PERCEIVE ACADEMIC STRESS AND COPING STRATEGIES OF CSUS SOCIAL WORK GRADUATE STUDENTS A Project Presented to the faculty of the Division of Social Work California State University, Sacramento Submitted in partial satisfaction of the requirements for the degree of MASTER OF SOCIAL WORK by Mary Ninh Ka Thao SPRING 2012 PERCEIVE ACADEMIC STRESS AND COPING STRATEGIES OF CSUS SOCIAL WORK GRADUATE STUDENTS A Project by Mary Ninh Ka Thao Approved by: __________________________________, Committee Chair Serge Lee, Ph.D. ____________________________ Date ii Students: Mary Ninh and Ka Thao I certify that these students have met the requirements for format contained in the University format manual, and that this project is suitable for shelving in the Library and credit is to be awarded for the project. __________________________, Graduate Coordinator Dale Russell, Ed.D., LCSW Division of Social Work iii ___________________ Date Abstract of PERCEIVE ACADEMIC STRESS AND COPING STRATEGIES OF CSUS SOCIAL WORK GRADUATE STUDENTS by Mary Ninh Ka Thao In general, graduate programs are demanding and challenging. Researchers’ desires are to explore the sources of academic stress for as well as coping mechanisms employed by Social Work graduate students at California State University, Sacramento, Division of Social Work. Goals of this study are to increase awareness to students as well as the Division, and hope that the Division will continue to explore possible program modifications to create a more satisfying learning environment for students. Sixty-six MSWI and MSWII students participated in this study. Findings indicate that the top five academic stressors are thesis, papers, time management, excessive homework/reading, and tuition cost. In general, MSWIIs experience more stress than MSWIs. _______________________, Committee Chair Serge Lee, Ph.D. _______________________ Date iv ACKNOWLEDGEMENTS We want to express our sincere appreciation to each other for the endless patience and encouragements throughout the two years of graduate school as well as for making this project a success. This journey has brought our friendship closer together and one simply could not have wished for a better thesis partner. We would also like to convey our deepest gratitude to our beloved fiancé and husband, parents, family members, and friends who so patiently motivated and supported us through this challenging, but rewarding experience. Thank you for your devotion and unconditional love. Additionally, we would like to give a special thanks to our thesis advisor, Dr. Serge Lee for his knowledge, advice and guidance towards the completion of this research project. Without your help, we would not have made it. Lastly, we would also like to acknowledge Dr. Francis Yuen, Dr. David Nylund, Dr. David Demetral, and Dr. Andrew Bein. We are fortunate for their support and this project would not have been possible without their assistance. v TABLE OF CONTENTS Page Acknowledgments......................................................................................................... v List of Tables .............................................................................................................. ix Chapter 1. THE PROBLEM ............. ……………………………………………………….. 1 Introduction ....................................................................................................... 1 Research Problem ..............................................................................................2 Purpose of the Study ......................................................................................... 3 Assumptions.......................................................................................................3 Theoretical Framework ......................................................................................4 Justification ........................................................................................................6 Definition of Terms............................................................................................7 Summary ............................................................................................................8 2. REVIEW OF THE LITERATURE ........................................................................ 9 Introduction ........................................................................................................9 Stress and Health............................................................................................. 12 Stress and Mental Health .................................................................................13 Managing Stress ...............................................................................................18 Stress and Coping Strategies ............................................................................19 Stress and the Student ......................................................................................24 vi Student and Coping Mechanisms.....................................................................26 Gender and Coping Measurements ..................................................................28 Gaps in Literature ............................................................................................29 3. METHODS ........................................................................................................... 31 Introduction ......................................................................................................31 Research Question ...........................................................................................31 Research Design...............................................................................................31 Instrumentations ...............................................................................................32 Study Population ..............................................................................................34 Protection of Human Subjects .........................................................................35 Data Collection Procedures..............................................................................36 Data Analysis Plan ...........................................................................................37 Study Limitations .............................................................................................37 Summary ..........................................................................................................38 4. RESULTS ............................................................................................................. 39 Introduction ......................................................................................................39 Demographic Characteristics ...............................................................40 Key Variables Related to Research Purpose and Rationale.................42 Qualitative Data in Regards to Field Placements and Thesis/Project Advisors ...............................................................................................63 Overall Findings...................................................................................64 vii 5. SUMMARY ..........................................................................................................67 Overall Summary .............................................................................................67 Social Work Implications ................................................................................74 Recommendation for Future Changes .............................................................76 Summary ..........................................................................................................77 Appendix A. Consent to Participate in Research ..................................................... 78 Appendix B. Measurement Instrument ..................................................................... 81 References ................................................................................................................... 85 viii LIST OF TABLES Tables Page 1. Participants’ Gender…………………………... .……………………………. 40 2. Participants’ Age……………………………….… .. …………………………41 3. Participants’ Ethnicity…………………… ………….………………………. 41 4. Participants’ Social Work Program Standing…………………… . …………. 42 5.1 Participants’ Response to Grades...................................................................... 43 5.2 Split Comparisons of Social Work Program Standing and Grades .................. 43 6.1 Participants’ Response to Excessive Homework/Reading ............................... 44 6.2 Split Comparisons of Social Work Program Standing and Excessive Homework/Reading .......................................................................................... 45 6.3 Split Comparisons of Ethnicity and Excessive Homework/Reading ................ 46 7.1 Participants’ Response to Papers ...................................................................... 47 7.2 Split Comparisons of Social Work Program Standing and Papers ................... 48 7.3 Split Comparisons of Ethnicity and Papers ...................................................... 49 8.1 Participants’ Response to Tuition Cost ............................................................. 50 8.2 Split Comparisons of Social Work Program Standing and Tuition Costs ........ 51 9.1 Participants’ Response to Field Placement ....................................................... 52 9.2 Split Comparisons of Social Work Program Standing and Field Placement .... 52 10.1 Participants’ Response to Time Management................................................... 53 10.2 Split Comparisons of Social Work Program Standing and Time Management 54 ix 10.3 Split Comparisons of Ethnicity and Time Management ................................... 55 11.1 Participants’ Response to Thesis ...................................................................... 56 11.2 Split Comparisons of Social Work Program Standing and Thesis ................... 57 11.3 Split Comparisons of Ethnicity and Thesis ....................................................... 58 12. Participants’ Response to Concentrate on Doing Something about Situation to Cope............................................................................................... 59 13. Participants’ Response to Get Emotional Support from Others to Cope .......... 60 14. Participants’ Response to Take Action to Make the Situation Better to Cope . 61 15. Participants’ Response to Getting Help and Advice from Others to Cope ....... 61 16. Participants’ Response to Coming Up with Strategy about What to Do to Cope .............................................................................................................. 62 17. Participants’ Response to Accept Reality that It Has Happened to Cope......... 63 18. Correlation Matrix between Academic Stress and Coping Strategies .............. 66 x 1 Chapter 1 THE PROBLEM Introduction As students continue to pursue higher education after high school and especially beyond a bachelor’s degree, the level of difficulty becomes more challenging, demanding, and overwhelming. These feelings can cause students excessive amounts of stress. Stress can stem from various aspects of the graduate students’ lives especially factors such as college campus access, program requirements, and demanding curriculums (Landow, 2006). Landow (2006) also indicated financial responsibilities, living situations, social activities, temptations, and changes in relations with friends and family members as additional stressors experienced by students. Nonetheless, stress and coping skills of students are contributing factors to students’ academic performances, well-being, daily functioning, as well as physical and mental health; therefore, it is crucial for students to develop and maintain positive coping strategies to successfully get through college. According to the National Institute of Mental Health (NIMH), poor coping skills such as smoking, alcohol abuse, unsafe sex, and suicide are often practiced by college students to alleviate stress. Inadequate self care and negative coping could also lead to physical illnesses such as cold, flu, heart disease, high blood pressure, weak immune system, and even cancer (Edlin & Golanty, 2004). Furthermore, Body Dysmorphic Disorder, Eating Disorder, and substance abuse are also some of the less common mental health issues experienced by college students, leaving depression and anxiety disorders as 2 most common (Anxiety Disorders Association of America (ADAA, 2011). Torabi and Perera (2006) explained that depressive disorders pose a great threat to the well-being of young people, making college students highly vulnerable. NIMH also agreed that college students are at risk for developing depression due to stresses. In a nationwide survey conducted by the American Health Association-National College Health Assessment (ACHA-NCHA), 30 % of college students reported feeling depressed, having difficulty functioning, and struggling with academic performances (NIMH). Moreover, forty million U.S. adults suffer from anxiety disorder, and 75% of them experience their first episode of anxiety at 22 years old, the age commonly found among college students (ADAA, 2011). With all that said, this project aims to explore, analyze, and provide information to California State University of Sacramento, Division of Social Work graduate program regarding stresses and coping skills practiced by its graduate students. Research Problem This study will examined the relationship between academic stress levels of the Spring 2012 California State University, Sacramento (CSUS) Social Work graduate students and coping strategies they employed. More specifically, the study will investigate the academic sources of stress as well as explore the extent of utilization of problem-focused copings strategies versus emotion-focused coping strategies in CSUS Social Work graduate students. 3 Purpose of the Study There have been numerous studies about students in graduate school who are in helping professions including social work; yet, issues explored were limited to students’ perceived sources of stress, the impact of stress, burnouts, and dropouts. Graduate students continue to struggle with completing the program with minimal stress, putting them at risk for developing mental health problems due to high stress levels resulting from academic stressors and maladaptive coping skills. Therefore, this project aims to achieve the following purposes 1) identify the academic source of stress in CSUS Social Work graduate students; 2) investigate the relationship between academic-related stress of CSUS Social Work graduate students and coping strategies employed; and 3) explore the extent of utilization of problem-focused copings strategies vs emotion-focused coping strategies in CSUS Social Work graduate students. The goals of the researchers are that the results from this project can advise social work graduate students to better cope with their academic stress to minimize the impact of stress as well as offer suggestions for the social work department to aid future graduate students to improve their academic performance. Assumptions The assumptions to be considered in this study include: 1) all participants are CSUS Social Work graduate students; 2) all participants experience a level of stress with academic-related stressors identified in Academic Stress Scale; and 3) all participants employ efforts as an attempt to reduce stress. 