essay about stress in school works

Under Pressure: An essay on school stress and mental health

Immense pressure built into school isn’t consistent with supporting students’ mental health.

I was in my Psychology class taking notes on anxiety when I felt like I had just read my life story. Mid-assignment, I started shaking and had difficulty continuing my work. My thoughts began to spiral: If I didn't write my notes, I would fail the test. If I failed the test I wouldn’t graduate. If I didn’t graduate I wouldn’t go to college, wouldn’t be accomplished, and soon enough, would have failed at life.

This account from a Kentucky student is just a fraction of the plethora of tales that the subject of mental health in schools is incomplete without. Unfortunately, I can relate, because education is one of the most powerful tools we need to change the world. We all want to be accomplished–but now, the biggest milestone we have is surviving it. 

Throughout America, schools give awards for best attendance, but they come with no recognition of the mental toll it takes to be present in the classroom. Academic accomplishment is presented as the Holy Grail–yet for students, the pursuit of schools' measures of success often feels like pushing ourselves to the breaking point. That leads to losing sight of the connections that make school meaningful. In the United States, almost 1 in 7 kids and teens have a mental health condition, and nearly half go untreated. According to recent studies, in Kentucky alone, at least 16% of children ages 3 to 17 have depression or anxiety. Schools aren't meeting the mental health needs of students, but this problem–as well as the students experiencing it firsthand–isn’t being understood or approached correctly. The immense pressure built into school isn’t consistent with supporting students' mental health.  

Somewhere a student is sitting in detention for interrupting class with excessive fidgeting, talking, and physical movements. For this student, having ADHD becomes a punishable offense; they are seen as unruly and wayward. 

In another school, a student is barred from attending Prom or after-school activities—a common punishment for students with too many unexcused absences. Is this fair for students with depression, who can face challenges gathering up the strength just to get out of bed, much less to have the capacity to attend a school that doesn't accommodate their needs? 

Elsewhere, a student not participating in class or activities because of a sense of hopelessness and lack of energy is written off as lazy, rather than having their specific needs met as a student with Bipolar Disorder. 

And when common conditions such as anxiety and depression remain stigmatized and punished in schools, what about students with experiences that remain deeply misunderstood by the general public? Students with such diagnoses often struggle to find understanding and support within the structure of school. 

More in school support and friendly environments are both pertinent needs for students with diagnosable and treatable mental health conditions, as well as ways of tending to overall student mental well-being. We can start now by enhancing awareness among our peers, the staff, and ourselves. Some research shows that academic-related stress negatively impacts mental health, physical health, and school performance. The pressure doesn’t help.

Today, it is a normalized and regular occurrence for  students to be forced to stand in front of their class, despite being petrified, often unable to utter a full sentence. Anxiety is seen as "stage fright,” to be casually confronted and overcome; the complexities of mental health are continuously overlooked in the school building. Little do they know how that simple act reinforces the idea of feeling worthless and not good enough in that student's mind by subjecting them to all that anxiety and worry. Then, that can spiral into the affirmations from classmates who feel pity for you, the blank stares and whispers, the cackles, and then, their own self-pity. Even after numerous presentations, it never gets better. It's always the same ambiance, the same fear, and the same high expectations that seem improbable to meet. Having encountered this countless times, I can assert that the way we approach mental health in school needs to change.  

I hope that one day in America every student will see school as a place to be heard, and won't look at school as a place where dreams are deferred, where we are destined to be misunderstood. What we need is understanding as the basic foundation of awareness. Knowledge of the existence of mental health conditions, without the ability to discern whether school stress worsens it, makes it powerless. It is only when we have sufficient understanding of a problem that we can begin to acknowledge and fix it. The understanding of whether stress from school exacerbates a student’s mental health challenges isn’t easy to acquire, but it’s where we have to start. 

Introduction

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Top 10 Stress Management Techniques for Students

Elizabeth Scott, PhD is an author, workshop leader, educator, and award-winning blogger on stress management, positive psychology, relationships, and emotional wellbeing.

Akeem Marsh, MD, is a board-certified child, adolescent, and adult psychiatrist who has dedicated his career to working with medically underserved communities.

Most students experience significant amounts of stress. This can significantly affect their health, happiness, relationships, and grades. Learning stress management techniques can help these students avoid negative effects in these areas.

Why Stress Management Is Important for Students

A study by the American Psychological Association (APA) found that teens report stress levels similar to adults. This means teens are experiencing significant levels of chronic stress and feel their stress levels generally exceed their ability to cope effectively .

Roughly 30% of the teens reported feeling overwhelmed, depressed, or sad because of their stress.

Stress can also affect health-related behaviors. Stressed students are more likely to have problems with disrupted sleep, poor diet, and lack of exercise. This is understandable given that nearly half of APA survey respondents reported completing three hours of homework per night in addition to their full day of school work and extracurriculars.

Common Causes of Student Stress

Another study found that much of high school students' stress originates from school and activities, and that this chronic stress can persist into college years and lead to academic disengagement and mental health problems.

Top Student Stressors

Common sources of student stress include:

• Extracurricular activities
• Social challenges
• Transitions (e.g., graduating, moving out , living independently)
• Relationships
• Pressure to succeed

High school students face the intense competitiveness of taking challenging courses, amassing impressive extracurriculars, studying and acing college placement tests, and deciding on important and life-changing plans for their future. At the same time, they have to navigate the social challenges inherent to the high school experience.

This stress continues if students decide to attend college. Stress is an unavoidable part of life, but research has found that increased daily stressors put college-aged young adults at a higher risk for stress than other age groups.

Making new friends, handling a more challenging workload, feeling pressured to succeed, being without parental support, and navigating the stresses of more independent living are all added challenges that make this transition more difficult. Romantic relationships always add an extra layer of potential stress.

Students often recognize that they need to relieve stress . However, all the activities and responsibilities that fill a student’s schedule sometimes make it difficult to find the time to try new stress relievers to help dissipate that stress.

10 Stress Management Techniques for Students

Here you will learn 10 stress management techniques for students. These options are relatively easy, quick, and relevant to a student’s life and types of stress .

Get Enough Sleep

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Students, with their packed schedules, are notorious for missing sleep. Unfortunately, operating in a sleep-deprived state puts you at a distinct disadvantage. You’re less productive, may find it more difficult to learn, and may even be a hazard behind the wheel.

Research suggests that sleep deprivation and daytime sleepiness are also linked to impaired mood, higher risk for car accidents, lower grade point averages, worse learning, and a higher risk of academic failure.

Don't neglect your sleep schedule. Aim to get at least 8 hours a night and take power naps when needed.

Use Guided Imagery

David Malan / Getty Images

Guided imagery can also be a useful and effective tool to help stressed students cope with academic, social, and other stressors. Visualizations can help you calm down, detach from what’s stressing you, and reduce your body’s stress response.

You can use guided imagery to relax your body by sitting in a quiet, comfortable place, closing your eyes, and imagining a peaceful scene. Spend several minutes relaxing as you enjoy mentally basking in your restful image.

Consider trying a guided imagery app if you need extra help visualizing a scene and inducting a relaxation response. Research suggests that such tools might be an affordable and convenient way to reduce stress.

Exercise Regularly

One of the healthiest ways to blow off steam is to get regular exercise . Research has found that students who participate in regular physical activity report lower levels of perceived stress. While these students still grapple with the same social, academic, and life pressures as their less-active peers, these challenges feel less stressful and are easier to manage.

Finding time for exercise might be a challenge, but there are strategies that you can use to add more physical activity to your day. Some ideas that you might try include:

• Doing yoga in the morning
• Walking or biking to class
• Reviewing for tests with a friend while walking on a treadmill at the gym
• Taking an elective gym class focused on leisure sports or exercise
• Joining an intramural sport

Exercise can help buffer against the negative effects of student stress. Starting now and keeping a regular exercise practice throughout your lifetime can help you live longer and enjoy your life more.

Take Calming Breaths

When your body is experiencing a stress response, you’re often not thinking as clearly as you could be. You are also likely not breathing properly. You might be taking short, shallow breaths. When you breathe improperly, it upsets the exchange of oxygen and carbon dioxide in your body.

Studies suggest this imbalance can contribute to various physical symptoms, including increased anxiety, fatigue, stress, emotional problems, and panic attacks.

A quick way to calm down is to practice breathing exercises . These can be done virtually anywhere to relieve stress in minutes.

Because they are fast-acting, breathing exercises are a great way to cope with moments of acute stress , such as right before an exam or presentation. But they can also help manage longer-lasting stress such as dealing with relationships, work, or financial problems.

Practice Progressive Muscle Relaxation (PMR)

Another great stress management technique for students that can be used during tests, before bed, or at other times when stress has you physically wound up is progressive muscle relaxation ( PMR ).

This technique involves tensing and relaxing all muscles until the body is completely relaxed. With practice, you can learn to release stress from your body in seconds. This can be particularly helpful for students because it can be adapted to help relaxation efforts before sleep for a deeper sleep.

Once a person learns how to use PMR effectively, it can be a quick and handy way to induce relaxation in any stressful situation, such as bouts of momentary panic before a speech or exam, dealing with a disagreement with your roommate, or preparing to discuss a problem with your academic advisor.

Listen to Music

A convenient stress reliever that has also shown many cognitive benefits, music can help relieve stress and calm yourself down or stimulate your mind depending on what you need in the moment.

Research has found that playing upbeat music can improve processing speed and memory. Stressed students may find that listening to relaxing music can help calm the body and mind. One study found that students who listened to the sounds of relaxing music were able to recover more quickly after a stressful situation.

Students can harness the benefits of music by playing classical music while studying, playing upbeat music to "wake up" mentally, or relaxing with the help of their favorite slow melodies.

Build Your Support Network

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Having emotional support can help create a protective buffer against stress. Unfortunately,  interpersonal relationships can also sometimes be a source of anxiety for students. Changes in friendships, romantic breakups, and life transitions such as moving away for college can create significant upheaval and stress for students.

One way to combat feelings of loneliness and make sure that you have people to lean on in times of need is to expand your support network and nurture your relationships.

Look for opportunities to meet new people, whether it involves joining study groups or participating in other academic, social, and leisure activities.

Remember that different types of relationships offer differing types of support . Your relationships with teachers, counselors, and mentors can be a great source of information and resources that may help you academically. Relationships with friends can provide emotional and practical support.

Widening your social circle can combat student stress on various fronts and ensure you have what you need to succeed.

Eat a Healthy Diet

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You may not realize it, but your diet can either boost your brainpower or sap you of mental energy. It can also make you more reactive to the stress in your life. As a result, you might find yourself turning to high-sugar, high-fat snacks to provide a temporary sense of relief.

A healthy diet can help combat stress in several ways. Improving your diet can keep you from experiencing diet-related mood swings, light-headedness, and more.

