisz Lab for Youth Mental Health. “Other larger issues that the world is going through — for example, climate change or war— might also act as stressors for teens as they are learning about the world.”
The most common source of stress for high school students, according to the 2017 APA Stress survey , is school itself, with about 83 percent of teens identifying school as a major stressor. The second biggest source of student stress, (according to 69 percent of students), was getting into a good college or deciding what to do after high school. The third biggest teen stress was financial concerns for the family (65 percent of students).
Here’s a quick breakdown of broad categories of factors that may stress you out:
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If you’re a high school student feeling stressed, you may not even recognize the symptoms.
In fact, many symptoms of stress might be considered normal for teens who are also dealing with natural hormonal and physical changes. For that reason, it’s important to consider whether behavioral changes can be linked in time to an external event.
Signs of stress include:
According to the APA 2017 survey, the most common symptoms of stress among teens were insomnia, overeating or eating unhealthy foods, skipping meals, feeling angry, nervous, or anxious, feeling fatigued, and snapping at friends and classmates.
Let’s be clear, a little bit of stress is a normal part of life, and sometimes even desirable.
Stress can act as a motivator, getting us to do things we might not otherwise. Good stress is called “eustress” and can help get you excited and energized about that first date or taking the stage in your first musical.
But too much unrelieved stress can lead to mental and physical health issues.
Your body reacts to stress by releasing a hormone called cortisol which regulates blood pressure and immune function. If you’re stressed all the time and your body produces too much cortisol, it can lower your immunity, raise your blood pressure, and impair your cognitive performance.
In teens, the part of the brain regulating the stress response is less developed than in adults, meaning that if you’re a stressed-out teen, you may experience stress longer than an adult.
“In the teen years, due to hormonal changes, stress tends to influence the emotional functioning of the brain, which in turn impacts the cognitive and executive functioning,” says Khurana.
You might not be able to sleep, you may overeat, or develop digestive, cardiovascular, or immune problems. Stress can even put you at a higher risk for developing mental illnesses like anxiety or depression .
Since too much stress is not a good thing for your mind or body, you should think about incorporating a few stress management techniques into your daily life.
“A few techniques that might help teens manage stress are relaxation through deep breathing, meditation, or mindfulness, channeling energy into sports or creative pursuits such as music, art, theater, and forming meaningful relationships or friendships,” says Khurana. “Additionally, every culture has its own way of enabling young people to manage stress, so drawing from those traditions might be helpful as well.”
Here are few ideas of how high school students can learn how to deal with stress at school:
With so many big life decisions ahead, getting through high school happy and whole can definitely feel challenging at times. It’s easy to see why so many high school students feel stressed. The good news is that there are solutions. Adopt the strategies above, take a deep breath, and remember, it’s not forever!
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Pamela Reynolds is a Boston-area feature writer and editor whose work appears in numerous publications. She is the author of “Revamp: A Memoir of Travel and Obsessive Renovation.”
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Central effects of stress hormones in health and disease: Understanding the protective and damaging effects of stress and stress mediators. European journal of pharmacology, 583 (2-3), 174-185. The Mental Health Primers are developed by the Coalition for Psychology in Schools and Education .
Considering that stress is ubiquitous in education and even primary school children often report stress symptoms, understanding the effects of stress on memory is very important. For one, an ...
The ongoing stress relating to education has demonstrated negative impact on students' learning capacity, academic performance, education and employment attainment, sleep quality and quantity, physical health, mental health and substance use outcomes. Increasing students' stress-management skills and abilities is an important target for change.
Stress is a normal response to upsetting or threatening events and becomes pathological when chronic . Chronic stress can impede day-to-day functioning and emotional balance, and it is a risk factor for developing other psychiatric illnesses, such as anxiety and depression [1,2,3]. Prolonged teacher stress negatively correlates with job ...
Introduction. This action guide was designed for school administrators in kindergarten through 12th grade schools (K-12), including principals and leaders of school-based student support teams, to identify evidence-based strategies, approaches, and practices that can positively influence students' mental health.
In 2019, the C.D.C. reported that the percentage of high school students with persistent feelings of sadness or hopelessness was nearly 40 percent, up from 26 percent in 2009, and almost 20 ...
The Science Behind Student Stress. A new study shows how a growth mindset helps students cope with academic setbacks. A new study finds that when students experience an academic setback such as a bad grade, the amount of cortisol—the so-called stress hormone—in their bodies typically spikes. For most students it drops back down to normal ...