4 Theoretical Framework This research project utilized the contextual model (Folkman, 1992). Folkman states that within the contextual model, there is an underlying assumption that “coping thoughts and acts are influenced by the relationship between the person and the environment in a given stressful encounter” (p.34). This model is derived from cognitive appraisal model in which coping is described as ever-changing ways used to manage specific demands of an appraised stressful event (Folkman, 1992). Within this model, cognitive appraisals help us determine whether a specific person-environment encounter is perceived as stressful. According to Lazarus (1996), who was one of the first to write about the appraisal view of stress, situations are perceived as stressful due to the appraisal of threat. He explains that in order for a threat to occur, it must be evaluated to signify that harm is present. The evaluation encompasses not only the perception of the elements of the situation, but also ideas, judgment, inferences, and expectations of the personenvironment encounter. All of these constitute the cognition behind the appraisal. If the background of the cognition is changed, the appraisal of harm may be removed and a different meaning may be attached to the encounter. This initial evaluation of the situation is called the primary appraisal. There is an appraisal of whether there is threat or no threat influenced by personal and environmental factors. Situations can be evaluated as irrelevant, benign, or threatening. When threat is appraised, a secondary appraisal of coping options is triggered. Primary appraisal looks at the “impending harm”, if any, and secondary appraisal 5 evaluates “consequences of any coping action” (Lazarus, 1966, p.208). As Folkman describes, “in primary appraisal the person asks ‘what do I have at stake in this encounter?’ and in secondary appraisal the question is ‘what can I do?’ (1992, p.34). Reappraisals shift the evaluation of situations and change coping strategies. Folkman explains that shifts can happen when coping strategies employed change the environment, or the meaning and understanding of the situation, which consequently lead to reappraisals of the situation in a cyclical motion. This phenomenon affects subsequent coping efforts and drives the constant change in coping processes from situation to situation. Under the contextual model, coping is used to not only manage problems but also to regulate emotions (Folkman, 1992). These two functions are categorized into problem-focused coping and emotion-focused coping. Problem-focused coping strategies are utilized to manage or change the situation that is causing stress while emotionfocused coping strategies are utilized to manage the negative feelings associated with stress (Smith & Renk, 2007). The contextual model serves as a foundation for the researchers of this study to understand how individuals come to view a situation as stressful as well as the options conjured to dealing with the stressful event. This model explains that coping strategies vary among individuals and can constantly change for any one individual. As researchers attempt to understand the academic-related stressors of CSUS Social Work graduate students, we are aware that differences exist in terms of stress experienced and the vast amount of coping options available. Within this model, researchers are also able to gain 6 awareness into the general type of coping strategy employed by CSUS Social Work graduate students. Justification Due to the demanding and challenging curriculum for social work graduate students at California State University, Sacramento, Division of Social Work, it could cause much academic stress for students. The researchers’ desires are to verify what the causes of the stressor are, increase awareness to graduate students as well as the Division of Social Work, and hope that the division will develop new methods for improving the program to create more satisfying experiences for graduate students. This study has its significance at the micro, mezzo, as well as macro level of social work. At the individual level, participants will recognize the kinds of stressors that may have an effect on their health and interfere with their academic performance. High stress levels and/or poor coping skills may lead to long-term health issues long after graduation from the program. Participants may be able to utilize results from study to adjust personal reactions to academic-related challenges accordingly. At the university level, it is important for university program developers to be aware of campus environmental or program-related factors that affect students’ academic performance. If within the scope of university operation, such factors should be addressed to provide students the best learning environment possible. In addition, if outcomes demonstrate that a need for additional stress-reduction programs exist, then the university should consider implementation of such programs to provide students’ with added means to manage stress. 7 Furthermore, this study has its significance for the social work profession. Social work practice is grounded in improving the quality of life for individuals. Social workers strive to enhance human wellbeing and fight to promote social justice. The existence of stress adversely affects an individual’s quality of life. The problem of prolonged stress has its implications in possible long-term health issues, a matter that is of concern to the social work profession. Definition of Terms For the purpose of this project, the following terms are utilized in the work and are defined as follows: CSUS Social Work graduate student: an individual who is enrolled in the Fall 2011/ Spring 2012 graduate social work program at California State University, Sacramento Stress: a psychological reaction that causes an individual to feel overwhelmed Academic-Related Stress: a psychological reaction causing an individual to feel overwhelmed while pursuing a graduate education Stressor: An event or cause that leads an individual to feel stressed Coping Strategies: the efforts utilize by an individual to manage specific demands of stressors; coping strategies can be view as what an individual actually think and does in a particular stressful situation (Smith & Renk, 2007) Problem-focused Coping Strategies: effort utilized to manage or change a situation that is causing stress (Smith & Renk, 2007) Emotion-focused Coping Strategies: effort utilize to manage the negative feeling associated with stress (Smith & Renk, 2007) 8 Physical Stressors: “Environmental factors that influence behaviors” (Kohn & Frazer, 1986) Psychological Stressors: “Irrational interpretation of events that results in emotional consequences” (Kohn & Frazer, 1986) Psychosocial Stressors: “Interpersonal interactions which affect an individual’s behavior” (Kohn & Frazer, 1986) Summary Chapter 1 provided an introduction and background of the problem, and outlined the basic aspects of the study including definition of terms. Chapter 2 is divided into themes discovered through the reviewing of literature. The themes are stress and health, stress and mental health, managing stress, stress and coping strategies, stress and student, student and coping mechanisms, gender and coping, and gaps in literature. Chapter 3 describes the methodology used in this project. Some of the points covered were design, instrumentation, how the data will be gathered and analyzed, protection of the human subjects, and limitation. Chapter 4 will explore the data analysis. Finally, Chapter 5 will address an overall summary of the project, social work implication as well as suggestions for further research. 9 Chapter 2 REVIEW OF THE LITERATURE Review of the literature has been divided into nine themes. Themes in this section include: 1. Introduction 2. Stress and Health 3. Stress and Mental Health 4. Managing Stress 5. Stress and Coping Strategies 6. Stress and the Student 7. Student and Coping Mechanisms 8. Gender and Coping 9. Gaps in Literature Introduction Lazarus and Folkman (1984) described stress as “the result of an individual’s perceptions that they do not have the resources to cope with a perceived situation from the past, present or future” (Robotham & Julian, 2006). It is created when there is an imbalance between an environmental demand and the ability to meet that demand (Fisher, 1994). A stressor then would be the situation or event that is taxing on the mind or body. The concept of stress has long been studied with a wealth of knowledge dating back to the 19th century (Lovallo, 2005). The modern concept of stress and stress responses was initially recognized by Claude Bernard who asserted that there are 10 responses within the internal environment of the body that maintain life even in a perpetually changing external environment (Lovallo, 2005). Walter Cannon furthered this concept and termed the process of “maintaining internal stability in the face of environmental change” homeostasis (Lovallo, 2005, p. 34). He was noted to be the first to use the word stress to denote the response of the body when faced with challenging demands (Lovallo, 2005) and the person who created the term fight or flight (Wheaton, 1994). In times of threat, the autonomic nervous system sends out alarm signals and stress hormones to activate the fight-or-flight response: confront it (fight) or run and avoid (flight) (Edlin & Golanty, 2004). Cannon studied the effects of pain, hunger, and emotion on bodily changes in physiological processes (Wheaton, 1994) and suggested that health could be affected from dysregulation of our systems (Lovallo, 2005). The person who is recognized to be the pioneer in stress research, however, is Hans Selye who formulated a stress response pattern called the general adaptation syndrome (as cited by Edlin & Golanty, 2004). As described by Edlin and Golanty, the general adaptation syndrome is a three-phase response that consists of the following stages: 1. Stage of alarm: A person’s ability to withstand or resist any type of stressor is lowered by the need to deal with the stressor, whether it is a burn, a broken arm, the loss of a loved one, the fear of failing a class, or losing a job. 2. Stage of resistance: The body adapts to the continued presence of the stressor by producing more epinephrine, raising blood pressure, increasing alertness, suppressing the immune system, and tensing muscles. If interaction with the stressor is prolonged, the ability to resist becomes depleted. 11 3. Stage of exhaustion: When the ability to resist is depleted, the person becomes ill. Because many months or even years of wear and tear may be required before the body’s resistance is exhausted, illness may not appear until long after the initial interaction with the stressor (p. 50). According to Edlin and Golantry, Selye also stated that stress does not necessarily have to be a negative experience (distress), he coined the term eustress (Fisher, 1994) to describe the positive experiences of stress as with stress that comes from challenging situations in which growth, mastery and gain can be achieved. Stress can also be viewed from different models. As cited in a study that measured academic sources of stress (Lin & Chen, 2009), Kasl and Anderson purported that stress can be viewed from four categories: 1. Viewing stress from external situations 2. Viewing stress from the perception or evaluation of situations 3. Viewing stress as some kind of relationship between environmental needs and individual handling ability 4. Viewing stress as some kind of relationship between environment needs and individuals (p. 158). Situations that can cause stress are generally categorized into three types: harmand-loss situations, threat situations, and challenge situations (Edlin & Golanty, 2004). Edlin and Golanty stated that emotions associated with harm-and-loss situations are sadness, anger, and depression, whereas emotions associated with threat situations include anxiety, anger, hostility, frustration, and depression. They affirmed that because 12 challenge situations usually include life transitions in which there are opportunities for growth, mastery, and gain, emotions associated with challenge situations often involve both sadness and excitement. People experiencing challenge situations may feel sad for the loss of whatever they may be transitioning out of and excitement for whatever new encounter they are facing (Edlin & Golandy, 2004). Stress and Health A study by Kiecolt-Glaser et al. (2002) that reviewed literature and other studies published since 1939 concluded that there is an abundance of research to date that supports the assertion that psychosocial stressors can lead to health changes and affect health outcomes. According to Edlin and Golanty (2004), prolonged stress increases the level of cortisol in the bloodstream and affects our ability to fight infections. The nervous and endocrine systems of our bodies are activated when we are subjected to stress which leads to changes in our immune systems (Edlin & Golanty, 2004). When these systems are constantly activated and/or overstimulated, functions of the heart, blood vessels, immune system, and other organs may be affected leading to illnesses such as heart disease, high blood pressure, an increased susceptibility to infectious disease and even cancer (Edlin & Golanty, 2004). Physical health problems were more prominent in students who reported heightened levels of stress (Friedlander et al., 2007). Edlin and Golanty claimed that students who experience stress prior to an exam showed decreased blood levels of the immune system cells putting them at risk for illnesses such as colds and flu. In 2006, over 40,000 college students were surveyed by the American College Health Association. 