Unfortunately, students are often prone to poor dietary habits. Feelings of stress can make it harder to stick to a consistently healthy diet, but other concerns such as finances, access to cooking facilities, and time to prepare healthy meals can make it more challenging for students.

Some tactics that can help students make healthy choices include:

• Eating regularly
• Carrying a water bottle to class
• Keeping healthy snacks such as fruits and nuts handy
• Limiting caffeine, nicotine, and alcohol intake

Find Ways to Minimize Stress

One way to improve your ability to manage student stress is to look for ways you cut stress out of your life altogether. Evaluate the things that are bringing stress or anxiety into your life. Are they necessary? Are they providing more benefits than the toll they take on your mental health? If the answer is no, sometimes the best option is just to ditch them altogether.

This might mean cutting some extracurricular activities out of your schedule. It might mean limiting your use of social media. Or it might mean learning to say no to requests for your time, energy, and resources. 

While it might be challenging at first, learning how to prioritize yourself and your mental well-being is an important step toward reducing your stress.

Try Mindfulness

When you find yourself dealing with stress—whether it's due to academics, relationships, financial pressures, or social challenges—becoming more aware of how you feel in the moment may help you respond more effectively.

Mindfulness involves becoming more aware of the present moment. Rather than judging, reacting, or avoiding problems, the goal is to focus on the present, become more aware of how you are feeling, observe your reactions, and accept these feelings without passing judgment on them.

Research suggests that mindfulness-based stress management practices can be a useful tool for reducing student stress. Such strategies may also help reduce feelings of anxiety and depression.

A Word From Verywell

It is important to remember that stress isn't the same for everyone. Figuring out what works for you may take some trial and error. A good start is to ensure that you are taking care of yourself physically and emotionally and to experiment with different stress relief strategies to figure out what works best to help you feel less stressed.

If stress and anxiety are causing distress or making it difficult to function in your daily life, it is important to seek help. Many schools offer resources that can help, including face-to-face and online mental health services. You might start by talking to your school counselor or student advisor about the stress you are coping with. You can also talk to a parent, another trusted adult, or your doctor.

If you or a loved one are struggling with anxiety, contact the  Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline  at 1-800-662-4357 for information on support and treatment facilities in your area.

For more mental health resources, see our  National Helpline Database .

American Psychological Association. Stress in America: Are Teens Adopting Adults' Stress Habits?

Leonard NR, Gwadz MV, Ritchie A, et al. A multi-method exploratory study of stress, coping, and substance use among high school youth in private schools . Front Psychol. 2015;6:1028. doi:10.3389/fpsyg.2015.01028

Acharya L, Jin L, Collins W. College life is stressful today - Emerging stressors and depressive symptoms in college students . J Am Coll Health . 2018;66(7):655-664. doi:10.1080/07448481.2018.1451869

Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M, Sammut S. The prevalence and correlates of depression, anxiety, and stress in a sample of college students . J Affect Disord . 2015;173:90-6. doi:10.1016/j.jad.2014.10.054

Hershner SD, Chervin RD. Causes and consequences of sleepiness among college students . Nat Sci Sleep . 2014;6:73-84. doi:10.2147/NSS.S62907

Gordon JS, Sbarra D, Armin J, Pace TWW, Gniady C, Barraza Y. Use of a guided imagery mobile app (See Me Serene) to reduce COVID-19-related stress: Pilot feasibility study . JMIR Form Res . 2021;5(10):e32353. doi:10.2196/32353

Cowley J, Kiely J, Collins D. Is there a link between self-perceived stress and physical activity levels in Scottish adolescents ? Int J Adolesc Med Health . 2017;31(1). doi:10.1515/ijamh-2016-0104

Paulus MP.  The breathing conundrum-interoceptive sensitivity and anxiety .  Depress Anxiety . 2013;30(4):315–320. doi:10.1002/da.22076

Toussaint L, Nguyen QA, Roettger C, Dixon K, Offenbächer M, Kohls N, Hirsch J, Sirois F. Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation . Evid Based Complement Alternat Med . 2021;2021:5924040. doi:10.1155/2021/5924040.

Gold BP, Frank MJ, Bogert B, Brattico E.  Pleasurable music affects reinforcement learning according to the listener .  Front Psychol . 2013;4:541. doi:10.3389/fpsyg.2013.00541

Thoma MV, La Marca R, Brönnimann R, Finkel L, Ehlert U, Nater UM.  The effect of music on the human stress response .  PLoS ONE . 2013;8(8):e70156. doi:10.1371/journal.pone.0070156

American Psychological Association. Manage stress: Strengthen your support network .

Nguyen-rodriguez ST, Unger JB, Spruijt-metz D.  Psychological determinants of emotional eating in adolescence.   Eat Disord . 2009;17(3):211-24. doi:10.1080/10640260902848543

Parsons D, Gardner P, Parry S, Smart S. Mindfulness-based approaches for managing stress, anxiety and depression for health students in tertiary education: A scoping review . Mindfulness (N Y) . 2022;13(1):1-16. doi:10.1007/s12671-021-01740-3

By Elizabeth Scott, PhD Elizabeth Scott, PhD is an author, workshop leader, educator, and award-winning blogger on stress management, positive psychology, relationships, and emotional wellbeing.

Home — Essay Samples — Nursing & Health — Stress — Narrative Essay On Stress

Narrative Essay on Stress

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 ·  Aug 15, 2018

Managing school stress: why creating a "school-life" balance matters.

Responsibilities piling up, competing demands, lack of time. Just reading this may make your heart start to race a little. Does the word stress come to mind? Stress is a normal part of the human experience, and in fact, can be useful − mild levels of stress have the ability to motivate us to get our work done and even stimulate creativity. 1 , 2 Individuals, however, may vary in the amount of stress they can handle and in the methods they use to manage it. When stress levels extend beyond a normal range and methods to cope with it are ineffective, your health will begin to feel the negative effects. 1 , 2 Unchecked levels of stress can lead to both physical and psychological problems, including gastrointestinal issues, a weakened immune system, difficulties sleeping and an increased risk of depression and anxiety. 1 , 2

While humans experience stress all throughout their lives, it can be heightened at certain stages of life. One of these particular periods of prolonged high stress is the pursuit of higher education, such as college and graduate school. This period in life is characterized by a variety of potential stressors including interpersonal relationships (with friends, romantic interests, professors, etc.), financial concerns, worries about the future and expectations to achieve. 3 , 4 To exacerbate the problem, the demands of academic life further compound the everyday stressors that students experience. 1 If left unaddressed, high levels of stress in an academic setting can lead to student burnout, dropout and overall impairment to academic functioning. 1 , 4

Preventing the negative impacts of stress requires ongoing efforts. Outside of a school context, stress management efforts among adults are part of the pursuit of work-life balance, a growing topic of conversation and research as workplaces increasingly try to support employees in managing their commitments across work, family, life and leisure. Because students possess their own unique set of concerns, applying the idea of work-life balance to those in college or graduate school introduces some distinct challenges. Unlike other forms of work that may have set caps on working hours or obligatory personal days, the life of a college or grad student is more amorphous. With no set schedule per se, it can be difficult to assign the appropriate amount of time to various activities and responsibilities. These commitments may come into direct conflict with one another, pulling a student’s attention and resources in a variety of directions. For example, many students struggle to achieve a balance between their social and academic goals, and this kind of goal conflict is often what makes students cite a lowered sense of wellbeing. 6

Striving toward a school-life balance is a healthy coping mechanism for students seeking to better manage their stress. For example, fitting in time to go to the gym or take a walk in between classes is not only good for your physical health but will also boost your mood and make you feel that your energy is not all consumed by academic life. There are numerous other strategies, such as listening to music, seeking social support from friends and family, practicing deep breathing or journaling. 4 , 5

Ultimately, the school-life balance looks different to each person, and it’s important to consider what balance looks and feels like for each individual. 7 , 8 Balance does not necessarily mean an even split, as true balance between all the different components in life is elusive for most individuals, whether they are students or not. 7 A more realistic ‘balance’ may feel more like a satisfaction with how much time and energy each activity takes up. While some of the contributors to school-related stress are part of the larger higher education structure, there are strategies that individuals can use to strive toward a more balanced student life, such as:

• Set a schedule: planning ahead and writing your activities out can help you keep track of your time and assess whether your division of time is supportive of your ‘balance’ and well-being. 9
• Know your limits: monitor your stress levels and when you start to feel yourself passing your threshold, make time to care for yourself. Caring for yourself could include activities like exercising, meditating or practicing positive self-talk. 9
• Be present: focusing on what is happening in the current moment will help to avoid distractions from your future activities, allowing you to be more engaged with what is meaningful right now. 9
• Ask for help: knowing when to ask for help can be tricky, but don’t be afraid to rely on your support system should you need a little extra boost. 9

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Managing Stress in High School

Our reasons may vary, but everyone experiences stress. Here are some of the common reasons high school students feel stressed, and what they can do about it.

Pamela Reynolds

Exams. Choosing a college. Figuring out what to do with your life.

No doubt, high school can be a high-pressure time in life. And high school students, as a result, get stressed out.  

In fact, according to the American Psychological Association’s Stress in America 2020 survey, teens who are already under stress due to the normal pressures of high school have felt even more stress in recent years, thanks to the pandemic. About 43 percent of teens surveyed in 2020 said their stress levels had gone up, and 45 percent said they had a hard time concentrating on schoolwork. Many reported feeling less motivated.

Although life has mostly returned back to normal, that doesn’t mean the stress that high school students feel has disappeared. 

The typical challenges that anyone faces in high school continue as they always have, and, in some cases, have grown more complicated. Consequently, surveys suggest, many teens continue to experience a decline in mental and physical health. 

If you’re in high school and stressed, we get it. In this blog, we’ll talk about what stress is, what triggers it, and how you can manage it. 

What is Stress?

“Stress” is a term we use constantly in conversation, but what does it really mean? 

Stress can be defined as our physical and mental responses to some external event. The event might be considered “good” like preparing to go to the prom, or bad, like feeling tense after an illness, an argument with a friend, or while preparing for an upcoming test. 

The good thing about most stress is that it usually goes away once the external event causing the stress is over. 

Alternatively, there is a type of stress that results more from an internal dialogue than an external event. We call this “anxiety.” It involves persistent feelings of dread or apprehension that interfere with your daily life, even after the test, the argument, or prom, are just a distant memory. 

Why Are Teens So Stressed? 

Simply being a teenager can be hard. Your body is changing. You may be grappling with your sexuality or gender identity. Add to that the academic demands of high school and throw in the pressures of social media, and the tension mounts. 

“Some of the common triggers of stress in teens might be anxiety to perform well in academics such as getting into a good college, peer pressure, interpersonal relationships, or body image issues,” says Sakshi Khurana, Research Fellow at Harvard’s Weisz Lab for Youth Mental Health. “Other larger issues that the world is going through — for example, climate change or war— might also act as stressors for teens as they are learning about the world.”

