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Secondary school teachers’ ability to recognise and refer students with differing levels of anxiety

Published online by Cambridge University Press:  10 October 2019

Nadine Missenden
Affiliation:
School of Early Childhood and Inclusive Education Faculty of Education, Queensland University of Technology, Brisbane, Australia
Marilyn Campbell*
Affiliation:
School of Early Childhood and Inclusive Education Faculty of Education, Queensland University of Technology, Brisbane, Australia
*
Author for correspondence: Marilyn Campbell, Email: ma.campbell@qut.edu.au
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Abstract

Adolescents experiencing excessive anxiety are often under-identified in the school context, and consequently under-referred for in-school counselling or other mental health support. This is despite anxiety being the most prevalent mental health condition currently experienced by adolescents. The purpose of this study was to explore secondary teachers’ ability to recognise the need to refer adolescents with excessive anxiety symptoms. One hundred and fourteen secondary school teachers completed a questionnaire with five vignettes describing students experiencing various degrees of anxiety. Statistical analysis of the data involved use of the one-sample Wilcoxon test and Spearman’s rank non-parametric correlation coefficients. Results indicated that teachers recognised the need to refer adolescents with very severe anxiety symptoms. However, they were less likely to correctly identify and refer students with severe, moderate or mild anxiety symptoms. There was no statistically significant difference between male and female teachers’ decision to refer students for school counselling. These findings are an important step forward in understanding how teachers decide whether or not to refer anxious children for support, and in identifying areas for further training and professional development. Implications are discussed for future professional development for secondary school teachers.

