title: A multi-method exploratory study of stress, coping, and substance use among high school youth in private schools.
abstract: There is growing awareness that students' experiences of stress may impede academic success, compromise mental health, and promote substance use. We examined these factors in an under-studied population, private/independent high school students, using a multi-method (qualitative and quantitative), iterative data collection and analytic process. We first conducted qualitative interviews with faculty and staff at a number of highly competitive private schools, followed by an anonymous quantitative survey with 128 11th grade students from two of these settings. We then conducted a qualitative exploration of the quantitative results with a subset of students. Next, a set of Expert Panel members participated in qualitative interviews to reflect on and interpret study findings. Overall, we found students experienced high levels of chronic stress, particularly in relation to academic performance and the college admissions process. While students described a range of effective, adaptive coping strategies, they also commonly internalized these serious pressures and turned to alcohol and drugs to cope with chronic stress, although not typically at problematic levels. We discuss study implications for both schools and families derived from the Expert Panel.
authors.affiliation: College of Nursing, New York University, New York NY, USA ; Teachers College, Columbia University, New York NY, USA.
authors.forename: Noelle R
authors.initials: NR
authors.lastname: Leonard
authors.affiliation: College of Nursing, New York University, New York NY, USA.
authors.forename: Marya V
authors.initials: MV
authors.lastname: Gwadz
authors.affiliation: College of Nursing, New York University, New York NY, USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Ritchie
authors.affiliation: College of Nursing, New York University, New York NY, USA ; Teachers College, Columbia University, New York NY, USA.
authors.forename: Jessica L
authors.initials: JL
authors.lastname: Linick
authors.affiliation: College of Nursing, New York University, New York NY, USA.
authors.forename: Charles M
authors.initials: CM
authors.lastname: Cleland
authors.affiliation: National Development and Research Institutes, Inc., New York NY, USA.
authors.forename: Luther
authors.initials: L
authors.lastname: Elliott
authors.affiliation: The Spence School, New York NY, USA.
authors.forename: Michele
authors.initials: M
authors.lastname: Grethel
keywords: adolescents; coping; high school; private school; stress; substance use