[Purpose]
Children about to graduate from elementary school have expectations and anxieties about the changes in their environment and the physical and mental changes in adolescence as they move to junior high school. In addition, the number of background factors that lead children to visit the school nurse's office, “mainly psychological problems,” increases as children enter junior high school. For children to better adjust to school life during this period, adequate support for their physical, emotional, and cognitive-behavioral stress reactions exhibited by children is considered necessary. Therefore, we decided to examine the relationship between physical stress reactions. These school stressors influence depression or anxiety, moodiness or anger, helplessness, familial social support, physical complaints commonly seen in the infirmary, and lifestyle habits.
[Methods]
A self-administered questionnaire was administered to sixth-graders in five elementary schools in February 2020, when they were scheduled to graduate. A total of 216 valid responses were included in the analysis, for which consent was obtained from the students and their parents.
[Results]
Stressors were found to be friendships and relationships with teachers and academics, which affected stress reactions. Social support has been shown to reduce stress reactions among mothers, homeroom teachers, and friends. Common physical complaints at health centers are associated with stressful reactions. Lifestyle habits such as exercise or outdoor play, bedtime, breakfast intake, and time spent on the Internet were associated with stress reactions.
[Discussion and Conclusion]
The results suggest that stressors, social support, physical complaints commonly seen at school nurses’ offices, and lifestyle were associated with stress reactions in children before elementary school graduation. However, there was no direct relationship between social support and depression or anxiety regarding stress reactions. This suggests that support is required for depression or anxiety, which is directly related to friendship stressors, breathlessness, abdominal pain or nausea, and exercise or outdoor play. As the physical complaints often seen in school nurses’ offices are related to each stress reaction, physical complaints may be a sign of the early detection of stress reactions. Lifestyle habits include reducing the amount of time spent on the Internet and increasing the amount of physical activity, such as playing outside. Ensure they go to bed, wake up, and eat breakfast. This cycle has the potential to mitigate stress responses. The mean values of stress reaction and stressors were low, and the stress reaction was not affected by recent changes in the living environment. Thus, the study suggests that other groups, analysis methods, and other influencing factors on the stress reaction must be examined.
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