The most common source of stress for high school students, according to the 2017 APA Stress survey , is school itself, with about 83 percent of teens identifying school as a major stressor. The second biggest source of student stress, (according to 69 percent of students), was getting into a good college or deciding what to do after high school. The third biggest teen stress was financial concerns for the family (65 percent of students). 

Here’s a quick breakdown of broad categories of factors that may stress you out:

• Academics. In high school, not only are you worried about next week’s English, History or Calculus exam, but you’re also worried about applying to college and taking the SAT tests, too. It can all feel overwhelming, and you may feel pressure to please your parents and teachers.
• Social Stress. Even without the pressures of academics, life in high school can be demanding. Dealing with friends and classmates, starting new romantic relationships, handling bullies and peer pressure both online and off, can be a lot to handle.
• Family Issues. If your parents are divorcing, if your family is experiencing financial problems, or even if you just have trouble getting along with siblings, your stress levels can go up.
• Trauma . Dramatic life events ranging from a death in the family, to an accident, to emotional and physical abuse, can cause stress. Also in this category, you can include the collective trauma of such global events such as school shootings, terrorism, and natural disasters. 
• Big Life Changes . Changes like moving and starting a new school can be a major stress for teens. 

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What are Signs of Stress in High School Students?

If you’re a high school student feeling stressed, you may not even recognize the symptoms. 

In fact, many symptoms of stress might be considered normal for teens who are also dealing with natural hormonal and physical changes. For that reason, it’s important to consider whether behavioral changes can be linked in time to an external event. 

Signs of stress include:

• Feeling more agitated, anxious, short-tempered, or depressed  
• Getting sick more often
• Having more headaches, stomachaches, or other aches and pains
• Feeling more tired than usual
• Not being able to sleep, or sleeping too much
• Skipping meals or overeating 
• Neglecting chores or hobbies 
• Trouble concentrating and forgetfulness
• High blood pressure

According to the APA 2017 survey, the most common symptoms of stress among teens were insomnia, overeating or eating unhealthy foods, skipping meals, feeling angry, nervous, or anxious, feeling fatigued, and snapping at friends and classmates.

Why is Stress so Problematic for Teens?

Let’s be clear, a little bit of stress is a normal part of life, and sometimes even desirable. 

Stress can act as a motivator, getting us to do things we might not otherwise. Good stress is called “eustress” and can help get you excited and energized about that first date or taking the stage in your first musical.

But too much unrelieved stress can lead to mental and physical health issues.  

Your body reacts to stress by releasing a hormone called cortisol which regulates blood pressure and immune function. If you’re stressed all the time and your body produces too much cortisol, it can lower your immunity, raise your blood pressure, and impair your cognitive performance.

In teens, the part of the brain regulating the stress response is less developed than in adults, meaning that if you’re a stressed-out teen, you may experience stress longer than an adult. 

“In the teen years, due to hormonal changes, stress tends to influence the emotional functioning of the brain, which in turn impacts the cognitive and executive functioning,” says Khurana.

You might not be able to sleep, you may overeat, or develop digestive, cardiovascular, or immune problems. Stress can even put you at a higher risk for developing mental illnesses like anxiety or depression . 

What are the Best Techniques to Help Students Manage Stress?

Since too much stress is not a good thing for your mind or body, you should think about incorporating a few stress management techniques into your daily life. 

“A few techniques that might help teens manage stress are relaxation through deep breathing, meditation, or mindfulness, channeling energy into sports or creative pursuits such as music, art, theater, and forming meaningful relationships or friendships,” says Khurana. “Additionally, every culture has its own way of enabling young people to manage stress, so drawing from those traditions might be helpful as well.”

Here are few ideas of how high school students can learn how to deal with stress at school: 

• Keeping a journal
• Getting plenty of exercise
• Eating healthy, regular meals
• Making sure you get enough sleep  
• Downloading an app that provides relaxation exercises (such as deep breathing or visualization) or tips for practicing mindfulness
• Limiting excess caffeine in soft drinks or coffee
• Reaching out to friends or family members who help you cope in a positive way
• Making time to do fun things
• Learning to recognize and prepare for stressful periods by doing all of the above

With so many big life decisions ahead, getting through high school happy and whole can definitely feel challenging at times. It’s easy to see why so many high school students feel stressed. The good news is that there are solutions. Adopt the strategies above, take a deep breath, and remember, it’s not forever! 

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About the Author

Pamela Reynolds is a Boston-area feature writer and editor whose work appears in numerous publications. She is the author of “Revamp: A Memoir of Travel and Obsessive Renovation.”

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Essay on Stress Management

500 words essay on stress management.

Stress is a very complex phenomenon that we can define in several ways. However, if you put them together, it is basically the wear and tear of daily life. Stress management refers to a wide spectrum of techniques and psychotherapies for controlling a person’s stress level, especially chronic stress . If there is effective stress management, we can help one another break the hold of stress on our lives. The essay on stress management will throw light on the very same thing.

Identifying the Source of Stress

The first step of stress management is identifying the source of stress in your life. It is not as easy as that but it is essential. The true source of stress may not always be evident as we tend to overlook our own stress-inducing thoughts and feelings.

For instance, you might constantly worry about meeting your deadline. But, in reality, maybe your procrastination is what leads to this stress than the actual deadline. In order to identify the source of stress, we must look closely within ourselves.

If you explain away stress as temporary, then it may be a problem. Like if you yourself don’t take a breather from time to time, what is the point? On the other hand, is stress an integral part of your work and you acknowledging it like that?

If you make it a part of your personality, like you label things as crazy or nervous energy, you need to look further. Most importantly, do you blame the stress on people around you or the events surrounding you?

It is essential to take responsibility for the role one plays in creating or maintaining stress. Your stress will remain outside your control if you do not do it.

Strategies for Stress Management

It is obvious that we cannot avoid all kinds of stress but there are many stressors in your life which you can definitely eliminate. It is important to learn how to say no and stick to them.  Try to avoid people who stress you out.

Further, if you cannot avoid a stressful situation, try altering it. Express your feelings don’t bottle them up and manage your time better. Moreover, you can also adapt to the stressor if you can’t change it.

Reframe problems and look at the big picture. Similarly, adjust your standards and focus on the positive side. Never try to control the uncontrollable. Most importantly, make time for having fun and relaxing.

Spend some time with nature, go for a walk or call a friend, whatever pleases you.  You can also try working out, listening to music and more. As long as it makes you happy, never give up.

Get the huge list of more than 500 Essay Topics and Ideas

Conclusion of the Essay on Stress Management

All in all, we can control our stress levels with relaxation techniques that evoke the relaxation response of our body. It is the state of restfulness that is the opposite of the stress response. Thus, when you practice these techniques regularly, you can build your resilience and heal yourself.

FAQ of Essay on Stress Management

Question 1: What is the importance of stress management?

Answer 1: Stress management is very efficient as it helps in breaking the hold which stress has on our lives. Moreover, you can also become happy, healthy and more productive because of it. The ultimate goal should be to live a balanced life and have the resilience to hold up under pressure.

Question 2: Give some stress management techniques.

Answer 2: There are many stress management techniques through which one can reduce stress in their lives. One can change their situation or their reaction to it. We can try by altering the situation. If not, we can change our attitudes towards it. Remember, accept things that you cannot change.

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Stress, Burnout, Anxiety and Depression among Teachers: A Scoping Review

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Background: Worldwide, stress and burnout continue to be a problem among teachers, leading to anxiety and depression. Burnout may adversely affect teachers’ health and is a risk factor for poor physical and mental well-being. Determining the prevalence and correlates of stress, burnout, anxiety, and depression among teachers is essential for addressing this public health concern. Objective: To determine the extent of the current literature on the prevalence and correlates of stress, burnout, anxiety, and depression among teachers. Method: This scoping review was performed using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Relevant search terms were used to determine the prevalence and correlates of teachers’ stress, burnout, anxiety, and depression. Articles were identified using MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica Data Base), APA PsycINFO, CINAHL Plus (Cumulative Index of Nursing and Allied Health Literature), Scopus Elsevier and ERIC (Education Resources Information Center). The articles were extracted, reviewed, collated, and thematically analyzed, and the results were summarized and reported. Results: When only clinically meaningful (moderate to severe) psychological conditions among teachers were considered, the prevalence of burnout ranged from 25.12% to 74%, stress ranged from 8.3% to 87.1%, anxiety ranged from 38% to 41.2% and depression ranged from 4% to 77%. The correlates of stress, burnout, anxiety, and depression identified in this review include socio-demographic factors such as sex, age, marital status, and school (organizational) and work-related factors including the years of teaching, class size, job satisfaction, and the subject taught. Conclusion: Teaching is challenging and yet one of the most rewarding professions, but several factors correlate with stress, burnout, anxiety, and depression among teachers. Highlighting these factors is the first step in recognizing the magnitude of the issues encountered by those in the teaching profession. Implementation of a school-based awareness and intervention program is crucial to resolve the early signs of teacher stress and burnout to avoid future deterioration.

1. Introduction

The teaching profession can be highly stressful, and this stress may lead to reduced job satisfaction, burnout, and poor work performance. Stress is a normal response to upsetting or threatening events and becomes pathological when chronic [ 1 ]. Chronic stress can impede day-to-day functioning and emotional balance, and it is a risk factor for developing other psychiatric illnesses, such as anxiety and depression [ 1 , 2 , 3 ]. Prolonged teacher stress negatively correlates with job satisfaction and positively correlates with intending to leave the teaching profession. It may also result in withdrawal behaviour, including physically or psychologically leaving the work setting [ 4 , 5 ]. Chronic stress may also lead to inappropriate anger and increased alcohol and drug consumption [ 6 , 7 ], and it can cause an individual to experience excessive anxiety, mental fatigue, and burnout, while also predicting increased depression [ 8 , 9 , 10 ]. According to Maslach, stress occurs when a person perceives an external demand as exceeding their capability to deal with it [ 11 ]. Teacher stress can be associated with demoralization, and a disrupted sense of self-consistency [ 8 , 9 ]. Canadian teachers, like their global counterparts, also experience high-stress levels. A study by Biron et al. showed that the proportion of Quebec teachers who reported a high level of psychological distress was twice as high (40%) as that reported for a Quebec-wide general population sample (20%) [ 12 ]. During the COVID-19 pandemic, survey results indicated that nearly 70% of respondents worried about their mental health and well-being [ 13 ]. Meanwhile, a cross-sectional study showed that two-thirds of teachers perceived stress at work at least 50% of the time [ 14 ]. Teacher workload is one of the most common sources of stress [ 15 ]; however, there is a lack of systematic understanding about how stress is measured, its prevalence globally, what factors lead to stress and what causes the associated negative outcomes among teachers.