13 Of those surveyed, stress was the number one reported factor to have impacted academic performance with cold/flu/sore throat coming in second (American College Health Association, 2006). The data collection also reported that 31.6% of college students volunteer between one and nine hours of their time per week and 31.7% carry credit card debt, both of which can influence students’ health status. Furthermore, a study involving 146 college men found that higher levels of stress not only led to lower grade point averages but also resulted in an increase in somatic symptoms (Shields, 2001). Stress not only can impair the immune system and lead to illnesses, it can also cause death. Edlin and Golanty described further a Japanese concept termed karoshi. Karoshi is sudden death from overwork and is officially recognized by the Japanese Labor Ministry as a cause of death. Many Japanese tend to overwork inducing stress that can lead to heightened blood pressure and lower immune system functioning, resulting in death. According to Edlin and Golanty, there were 143 cases of karoshi reported in 2001. In 1994, a 44-year-old teacher died from brain hemorrhage resulting from overwork and the family was paid $123,000 as a result (Edlin & Golanty, 2004). Stress and Mental Health The relationship between mental health and coping with stress has been looked at numerous times in the past. Mental health has been considered as a more or less stable state as continuous affective well-bring, consisting of several components such as will power, adaptability, and self-assurance (Perrez, 1992). Stress leading to mental health affects many people. A specific group of people that is heavily impacted by this matter are college students. In a separate study, Petruzzello and Motl (2006) described common 14 sources of stress for college students to be among academic demands, financial responsibilities, social activities, new ideas and temptations, and changes in relationship with friends and family members. Due to the wide variety of stress and its influence on psychological and behavioral functioning, it is not practical to completely (Monroe & McQuaid, 1994). Nonetheless, strategies for controlling stress are important as prolonged stress, combined with inadequate coping, can result in signs and symptoms of anxiety and depression, and even clinical mood disorders. Furthermore, Monroe and McQuaid (1994) indicated that there are several approaches to operationalize stress despite their differences in validity and associations with disorders. Yet, they argued the approaches are concerning the magnitude of effect for life stress on mental health. They continued to point out that although a large number of people under stress do not develop any disorder, most people who become depressed have been exposed to serious forms of stress prior to onset, which make procedures for determining the magnitude of effect attributable to life stress represent poor statistical measures of the effect (Monroe & McQuaid, 1994). Monroe and McQuaid also indicated that other indices of risk may be more appropriate to convey the statistical importance of the association. They indicated that recent advances in clarifying the characteristics of specific forms of stress have led to greater precisions in predicting the onset of depression as indicated by such alternative measures of the association. Moreover, it seems unlikely that stress is predictive of all psychological and physical problems. Monroe and McQuaid also stated although we cannot discount the possibility of nonspecific stress effects, there is evidence that some psychological problems occur relatively independent 15 of life stressors such as that some people become depressed without any external cause. Lastly, they emphasized the obstacle to demonstrating a lack of association and pathology stems from the cultural and subjective emphasis on stress. Despite Monroe and McQuaid’s assertion, many studies have shown a variety of stressors among different groups of people. One of the biggest cultural chronic stressors that has serious implications for the development and treatment of mental illness is perceived discrimination (Gurung & Roethel-Wendorf, 2009). Similar findings were made by comparing a study examining the relationship between perceived discrimination, depression, and moderating variable of coping, acculturation, and ethnic support in a sample of Korean immigrants living in Canada with a sample of Mexican immigrants and US-born individuals of Mexican descent in California in regards to perceived discrimination as a stressor (Gurung & Roethel-Wendorf, 2009). In correspondence, Gurung and Roethel-Wendorf (2009) elaborated that the stigma of mental illness may be a significant stressor for minorities. Likewise, Chang (2001) explained that unlike Caucasians, Asian Americans are delegated a minority status in the US, and faced with a paradox in that they are viewed as a model minority while also enduring racial prejudices. Hence, the collectivism of most Asian Americans may pose a constant source of stress in an individualistic society. Overall, culture can affect the experience of stress and the coping process. Thus, different cultural groups experience different stressors by virtue of how they appraise stress and by how they are treated (Gurung & RoethelWendorf, 2009). Overall, culture shapes beliefs about health and illness and provides the 16 context by which an individual evaluates his or her situation, and decides whether he or she is stressed. Gurung and Roethel-Wendorf (2009) added that chronic, long term stressors can cause wear and tear on body systems leading to tissue damage and irregular responding. Stressful life events have also been associated with bipolar disorder, shown to precede the onset of manic episodes and influenced the course of treatment of this disorder. According to a study, Daughtry and Kunkel (1993) asserted that about 20% of college students experience depression some time during their course of studies. Hence, another study showed 5% of college students report poor mental health and/ or depression (Petruzzello & Motl, 2006). Moreover, anxiety is commonly found among college students and their academic performance too, especially when it comes to test taking. Kassim, Hanafi, and Hancock (2009) described anxiety as an unpleasant state of tension arising from disapproval in interpersonal relation. Test anxiety is reported to be a major educational problem affecting millions of students in all school levels, ranging from elementary to university level (Kassim, et al., 2009). According to researchers, anxiety caused poor performance, students with high anxiety during test time will score lower than students with lower anxiety levels. Also, studies proved that along with anxiety, lower test scores of anxious students occur either by lack of study skills or interference in the retrieval of prior learning, or a combination of both (Kassim, et al., 2009). In another source, exam anxiety also led students to experience health problems such as frequent headaches, stomach and bowel problems, eating disorders, recurrent infections and other symptoms 17 of stress (Edlin & Golanty, 2004). One way to reduce anxiety during exams is practicing an exercise called visualization, which involves one to close his or her eyes and ask the mind to recall a place and time of peace and serenity. By practicing this exercise several times prior to taking an exam, one would feel automatic relaxation (Edlin & Golanty, 2004) Another mental health disorder commonly found among individuals with high stressors is adjustment disorders. Eshun and Kelly (2009) declared that work related stress may result in burnout and ultimately adjustment disorders as well. They described job stress as a reflection of a poor fit between an employee’s abilities either due to the excessive demands being made by the employer, or that the individual does not feel well prepared to deal with the challenges nor has the experience to manage the demands (Eshun & Kelly, 2009). Additionally, researchers who studied stress agreed that bereavement is the most severe stressor of adult life. Kim and Jacob (1995) explained that adverse consequences of bereavement are an increase in overall mortality; an increase in the relative risk of death from cardiovascular disease, accidents, and some infectious diseases in widowers, and an increase in the relative risk of death from cirrhosis in widows. Other possible consequences are an increase of risks of death from cirrhosis in widows, and an increased risk of suicide gestures and suicide following spousal and parental deaths (Kim & Jacobs, 1995). Kim and Jacobs (1995) also revealed that women and younger persons are at higher risk for major depression relating to bereavement. 18 Unfortunately, not everyone that has mental health disorders from stress is willing to seek treatment and support to help manage their feelings. Gurung and RoethelWendorf (2009) asserted that individuals in racial and ethnic minority groups may be less likely to seek treatment for mental health problems than non-Hispanic whites. Thus, the odds of seeking treatment were greatest for non-Hispanic Whites, followed by Hispanics, then African Americans, and “other”. On a better note, evidence has proven effective ways to treat individuals with mental disorders by utilizing psychotherapeutic and psychotropic interventions by reducing the effect of stressors (Kavanagh, 2005). This claim was also supported in recent studies among combat veterans. Kavavagh (2005) further reported that debriefing and post-deployment counseling can help to prevent the symptoms of Post Traumatic Stress Disorder (PTSD), decrease in depression, anxiety, social dysfunction, and an increase in family functioning (Kavanagh, 2005). Managing Stress It is important for students to know how to manage stress under overwhelming circumstances, such as graduate studies. Edlin and Golanty (2004) suggested that the best way to manage stress is to “replace stressful ways of living with beliefs, attitudes, and behaviors that promote peace, joy, and mind-body harmony”. They provided a list of ways to lessen stress as described below: 1. Limit or eliminate interaction with the stressor. 2. Alter your perception of a stressful situation. 3. Change beliefs and goals to alleviate maladaptive perspectives. 4. Have confidence in your ability to lessen stress. 19 5. Seek social support. 6. Alter the mental and physical experience of stress by engaging in physical activities. 7. Ease your mind with relaxation and/or mind-body exercises. 8. Live healthfully. 9. Let go and give yourself a break from stress. (Edlin & Golanty, 2004) In 1975, Benson, Greenwood, and Klemchuk conducted a study on the effects of various relaxation techniques (Edlin & Golanty, 2004). They found that people who practice hypnosis, meditation, and yoga had lower blood pressure and heart rate, reduced oxygen consumption, more relaxed muscles, and reduced perspiration. The combination of these physiological responses was termed relaxation response and regardless of the relaxation technique used, encompasses four elements (Edlin & Golanty, 2004, p. 34): 1. A quiet environment 2. Repetition of a specific word, phrase, or exercise that focuses on the mind’s attention 3. A passive, accepting mental state 4. A comfortable physical position Stress and Coping Strategies When under stress, individuals employ coping response to either change the nature of the situation to make it more manageable or to reduce their negative affect (Wood, 2007). Common coping strategies include avoidance, planned problem solving, 20 self- control, seeking support, positive reappraisal of a situation and psychological distancing (Wood, 2007). In relevance, Lewis and Frydenberg (2007) claimed that the age people cope with stress is an important component of health and well-being since failure to deal with stress is very costly in social and emotional terms. With that said, problem focused coping styles are not always significant predictors of successful outcomes unless the effects of emotional focused strategies are statistically controlled (Lewis and Frydenberg, 2007). Normally, people’s usages of emotional and problemfocused coping strategies are correlated. They asserted that coping strategies cannot be judged as universally good or bad since different situations maybe responded to best with different strategies. Instead, coping strategies have been generally characterized as productive or nonproductive. A study investigating coping and outcomes concluded that non productive coping includes the use of strategies like self-blaming, keeping to self, wishful thinking, worrying, tension reduction, and ignoring the problem (Lewis & Frydenberg, 2007). In contrast, problem solving, working hard, physical recreation, and relaxing were viewed as productive strategies (Lewis & Frydenberg, 2007). According to Lewis and Frydenberg (2007), girls have been found to employ nonproductive styles of coping more than boys by putting more energy into stratagems such as worrying, wishful thinking, tension reduction, and self blame. Another positive coping mechanism is exercise, especially to eliminate mental health related problems. Petruzzello and Motl (2006) asserted that exercise and physical activities have been tools to prevent and treat depression. In fact, the incorporation of exercise as a regular lifestyle habit can help to alleviate stress by temporarily reducing 21 anxiety and depression as well as improve the likelihood that stress will become less problematic and more manageable (Petruzzello & Motl, 2006). Moreover, social support was found as a contributing factor to the maintenance and improvement of mental health. In a study conducted among 342 Japanese college students ranging from age 18-22 in Japan, Sumi (2006) described the relationship of interpersonal support, reciprocity along with conflicts of perceived stress, depression, and anxiety. The study showed Japanese college students who rate themselves higher in interpersonal support, higher in reciprocity, and lower in conflict were likely to report lower ratings of perceived stress, depression, and state of anxiety (Sumi, 2006). Lefcourt (2001) indicated that humor can be an effective means of coping with stressful experiences, lessening their impact upon moods and emotions. In a previous study, humor operated as a moderating variable; subjects who are unable to produce humor showed a greater relationship between stress and mood disturbance than did those who were more capable of humor on this difficult and demanding task. Lefcourt further asserted that a follow up study found that mood disturbance was more common among stressed subjects who failed to create a funny monologue than among equivalently stressed peers who succeed at creating a funny monologue. Overall, the results of these studies provided encouraging support for the hypothesized stress moderator role of humor. In addition, Langhinrichsen-Rohling, O’Brien, Klibert, et al., (2006) discussed that there is a significant association between lack of adaptive coping behaviors and suicidal behavior in college students. The obtained findings consistently indicate that 22 active or problem- solving coping often function as a buffer against suicide proneness. Oppositely, Langhinrichsen-Rohling and colleagues found that over- reliance on emotion-focused coping usually operates as a risk factor for suicide behavior. Specifically, these researchers reported a study of 491 college students ranging from ages 17-25 revealed significant mean differences in suicide proneness between college men and women. The result showed more college men reporting greater engagement in injury and risk-related, death and suicide-related, negative health and illness-related and negative self-related behaviors than college women. Relating to this discovery was that men reported utilizing more avoidant coping strategies while women engage in more emotionally expressive and social support seeking coping strategies (LanghinrichsenRohling et al., 2006). . Wills and Sandy (2001) asserted that many people also use social comparison to cope with psychological distress arising from sources such as negative life events, failure experiences, and threat to self- esteem. Comparison-oriented coping is a cognitive process of comparing one’s attributes with those of another person, so as to improve subjective well-being. Similarly, Chang (2001) talked about 45 self-identified Asian Americans and 49 self-identified Caucasian Americans of college students involved in a study exploring their cultural differences and coping skills. The result was that Asians report more problem avoidance and social withdrawal as coping mechanisms. Hence, both groups reported greater problem solving efforts were associated significantly with greater life satisfaction and greater social withdrawal strongly corresponded with greater depressive symptoms. 