Type
Articles
Copyright
© Australian Psychological Society Ltd 2019 

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References

Allison, V.L., Nativio, D.G., Mitchell, A.M., Ren, D., & Yuhasz, J. (2014). Identifying symptoms of depression and anxiety in students in the school setting. The Journal of School Nursing, 30, 165172.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Auger, R.W. (2004). The accuracy of teacher reports in the identification of middle school students with depressive symptomatology. Psychology in the Schools, 41, 379389.CrossRefGoogle Scholar
Bell, H.D., & McKenzie, V. (2013). Perceptions and realities: The role of school psychologists in Melbourne, Australia. The Australian Educational and Developmental Psychologist, 30, 5473.CrossRefGoogle Scholar
Beidas, R.S., Mychailyszyn, M.P., Edmunds, J.M., Khanna, M.S., Downey, M.M., & Kendall, P.C. (2012). Training school mental health providers to deliver cognitive-behavioral therapy. School Mental Health, 4, 197206.CrossRefGoogle ScholarPubMed
Biggs, B.K., Vernberg, E.M., & Wu, Y.P. (2012). Social anxiety and adolescents’ friendships: The role of social withdrawal. The Journal of Early Adolescence, 32, 802823.CrossRefGoogle Scholar
Birmaher, B., Brent, D., Chiappetta, l., Bridge, J., Monga, S., & Baugher, M. (1999). Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): A replication study. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 12301326.CrossRefGoogle ScholarPubMed
Campbell, M.A. (2003). An innovative multidisciplinary approach to identifying at-risk children in primary schools. Australian Journal of Guidance and Counselling, 13, 159166.CrossRefGoogle Scholar
Costello, E.J., He, J., Sampson, N.A., Kessler, R.C., & Merikangas, K.R. (2014). Services for adolescents with psychiatric disorders: 12-month data from the national comorbidity Survey–Adolescent. Psychiatric Services, 65, 359366.CrossRefGoogle ScholarPubMed
Cunningham, J.M., & Suldo, S.M. (2014). Accuracy of teachers in identifying elementary school students who report at-risk levels of anxiety and depression. School Mental Health, 6, 237250.CrossRefGoogle Scholar
Dwyer, S.B., Nicholson, J.M., & Battistutta, D. (2006). Parent and teacher identification of children at risk of developing internalizing or externalizing mental health problems: A comparison of screening methods. Prevention Science, 7, 343357.CrossRefGoogle ScholarPubMed
Essau, C.A. (2003). Comorbidity of anxiety disorders in adolescents. Depression and Anxiety, 18, 16.CrossRefGoogle ScholarPubMed
Fergusson, D., & Woodward, L. (2002). Mental health, educational, and social role outcomes of adolescents with depression. Archives of General Psychiatry, 59, 225231.CrossRefGoogle ScholarPubMed
Girio-Herrera, E., Owens, J.S., & Langberg, J.M. (2013). Perceived barriers to help-seeking among parents of at-risk kindergarteners in rural communities. Journal of Clinical Child & Adolescent Psychology, 42, 6877.CrossRefGoogle ScholarPubMed
Gowers, S., Thomas, S., & Deeley, S. (2004). Can primary schools contribute effectively to Tier I Child Mental Health Services? Clinical Child Psychology and Psychiatry, 9, 419425.CrossRefGoogle Scholar
Headley, C.J., & Campbell, M.A. (2011). Teachers’ recognition and referral of anxiety disorders in primary school children. Australian Journal of Educational & Developmental Psychology, 11, 7890.Google Scholar
Headley, C.J., & Campbell, M.A. (2013). Teachers’ knowledge of anxiety and identification of excessive anxiety in children. Australian Journal of Teacher Education, 38, 4866.CrossRefGoogle Scholar
Hettema, J.M., Neale, M.C., & Kendler, K.S. (2001). A review and meta-analysis of the genetic epidemiology of anxiety disorders. American Journal of Psychiatry, 158, 15681578.CrossRefGoogle ScholarPubMed
Hinchcliffe, K.J., & Campbell, M.A. (2016). Tipping points: Teachers’ reported reasons for referring primary school children for excessive anxiety. Journal of Psychologists and Counsellors in Schools, 26, 8499.CrossRefGoogle Scholar
Kaye, W.H., Bulik, C.M., Thornton, L., Barbarich, N., Masters, K., & Price Foundation Collaborative Group. (2004). Comorbidity of anxiety disorders with anorexia and bulimia nervosa. American Journal of Psychiatry, 161, 22152221.CrossRefGoogle Scholar
Kochel, K.P., Ladd, G.W., & Rudolph, K.D. (2012). Longitudinal associations among youth depressive symptoms, peer victimization, and low peer acceptance: An interpersonal process perspective. Child Development, 83, 637650.CrossRefGoogle ScholarPubMed
Kim, Y., Thayne, J., & Wei, Q. (2017). An embodied agent helps anxious students in mathematics learning. Educational Technology Research and Development, 65, 219235.CrossRefGoogle Scholar
Lawrence, D., Hafekost, J., Johnson, S.E., Saw, S., Buckingham, W.J., Sawyer, M.G., & Zubrick, S.R. (2016). Key findings from the second Australian child and adolescent survey of mental health and wellbeing. Australian & New Zealand Journal of Psychiatry, 50, 876886.CrossRefGoogle ScholarPubMed
Lehmann, E.L. (2009). Parametric versus nonparametrics: Two alternative methodologies. Journal of Nonparametric Statistics, 21, 397405.CrossRefGoogle Scholar
McLean, C.P., & Hope, D.A. (2010). Subjective anxiety and behavioral avoidance: Gender, gender role, and perceived confirmability of self-report. Journal of Anxiety Disorders, 24, 494502.CrossRefGoogle ScholarPubMed
Mathew, A.R., Pettit, J.W., Lewinsohn, P.M., Seeley, J.R., & Roberts, R.E. (2011). Co-morbidity between major depressive disorder and anxiety disorders: Shared etiology or direct causation? Psychological Medicine, 41, 20232034.CrossRefGoogle ScholarPubMed
Molins, N.C., & Clopton, J.R. (2002). Teachers’ reports of the problem behavior of children in their classrooms. Psychological Reports, 90, 157164.CrossRefGoogle ScholarPubMed
Papandrea, K., & Winefield, H. (2011). It’s not just the squeaky wheels that need the oil: Examining teachers’ views on the disparity between referral rates for students with internalizing versus externalizing problems. School Mental Health, 3, 222235.CrossRefGoogle Scholar
Patalay, P., Deighton, J., Fonagy, P., & Wolpert, M. (2015). The relationship between internalising symptom development and academic attainment in early adolescence. PloS One, 10, e0116821.CrossRefGoogle ScholarPubMed
Pearcy, M.T., Clopton, J.R., & Pope, A.W. (1993). Influences on teacher referral of children to mental health services: Gender, severity, and internalizing versus externalizing problems. Journal of Emotional and Behavioral Disorders, 1, 165169.CrossRefGoogle Scholar
Reardon, T., Spence, S.H., Hesse, J., Shakir, A., & Creswell, C. (2018). Identifying children with anxiety disorders using brief versions of the Spence Children’s Anxiety Scale for Children, Parents, and Teachers. Psychological Assessment, 30, 13421355.CrossRefGoogle ScholarPubMed
Rickwood, D., Deane, F.P., Wilson, C.J., & Ciarrochi, J. (2005). Young people’s help seeking for mental health problems. Australian e-Journal for the Advancement of Mental Health, 4(Suppl.), 134.CrossRefGoogle Scholar
Rothi, D.M., Leavey, G., & Best, R. (2008). On the front-line: Teachers as active observers of pupils’ mental health. Teaching and Teacher Education, 24, 12171231.CrossRefGoogle Scholar
Sayal, K. (2006). Annotation: Pathways to care for children with mental health problems. Journal of Child Psychology and Psychiatry, 47, 649659.CrossRefGoogle ScholarPubMed
Shiffrin, N., Brockveld, K.C., McLellan, L.F., Crawford, E., Kagan, E., Hudson, J.L., & Kendall, P.C. (2017). Evidence-based assessment and intervention for anxiety in school psychology. In Thielking, M. & Terjesen, M.D. (Eds.), Handbook of Australian school psychology: Integrating international research, practice, and policy (pp. 251268). Cham, Switzerland: Springer International Publishing.CrossRefGoogle Scholar
Skedgell, K., & Kearney, C.A. (2016). Predictors of absenteeism severity in truant youth: A dimensional and categorical analysis. American Secondary Education, 45, 4658.Google Scholar
Stevenson-Hinde, J., & Shouldice, A. (1993). Wariness to strangers: A behavior systems perspective revisited. In Rubin, K.H. & Asendorpf, J.B. (Eds.), Social withdrawal, inhibition, and shyness in childhood (pp.101116). New York, NY: Lawrence Erlbaum.Google Scholar
Teagle, S.E. (2002). Parental problem recognition and child mental health service use. Mental Health Services Research, 4, 257266.CrossRefGoogle ScholarPubMed
Trudgen, M., & Lawn, S. (2011). What is the threshold of teachers’ recognition and report of concerns about anxiety and depression in students? An exploratory study with teachers of adolescents in regional Australia. Australian Journal of Guidance and Counselling, 21, 126141.CrossRefGoogle Scholar
Van Ameringen, M., Mancini, C., & Farvolden, P. (2003). The impact of anxiety disorders on educational achievement. Journal of Anxiety Disorders, 17, 561571.CrossRefGoogle ScholarPubMed