Burnout is considered a stress-related problem for individuals who work in interpersonally oriented occupations such as healthcare and education [ 16 , 17 ]. According to Shukla et al., burnout among professionals such as teachers can result from excessive demands on their energy, strength and resources [ 7 ]. There is increasing evidence that burnout as a negative stress response represents a risk factor not only for depression but also for cardiovascular and other somatic diseases [ 17 ]. Researchers conceptualize burnout as having three interrelated components: emotional exhaustion, depersonalization, and reduced personal accomplishment [ 6 , 7 , 11 , 16 ]. Emotional exhaustion represents emotional depletion and a loss of energy. Depersonalization is the interpersonal dimension of burnout. It refers to a negative, callous, or excessively detached response to other people. There is evidence that job satisfaction is negatively associated with emotional exhaustion and positively associated with self-perceived accomplishment, but not significantly related to cynicism [ 18 ]. Additionally, reduced accomplishment describes the self-evaluation dimension of burnout, including feelings of incompetence and a lack of achievement and productivity at work [ 6 , 16 , 18 , 19 ]. Mild burnout involves short-lived irritability, fatigue, worry, or frustration. Moderate burnout has the same symptoms but lasts for at least two weeks, whereas severe burnout may also entail physical ailments such as ulcers, chronic back pain, and migraine headaches [ 20 ]. Research suggests that workplace improvements to reduce burnout could prevent adverse sequelae, improve health outcomes, and reduce healthcare expenditures [ 21 ]. More systematic research is needed to further understand the factors in the workplace to address burnout and improve teacher health outcomes.

Anxiety and perceived stress are predicted by workload, student behaviour, and employment conditions [ 22 ]. According to Kamal et al., a considerable lack of administrative support is the single biggest factor increasing anxiety [ 23 ]. Those with low job satisfaction are more susceptible to experiencing burnout, high anxiety levels and depression [ 24 , 25 ]. Teacher stress contributes to teacher anxiety and may trigger anger, further intensifying anxiety [ 5 , 26 ]. The published literature shows that participants who reported high anxiety levels also reported high burnout levels [ 27 ]. Moreover, some studies report a very high prevalence of stress (100%), anxiety (67.5%), and depression (23.2%) among teachers [ 28 ], prompting calls for research and interventions to address this critical issue [ 23 ]. Despite this, more research is needed to understand what factors play key roles in triggering anxiety symptoms among educators and how stress, burnout, anxiety, and depression relate to each other.

Depression can lead to numerous deficiencies and is considered the worldwide primary cause of work disability [ 29 , 30 ]. Depression among teachers can also significantly impact their health, productivity, and function [ 31 ], with particularly pervasive effects on personal and professional life [ 32 ]. Individuals with depression often experience difficulties meeting interpersonal, time-management, and productivity demands. They may also encounter psychological problems, decreased work quality, absences due to illness, and increased work disability, all of which can profoundly impact worker productivity [ 30 , 31 , 33 ]. One study found that teachers’ most robust major depressive disorder (MDD) predictors included a low job satisfaction, high perceived stress, somatization disorder, and anxiety disorder [ 31 ]. Like with anxiety symptoms, more research is needed to understand what factors play key roles in triggering depression symptoms among educators and how depression relates to other psychological conditions including stress, burnout, and anxiety.

Currently, the authors are planning a study to assess the prevalence and correlates of stress, burnout, anxiety, and depression among elementary, junior high and high school teachers in Alberta and Nova Scotia, Canada [ 34 ]. This planned study will also evaluate the effectiveness of a daily supportive text message intervention, the Wellness4Teachers program, to address stress, burnout, anxiety, and depression among elementary and high school teachers in Canada [ 34 ]. Within this context, this scoping review aims to identify and summarize the literature on the prevalence and correlates of teachers’ stress, burnout, anxiety, and depression and to determine the problem’s extent in different jurisdictional contexts. The review also aims to identify the gaps in knowledge for future research. Identifying the correlates of these emotional and mental conditions may also facilitate the research and development of early interventions which can be implemented to address this phenomenon.

2.1. Study Design

This scoping review was planned and conducted in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) statement [ 35 ]. We adopted a comprehensive search strategy that allows replicability, reliability, and transparency. This scoping review also followed Arksey and O’Malley’s five-stage approach to scoping reviews: identifying the research question, searching for relevant studies, the study selection, charting the data, and collating, summarizing and reporting the results [ 36 ].

2.2. Developing the Research Question

Our research question was: “What are the prevalence and correlates of primary and secondary teachers’ stress, burnout anxiety and depression in different jurisdictions?”

2.3. Information Sources and Search Strategy

The search was performed by using relevant terms to identify and select articles in the following databases: MEDLINE (Medical Literature Analysis and Retrieval System Online; Ovid MEDLINE ALL), EMBASE (Excerpta Medica Database; Ovid interface), APA PsycINFO (Ovid interface), CINAHL (Cumulative Index of Nursing and Allied Health Literature) Plus with Full Text (EBSCOhost interface), Scopus Elsevier and ERIC (Education Resources Information Center (EBSCOhost interface). The search consisted of keywords representing the concepts of stress, burnout, depression and anxiety among teachers and their correlates and prevalence. The specific MeSH terms, keyword and descriptors included: (depress* OR depression OR “depressive disorder” OR “depressive symptoms” OR “major depressive disorder” OR anxiety OR “anxiety disorder” OR “generalized anxiety disorder”) AND (burnout OR “burn out” OR stress OR “occupational stress” OR “mental exhaustion” OR “emotional exhaustion”) AND (teacher* OR educator* OR tutor* OR schoolteacher* OR “school teacher*”). The database search was completed on the 20th of February 2022.

2.4. Selection of Studies

The search strategy was developed based on specific inclusion criteria. Articles were considered eligible for inclusion in this scoping review if they addressed either the prevalence or correlates of burnout, stress, depression, or anxiety among teachers or educators. The articles were limited to original, peer-reviewed quantitative articles written in English. Articles were excluded from the review if the study participants were tertiary or university teachers or students. Studies on interventions’ outcomes, case reports, meta-analyses, systematic reviews, opinion pieces, commentaries, editorials, or grey literature such as non-peer-reviewed graduate student theses, non-research articles or conference reports were excluded. The search was not limited by publication year. Two researchers independently reviewed the citations during the title, abstract screening, and full-text review phase. All discrepancies were resolved through discussion and consensus. We identified 190 articles for full-text review, of which 120 articles were excluded. The PRISMA flow diagram summarizes this information in detail ( Figure 1 ).

PRISMA flow chart.

2.5. Data Charting and Extraction Process

The research team extracted data for each selected article according to the following domains: author(s) name, year of publication, country of study, study design, assessment tools used, sample size (N), age, main findings, and conclusion.

2.6. Collating, Summarizing, and Reporting the Results

This study presents an overview of existing evidence relating to the prevalence and the correlates of stress, burnout, anxiety, and depression among teachers. All the relevant data were organized into tables and validated by at least two team members. The characteristics and results reported in each included article were summarized. In addition, the prevalence range for the psychological conditions in high-quality studies were determined after identifying the high-quality studies for each psychological condition in this scoping review using the Joanna Briggs Institute’s (JBI) critical appraisal checklist for prevalence studies [ 37 ]. The JBI checklist includes: studies with an adequate sample size, studies which provided an appropriate sample frame to address the target population, studies with an adequate response rate, studies which had a high response rate, studies in which a systematic approach was used for the data capture to ensure the study sample was representative of the study population, and studies with an adequate statistical analysis.

3.1. Study Characteristics

The search strategy identified 10,493 citations. Covidence software [ 38 ] was used to automatically remove 5711 duplicates. One hundred and ninety articles remained for a full-text screening, and seventy of these were eligible for inclusion. Overall, 67 articles were quantitative cross-sectional studies. One study was a mixed quantitative and qualitative study, and two studies were randomized controlled trials. The seventy articles included a total of 143,288 participants, who were all teachers. The sample size for an individual article ranged from 50 to 51,782 participants, with an age range from 18 years to 75 years. The minimum response rate was 13% and the maximum was 97.4% with the median response rate of 77%. The articles included studies from 1974 to 2022. Most studies (79%) were published between 2007 and 2022, and 21% were from 1974 to 2006. Most of the studies were conducted in Europe (40%), followed by Asia (30%) and North America (19%). In contrast, African, South America and Oceanian studies represented 6%, 1% and 4%, respectively, as shown in Figure 2 . One study [ 39 ] was conducted across multiple continents.

Summary of studies by continents.

From Figure 3 : Most studies reported on multiple outcomes, indicating the interrelatedness of stress, burnout, anxiety, and depression. Some articles reported on a single outcome, such as stress (N = 9), burnout (N = 8), or depression (N = 6). Burnout and depression (N = 15), stress and depression (N = 5), burnout and anxiety (N = 2), anxiety and depression (N = 4), and stress and anxiety (N = 4), were commonly paired outcomes. One study (N = 1) specifically examined the paired outcomes of burnout and stress. In addition, the outcome of the interaction between three or four of these psychological problems were explored by some studies: anxiety, depression, and stress (N = 10); anxiety, burnout and depression (N = 1); stress, burnout and anxiety (N = 1); stress, burnout, and depression (N = 2). Finally, two articles reported the interaction between stress, burnout, anxiety, and depression.

Distribution of stress, burnout, anxiety and depression among the included studies.

Figure 4 shows that depression was the most reported psychological problem among the included studies and the least reported was anxiety.

Number of studies reporting each psychological problem.

Most of the articles (27 of 32; 84%) used Maslach’s Burnout Inventory to explore the three interrelated components of burnout. Five of thirty-two (16%) studies used the Oldenburg Burnout Inventory, the Shirom–Melamed Burnout Inventory, or the Teacher Burnout Scale. The most frequently utilized scales for measuring depressive or anxiety symptoms (55 studies) were the Center for Epidemiological Studies Depression Scale (CES-D) (N = 14; 25%), Depression, Anxiety and Stress Scale (DASS), (N = 10 18%), the Patient Health Questionnaire-9 (PHQ-9), (N = 9; 16%), and the Beck Depression Inventory (BDI), (N = 6; 11%). The less popular scales included the Goldberg Anxiety and Depression Questionnaire, COVID-19 Anxiety Scale, Zung Self-Rating Depression Scale (SDS), and the Manifest Anxiety Scale. For the 29 studies measuring stress, the most common scales utilized were the (DASS) (N = 9; 31%), the Teacher Stress Inventory (N = 5; 17%), and the Perceived Stress Scale (PSS) (N = 3; 10%). Other scales included: the Occupational Stress Inventory, Job Stress Inventory, Ongoing Stressor Scale (OSS), Episodic Stressor Scale, and Bruno’s Teacher Stress.