23 Another aspect of stress among people is around “old” age. Williamson and Dooley (2001) stated that growing old involves physical, cognitive, and psychosocial changes that force people to either adapt or be overcome by stress. They also indicated that coping is especially challenging for the elderly population due to changes in health, social status, physical environment, family composition, and social support. William and Dooley explained the more satisfying and supportive one’s social support network is perceived to be, the less likely one is to cope with illness by restricting routine activities. Maintaining these activities in the face of illness, disability, or other stressors will help reduce the possibility of depression and other negative emotional responses (William & Dooley, 2001). Overall, increasing activities that are meaningful and personally valued can promote both physical and psychological well-being. Compas, Malcarne and Banez (1992) explained that when confronted with stressful circumstances, individuals will respond in a variety of ways, some of which reflect purposeful actions and others that are representative of innate reflexes and overlearned, automatic responses. Compas, Malcarne and Banez (1992) also added that stressful encounters in people’s lives cannot be adequately reflected by the notion of discrete events. Rather, stressful encounters unfold over periods of time, some lasting only a few moments and others stretching over periods of months or years. Coping is a process that extends over the course of a stressful episode, often beginning in an anticipatory phase prior to the occurrence of the “stressful event” and continuing until some sense of resolution is achieved (Compas, Malcarne & Banez, 1992). Moreover, 24 coping strategies can serve a wide variety of functions, including changing an aspect of a stressful environment or distracting one’s attention from the stressful situation. Another interesting finding Compas, et al., (1992) found is that a child’s temperament may influence his or her degree of responsivity to the environment and, consequently, the number and types of situations that he or she experiences as stressful. Furthermore, temperament may affect the child’s actual coping responses to stress. Recent evidence indicates that early temperamental characteristics are predictive of coping styles in adulthood, indicating a high degree of continuity in the coping styles of at least some individuals. Miller (1992) examined whether individuals can encounter stressful or demanding situations that activate their coping tendencies. He questioned whether the adaptive consequences of these dispositions be modified by the specifics of the stimuli they experience. Miller explained that a possibility is that individuals fare better when aspects of the situations are well matched with the individual’s coping style. To the extent that situational factors permit individuals to execute well- learned and well- rehearsed coping repertoires, it may enhance their sense of personal efficacy and thereby reduce stress. Stress and the Student According to Friedlander, Reid, Shupak, and Cribbie (2007), a majority of college students drop out within two years of studies and up to 60% leave within their first year. There are many studies that have looked into stress and higher education (Robotham & Julian, 2006). For example, Ross, Niebling, and Heckert (1999) conducted a study that utilized the Student Stress Survey to look into some of the major sources of stress among 25 college students. Looking at interpersonal, intrapersonal, academic, and environmental factors, the study determined that intrapersonal factors created the most stress for college students with change in sleeping habits, vacations/breaks, change in eating habits, increased work load, and new responsibilities ranking as top five sources of stress (Ross et al., 1999). Yet, another study found that tests, grades, competition, time demands, professors and the class environment, and concern about future careers were also major sources of stress for students with tests topping off the list as number one source of academic stress (Shield, 2001). A similar study (Lin & Chen, 2009) done overseas in Taiwan issued 400 questionnaires to students at ten universities and colleges of technology found that teacher stress, results stress, test stress, studying in groups stress, peer stress, time management stress, and self-inflicted stress were among the inventories of stress experienced by students. Some students may need to relocate from their homes to achieve higher education elsewhere. This transition could be very stressful for some as students may have to cope with the institutional and academic demands of a university, learn new study patterns, and manage financial pressures in addition to adjusting to the syndrome of homesickness (Fisher, 1994). Fisher (1994) stated that homesickness is a “complex motivationalemotional state concerned with grieving for and missing home” (p. 39). Studies showed that about 60 – 70% of students who migrate experience homesickness with some having mild symptoms and others finding themselves in profound anxiety and depression (Fisher, 1994). Having to form new friendships is also another added stress for those transitioning to a new environment (Robotham, 2008). Fisher (1994) asserted that 26 separation anxiety and loss of control over new environment are likely to produce high anxiety and distress in students who have to leave home for schooling. In addition to dealing with stress associated with the aforementioned, many college students also face financial pressures that add to the physical and emotional load. To alleviate financial stress, many students are forced to take on part-time employment on top of their studies (Robotham, 2008). According to the American College Health Association (2006), over a quarter of the students surveyed reported working 20 hours or more per week. The need to work has led some students to feeling more stressed, linking financial problems to affecting mental health (as cited by Robotham, 2008). Student and Coping Mechanisms Different people have different experiences with particular situations and events. What is stressful to one may not be stressful to another. The perception of a stressful event is indicated by the extent to which it is viewed as threatening, harmful, or challenging (Lazarus, 1966). Events that are viewed as challenging tend to lead to positive coping responses such as studying harder and events that are viewed as threatening tend to lead to negative coping responses such as avoidance or dropping out (Shields, 2001). As stated earlier, stress can be positive or negative. Coping responses can also be positive or negative and active or reactive (Shields, 2001). Shields (2001) described an active response as “dealing with actual stressful situation or events” and a reactive response as “reacting to one’s thoughts or feelings” (p. 66). This is similar to the problem-focused and emotion-focused strategies described in Chapter One. Problem- 27 focused coping strategies are utilized to manage or change the situation that is causing stress while emotion-focused coping strategies are utilized to manage the negative feelings associated with stress (Smith & Renk, 2007). Research demonstrates that active coping, such as problem-focused coping, leads to better adjustment for college students and stressful events in general (Shields, 2001). However, as cited in a study conducted by Misra et al. (2000), college students often use avoidance, religious and social support, and positive appraisal to control or reduce their stress levels. A study of 275 undergraduate students found that “drinking to cope is very common among college students” and is a prominent factor in their decision for alcohol consumption (Park & Levenson, 2002). This suggests that interventions may need to be implemented to encourage healthier means of coping. Some factors that affect the degree of stress experienced by one are predictability, personal control, belief in the outcome, and social support (Edlin & Golanty, 2004). Time management is also an important factor that affects stress level. Macan, Shahani, Dipboye, and Phillips (1990) found that students who perceived themselves as in control of their time reported greater evaluations of their performance, greater work and life satisfaction, less role ambiguity, less role overload, as well as fewer job-induced and somatic tensions. In addition, one particular study (Akgun & Ciarrochi, 2003) examined the relationship between resourcefulness and academic stress and performance. It concluded that academic stress was negatively associated with academic performance. However, it found that the grades of high resourceful students were not affected by 28 academic stress; the grades of low resourceful students, on the other hand, were adversely affected (Akgun & Ciarrochi, 2003). Gender and Coping Measurements Hobfoll, Dunahoo, Ben-Porath, Monnier (1994) designed an assessment device to examine gender differences in coping. They looked at active vs passive as well as prosocial vs antisocial coping strategies. Hobfoll et al., (1994) purported that healthy coping is both active and prosocial. Traditional male problem-solving strategies can be aggressive and passive-aggressive and may drive people who can provide social support away. With its own measuring tool, this study found that women exhibited more prosocial coping and men were more likely to use less assertive coping strategies such as being avoidant and antisocial. Moreover, the study claimed that “active coping was related to lower emotional distress for men and women, but both prosocial and antisocial coping were related to greater emotional distress for men, suggesting that men may have a narrower band of beneficial coping strategies than do women.” (p. 49). Kariv and Heiman (2009) conducted a study examining the mood states of 229 men and women who are simultaneously full time students and school staff when coping with their dual- demanding stressful environment and found that moods affect both male and female coping strategies, in all categories except social support. In addition, the analyses revealed gender differences in expressing angry and depressed moods, where females reported experiencing higher level. Hence, men and women manifest identical patterns in coping with dual- demanding stressors, and that these patterns are related to their moods. For instance, avoidance was found as a significant coping strategy among 29 male specific states such as confusion, depression and fatigue; however, in women, it appeared significant in other mood states. These results reinforced that coping strategies depend on context rather than on gender group. Gaps in Literature A review of the literature demonstrates that there is a correlation between stress and the impact it has on one’s health. Specifically related to students, academic-related stress compounds whatever life stress they are already experiencing and further exacerbate the effects on their health. Currently, there is an abundance of research providing quantitative data supporting academic-related sources of stress. These data are generally gathered utilizing tools collecting students’ own subjective perceived sources of stress, their level of stress, as well as the impact of stress. Such inventories include the Recent Life Changes Questionnaire and Life Experience Survey (Edlin & Golanty, 2004), Student-life Stress Inventory (Misra et al., 2000), the Life Experience Survey, the Hassles Scale, the Social Support Inventory, the Hassles Assessment Scale for Students in College, the College Chronic Life Stress Scale, and the Academic Stress Scale (Robotham & Julian, 2006), the Multidimensional Scale of Perceived Social Support, the Perceived Stress Scale, the Self-Perception Profile for College Students, the Beck Depression Inventory-II, and Student Adaptation to College Questionnaire (Friedlander et al., 2007). Data collected from these self-report surveys are specific to a particular moment in time – the time at which participants are filling out the questionnaires. Nothing is constant but change. Change can happen over the course of a day, a week, or even between classes. When life changes happen, participants’ perceived level 30 of stress may be altered. As suggested by Robotham and Julian (2006), perhaps more longitudinal studies are needed to measure students’ experiences of stress during the course of their studies to capture an accurate assessment of where students’ experience the most challenges. Researchers of this study are interested in exploring the relationship between academic stress levels of the Spring 2012 California State University, Sacramento (CSUS) Social Work graduate students and coping strategies they employed. More specifically, the study will investigate the academic sources of stress as well as explore the extent of utilization of problem-focused copings strategies versus emotion-focused coping strategies in CSUS Social Work graduate students. As researchers are seeking data specific to a population of a particular institution, data may not add to current research; however, it has its significance for the social work profession as well as implications for program improvements at the university level (as explored in Chapter One). A longitudinal study will not be conducted due to time constraints of this research. 31 Chapter 3 METHODS Introduction The development of this research project was to identify factors relating to academic stress and coping mechanism practiced by graduate students at California State University, Sacramento, Division of Social Work. This chapter provides a description of the methods used in this study. Topics in this section include the research question, research design, instrumentations, study population, protection of human subjects, data collection procedures, data analysis plan, and study limitations. Research Question The present study was conducted to examine the relationship between academic stress levels of the Spring 2012 California State University, Sacramento (CSUS) Social Work graduate students and coping strategies they employ. Research Design This study was carried out using a quantitative exploratory design. A quantitative design was selected in order to gather statistical data from a larger pool of participants, as well as to explore and analyze the overall academic stressors and coping strategies employed by the participants in ways that qualitative research does not. An explorative research design was also selected because there are limited data available on the specific population at study. Rubin and Babbie (2011) asserted that exploratory designs seldom provide conclusive answers to research questions; it usually just hint at the answers and give insights into the research methods that could provide definitive answers. Because the 32 data was collected specifically from the Spring 2012 Social Work graduate class, findings from this study may not be relevant or generalizable to other graduate-level students. However, insight derived can be helpful to inform campus administrators and social services programs in the community about needs and services graduate students may be seeking while completing their program of study. Instrumentations The measurement instrument used in this project was in the form of a questionnaire. A three part survey questionnaire was used to gather data from the participants regarding academic stressors for them, and coping skills employed to cope with the stressors. The first portion of the questionnaire was an Academic Stress Scale, which asked participants about 20 various factors and events associated with college students’ learning experience during the course of a semester. Participants have to rank their experiences using a scale of 1-5 with 1 being “not applicable”, 2 is “no stress”; 3 being “hardly stressed; 4 as “moderately stressed”, and 5 being “extremely stressed”. Two open- ended questions were also asked about the participants’ experiences with their current field placements and thesis advisors (if they are MSW II graduate students). The second segment of the questionnaire consisted of a Brief COPE survey that contained a list of 26 ways people may respond to difficult and/ or stressful situations in their lives. Participants were requested to rate the extent of which each statement applies to them when they are confronted with challenging situations using a scale by responding “I do this” ranging from 1-4. 