(A) WHAT IS STRESS - AND HOW DOES OUR BRAIN/BODY RESPOND TO STRESS AT SHORT/LONG TIMESCALES? The term 'stress' is used with a variety of different meanings by researchers in different fields (Epel et al., 2018).In psychology and neuroscience, a distinction is commonly made between short‐term (or 'acute') stress arising from factors that have a clear start and end point (e.g., a ...
By nearly every metric, student mental health is worsening. During the 2020-2021 school year, more than 60% of college students met the criteria for at least one mental health problem, according to the Healthy Minds Study, which collects data from 373 campuses nationwide (Lipson, S. K., et al., Journal of Affective Disorders, Vol. 306, 2022).In another national survey, almost three quarters ...
The framework suggests that stress is lower in education systems that reduce the stakes attached to achievement, temper high aspirations and competition, and weaken the link between achievement and self-worth. Empirical analyses support these ideas, with students in more differentiated and vocationally oriented systems reporting less stress. ...
Students in secondary and tertiary education settings face a wide range of ongoing stressors related to academic demands. Previous research indicates that academic-related stress can reduce academic achievement, decrease motivation and increase the risk of school dropout. The longer-term impacts, which include reduced likelihood of sustainable employment, cost Governments billions of dollars ...
Academics in higher education around the world indicate high levels of stress from multiple sources. The COVID-19 pandemic has only served to intensify stress levels. Adaptation and resilience are needed if academics, particularly those focused on education and teaching, are to endure, learn, and bounce back during this era of stress and contribute to education quality and student learning ...
What is now evident on brain scans during times of stress is objective physical evidence of this affective filter. With such evidence-based research, the affective filter theories cannot be disparaged as "feel-good education" or an "excuse to coddle students" -- if students are stressed out, the information cannot get in. This is a matter of ...
This is not to say that teachers experience no stress, but that their stress levels are no worse—and perhaps even better—than college-educated women in other professions. Regarding changes ...
National studies of college students have repeatedly found that the biggest stumbling blocks to academic success are emotional health challenges including: Stress. Anxiety. Not getting enough sleep. Depression. Many things can create stress in college. Maybe you're on a scholarship and you need to maintain certain grades to stay eligible.
Stress can also result from traumatic or ongoing experiences, such as coping with parents' divorce, public health crises, natural disasters, or community violence, as well as adapting to different cultural or social expectations or values. • Some amount of stress is beneficial and can motivate students to perform better.
Experience of chronic stress is a risk factor for poor mental and physical well-being, and burnout. ... Articles were eligible for inclusion only if they discussed interventions to reduce burnout or stress among classroom, special education, primary, elementary, middle, and secondary school teachers and educators. Meta-analyses, systematic ...
Education stress is one of the significant problems in school life. Researchers point out that problem during childhood and adolescence period is associated with low emotional self-efficacy. Findings represent that increasing students' emotional self-efficacy levels may be effective in lessening .
A heavy workload. Whether it's advanced-level classes or the amount of studying required, a heavy workload can be a major source of stress for students. This is especially common for older high school students as they start making their post-secondary plans. Lack of organization. Students with poor organizational skills tend to experience ...
And emotional stress was among the top reasons students considered dropping out of college in the fall 2022 semester, according to findings in the State of Higher Education 2023 report, based on a ...
Stress is an unavoidable part of life, but research has found that increased daily stressors put college-aged young adults at a higher risk for stress than other age groups. Making new friends, handling a more challenging workload, feeling pressured to succeed, being without parental support, and navigating the stresses of more independent ...
Physical Education (PE) In addition to the dread of being picked last when the class divides into teams, kids often must prove they've met fitness standards (curl-ups, push-ups, etc.) in front of the group each semester. ... stress can be a trigger. In addition, coping with stress can exacerbate symptoms, increasing the pressures associated ...
Dramatic life events ranging from a death in the family, to an accident, to emotional and physical abuse, can cause stress. Also in this category, you can include the collective trauma of such global events such as school shootings, terrorism, and natural disasters. Big Life Changes. Changes like moving and starting a new school can be a major ...
This 25-hour course over 5 days is designed to equip educators with essential skills in time management and stress reduction. Participants will learn practical strategies to effectively manage their time, enhance productivity, and mitigate stress in the demanding field of education.
Education; NEET UG: Role of mental health, strategies to stay focused and calm; NEET UG: Role of mental health, strategies to stay focused and calm Effective NEET preparation requires more than just academics; incorporating mindfulness, regular exercise, and a balanced lifestyle are essential for managing stress and enhancing focus.