3.2. Prevalence and Correlates of Burnout, Stress, Anxiety and Depression

The prevalence and correlates of stress, burnout, anxiety, and depression as identified in the literature search are summarized in Table A1 and Table A2 in Appendix A .

3.3. Prevalence of Stress

The reported stress prevalence rates were heterogenous, which may reflect, in part, the use of different stress measures. The prevalence of stress in all forms ranged from 6.0% to 100% [ 28 , 40 ], with a median of about 32.5%. In addition, the lowest, highest and median stress prevalence ranges from 2020 to 2022 (after the pandemic and lockdown) were, respectively, 6.0% [ 40 ], 66.0% [ 41 ] and 10.7%. Similarly, the lowest, highest and median stress prevalence up until 2019 (prior to the pandemic and lockdown) were, respectively, 7.0% [ 42 ], 100% [ 28 ] and 33.9%.

Early studies of teacher stress found a relatively high degree of stress. For example, 76% [ 43 ] and 87.1% [ 44 ] of teachers described their stress levels at their school as moderate or significant, respectively. In some studies, 45.6% reported “much stress” [ 44 ] or “almost unbearable” stress (20%) [ 43 ]. Another study echoed these findings, reporting 32% ‘slightly’ stressed and 67% ‘extremely’ stressed teachers, with only 1% indicating no stress [ 45 ].

Earlier studies on teacher stress are consistent with more recent findings, indicating teacher stress is a long-standing issue and is challenging to tackle. A 2021 study completed during the COVID-19 pandemic reported a 6.0% prevalence of severe to highly severe stress among teachers [ 40 ]. This is similar to another recent but pre-pandemic study which reported a 7.0% prevalence of “severe to extremely severe” stress, a 32.3% prevalence of stress, and 25.3% prevalence of mild to moderate stress [ 42 ].

3.4. Prevalence of Burnout

Published studies have identified three different burnout profiles among teachers with the prevalence ranging from 25.12% to 48.37% [ 11 , 46 ]. These are, (1) groups of teachers with predominantly low levels of emotional exhaustion and high levels of personal accomplishment, (2) teachers with high levels of emotional exhaustion and depersonalization, and (3) teachers with low levels of depersonalization and personal accomplishment [ 46 ]. These groups show the combination of the three interrelated components of burnout reported by Maslach et al. [ 6 , 7 , 11 , 16 ].

Variable prevalence of burnout and psychological distress have been reported among teachers [ 47 ], with the burnout prevalence at all levels ranging from a low of 2.81% [ 7 ] to a high of 70.9% [ 48 ], with a median of 28.8% ( Table A1 ). The lowest, highest and median burnout prevalences from 2020 to 2022 (after the pandemic and lockdown) were, respectively, 3.1% [ 48 ], 70.9% [ 48 ] and 27.6%. Similarly, the lowest, highest and median burnout prevalences up until 2019 (prior to the pandemic and lockdown) were, respectively, 2.81%, 63.43% [ 7 ] and 25.09%.

In an early study, only 11% of the teachers were classified as burnt out, and more than half (68.5%) of the teachers reported they did not experience any burnout [ 49 ]. Some studies reported burnout prevalence in the three subdimensions [ 50 ]. For instance, four studies reported a burnout prevalence of 11% to 40% for emotional exhaustion, depersonalization and for reduced personal accomplishment [ 3 , 46 , 49 , 50 ]. Studies have also reported that 18.3% to 34.9% of teachers may be at risk of or are threatened by burnout syndrome [ 3 , 25 , 51 ]. Higher burnout scores and subdimensions such as emotional exhaustion and depersonalization burnout were significantly higher among female teachers than male teachers [ 51 , 52 , 53 ]. Likewise, a higher percentage of males (59.38%) showed low burnout than did females (53%) [ 54 ]; however, other studies have reported contradictory results where males had a slightly higher burnout prevalence of 56.0% than females of 53.0% [ 55 ] and 31.88% of males and fewer females (25%) reported a lack of personal accomplishment [ 54 ].

There are also studies reporting various levels of burnout ranging from low/no burnout (58.12%) to moderate (2.81% to 70.9%) and severe levels of burnout (3.1% to 33.3%) [ 7 , 25 , 47 ]. Regarding the subjects taught by teachers, science stream and science teachers reported experiencing slightly more burnout (14.38% to 26.26%) than arts stream and art teachers, who reported an average burnout prevalence of 12.5% to 25% [ 7 ].

3.5. Prevalence of Anxiety

The anxiety symptoms prevalence ranged from 4.9% to 68.0% [ 42 , 56 ], with a median prevalence of 26.0%. Furthermore, the lowest, highest, and median anxiety prevalences from 2020 to 2022 (after the pandemic and lockdown) were, respectively, 10.5% [ 57 ] 66.0% [ 41 ] and 38.9%. Similarly, the lowest, highest, and median anxiety prevalences up until 2019 (prior to the pandemic and lockdown) were, respectively, 7.0% [ 28 ], 68.0% [ 42 ] and 26.0%.

Early studies indicated that teachers’ anxiety prevalence ranged from 26% for borderline anxiety, 36% for minimal or no anxiety, and 38% for clinically significant anxiety [ 45 ]. Recent studies have reported a similar prevalence for low anxiety at 17.6%, mild at 23.2% [ 28 ] and 7.0% to 23.3% for severe to extremely severe anxiety [ 28 , 39 , 41 ]. Another study reported an anxiety prevalence of 43% among teachers. The prevalence of anxiety did not change significantly during the COVID-19 pandemic, with most teachers (56.2%) reporting no change in their anxiety during the pandemic compared with before the pandemic, and only 4.9% of teachers reported an increase in anxiety levels from the baseline during the first week of the 2020–2021 school year [ 58 ].

3.6. Prevalence of Depression

The prevalence of depression among teachers ranged from 0.6% to 85.7% [ 48 , 59 ], with a median of 30.7%. The lowest, highest, and median depression prevalences from 2020 to 2022 (after the pandemic and lockdown) were, respectively, 0.6% [ 48 ], 85.7% [ 59 ] and 23.5%. Similarly, the lowest, highest and median depression prevalences up until 2019 (prior to the pandemic and lockdown) were, respectively, 0.7% [ 28 ], 85% [ 60 ] and 24.1%.

Early studies showed a highly varied prevalence of depression, with 79% of teachers scoring at the low or no depression levels in one study. This study also reported that 17% of teachers had borderline depression scores, and 4% had scores that indicated clinical depression [ 45 ]. Studies from 2008 onwards identified that the prevalence of depression ranged from 17.86% to 49.1% [ 3 , 41 , 55 , 60 , 61 ] and the prevalence of severe to extremely severe depression ranged from 0.7 to 9.9% [ 42 ], whilst the prevalence of mild depression ranged from 20 to 43.9% [ 41 , 42 , 60 , 62 ]. Soria-Saucedo et al. reported a particularly high prevalence (16%) of severe depression symptoms among teachers [ 61 ]. Depression was also found to range from 45% to 84.6%, depending on the educational level and teaching experience, and was highest among those with a lower education level, followed by teachers with more teaching experience [ 42 ].

Studies during the pandemic demonstrated higher rates of mild depression but similar rates of severe depression symptoms among teachers. In one study, 58.9% of teachers had mild depression, 3.5% had moderate, and 0.6% had severe depression. [ 48 ]. Another study reported that 3.2% of teachers had severe to extremely severe depression [ 40 ]. According to Keyes, ‘flourishing’ denotes being filled with positive emotion and functioning well psychologically and socially while ‘languishing’ in life signifies the individual has poor mental health with low well-being [ 59 , 62 ]. Capone and Petrillo reported that 38.7% of ‘flourishing’ teachers reported a lower prevalence of depression but higher levels of job satisfaction. A severe rating of depression was also reported by 85.7% of ‘languishing’ teachers [ 59 ].

3.7. Prevalence Range and Median for Stress, Burnout, Anxiety and Depression Reported in High Quality Studies

After applying the JBI checklist [ 37 ] to identify high-quality studies, the clinically meaningful (moderate to severe) burnout among teachers recorded by three studies ranged from 25.12% to 74% [ 25 , 46 , 47 ]. Similarly, three studies reported stress at clinically meaningful levels which included severe, extremely severe, moderate to high or very stressful, and a great deal of stress, with a prevalence ranging from 8.3% to 87.1% [ 43 , 44 , 57 ]. Likewise, two studies reported the prevalence of clinically meaningful anxiety among teachers ranging from 38% to 41.2% [ 45 , 57 ]. Furthermore, five studies [ 44 , 47 , 57 , 63 , 64 ] reported the prevalence of depression in clinically significant levels, which included terminologies such as major, moderate, moderate to severe, and extremely severe depression symptoms. The lowest prevalence in this category was 4% [ 45 ] and the highest category was 77% [ 65 ]. Finally, the median prevalence of stress, burnout, anxiety, and depression among these studies were, respectively, 67.0%, 60.9%, 39.6%, and 14.%.

3.8. Correlates of Stress, Burnout, Anxiety and Depression

The correlates of stress, burnout, anxiety, and depression, as extracted from Table A1 and Table A2 , are summarized in Table 1 . A wide range of variables are significantly associated with teachers’ stress, burnout, anxiety and depression and can be divided into socio-demographics, school, organizational and professional factors, and social and other factors, including intrapersonal factors. The most reported correlates were sex, age, gender, marital status, job satisfaction, subject taught and years of teaching [ 28 , 40 , 57 , 63 , 66 , 67 ]. Socio-demographic factors, such as age and sex, and work-related factors correlate with depression, anxiety and stress [ 42 ]. Emotional exhaustion is correlated with age, gender and marital status. [ 39 , 52 , 53 , 68 ]. Other studies, however, refute these, indicating that no significant demographic variable correlations were found between burnout and depression, and that depressive symptoms in men and women were similar [ 64 , 69 ]. Capone et al. also noted that all the school climate factors, such as social support, were negatively related to depression [ 70 ]. Higher levels of co-worker support were related to lower levels of anxiety and depression [ 71 ].

Demographic, school and professional correlates of burnout, stress, anxiety and depression.

Organizational factors associated with anxiety included: work overload, time pressures causing teachers to work during their free time, and role conflict. There were significant correlations between the reported anxiety and those stressors relating to pupils and parents [ 45 ]. In addition, interpersonal conflict, organizational constraints and workload were reported to result in depression through increasing job burnout [ 73 ]. Furthermore, depressive symptoms correlated with teaching special needs students and had a significant and robust relationship with the general burnout factor [ 50 ]. Self-perceived accomplishment was also positively associated with autonomy and negatively associated with low student motivation [ 18 ]. Personal accomplishment had a significant positive relationship with the number of teaching hours per week [ 40 ]. On the contrary, a cross-sectional study by Baka reported that increased work hours are usually accompanied by job demands, job burnout, and depression [ 73 ]. Job strain, job demand and job insecurity all showed positive associations with depressive symptoms [ 80 , 94 ]. Work-related factors, such as workload, were also correlated with stress, burnout, depression, and anxiety [ 42 , 73 ].