1 indicated “not at all, 2 as “a little bit, 3 being “a medium amount, and 4 as “a lot”. Lastly, the researchers included a section of the questionnaire 33 to gather demographic information about the participants such as their gender, current standing in the MSW program, age bracket, and ethnicity. Since the overall questionnaire consisted of numerous variables, the researchers only chose a selected few significant ones to report about in the data analysis. Surveys are a popular research method and useful for describing characteristics of a large population (Rubin & Babbie, 2011). They allow researchers to collect an abundance of data and provide considerable flexibility in how the data is analyzed (Rubin & Babbie, 2011). Most importantly, surveys allow us to analyze multiple variables simultaneously and possess a high level of generalizability to the studied population (Rubin & Babbie, 2011). Although we are able to see relationships between variables and generalize it to the population as a whole, it is important to note that “advantage in generalizability, however, is offset by the limited ability of surveys to show causality” (Rubin & Babbie, 2011, p. 402). The first part of the questionnaire used to assess participants’ current academicrelated stressors is adapted from Kohn and Frazer’s (1986) Academic Stress Scale. It contains 20 academically-related items organized in a Likert scale format. Participants were asked to rate the level of stress, if any at all, experienced with each item on a 5point scale ranging from “no stress” to “extremely stressed” including a column for indication of “not applicable”. In addition, two open-ended questions were also included exploring participants’ experiences with field work and thesis advisors (if they are working with one). The original Academic Stress Scale developed by Kohn and Frazer 34 (1986) contained 35 items and previous research found the scale to have good-toexcellent internal reliability (α=.92) (as cited by Smith & Renk, 2007; Wilks, 2008). The second part of the questionnaire used to assess the ways participants may respond to difficult and/or stressful situations was adapted from Carver’s (1997) Brief COPE scale. It contains 26 items in which participants were asked to rate the frequency of each item used on a 4-point scale ranging from “I do this not at all” to “I do this a lot”. Participants were also asked to list the method(s) found to be the most effective at relieving stress for them. Finally, a set of four closed-ended questions were asked to gather demographic information such as gender, graduate standing level, age, and ethnicity. Carver’s original full COPE scale also was found to have acceptable internal consistency (as cited by Smith & Renk, 2007). Due to positive feedback from this project’s advisor, minimal changes were made to the adapted questionnaires. Although the original scales from which the instruments used in this research was adapted has been tested for satisfactory internal validity, the instruments used by researchers have not been pretested for reliability and validity before administration due to limited resources. Measurement instrument is attached as APPENDIX B. Study Population Human subjects for this research project encompassed participants from four separate classes, two classes were of MSW I graduate students and two classes consisted of MSW II graduate students at California State University, Sacramento, Division of Social work. The researchers chose to gather data using this method to avoid collecting 35 duplication of data, as well as to have a well represented data set for all MSW students. Overall, 66 MSW I and II and researchers were participants of the research project. Of those 66 students, 30 were MSW I and 36 were MSW II students. Protection of Human Subjects A copy of the application for the use of human subjects, including the consent for participation form and measurement instruments, was submitted to the project advisor to review for feedbacks. Recommendations for changes were given by the project advisor. After changes were made, the researchers submitted the application packet to the Committee for the Protection of Human Subjects from the Division of Social Work of California State University, Sacramento. The researchers were later notified through email indicating that the project was deemed to have minimal risk with the condition that questions regarding drug use in the Brief COPE scale be removed to decrease risk level. Participants were informed that they may experience discomfort or mental hardships during or after the completion of the questionnaire due to the possible sensitive nature of the questions involved with academic stress. Therefore, they were advised on the consent form to seek counseling that is available at the Counseling and Psychological Services Center located on campus at California State University, Sacramento and/ or through the Sacramento County Division of Mental Health shall such services are needed. A recommendation was also given to reword the open-ended questions to avoid misleading participants. Once the questionnaires were revised and resubmitted for review, the conditions were met and the project was approved with approval number 11-12-044. Participants were notified of the research study, use of findings, and voluntary and 36 confidential nature of the study on the consent form. They were also informed that the research project was approved with minimal risk and where to seek mental health support services shall the need arises after completion of the surveys. No incentives were offered for participation in this study. Consent form is attached as APPENDIX A. Data Collection Procedures The researchers began the process of data collection by emailing the prospective professors of the SWRK 204B and SWRK 204D classes to inform them of the purpose of the study, interest to collect data from their classes, tools that will be use to gather information, and request for consents. Three of the four professors quickly replied to the researchers giving permission for researchers to collect data from their classes; however, one of the prospective professors did not respond to the researcher’s request. After a month of not getting a response back from this professor, the researchers emailed another prospective professor and obtained approval. The researchers then proceeded to coordinating with the professors to secure appointments with specific allocated time slots for which questionnaires were to be administered in class. Researchers did not start collecting data until approval of the Human Subjects Application was received from the Committee for the Protection of Human Subjects of the Division of Social Work. The researchers walked to each class that was granted permission by the professors for participation during the allocated times. The researchers informed the class about the nature of the research, kinds of data that were being collected, the anonymity of their identity, as well as their right to decline participation. To ensure anonymity of data collected, participants were asked to separate their consent forms and 37 questionnaires and place them in two different identified manila envelopes accordingly after completion. This process is to avoid identification of participants and their responses. Researchers then stepped out of the room while surveys were being completed. Information collected was kept confidential at all times by being contained in a locked box. Raw scores were destroyed after the information was entered into the Statistical Package for the Social Sciences (SPSS) date file. Data Analysis Plan Following the questionnaires, all data were entered into a statistical computer program called SPSS to be analyzed. All variables were coded for analysis. Some code categories were combined to yield more meaningful and readable relationships. Frequency tables and split comparisons between variables were drawn for statistical analysis. Correlation matrixes were also used to examine relationships between variables and those with a p value <o.o5 were identified as statistically significant. The data were analyzed to determine what life events were more likely to cause academic stressors for students as well as to identify what mechanisms social work graduate students used to cope. All questionnaires were destroyed upon recording of data. Study Limitations The research presented did not address social work undergraduate students and the academic stressors as well as coping skills they used. This project also does not attend to other fields of study whether it would be undergraduate or graduate students. The primary focus for the project was on one college campus, California State University, Sacramento, Division of Social Work during the Spring 2012 semester. 38 Therefore, the findings are limited to graduate social work students at California State University, Sacramento. The researchers are also aware that there are challenges outside of the educational realm and individuals typically experience a combination of stress from various life domains. Stress can be encountered from employment, family, interpersonal relationships, health-related issues, and general life experiences. The researchers acknowledge that it is unlikely for participants to only be troubled by the stresses related to their education. Stress from other areas of life may also exacerbate the academic stress experienced during participants’ educational journey. Finally, the purpose of this research is to gain awareness into the kinds of stressors that Spring 2012 CSUS Social Work graduate students experience and provide a foundation for possible modification or implementation of programs to maximize the learning experience and wellbeing of future CSUS Social Work graduate students. Summary This chapter addressed the methodology used in the research project. The project participants and recruitment methods were illustrated. This chapter also analyzes the variables, the quantitative survey questionnaire, the data gathering procedure, actions taken to protect the human subjects, and study limitations. The data analysis methods were also explored. Chapter 4 will present the data analysis in details. 39 Chapter 4 RESULTS Introduction This section examines data obtained from administered questionnaires regarding academic-related stress factors and coping strategies of Spring 2012 California State University, Sacramento (CSUS) Social Work graduate students. The analysis is focused on addressing the research aims outlined in chapter one: 1) identify the academic sources of stress in CSUS Social Work graduate students, 2) investigate the relationship between academic-related stress of CSUS Social Work graduate students and coping strategies employed, and 3) explore the extent of utilization of problem-focused versus emotionfocused coping strategies in CSUS Social Work graduate students. This research study examined a total of 48 variables but only those that provide the most meaningful data are presented. Presentation of the findings is divided into four sections. The first section presents demographic characteristics of the study participants including their gender, age, ethnicity, and social work program standing. The second section examines key variables related to the research purpose and rationale. The academic-related stress variables that created the most meaningful findings and are presented in this section include grades, excessive homework/reading, papers, tuition cost, field placement, time management, and thesis. The coping strategy variables that yielded the most meaningful findings and are presented in this section include: 1) concentrate on doing something about the situation, 2) get emotional support from others, 3) take action to make the situation better, 4) get 40 help and advice from others, 5) come up with a strategy about what to do, and 6) accept reality that it has happened. The third section presents the open-ended questions exploring participants’ experiences with field work and thesis advisors and their responses. Data for this section is collected from narrative reports and presented in a qualitative fashion with summation and direct quotations from research participants. Lastly, the fourth section illustrates the overall findings on responses related to the research question. DEMOGRAPHIC CHARACTERISTICS A total of 66 CSUS Social Work graduate students participated in this study. Of the total participants, an overwhelming 86.4% (n = 57) were female and 13.6% (n = 9) were male (see Table 1). Participants’ ages ranged from 20 to 51 or older. More than half of the participants (69.7%, n = 46) were between the ages of 20 and 30 years old, 15.2% (n = 10) were between the ages of 31 and 40 years old, 10.6% (n = 7) were between the ages of 41 and 50 years old, and the remaining 4.5% (n = 3) were 51 years or older (see Table 2). Table 1 Participants’ Gender Valid Female Male Total Frequency 57 9 66 Percent 86.4 13.6 100.0 Valid Percent 86.4 13.6 100.0 Cumulative Percent 86.4 100.0 41 Table 2 Participants’ Age Valid 20 - 30 years old 31 - 40 years old 41 - 50 years old 51+ years old Total Frequency 46 10 7 Percent Valid Percent 69.7 69.7 15.2 15.2 10.6 10.6 3 4.5 4.5 66 100.0 100.0 Cumulative Percent 69.7 84.8 95.5 100.0 Table 3 Partcipants’ Ethnicity Frequency Valid Asian Caucasian African American Hispanic Other Total 15 31 6 10 4 66 Percent 22.7 47.0 9.1 15.2 6.1 100.0 Valid Percent 22.7 47.0 9.1 15.2 6.1 100.0 Cumulative Percent 22.7 69.7 78.8 93.9 100.0 Racial composition of the participants is presented in Table 3. Almost half of those surveyed (47%, n = 31) identified as Caucasian, 22.7% (n = 15) identified as Asian, 15.2% (n = 10) identified as Hispanic, 9.1% (n = 6) identified as African American, and 6.1% (n=4) marked other for their ethnicity. With respect to their Social Work program standing, 45.5% (n = 30) of the participants were Masters of Social Work I students and 54.5% (n = 36) were Masters of Social Work II students (see Table 4). 42 Table 4 Participants’ Social Work Program Standing Valid MSWI Student MSWII Student Total Frequency 30 36 66 Percent Valid Percent 45.5 45.5 54.5 54.5 100.0 100.0 Cumulative Percent 45.5 100.0 KEY VARIABLES RELATED TO RESEARCH PURPOSE AND RATIONALE Academic-related Variables One of the purposes for this research at hand is to identify the academic-related factors that cause stress in CSUS Social Work graduate students. The instrument used to collect the data, the Academic Stress Scale, contained 20 variables. After careful analysis, the following variables were chosen to be presented as they demonstrated the most meaningful data. With regards to academic-related stress factors, results from data collected indicated that 50% of those surveyed reported that grades produce a moderate amount of stress for them, 24.2% (n = 16) indicated that they are hardly stressed about their grades, 19.7% (n = 13) said that they are extremely stressed, followed by 6.1% (n = 4) who reported no stress (see Table 5.1). Split comparison for Social Work program standing in response to level of stress identified for grades is displayed as Table 5.2. 