Furthermore, the educational level and teaching experience also predict depression. Depression was highest among teachers with a lower education followed by teachers with the most teaching experience [ 42 ]. Teacher stress was reported to be significantly associated with psychological distress, and social support could moderate the influence of stress; hence, the high-stress and the low-support group were most vulnerable to anxiety [ 74 ]. Studies have also reported that 55% of teachers without spousal support had depression [ 42 ]. In addition, stress was reported to be associated with missed work days, high anxiety and high role conflict [ 43 , 89 ] and 53.2% of teachers identified work as a source of long-term stress, leading to burnout [ 55 ]. According to Fei Liu et al. resilience significantly correlated with job burnout and turnover intention, and low resilience could result in a high job burnout [ 86 ]. The research also showed that personality trait neuroticism was the best predictor of burnout (28–34%) [ 67 ].

3.9. Association between Stress, Burnout, Anxiety and Depression

A significant overlap was reported between stress, burnout, anxiety and depression. Eighteen articles reported a correlation between burnout and depression, with differences in depressive symptomatology depending on the prevalence of burnout [ 3 , 18 , 25 , 41 , 42 , 48 , 50 , 52 , 54 , 60 , 64 , 69 , 84 , 86 , 92 , 95 ]. Three articles reported a correlation between burnout and anxiety symptoms [ 52 , 64 ]. Seven articles reported a correlation between stress and anxiety [ 28 , 58 , 65 , 71 ]. Six articles reported a correlation between stress and depression [ 28 , 31 , 43 , 61 , 68 , 71 ]. A correlation exists between moderate depressive disorder and anxiety disorder as well as stress [ 31 , 96 ]. Negative affectivity (a tendency to feel depression, anxiety, or stress) plays a role in the development of burnout among teachers. Teachers who developed a more markedly negative affectivity also felt more burnt out, and the opposite was true [ 41 ]. This may be related to rumination. According to Nolen-Hoeksema, rumination is a pain response which entails a recurrent and passive focus on the symptoms of pain and their likely causes and outcomes [ 97 ]. Ruminative responses may prolong depression by overly focusing on negative thinking and may affect one’s behaviour and problem-solving [ 97 ]. Liu et al. reported that rumination moderated the association between job burnout and depression and that burnout was a stronger predictor of depression in teachers who experienced low rumination rather than high rumination [ 98 ]. This was explained by the importance of rumination for depression; with an improvement in the rumination level, job burnout had less ability to predict depression for those with high rumination levels.

There is a strong association between burnout and depression, as reported in several studies. High frequencies of burnout symptoms were identified among clinically depressed teachers [ 92 ], with 86% to 90% of the teachers identified as burnt out meeting the diagnostic criteria for a depressive disorder [ 60 , 64 ], mainly for major depression (85%) [ 60 ]. In 25% to 85% of teachers with no burnout, depression ranged from 1% to 15% of the study sample. Specifically, only 1% to 3% of the participants in the no-burnout group were identified as having minor depression or depression not otherwise specified (2%) [ 60 , 64 ]. A history of depression was reported by about 63% of the teachers with burnout and 15% of the burnout-free teachers [ 60 ]. The high overlap between depression and burnout was emphasized in one study, which categorized depression as “low burnout-depression” (30%), “medium burnout-depression” (45%), and “high burnout-depression” (25%) [ 92 ]. Notably, the report suggests that although teacher burnout leads to subsequent depressive symptoms, it is not true vice versa [ 95 ]. Furthermore, burnout symptoms at ‘time one’ did not necessarily predict depressive symptoms at ‘time two’ [ 99 ]. Another study reported a positive relationship between burnout and depression [ 84 ]. This was confirmed by a study which suggested that depressive symptoms had a significant and robust association with the general burnout factor [ 50 ].

Anxiety disorder is also associated with higher perceived stress and major depression [ 65 ]. In one study, higher ongoing stressors were positively associated with higher anxiety levels. Continuous and episodic stressors were significantly and positively associated with anxiety and depression. They accounted for 28% (adjusted 25%) of the variability in anxiety and 27% (adjusted 24%) of the variability in depression. [ 71 ]. In contrast, higher levels of co-worker support were related to lower levels of anxiety and depression [ 71 ]. Teachers reported a high prevalence of depressive symptomatology relating to subjective and school-related stress [ 43 ].

4. Discussion

This scoping review included 70 articles. The prevalences of stress, burnout, anxiety and depression reported in this scoping review are similar to those reported in two systematic reviews and meta-analysis conducted among teachers during the pandemic. For example, the prevalence of stress reported by Ma et al., from a meta-analysis of 54 studies was 62.6%, whereas the prevalence of anxiety was 36.3% and depression was 59.9% among teachers during the pandemic [ 100 ]. In another meta-analysis, the prevalence range of anxiety was 10% to 49.4%; depression was 15.9% to 28.9%; and stress was 12.6% to 50.6% [ 101 ], which all fall within the range reported in this scoping review for stress [ 28 , 40 ], anxiety [ 42 , 56 ], and depression [ 48 , 59 ]. However, the minimum in all cases was higher during the pandemic, suggesting an increase in psychological problems during the pandemic.

The varying prevalence for stress, burnout, anxiety and depression reported by different studies in this review may be attributable to heterogeneous study designs, including the sample size, location, period of data collection, diversity in the standardized scales used for the assessment, and other factors such as the class size and grade taught [ 102 , 103 ]. In this scoping review, the studies used combinations of terminologies such as “none,” “slightly,” “significant,” “much,” “extremely,” “considerably”, “almost unbearable”, “quite a bit” or “a great deal” to describe the level of stress experienced by teachers according to the measures utilized,, such as the Teachers Stress Inventory [ 44 , 77 ] or the Bruno Teachers Inventory [ 43 ]. The prevalence rates also varied with population, for example, in the case of Fimian, the teachers were teaching special needs students, and this may explain the relatively high prevalence (87.1%) recorded [ 44 ]. More recent studies which used other scales, such as the Perceived Stress Scale (PSS), and the Depression Anxiety Stress Scales (DASS), used terminologies such as “symptoms of stress”, ranging from “mild,” “moderate,” “mild to moderate” or “extremely severe”, to describe the stress levels. For burnout, although most studies used a combination of the three interrelated components of burnout reported by Maslach et al. [ 6 , 7 , 11 , 16 ], some studies focused on reporting the sub-dimensions of burnout, whilst others reported general burnout. Varying expressions such as “low burnout”, “high burnout, “severe burnout”, and moderate were used to describe burnout, making it difficult to make an effective comparison. It was also not clear whether the stress and burnout experienced by the participants were everyday existential life experiences that everyone faces or chronic ones that needed intervention, as these were not specifically stated in the studies. It is essential that future research clarifies this to estimate their prevalence rates more accurately. Secondly, as indicated in the review, the studies applied various scales to measure the prevalence of psychological disorders; however, there was a lack of consensus. This scoping review provides a comprehensive picture of the prevalence of the target outcomes and sets up a foundation for future systematic reviews and meta-analysis to accurately estimate the prevalence of these outcomes among teachers.

The essential correlates of stress, burnout, anxiety, and depression identified in this review include socio-demographic factors such as sex, age, gender, marital status, school (organizational) factors and work-related factors (years of teaching, class size, job satisfaction, subject taught and absenteeism). Most studies were published in the last fifteen years (2007–2022), indicating a recent increase in interest in this area of research.

4.1. Socio-Demographic, School and Work-Related Factors as Determinants of Stress

Socio-demographic factors such as sex, age and marital status significantly influence teacher stress [ 54 ]. Sex correlates with stress although there are some conflicting reports [ 42 , 53 , 76 ], especially between the levels of stress experienced by males and females. Some studies suggest that female teachers experience more stress than their male counterparts [ 28 , 75 , 77 ]. Working women often have additional demands at home, and trying to accomplish both roles may increase their stress levels [ 104 ] compared to males who may have less demand from home. However, this may be context-dependent, as no sex difference in occupational stress was reported among police officers [ 105 ], for example. The demand from female teachers’ personal lives, including marital issues and home, may be a source of increased stress levels [ 104 ]. Among the general workforce, work–family conflict has been reported to be significantly associated with work stress [ 106 ], and this is not confined only to females. This argument is confirmed in three separate studies, which reported that gender, per se, was not a significant predictor of perceived stress [ 39 , 85 , 89 ]; thus, it is possible that these differences may, rather, be due to differences in the scales used or the effect of organizational factors. For example, the organisational effect experienced by female teachers in a female only elementary or high school may differ from that experienced in a male only or mixed sex teaching environment; however, further research is needed in this area of gender influencing stress factors. Findings from the Canadian Community Health Survey data nonetheless endorsed a difference between males and females regarding work stress, in particular supervisor support. Higher levels of supervisor support seemed to lower work stress amongst women but not men [ 107 ]. Among the general population, social support at work could be more strongly related to a stress reduction in women than in their male counterparts [ 108 ] Sex difference was also observed in relation to student behaviour, with women experiencing increased stress [ 42 , 77 ]. In particular, female teachers’ collective efficacy and beliefs about their school staff group capabilities may lower their stress from student behaviour. Findings from the study by Klassen support the hypothesis that teachers’ collective efficacy serves as a job resource that mediates the effect of stress from student behaviour [ 77 ]. Interventions addressing gender/sex differences may also be considered in supporting female educators’ mental health and work productivity.

A study among refugee teachers also endorsed sex differences in stress [ 42 , 57 ]; however this was in relation to self-care and the association was moderated by age [ 57 ]. Higher occupational stress scores were observed among teachers over 40 years [ 28 ]; nonetheless, among the general population, the published literature reports that the ageing process can worsen or counter the effects of stress [ 109 ], indicating that age does not necessarily increase stress. The cause of increased stress, hence, shifts to other factors such as the poor academic performance of students, or a lack of assistance [ 78 ], which may be influencing an increase in stress.

The class size, grade level taught, workload, poor student performance or lack of progress and other work and school-related factors contribute to teachers’ stress. According to Fimian et al., when stressful events or the perception of them are not ultimately resolved or improved, this may result in several physiological manifestations [ 44 ]. There is clear data indicating that teacher stress was intensified among primary school teachers, special needs teachers, and teachers in private schools who provided more support and input to students than other teachers [ 28 , 78 , 85 , 110 ]. The additional time and energy teachers may invest in primary school kids, who are usually much younger and may require more support, may explain the increased stress among primary school teachers. Again, teaching special needs students may require significant teacher input and assistance, depending on the nature and degree of the disabilities. There is also an increased expectation from teachers in private schools regarding the students’ performances, leading to increased stress [ 28 ]. A study conducted among primary and secondary school teachers in Pakistan concluded that government school teachers were more satisfied with their working conditions than private school teachers [ 110 ], and thus, may experience less stress. In addition, the school location (rural vs. urban), teacher role ambiguity and coherence further exacerbated teacher stress [ 3 , 75 , 89 , 111 ]. An excessive use of technological devices, such as mobile phones, has also been associated with social disruption [ 112 ] and may result in a lack of concentration or poor student performance at school [ 112 , 113 ], leading to teacher stress. Teachers experiencing more significant stress were also burnt out [ 68 ]. For example, during the pandemic, teachers had to adopt and adjust to teaching online, and virtual instruction teachers had the most increased anxiety [ 58 ]. Nonetheless, a rapid systematic review with a meta-analysis reported that teacher stress during the pandemic was still comparatively lower in school teachers with a prevalence of 13% ([95% CI: 7–22%]) in comparison to studies with university teachers as the participants of 35% ([95% CI: 12–66%]) [ 114 ].

While there are complex interactions among several factors which contribute to teacher stress, there have been limited evidence-based interventions to help teachers alleviate these stress sources despite some self-reported coping strategies. This research gap started to receive attention during the COVID-19 pandemic through the application of mindfulness-based interventions [ 115 ], warranting more advanced research on how to best address these challenges in education.

4.2. Socio-Demographic, Years of Teaching, School and Work-Related Factors as Determinants of Burnout

Burnout continues to pose problems within the teaching profession, and factors such as gender, sex, age, marital status and the number of years teaching correlated with the degree of burnout [ 40 , 47 , 51 , 52 , 53 , 54 , 55 , 63 , 67 , 68 , 72 , 73 ], although conflicting results were reported with potentially different explanations. Differences in the study design, particularly the scales used to assess burnout as well as geographical and organizational factors, may account for some of the conflicting results. In addition, there could be an interplay between some personal and professional factors. For example, younger teachers are more likely to be enthusiastic about their new teaching careers, whilst older teachers may experience boredom leading to increased exhaustion. Consistent with this hypothesis, one study reported that teachers who had taught for the fewest (0–5) years experienced the lowest burnout prevalence [ 54 ]. On the contrary, more experienced teachers were likely to have gained exposure, learnt students’ characteristics and classroom management skills and the necessary tools to help them prevent and address burnout. Additionally, teachers who lacked self-fulfilment may have been mostly younger and lacked personal accomplishments [ 47 ], leading to more burnout.

Significantly higher burnout scores, including for emotional exhaustion, depersonalization, and intellectual burnout were found among female teachers than among male teachers in some studies [ 51 , 52 , 53 ], whilst other studies reported that burnout was higher among male teachers. These results are contrary to findings reported among police officers, which indicated no significant difference in the levels of occupational burnout reported by male and female police officers [ 105 ]. Further studies are needed to investigate the contradictory gender differences in teachers’ burnout by different studies. In addition, research is needed on innovative gender-neutral ways of addressing burnout in teachers. Other structural factors, such as the number of children teachers have and class sizes which are associated with increased teacher burnout, require an increased investment in teachers and schools to address them. Governments providing teachers with affordable childcare and other supports for their own children, and building more schools to reduce the class sizes, may lead to a reduced burnout among teachers.

There is also a relationship between burnout and school or work-related factors. The subjects and grades taught and the medium of instruction all contribute to teachers’ burnout [ 7 , 51 ]. Teachers’ perceptions of the difficulty of a subject taught appears to determine their degree of burnout experienced; however, no particular subject seems to be the leading cause of burnout. High school teachers may perceive an increased workload in terms of the amount of time attributed to class preparation due to the difficulty of a subject taught. A cross-sectional study among nurses also found that role overload contributed to higher levels of emotional exhaustion [ 116 ] and this was also endorsed among healthcare managers where prolonged job strain resulted in burnout and an increased turnover intention [ 117 ]. This suggests there is a complex interaction between self-perception and burnout, which makes burnout in teachers a complex problem to address. Differences were also noted in the prevalence of burnout among teachers working in different countries [ 84 ]. For example, 58% of the variance in burnout in Cyprus could be explained by job satisfaction and anxiety, whereas 57.5% of the variance in burnout in Germany was explained by job satisfaction alone [ 84 ]. Different countries have different working conditions which may explain the differences in job satisfaction and associated burnout prevalence among teachers in different countries.

4.3. Effect of Resilience on Burnout

Resilience involves adapting well in the face of stress, difficulty, trauma, disaster, and threats. Resilient people use positive emotions to rebound and find positive meaning even in stressful circumstances [ 118 ]. Resilience had a significantinverse correlation with job burnout and turnover intention, and resilience could negatively predict job burnout [ 86 ]. Resilience was also reported to have an inverse association with burnout symptoms [ 119 ]; thus, increased resilience is linked to decreased burnout and, hence, the tendency for a teacher to remain in their job and thrive no matter what they encounter. Job burnout had a significant positive predictive effect and correlation with turnover intention, which suggests that the more severe the job burnout is, the higher the turnover intention [ 86 ]. Teachers require positive emotions and an increased resilience to remain in the profession and succeed without quitting. Conversely, among physicians, a survey indicated that the burnout prevalence was still significant even among the most resilient physicians; however, West et al. suggested that physicians exhibited higher levels of resilience than the general working population [ 119 ], including teachers. Additionally, resilience was also a significant predictor of depression and anxiety [ 88 ]; thus, the higher the resilience, the less likely teachers will experience depression or anxiety.

4.4. Socio-Demographic, School and Work-Related Factors as Determinants of Depression and Anxiety

Socio-demographic, school and work-related factors are all associated with both anxiety and depression [ 42 , 50 , 51 , 80 ]. This association is consistent with what was reported in a systematic review and meta-analysis by Ma et al., which suggested that teachers’ experiences of psychological issues were associated with various socio-demographic factors such as gender, institutional factors, teaching experience, and workload volume [ 100 ]. In this scoping review, conflicting results were found in relation to the association between teacher gender and depression. Whilst some studies reported that female teachers have higher depression levels than male teachers [ 42 , 51 , 70 , 79 , 81 , 82 ], other studies have reported no gender differences in teacher depression levels [ 53 ]. Contradictory results were also reported for the association between the age of teachers and depression, with some studies reporting higher depression levels in younger teachers [ 42 ] and others reporting higher depression in older teachers [ 51 ]. As discussed previously, it is likely that the use of different scales, coupled with organizational factors, contributed to these contradictory findings among the different studies. The findings also indicated that most female teachers who suffered from depression had been working for about 11 to 15 years [ 120 ].

A poor workplace environment has also been associated with increased anxiety and depressive symptoms [ 121 ] and school-related stress may transition to depressive symptoms among teachers [ 80 , 94 ]. As teachers’ workloads increase, their working hours will invariably increase, resulting in a rise in job demand and ultimately a surge in stress, leading to anxiety and depression. A systematic review reported similar findings where the main risk factors associated with anxiety and depression included job overload and job demands. [ 122 ]. The research also shows that teachers are not the only exception regarding experiencing a poor workplace environment which may lead to increased anxiety and depression [ 122 , 123 ]. Improving teachers’ workplace environments may, therefore, reduce the prevalence of anxiety and depression among teachers. Anxiety has also been linked to stressors relating to pupils and parents. For example, the possibility of a parental complaint increased anxiety scores [ 45 ]. Generally, parents want their children to succeed academically, which sometimes creates friction between teachers and parents. The underperformance of students or failure may be blamed on teachers or construed as the responsibility of schools and teachers [ 124 ], which may result in increased stress and subsequently anxiety and depression for teachers.

Social support was also reported to predict anxiety and depression symptoms, with high support levels indicating fewer symptoms related to anxiety and severe depression [ 121 , 125 ]; thus, teachers who perceived social support at school (e.g., the personnel relation dimension) expressed a lower stress level than those who did not [ 75 ]. According to Peele and Wolf 2020, anxiety and depressive symptoms increase for all teachers over the school year, and poor social support plays a significant role in the development of anxiety and depression symptoms [ 121 ]. Organizational policies that include the provision of adequate social support for teachers may, therefore, be a useful strategy to prevent and mitigate anxiety and depressive symptoms among teachers.

5. Limitations

The scoping review is not without limitations. This scoping review searched for articles in the English language only. Though every effort was made to identify all relevant studies for this review considering our eligibility criteria, we may have left out some relevant studies, particularly those published in other languages. Our search included six databases, yet the overall search strategy may have been biased toward health and sciences. Searching other bibliographic databases may have yielded additional published articles. Furthermore, different studies included in this scoping review used various screening tools and worldwide diagnostic classifications to determine stress, burnout, anxiety, and depression, leading to variations in the prevalence estimates. The scoping review included studies from 1974 till date; therefore, it is possible that the theoretical approaches to the concept of burnout may have changed. Notwithstanding these potential changes in the theoretical approaches to the concept of burnout, the burnout prevalence among teachers has appeared to have remained stable over the years. There was also no evaluation of the risk of bias for the included studies. Despite these limitations, this scoping review provides an excellent perspective on the prevalence and correlates of stress, burnout, anxiety and depression among teachers.

6. Conclusions

Teachers’ psychological and mental health is of utmost importance as it indirectly affects the students they teach. The stress associated with the teaching profession can be linked to three major overlapping issues: burnout, anxiety, and depression, which have a myriad of effects, including an impact on teachers’ health, well-being, and productivity. A wide range of prevalences and correlates were reported for stress, burnout, anxiety, and depression. Differences in the severity were observed in different articles resulting in the diverse prevalence reported among the various studies. The differences in the measurement instruments creates critical knowledge gaps, making it difficult for researchers to make effective comparisons between the different studies. Future research should focus on addressing these research gaps arising from methodological issues, especially the use of different scales to allow for a meaningful comparison. Researchers, educators, and policy makers could benefit from an international consensus meeting and agree on common scales to be used when assessing stress, burnout, anxiety, and depression in teachers. Such an international consensus meeting can also help to streamline the definition of stress and can be used as a forum for addressing other methodological issues related to research and innovations involving elementary and high school teachers. Future research can also focus on exploring the gender differences in these psychological issues further, especially, defining the various subsets of gender being referred to and the specific prevalence in each case. In addition, the high prevalence of stress, burnout, anxiety, and depression reported particularly by several high-quality studies suggests that these psychological problems are widespread among teachers and deserves special attention both at the level of policy and practice.