43 Table 5.1 Participants’ Response to Grades Valid No Stress Hardly Stressed Moderately Stressed Frequency 4 16 33 Cumulative Percent Valid Percent Percent 6.1 6.1 6.1 24.2 24.2 30.3 50.0 50.0 80.3 Extremely Stressed 13 19.7 19.7 Total 66 100.0 100.0 100.0 Table 5.2 Split Comparisons of Social Work Program Standing and Grades Social Work Program Standing MSWI Student MSWII Student Valid No Stress Hardly Stressed Moderately Stressed Extremely Stressed Total Valid No Stress Hardly Stressed Moderately Stressed Extremely Stressed Total Frequency Percent Valid Percent Cumulative Percent 3 5 10.0 16.7 10.0 16.7 10.0 26.7 14 46.7 46.7 73.3 8 26.7 26.7 100.0 30 1 11 100.0 2.8 30.6 100.0 2.8 30.6 2.8 33.3 19 52.8 52.8 86.1 5 13.9 13.9 100.0 36 100.0 100.0 44 When asked about the level of stress experienced with excessive homework/reading, 53% (n = 35) reported being moderately stressed, 25.8% (n = 17) reported being extremely stressed, 19.7% (n = 13) indicated hardly stressed, while only 1.5% (n=1) reported experiencing no stress (see Table 6.1). Split comparisons for Social Work program standing and ethnic groups in response to level of stress identified for excessive homework/reading are displayed as Table 6.2 and 6.3 respectively. Table 6.1 Participants’ Response to Excessive Homework/Reading Valid Frequency No Stress 1 Hardly Stressed 13 Moderately Stressed 35 Extremely Stressed Total 17 66 Cumulative Percent Valid Percent Percent 1.5 1.5 1.5 19.7 19.7 21.2 53.0 53.0 74.2 25.8 100.0 25.8 100.0 100.0 45 Table 6.2 Split Comparisons of Social Work Program Standing and Excessive Homework/Reading Social Work Program Standing MSWI Valid No Stress Student Hardly Stressed MSWII Student Moderately Stressed Extremely Stressed Total Valid Hardly Stressed Moderately Stressed Extremely Stressed Total Valid Cumulative Frequency Percent Percent Percent 1 3.3 3.3 3.3 6 20.0 20.0 23.3 16 53.3 53.3 76.7 7 23.3 23.3 100.0 30 7 100.0 19.4 100.0 19.4 19.4 19 52.8 52.8 72.2 10 27.8 27.8 100.0 36 100.0 100.0 46 Table 6.3 Split Comparisons of Ethnicity and Excessive Homework/Reading Ethnicity Asian Caucasian African American Hispanic Valid Hardly Stressed Moderately Stressed Extremely Stressed Total Valid No Stress Hardly Stressed Moderately Stressed Extremely Stressed Total Valid Hardly Stressed Moderately Stressed Extremely Stressed Total Valid Hardly Stressed Moderately Stressed Extremely Stressed Total Valid Cumulative Frequency Percent Percent Percent 1 6.7 6.7 6.7 8 53.3 53.3 60.0 6 40.0 40.0 100.0 15 1 8 100.0 3.2 25.8 100.0 3.2 25.8 3.2 29.0 16 51.6 51.6 80.6 6 19.4 19.4 100.0 31 1 100.0 16.7 100.0 16.7 16.7 2 33.3 33.3 50.0 3 50.0 50.0 100.0 6 3 100.0 30.0 100.0 30.0 30.0 5 50.0 50.0 80.0 2 20.0 20.0 100.0 10 100.0 100.0 47 As for term papers, all the participants reported some level of stress experienced. A little more than half of the participants surveyed (51.5%, n = 34) indicated that they are moderately stressed when it comes to term papers. Twenty-six participants (39.4%) reported that they are extremely stressed while six participants (9.1%) said that they are hardly stressed (see Table 7.1). Split comparisons for Social Work program standing and ethnic groups in response to level of stress identified for term papers are displayed as Table 7.2 and 7.3 respectively. Table 7.1 Participants’ Response to Papers Valid Hardly Stressed Moderately Stressed Extremely Stressed Total Frequency 6 34 26 66 Cumulative Percent Valid Percent Percent 9.1 9.1 9.1 51.5 39.4 100.0 51.5 39.4 100.0 60.6 100.0 48 Table 7.2 Split Comparisons of Social Work Program Standing and Papers Social Work Program Standing MSWI Valid Hardly Student Stressed Moderately Stressed Extremely Stressed Total MSWII Valid Hardly Student Stressed Moderately Stressed Extremely Stressed Total Frequency Percent 5 16.7 Valid Cumulative Percent Percent 16.7 16.7 14 46.7 46.7 63.3 11 36.7 36.7 100.0 30 1 100.0 2.8 100.0 2.8 2.8 20 55.6 55.6 58.3 15 41.7 41.7 100.0 36 100.0 100.0 49 Table 7.3 Split Comparisons of Ethnicity and Papers Ethnicity Asian Caucasian African American Hispanic Other Valid Cumulative Frequency Percent Percent Percent Valid Hardly Stressed 1 6.7 6.7 6.7 Moderately 6 40.0 40.0 46.7 Stressed Valid Valid Valid Valid Extremely Stressed Total Hardly Stressed Moderately Stressed Extremely Stressed Total Hardly Stressed Moderately Stressed Extremely Stressed Total Hardly Stressed Moderately Stressed Extremely Stressed Total Moderately Stressed Extremely Stressed Total 8 53.3 53.3 100.0 15 2 19 100.0 6.5 61.3 100.0 6.5 61.3 6.5 67.7 10 32.3 32.3 100.0 31 1 1 100.0 16.7 16.7 100.0 16.7 16.7 16.7 33.3 4 66.7 66.7 100.0 6 2 5 100.0 20.0 50.0 100.0 20.0 50.0 20.0 70.0 3 30.0 30.0 100.0 10 3 100.0 75.0 100.0 75.0 75.0 1 25.0 25.0 100.0 4 100.0 100.0 50 When asked about the level of stress experienced with tuition cost, almost half of the participants (47%, n = 31) indicated that they experience extreme stress. Approximately a quarter of those surveyed (25.8%, n = 17) reported that they are moderately stressed when it comes to tuition cost, 16.7% (n = 11) said that they are hardly stressed, 9.1% (n = 6) stated that they experience no stress, and 1.5% (n = 1) indicated that the variable did not apply to them (see Table 8.1). Split comparison for Social Work program standing in response to level of stress identified for tuition cost is displayed as Table 8.2. Table 8.1 Participants’ Response to Tuition Cost Frequency Percent Valid Not Applicable No Stress Hardly Stressed Moderately Stressed Extremely Stressed Total 1 6 11 17 31 66 1.5 9.1 16.7 25.8 47.0 100.0 Valid Percent 1.5 9.1 16.7 25.8 47.0 100.0 Cumulative Percent 1.5 10.6 27.3 53.0 100.0 51 Table 8.2 Split Comparisons of Social Work Program Standing and Tuition Cost Valid Cumulative Percent Percent 3.3 3.3 Social Work Program Standing MSWI Valid Not Student Applicable No Stress Frequency 1 Percent 3.3 3 10.0 10.0 13.3 Hardly Stressed Moderately Stressed Extremely Stressed Total Valid No Stress Hardly Stressed 8 26.7 26.7 40.0 7 23.3 23.3 63.3 11 36.7 36.7 100.0 30 3 3 100.0 8.3 8.3 100.0 8.3 8.3 8.3 16.7 10 27.8 27.8 44.4 20 55.6 55.6 100.0 36 100.0 100.0 MSWII Student Moderately Stressed Extremely Stressed Total Table 9.1 displays participants’ level of stress experienced with the academicrelated variable field placement. Of those surveyed, 39.4% (n = 26) of respondents stated that they experience a moderate level of stress, while 28.8% (n = 19) indicated that they are hardly stressed. In addition, 25.8% (n = 17) reported feeling extremely stressed when it comes to field placement, and 6.1% (n = 4) said that they have no stress (see Table 17). Split comparison for Social Work program standing in response to level of stress identified for field placement is displayed as Table 9.2. 52 Table 9.1 Participants’ Response to Field Placement Valid No Stress Hardly Stressed Moderately Stressed Frequency 4 19 26 Percent Valid Percent 6.1 6.1 28.8 28.8 39.4 39.4 Extremely Stressed 17 25.8 25.8 Total 66 100.0 100.0 Cumulative Percent 6.1 34.8 74.2 100.0 Table 9.2 Split Comparisons of Social Work Program Standing and Field Placement Social Work Program Standing MSWI Student MSWII Student Valid No Stress Hardly Stressed Moderately Stressed Extremely Stressed Total Valid Hardly Stressed Moderately Stressed Extremely Stressed Total Frequency Percent Valid Cumulative Percent Percent 4 8 13.3 26.7 13.3 26.7 13.3 40.0 13 43.3 43.3 83.3 5 16.7 16.7 100.0 30 11 100.0 30.6 100.0 30.6 30.6 13 36.1 36.1 66.7 12 33.3 33.3 100.0 36 100.0 100.0 53 When looking at the level of stress experienced with time management, 53% (n = 35) of participants stated that they experience a moderate level of stress, with 31.8% (n = 21) of total participants stated that they are extremely stressed. Seven participants (10.6%) indicated that they are hardly stressed, followed by three participants (4.5%) who stated that they experience no stress (see Table 10.1). Split comparisons for Social Work program standing and ethnic groups in response to level of stress identified for time management are displayed as Table 10.2 and 10.3 respectively. Table 10.1 Participants’ Response to Time Management Valid No Stress Hardly Stressed Moderately Stressed Extremely Stressed Total Frequency 3 Percent 4.5 7 35 21 66 10.6 53.0 31.8 100.0 Valid Cumulative Percent Percent 4.5 4.5 10.6 53.0 31.8 100.0 15.2 68.2 100.0 54 Table 10.2 Split Comparisons of Social Work Program Standing and Time Management Social Work Program Standing MSWI Valid Hardly Student Stressed Moderately Stressed Extremely Stressed Total MSWII Valid No Stress Student Hardly Stressed Moderately Stressed Extremely Stressed Total Frequency 5 Valid Cumulative Percent Percent Percent 16.7 16.7 16.7 17 56.7 56.7 73.3 8 26.7 26.7 100.0 30 3 2 100.0 8.3 5.6 100.0 8.3 5.6 8.3 13.9 18 50.0 50.0 63.9 13 36.1 36.1 100.0 36 100.0 100.0 55 Table 10.3 Split Comparisons of Ethnicity and Time Management Ethnicity Asian Caucasian African American Hispanic Other Valid Hardly Stressed Moderately Stressed Valid Valid Valid Valid Extremely Stressed Total No Stress Hardly Stressed Moderately Stressed Extremely Stressed Total Moderately Stressed Extremely Stressed Total No Stress Moderately Stressed Extremely Stressed Total No Stress Moderately Stressed Extremely Stressed Total Valid Cumulative Frequency Percent Percent Percent 2 13.3 13.3 13.3 9 60.0 60.0 73.3 4 26.7 26.7 100.0 15 1 5 14 100.0 3.2 16.1 45.2 100.0 3.2 16.1 45.2 3.2 19.4 64.5 11 35.5 35.5 100.0 31 4 100.0 66.7 100.0 66.7 66.7 2 33.3 33.3 100.0 6 1 6 100.0 10.0 60.0 100.0 10.0 60.0 10.0 70.0 3 30.0 30.0 100.0 10 1 2 100.0 25.0 50.0 100.0 25.0 50.0 25.0 75.0 1 25.0 25.0 100.0 4 100.0 100.0 56 As for thesis, everybody but two respondents (who indicated that the variable did not apply to them) stated that they experience some level of stress when it comes to this variable. A majority of the people surveyed (53%, n = 35) reported that they feel extremely stressed with this academic-related factor. Twenty-six respondents (39.4%) stated that they are moderately stressed; while three respondents (4.5%) indicated that they are hardly stressed (see Table 11.1). Split comparisons for Social Work program standing and ethnic groups in response to level of stress identified for thesis are displayed as Table 11.2 and 11.3 respectively. Table 11.1 Participants’ Response to Thesis Frequency Valid Not Applicable Hardly Stressed Moderately Stressed Extremely Stressed Total 2 3 26 35 66 Percent 3.0 4.5 39.4 53.0 100.0 Valid Percent 3.0 4.5 39.4 53.0 100.0 Cumulative Percent 3.0 7.6 47.0 100.0 57 Table 11.2 Split Comparisons of Social Work Program Standing and Thesis Social Work Program Standing MSWI Valid Hardly Student Stressed Moderately Stressed Extremely Stressed Total MSWII Valid Not Applicable Student Moderately Stressed Extremely Stressed Total Valid Cumulative Frequency Percent Percent Percent 3 10.0 10.0 10.0 16 53.3 53.3 63.3 11 36.7 36.7 100.0 30 2 10 100.0 5.6 27.8 100.0 5.6 27.8 5.6 33.3 24 66.7 66.7 100.0 36 100.0 100.0 58 Table 11.3 Split Comparisons of Ethnicity and Thesis Ethnicity Asian Caucasian African American Hispanic Other Valid Moderately Stressed Extremely Stressed Total Valid Hardly Stressed Moderately Stressed Extremely Stressed Total Valid Moderately Stressed Extremely Stressed Total Valid Not Applicable Moderately Stressed Extremely Stressed Total Valid Not Applicable Moderately Stressed Extremely Stressed Total Valid Cumulative Frequency Percent Percent Percent 6 40.0 40.0 40.0 9 60.0 60.0 100.0 15 3 11 100.0 9.7 35.5 100.0 9.7 35.5 9.7 45.2 17 54.8 54.8 100.0 31 2 100.0 33.3 100.0 33.3 33.3 4 66.7 66.7 100.0 6 1 5 100.0 10.0 50.0 100.0 10.0 50.0 10.0 60.0 4 40.0 40.0 100.0 10 1 100.0 25.0 100.0 25.0 25.0 2 50.0 50.0 75.0 1 25.0 25.0 100.0 4 100.0 100.0 59 Coping Variables Another major component of this study is to look at the coping strategies that CSUS Social Work graduate students employ when confronted with a stressful or challenging situation. The instrument used to collect the data, the brief COPE, contained 26 variables. After careful analysis, the following variables were chosen to be presented as they demonstrated the most meaningful data. Variable Concentrate on Doing Something about the Situation All respondents reported that they use this strategy to a certain degree when confronted with stressful situations. Of the total number of participants, 45.5% (n = 30) stated that they do this a medium amount. Twenty-three participants (34.8%) stated that they utilize this strategy a lot and 13 (19.7%) participants indicated that they use it a little bit (see Table 12). Table 12 Participants’ Response to Concentrate on Doing Something about Situation to Cope Valid A little bit A medium amount A lot Total Frequency 13 30 23 66 Percent Valid Percent 19.7 19.7 45.5 45.5 34.8 34.8 100.0 Cumulative Percent 19.7 65.2 100.0 100.0 Variable Get Emotional Support from Others An overwhelming 48.5% (n = 32) of participants indicated that they tend to get emotional support from others as a way to cope with stressful situations a lot of the time. 60 This is followed by 24.2% (n = 16) of the participants who indicated that they seek emotional support from others a medium amount, 21.2% (n = 14) do this a little bit, and 6.1% (n = 4) stated that they do not use this method at all (see Table 13). Table 13 Participants’ Response to Get Emotional Support from Others to Cope Valid Not at all A little bit A medium amount A lot Total Frequency 4 14 16 32 66 Percent Valid Percent 6.1 6.1 21.2 21.2 24.2 24.2 48.5 48.5 100.0 100.0 Cumulative Percent 6.1 27.3 51.5 100.0 Variable Take Action to Make the Situation Better When asked how often participants cope with stressful situations by taking action to make it better, more than half of the respondents (57.6%, n = 38) stated that they utilize this strategy a medium amount. Twenty-two participants (33.3%) reported that they take action a lot to make stressful situations better, while 4.5% (n = 3) stated that they do it a little bit. Another 4.5% (n = 3) indicated that they do not use this method at all (see Table 14). 61 Table 14 Participants’ Response to Take Action to Make the Situation Better to Cope Valid Not at all A little bit A medium amount Frequency 3 3 38 Percent Valid Percent 4.5 4.5 4.5 4.5 57.6 57.6 A lot 22 33.3 33.3 Total 66 100.0 100.0 Cumulative Percent 4.5 9.1 66.7 100.0 Variable Get Help and Advice from Others For the approach of getting help and advice from others when confronted with a stressful situation, all the respondents reported that they utilize this method to a certain degree. Of the total number of participants, 51.5% (n = 34) reported that they seek help and advice from others a lot, 34.8% (n = 23) stated that they seek help a medium amount, and 13.6% (n = 9) indicated that they do it a little bit (see Table 15). Table 15 Participants’ Response to Getting Help and Advice from Others to Cope Valid A little bit A medium amount A lot Total Frequency 9 23 34 66 Percent Valid Percent 13.6 13.6 34.8 51.5 100.0 34.8 51.5 100.0 Cumulative Percent 13.6 48.5 100.0 62 Variable Come Up with a Strategy about What to Do About Stressful Situation When confronted with a stressful situation, 45.5% (n = 30) of participants stated that a lot of times, they will try to come up with a strategy to manage the situation. The same amount of participants (45.5%, n = 30) reported that they do this a medium amount, while 9.1% (n = 6) of participants stated that they do this a little bit (see Table 16). Table 16 Participants’ Response to Coming Up with Strategy about What to Do to Cope Valid A little bit A medium amount A lot Total Frequency 6 30 30 66 Percent Valid Percent 9.1 9.1 45.5 45.5 45.5 45.5 100.0 100.0 Cumulative Percent 9.1 54.5 100.0 Variable Accept Reality that It Has Happened When asked how often participants coped with stressful situations by accepting the reality that they have happened, over half of the respondents (53%, n = 35) stated that they do it a medium amount. Twenty participants (30.3%) indicated that they do it a lot, eight (12.1%) reported that they do it a little bit, and three (4.5%) stated that they do not use this method to cope at all (see Table 17). 