This scoping review also highlights the risk factors associated with stress, burnout, anxiety, and depression. Identifying these risk factors is a significant step toward addressing these issues among teachers. Schools need to prioritize and promote interventions aimed at teachers’ personal wellbeing. Testing and implementing the interventions aiming to improve teachers’ well-being and ability to cope are important to address stress and burnout, with the expectation that this will prevent or reduce anxiety and depression. This may include school-based awareness and intervention programs to detect the early signs of teacher stress and burnout, or programs that incorporate meditation techniques or text-based support. Meditation techniques have been proposed to be effective in improving psychological distress, fatigue and burnout [ 126 ]. For example, mindfulness practice has been suggested as beneficial in coping with job-related stress, improving the sense of efficacy and reducing burnout in the teaching profession [ 127 ]. Interventions such as mobile text technology are an evidence-based, unique, and innovative way that offers a convenient, low cost and easily accessible form of delivering psychological interventions to the public with mental health problems [ 128 , 129 , 130 ]. Mobile text-based programs can be easily implemented at the school level to support teachers’ psychological needs. Future studies need to explore the development, implementation, monitoring, and evaluation of intervention programs for improving mental health outcomes among teachers. For instance, the Wellness4Teachers program which is planned for implementation in Alberta and Nova Scotia, Canada [ 34 ], is expected to provide evidence of effectiveness for the use of daily supportive text messaging to combat stress, burnout, anxiety, and depression among teachers. Finally, governments, school boards and policymakers need to collaborate with researchers on the design and implementation of measures to enhance teachers’ mental health, productivity (teaching) and quality of life.

Summary of studies with prevalence and correlates of Burnout/Stress.

* Katsantonis 2020 (15 countries)—Japan and Korea form the East-Asian model. France and Spain form the Latin model. Denmark and Sweden form the Northern model. Australia and the United Kingdom represent the Anglo-Saxon model and finally, Belgium and the Netherlands form the Germanic model. Sample Size: SS; Emotional Exhaustion: EE; Personal Accomplishment: PA; Depersonalization: DP; Occupational Stress: OS; Sense of Coherence: SOC; Science Stream: SCIS; Art Stream: AS.

Summary of studies with prevalence and correlates of Depression/Anxiety.

Sample Size: SS; Major Depressive Disorder: MDD.

Funding Statement

This study was supported by the Mental Health Foundation and the Douglas Harden Trust Fund.

Author Contributions

Conceptualization, B.A; software, and validation, B.A., G.O.-D. and L.B.; methodology and formal analysis, B.A.; data curation, B.A. and G.O.-D.; investigation and resources, B.A. and Y.W.; writing—original draft preparation, B.A.; writing—review and editing, B.A, G.O.-D., L.B. and Y.W.; supervision, L.B. and Y.W. All authors have read and agreed to the published version of the manuscript.

Institutional Review Board Statement

Informed consent statement, data availability statement, conflicts of interest.

The authors declare no conflict of interest. The funder had no role in the design and conduct of the study; collection, management, analysis, the interpretation of the data; preparation, review, or approval of the manuscript; or the decision to submit the results for publication.

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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The Dogs Helping the Covenant Children Find Their Way Back

To heal after a mass shooting, the Covenant School families have turned to therapy, faith, one another — and a lot of dogs.

Monroe Joyce, 10, runs with one of two dachshunds taken in by her family. She is one of several children who now have a dog after surviving the Covenant School shooting. Credit...

Supported by

By Emily Cochrane

Photographs by Erin Schaff

Emily Cochrane and Erin Schaff spoke with more than a dozen Covenant School parents, students, staff and their dogs.

• Published March 24, 2024 Updated March 28, 2024

Two of April Manning’s children, Mac and Lilah, had just survived the mass shooting at the Covenant School in Nashville. They needed stability and time to grieve.

Listen to this article with reporter commentary

Open this article in the New York Times Audio app on iOS.

So she did everything she could to keep the family dog, Owen, their sweet but ailing 15-year-old golden retriever, with them for as long as possible. She pushed back his final trip to the vet, keeping him comfortable as he slowly moved around the house.

Getting another dog was the furthest thing from her mind. But a few weeks after the shooting, her children sat her down for an important presentation.

Prepared with a script and a PowerPoint — “Why We Should Get (Another) Dog” — they rattled through research showing the mental health benefits of having one. It could limit their chances of developing PTSD and help them feel safe. Playing together would get them outside and boost their happiness.

Ms. Manning and her husband considered. Maybe a second dog was possible.

First came Chip, a Cavalier King Charles spaniel. Then, after Owen succumbed to old age, came Birdie, a miniature poodle and Bernese Mountain dog mix. And in taking them in, the Mannings were far from alone.

In the year since Tennessee’s worst school shooting, in which three third-graders and three staff members were killed by a former student, more than 40 dogs have been taken in by families at Covenant, a small Christian school of about 120 families.

“I really only expected them to help in a cuddly kind of way, like just to snuggle the kids when they’re upset ,” Ms. Manning said. “But I wasn’t really expecting all the other benefits from them.”

To spend time with the Covenant families is to understand how they have relied on one another, traditional psychological treatments and mental health counseling, and their Christian faith to hold them together.

But it is also to see how often what they needed — a distraction, a protector, a friend who could listen, something untouched by darkness — came from a dog.

An Immediate Response

Dogs greeted the surviving children at Sandy Hook Elementary School as they returned to a refurbished middle school in 2013. A dozen golden retrievers were on hand in Orlando to provide comfort after the deadly attack at a L.G.B.T.Q. nightclub in 2016. The therapy dogs who tended to the surviving students in Parkland, Fla., made the school yearbook .

“Over this period of sort of, 35,000 years, dogs have become incredibly adept at socializing with humans, so they’re sensitive to our emotional state,” said Dr. Nancy Gee, who oversees the Center for Human-Animal Interaction at Virginia Commonwealth University.

Even brief, minute-long interactions with dogs and other animals can reduce cortisol, the body’s stress hormone, research by Dr. Gee and others has shown, providing a possible lifeline for veterans struggling with PTSD and others recovering from trauma.

And on the day of the Covenant shooting, dogs were immediately there to help. Covey, the headmaster’s dog, was at a nearby firehouse, where dozens of staff members and students were evacuated. Squid, a retriever mix, was at the children’s hospital at Vanderbilt University Medical Center, helping to comfort the staff if needed.

When the students who survived were put on a school bus to be reunited with their anguished parents, Sgt. Bo, a police dog, was sitting at their side.

Officer Faye Okert, the dog’s handler with the Metro Nashville Police, handed out a baseball card of dog facts to distract and comfort the children.

“The focus was on him,” said Officer Okert. “You had smiles after what they had been through.”

After families reunited, counselors offered clear advice: To help your child, get a dog. Or borrow a neighbor’s.

That led several parents to connect with Comfort Connections, a nonprofit comfort dog organization. Jeanene Hupy, the group’s founder, had seen firsthand how therapy dogs had helped the Sandy Hook students and started her own organization once she moved to Nashville.

The group, which oversees a menagerie of golden retrievers, a gentle pit bull and a massive English mastiff, began its work by visiting individual homes in the days after the shooting. Then, when students returned to class weeks later, the dogs were once again there.

They were something to look forward to, in the moments when walking through the school doors felt overwhelming. And when there were painful reminders — a water bottle clattering to the floor, an unsettling history lesson on war or the absence of a friend — a child could slip away and cuddle a dog.

As Ms. Hupy put it, something special happens “when you bring in something that loves you more than it loves itself, which is these guys.”

A Reassuring Presence

First it was a joke, then a reality: Everyone was getting a dog.

Fueled by community donations and her own money, Ms. Hupy began connecting several parents and puppies. Even for families who could easily afford a new dog, Ms. Hupy and her trainers dramatically eased the logistical hurdles by finding and training puppies that seemed perfect fits to each family.

The Anderson girls shrieked and cried with joy when they learned they were getting a dog, and have now taught Leo how to flaunt sunglasses and do tricks. The Hobbs children constantly scoop up Lady Diana Spencer, often fashionably dressed in a string of pearls or sweaters.

The dogs are also there in the harder moments, too, like when an ambulance or police car drives by blaring its siren or when the memorial ribbons in their neighborhood remind them of what was lost.

“Sometimes it’s just nice to have a giant soft pillow that doesn’t need to talk to you and just cuddle it,” said Evangeline Anderson, now 11.

And if the dogs chew on a shoe or make a mess on a rug, Ms. Manning said, it is a lesson in how to deal with conflicting emotions.

“We still love them and we’re so glad we have them — both things can be true,” she said. “Just like we can be really nervous about going back to school and still also be excited to do it.”

And maybe, the parents realized, it was not just for the children.

Rachel and Ben Gatlin were driving back from vacation on the day of the shooting. That has meant grappling with the heaviness of survival and knowing that Mr. Gatlin, a history teacher who carried a pistol on his ankle for personal protection, could have run toward the shooter that day.

And while their new dog, Buddy, has adapted to the bossiness of their young children and has developed a penchant for sock consumption, he has also kept the adults’ thoughts focused in the moment. Tending to his needs has served as a reminder of their own.

“When you see it working, you’re in total comfort,” Ms. Gatlin said.

Even the school’s chaplain, Matthew Sullivan, found that the stories of new puppies being shared each day in chapel were “wearing me down in a good way.”

“I kind of wanted to enter into the experience of all these families firsthand,” he said.

Now Hank, a slightly anxious, floppy-eared Scooby-Doo doppelgänger, has been adopted into his home, which had been a little empty without his grown children.

The Alternatives

Not everyone got a dog.

For the McLeans, the solution was two rabbits.

“It’s an incredible distraction to their reality,” Abby McLean said of her children, cupping her hands to mimic cradling a rabbit on her shoulder. “I find myself occasionally doing it as well.”

Another family added Ginny, a tortoise with a possible seven-decade life span, to the mix of animals already in their house.

“For having lost people early in life — there was something that equated to me in that, that there was a longevity to it, to a tortoise,” said Phil Shay, who picked out the tortoise with his 12-year-old daughter, Ever.

Still, the dogs far outnumber the other pets. And every day they can make a little difference.

The first night that George, Jude and Amos Bolton had tried to sleep alone without their parents after the shooting, the slightest grumble from the ice machine or the dryer had been too much. Their mother, Rachel, who had maintained that she liked dogs, just not in her house, soon agreed to take in Hudson, a miniature Goldendoodle puppy with doe-like eyes and wild curls.

“We didn’t realize the dogs could create comfort for people,” Jude, now 10, said, his hands ruffling Hudson’s ears. And when Hudson came home, he added, “he’s just been comforting us ever since.”

It is now easier to sleep through the night, safe with the knowledge that Hudson is there.

“All my friends joke, they’re like, ‘I can’t believe you’re a dog person now,’” Ms. Bolton said. But this dog, she added, “has healed this family.”

Read by Emily Cochrane

Audio produced by Patricia Sulbarán .

Emily Cochrane is a national reporter for The Times covering the American South, based in Nashville. More about Emily Cochrane

Erin Schaff is a photojournalist for The Times, covering stories across the country. More about Erin Schaff

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