63 Table 17 Participants’ Response to Accept Reality that It Has Happened to Cope Valid Not at all A little bit A medium amount Frequency 3 8 35 Percent Valid Percent 4.5 4.5 12.1 12.1 53.0 53.0 A lot 20 30.3 30.3 Total 66 100.0 100.0 Cumulative Percent 4.5 16.7 69.7 100.0 QUALITATIVE DATA IN REGARDS TO FIELD PLACEMENTS AND THESIS/PROJECT ADVISORS Two open-ended questions were asked to gather participant input on their experiences with their field placements and thesis advisors. Participants’ answers were gathered and organized into themes by commonality of responses. When asked about their experience with field placement thus far, many MSWIs reported that they are having a positive experience and are learning a lot. Participants’ responses include: “great supervision”, “I have learned a lot and I feel the experience will benefit me after I graduate”, “awesome experience”, “good training” and “it stretched my experience in other directions than what I was accustomed”. Those who reported not having a good experience stated that their placements are “remedial and completely unchallenging”, “stressful due to not having enough time to complete tasks” and “being treated like an employee”. Others stated that they do not like 64 their placement due to feeling “like a secretary answering phones instead of seeing clients” and “not learning at all”. Likewise, many MSWIIs also reported having a positive experience in field with supportive field instructors. Responses include “wonderful staff and supervisor”, “positive, good learning experience”, “best part of graduate experience”, and “great clinical experience”. However, an overwhelming number reported feeling stressed out as “three days of field is very overwhelming”, “field instructor unorganized”, “very little support”, and “very intense and fast paced”. When asked about their experience with their thesis/project advisors thus far, the distribution of responses between having a positive experience and a negative experience was fairly balanced. Participants who reported a positive experience generally stated that their thesis/project advisor is “supportive, available, and helpful”, “has clear objectives”, “is responsive”, and “provides good direct feedback”. “Advisor hard to contact and meet”, “slow on feedback”, “extremely unclear on expectations”, and “lack of communication” were cited as some of the reasons for having a negative experience, with lack of communication most commonly reported. Due to the thesis/project being a part of students’ experience only after the first year in the Social Work program, the question in relation to thesis advisor experience was only answered by MSWIIs. OVERALL FINDINGS Another aim of the current research is to investigate the relationship between academic-related stress of CSUS Social Work graduate students and coping strategies employed. The Pearson correlation was used to examine several academic-related stress 65 variables and their effects on CSUS Social Work graduate students. The strongest variables found to be correlated with academic-related stress for students are term papers and studying (r = .548, p < .000), followed by excessive homework/reading and term papers (r = .519, p < .000), and grades and term papers (r = .518, p < .000). Weaker correlations were found for studying and field placement (r = .308, p < .012) and studying and thesis (r = .284, p < .021). Variables that do not appear to have any correlation with academic stress for CSUS Social Work graduate students include examinations and field placement (r = .212, p < .087) and examinations and studying (r = .211, p < .090). The strongest variables found to be correlated with managing stressful situations for CSUS Social Work graduate students are accepting reality that it has happened and learning to live with stressful situation (r = .360, p < .003), followed by looking for something good in the situation and learning to live with it (r = .278, p < .024). Variables that do not appear to be correlated with helping students manage stressful situations are criticizing self and learning to live with it (r = -011, p < .929) and getting comfort and criticizing self and looking for something good in the situation (r = -.027, p < .828). 66 Table 18 Correlation Matrix between Academic Stress and Coping Strategies Sum of coping mechanism score Pearson Correlation Sum of coping mechanism score 1 Sig. (2-tailed) N 66 Academic Pearson .335** Correlation Sig. (2-tailed) .006 N 66 **. Correlation is significant at the 0.01 level (2-tailed). Academic .335** .006 66 1 66 As indicated by Table 18, there is a slight correlation (r = .335, p < .006) between the variables on the Academic Stress Scale and variables on the Brief COPE scale. Academic-related stress factors and identified coping strategies only accounted for 11.22% (.335 x .335 x 100 = 11.22) of the variations in life functioning of participants. 67 Chapter 5 SUMMARY Overall Summary Just to reiterate, this study examined the relationship between academic stress levels of the Spring 2012 California State University, Sacramento’s (CSUS) Division of Social Work graduate students and coping strategies they employed. The overall arching aims were: 1) identify the academic sources of stress in CSUS Social Work graduate students; 2) explore the extent of utilization of problem-focused copings strategies versus emotion-focused coping strategies in CSUS Social Work graduate students; and 3) investigate the relationship between academic-related stress of CSUS Social Work graduate students and coping strategies employed. Although the findings of this study may not provide statistical analysis that can be generalized to students outside of the Spring 2012 CSUS Social Work graduate classes, results yielded valuable information that perhaps the Division of Social Work may consider utilizing for future curriculum change and improvements. The overall findings of this research project are summarized below. Aim #1: Identify the Academic Sources of Stress in CSUS Social Work Graduate Students Analysis of data collected in Chapter 4 indicated that the top five stressors for CSUS Social Work students while they completed their program of study are thesis (92.4% reported being at least moderately stressed, n = 61), papers (90.0% reported being at least moderately stressed, n = 60), time management (84.8% reported being at least 68 moderately stressed, n = 56), excessive homework/reading (78.8% reported being at least moderately stressed, n = 52), and tuition cost (72.8% reported being at least moderately stressed, n = 48). For the number one stress producing academic factor thesis, over half of the respondents (53%, n = 35) indicated that they are extremely stressed in this category. Although tuition cost ranked last of the top five stressors, it is important to note that almost half of the participants (47%, n = 31) stated that they are extremely stressed in this category. As indicated by data collected, all respondents marked some degree of stress experienced with the academic factors paper and thesis. For the academic factor excessive homework/reading, all but one participant indicated some level of stress. A split comparison of levels of stress for identified academic factors was conducted for Master of Social Work I (MSWI) and Master of Social Work II (MSWII) students. For the variables that were chosen to be reported in Chapter 4, responses by participants demonstrated that the variable grades produced more stress for MSWI students than MSWII students (73.4% of MSWI students reported being at least moderately stressed about grades compared to 66.7% of MSWII students). However, MSWII students reported experiencing a higher level of stress for the other six variables: papers (97.3% of MSWIIs and 83.4% of MSWIs), tuition cost (83.4% of MSWIIs and 60% of MSWIs), field placement (69.4% of MSWIIs and 60% of MSWIs), excessive homework/reading (80.6% of MSWIIs and 76.6% of MSWIs), time management (86.1% of MSWIIs and 83.4% of MSWIs), and thesis (94.5% of MSWIIs and 90% of MSWIs). Researchers predict that entering MSWI students place a higher emphasis on grades than MSWII students as grades are often used to assess learning and academic success. As 69 they complete their first year of graduate study and move on to their second year, researchers assume that MSWI students’ perception of academic success is less determined by the grades they receive and more so by the information they absorb through assigned readings and in class discussions as well as hands on experiences in field placements. Researchers suspect that this may be the reason for MSWIs’ higher stress level experienced with the variable grades but more research will need to be carried out in order to confirm this hypothesis. A split comparison of levels of stress for academic factors outlined in Chapter 4 was also conducted for the various ethnicities identified by participants. Data analysis indicated that of the four identified ethnicities in this research project, participants who identified as Asians ranked in top two for being at least moderately stressed for six out of seven of the variables identified for analysis in Chapter 4. These six variables are grades, excessive homework/reading, papers, tuition cost, field placement, and thesis, with more self-identified Asians than any other ethnic group reported being at least moderately stressed for excessive homework/reading and tuition cost. An overwhelming 73.3% (n = 11) of self-identified Asians indicated that they are extremely stressed when it came to tuition cost compared to 45.2% of self-identified Caucasians, 16.7% of self-identified African Americans, and 30% of self-identified Hispanics. All self-identified Asians reported at least a moderate level of stress with the variable thesis. Self-identified African Americans reported higher stress than the rest of the ethnic groups in grades and time management, with all self-identified African Americans indicating that they experience at least moderate stress with time management and thesis. More self- 70 identified Caucasians than the rest of the ethnic groups reported at least moderate stress for the variable papers and more self-identified Hispanics reported at least moderate stress for field placement. When asked about their experience with field placement thus far, many MSWIs reported that they are having a positive experience and are learning a lot. Those who reported not having a good experience stated that their placements are somewhat stressful, tasks and duties are less than what they expected, and placement slow and unchallenging. Likewise, many MSWIIs also reported having a positive experience in field with supportive field instructors. However, an overwhelming number reported feeling stressed out due to the number of caseload, intensity of work, and difficulty to manage schedule with three days of field. A number of individuals also indicated that there are significant differences between their first and second year placements and stated that they feel unprepared to tackle social work after graduation. Many individuals who indicated that they are having a positive learning experience in field reported that they are placed in a mental health setting. When asked about their experience with their thesis/project advisors thus far, the distribution of responses between having a positive experience and a negative experience was fairly balanced. Participants (only MSWIIs were required to answer this question) who reported a positive experience generally stated that their thesis/project advisor is helpful, had clear objectives, and provided support and encouragement as needed. A lack of communication and availability from thesis/project advisor, disorganization of 71 objectives, and unclear expectations were cited as reasons for having a negative experience, with lack of communication most commonly reported. Aim #2: Explore the Extent of Utilization of Problem-focused Copings Strategies Versus Emotion-focused Coping Strategies in CSUS Social Work Graduate Students Analysis of data collected in Chapter 4 indicated that the top five coping strategies employed by CSUS Social Work students while they completed their program of study are to “come up with a strategy about what to do” (91% reported that they do this a medium amount or more, n = 60), “take action to make the situation better” (90.9% reported that they do this a medium amount or more, n = 60), “get help and advice from others” (86.3% reported that they do this a medium amount or more, n = 57), “accept reality that it has happened” (83.3% reported that they do this a medium amount or more, n = 55), and “concentrate efforts on doing something about the situation” that they are in (80.3% reported that they do this a medium amount or more, n = 53). All respondents marked that they utilize to a certain frequency the coping strategies “concentrate efforts on doing something about the situation”, “get help and advice from others”, and “come up with a strategy about what to do”. Over half of the respondents (51.5%, n = 34) marked that they “get help and advice from others” a lot when confronted with a challenging situation. Among the top five coping strategies preferred by participants, four are problemfocused (come up with a strategy about what to do, take action to make the situation better, get help and advice from others, and concentrate efforts on doing something about the situation) and one is emotion-focused (accept reality that it has happened). However, 72 when asked which method of coping was the most effective for them among all that were listed on the measurement instrument, the top three marked by participants are getting emotional support from others (emotion-focused), get help and advice from others (problem-focused), and do something to think about it less such as going to the movies etc. (avoidance coping). A split comparison of coping strategies utilized was conducted for the various ethnicities identified by participants. All participants who identified as African Americans indicated that they use to a medium amount or more the coping strategies “concentrate efforts on doing something about the situation”, “take action to make the situation better”, and “come up with a strategy about what to do”, all of which are problem-focused coping strategies. Those who identified as Asians ranked last out of all four ethnic groups when it came to utilization of these strategies. On the other hand, Asians and Hispanics ranked above African Americans and Caucasians when it came to utilizing the strategies “get help and advice from others” and “get emotional support from others”. African Americans, however, ranked last out of all four ethnic groups for utilization of these strategies. There may be a correlation between Asian participants’ high degree of academic stress and the overall lower utilization of problem-focused coping strategies when compared to other ethnic groups; however, more research will need to be conducted to confirm or disconfirm this position. A note to remember is that the uneven distribution of ethnic participants in this study may skew results presented. Aim #3: Investigate the Relationship between Academic-related Stress of CSUS Social Work Graduate Students and Coping Strategies Employed 73 As demonstrated by Table 20 in Chapter 4, academic-related stress factors and identified coping strategies only accounted for 11.22% of the variations in life functioning of participants. This indicates that 88.78% of participants’ well-being is affected by other factors not discussed in this study. In general, the variables analyzed in this study only explain a small percentage of 2012 Spring CSUS Social Work graduate students’ overall well-being. Consistent with research (Friedlander et al., 2007; Robotham & Julian, 2006; Ross et al., 1999; Shield, 2001), participants of this study reported a moderate level of stress associated with academic-related variables. The finding that participants’ wellbeing is accounted for by other variables unmentioned in this study is supported by the literature (Ross et al. 1999), in which intrapersonal factors were founded to create the most stress for college students with change in sleeping habits, vacations/breaks, change in eating habits, increased work load, and new responsibilities ranking as top five sources of stress. This research, however, did not find tests to be the number one source of academic stress as suggested by Shield (2001), possibly because examinations are not an integral part of this institution’s Social Work graduate program curriculum. Not surprisingly, thesis and papers, both of which are important aspects of the program’s requirements, are noted to be top one and two stressors for participants of this study. In addition, research also found that many students are forced to take on part-time employment on top of their studies to alleviate financial stress (Robotham, 2008). Financial pressures are linked to our findings as tuition cost ranked among top five 74 stressors for participants of this study, with an overwhelming 73.3% (n = 11) of identified Asians indicating that they are extremely stressed when it came to tuition cost. Researchers’ finding that four of the top five coping strategies utilized by participants are problem-focused coping strategies is not surprising as literature suggests that college students may resort to problem-focused coping strategies more when academic stress increases (Smith & Renk, 2007). This may be conducive to students’ well-being as research demonstrates that active coping, such as problem-focused coping, leads to better adjustment for college students and stressful events in general (Shields, 2001). Chang (2001) talked about 45 self-identified Asian Americans and 49 selfidentified Caucasian Americans of college students involved in a study exploring their cultural differences and coping skills. The result was that Asians report more problem avoidance and social withdrawal as coping mechanisms. In relation, findings from this research illustrated that self-identified Asian participants ranked last for utilization of the top two problem-focused coping strategies (“come up with a strategy about what to do” and “take action to make the situation better”). This research did not look into cultural factors that may play a part in swaying the use of one strategy over another. Perhaps future research may be interested in expanding on this topic to look at the relationship between cultural driven coping mechanisms and their influences on stress levels. Social Work Implications Because evidence-based practice is important to the work performed by social workers, researchers hope that the information gathered by this project will add to the 75 knowledge base. According to Johnson and Austin (2005), one of the steps of evidencedbased practice is to appraise the data for its validity. The findings from this project is a validation that further research on this topic is needed indeed; yet, it also brings to light the challenges of graduate Social Work students at California State University, Sacramento. Students will be seeking employment in the communities and building their careers after graduation. On the micro level, social workers in this field are faced with many challenges working with high demands of underserved and/ or underprivileged diverse communities. Their clients will most likely consist of individuals from different backgrounds with various needs. Immigration, disability, mental health, discrimination, homelessness, neglect, and abuse are only a few of the challenging issues faced by the underprivileged. Due to the dynamic roles that social workers have such as advocating, representing, supporting and/ or stabilizing an aspect of their clients’ life, professionals often needs to have patience, energy, strong will and determination in order to efficiently meet the needs of their clients. Similar to being a graduate student, if one cannot manage academic stressors, one’s academic performance will be impacted. Therefore, findings from this project could provide useful information to promote self care, minimize stress and prevent burnouts among social work professionals. On a mezzo level, California State University, Division of Social work would benefit from this project by learning about the various academic stressors students encounter and how they cope as they go through the social work graduate program. Another step in evidenced-based practice is to apply the results of the evidence appraisal 76 to the practice (Johnson & Austin, 2005). The knowledge gained in this project would be a resource to raise awareness to the professors and administrators in the social work department about the stressors and challenges students encounter. Different forms of support could be created among students and/ or professors to share insights, exchange ideas, prolong education, and encourage positive coping mechanisms to minimize stress and promote healthy coping. Additionally, the society we live in is constantly undergoing changes that may or may not benefit the population social workers serve. Children, parents, families, and the elderly will continue to face life challenges and obstacles that will require many services. Social workers too, will need support for themselves so they can continue to be the backbones for these individuals. In agreement, Johnson and Austin (2005) asserted that findings should further be applied to the realm of policy. Thus, policies on the macro level regarding social work education should be revisited and encouraged to address the impact of academic stress and coping methods of graduate Social Work students at California State University and other institutions. The National Association of Social Workers (NASW), for example, could advocate for changes to the accreditation requirements, or mandate a stress and coping course at the universities to support social work graduate students. Recommendation for Future Changes From this project, the awareness of the challenges for students could be made known to professors and administrative personnel. It is the recommendation of the researchers that the Division of Social Work give students the opportunity to provide 77 input about the program. Due to the workload assignments, class schedules, field requirements, and thesis, the curriculum is intense and difficult for most students (as suggested by findings); therefore, hearing from the students’ perspectives on what they feel would foster a better learning environment could be conducive not only to students’ learning experience but also to their overall well-being. For example, having less required hours of fieldwork per week, or being able to have more than two field placements over the course of the program could be a constructive modification. Social work graduate students may also benefit if the program provides some form of support for students. A support group to teach students to deal with life challenges along with academic stressors could be beneficial. Another approach is for the division to create an elective course that incorporates the concepts of stress and positive coping for students who are interested. This can also help decrease stress, improve resiliency to stress, and promote positive coping skills. Summary The researchers hope this project will motivate future graduate students to continue research for this topic to encourage modifications to policies as well as within social work education for additional support for students to alleviate academic stresses and promote positive coping skills. The researchers also anticipate that more recognition will be given to this profession because social workers are critical to making positive changes in the community through providing direct and indirect services. 78 APPENDIX A 79 Consent to Participate in Research You are being asked to participate in a research project which will be conducted by Mary Ninh and Ka Thao, graduate students of Social Work at California State University, Sacramento (CSUS). The purpose of the study is to obtain your perceptions regarding academic stress factors relating to graduate studies. It is focused on your perceptions about graduate stress and not any other personal issues. If you agree to be a participant, you will be asked to complete a questionnaire that has two separate sections. One of the sections is about academic stress and another section is about coping skills that you think might be helpful to graduate students. Your participation in the research project is strictly voluntary and you have every right to decline participation. In case you decide to decline, please return the questionnaire to us and no question will be asked. Although the research project is focusing on academic stress, you may feel uncomfortable about certain items on the questionnaire as the items might reflect stress you encountered outside the academic arena. We want you to feel eased that this research project does not aim to collect those types of information. Also, because of the sensitive nature of academic stress and personal stress, you may feel uncomfortable after completing the questionnaire. In case it happened to you, please seek counseling which is available at the Counseling and Psychological Services Center located on the 2nd floor at The Well, Primary Care. Their contact number is (916) 278-6416. For professional help outside the university campus, please call Sacramento County Division of Mental Health at (916) 875- 6970. While participating in this research project, you may not gain anything from it but your insight into factors that affect graduate studies and coping mechanism utilized by them are helpful to inform campus administrators and social services programs in the community about needs and services graduate students might be seeking while completing their program of study. To make sure your participation is confidential, please do not put any personal identifying information on the questionnaires. Once completed, please sign the two consent forms, keep one for yourself and place the other copy with the questionnaire in the attached envelope. As soon as the data is entered onto the SPSS computer program, the original paper questionnaire will be destroyed. After completing the questionnaire, in case you have any questions about this research, you may contact Mary Ninh by email at mninh84@gmail.com, or Ka Thao by email at kathao2008@yahoo.com. You may also contact our Project advisor, Dr. Serge Lee at (916) 278- 5820 or email him leesc@csus.edu. 80 We thank you for your valuable time and responses. We appreciate them very much. By signing below indicates your voluntary participation in our research project. __________________________________ Signature of Participant _____________________ Date 81 APPENDIX B 82 Measurement Instrument Academic Stress Scale To protect your identity, please do not put your name on this survey. The following chart contains a list of factors and events associated with college students’ learning experience during the course of a semester. Please indicate the level of stress experienced with each of the following items by placing a check mark in the appropriate box. N/A No Stress Hardly Stressed Moderately Stressed Extremely Stressed Grades Excessive homework/reading Papers Examinations Studying Class speaking Tuition cost Fast-paced lectures Field placement Unclear assignments Unprepared to respond to questions in class Missing class Buying text books Time management Unclear course objectives Hot or cold classrooms Boring class Arriving late for class Parking Thesis Scale adapted from Kohn, J.P., Frazer, G. H. (1986). An academic stress scale: identification and rated importance of academic stressors. Psychological Reports, 59, 415-426. 83 Brief COPE To protect your identity, please do not put your name on this survey. This survey contains a list of ways people may respond to difficult and/or stressful situations in their lives. Please rate the extent to which each of the following statements applies to you when are confronted with challenging situations. not at all. I turn to work to take my mind off of things. Concentrate on doing something about situation. I say to myself “this isn’t real”. I get emotional support from others. I give up trying to deal with it. I take action to try to make the situation better. I refuse to believe that it has happened. I say things to let my unpleasant feelings escape. I get help and advice from other people. I try to see it in a positive light. I criticize myself. I try to come up with a strategy about what to do. I get comfort and understanding from someone. I give up the attempt to cope. I look for something good in what is happening. I make jokes about it. I do something to think about it less (movies etc) I accept reality of the fact that it has happened. I express my negative feelings. I find comfort in my religion/spiritual beliefs. I try to get advice or help about what to do. I learn to live with it. I think hard about what steps to take. I blame myself for things that happen. I pray or meditate. I make fun of the situation. I do this… a little a medium a lot. bit. amount. 84 Please answer the following questions to the best of your ability. 1. Tell us a little bit about your experience thus far in your field placement. 2. What is your experience with your thesis advisor thus far? (If question is not applicable, please indicate with N/A) Please tell us a little bit about yourself. 1. I am a… [ ] female [ ] male 2. I am a… [ ] MSWI student 3. I am between… [ ] 20 – 30 yrs old [ ] decline to report [ ] MSWII student [ ] Advanced standing student [ ] 31 – 40 yrs old [ ] 41 – 50 yrs old [ ] 51+ 4. My ethnicity is… [ ] Asian [ ] Caucasian [ ] African American [ ]Pacific Islander [ ]Hispanic [ ] Indian [ ] American Indian [ ] Other, Please specify: ________ Brief COPE adapted from Carver, C.S. (1997). You want to measure coping but your protocol’s too long: consider the brief COPE. International Journal of Behavioral Medicine, 4(1),92-100 85 References Akgun, S. & Ciarrochi, J. (2003). Learned resourcefulness moderates the relationship between academic stress and academic performance. Educational Psychology, 23(3), 287–294. American College Health Association (2006). The national college health assessment. Journal of the American College Health, 54(4), 201-211. Anxiety Disorders Association of America. (2011). College Students. Retrieved from http://www.adaa.org/living-with-anxiety/college-students Carver, C.S. (1997). You want to measure coping but your protocol’s too long: consider the brief COPE. International Journal of Behavioral Medicine, 4(1),92-100. Chang, E.C. (2001). 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