Article Text
DOI DOI: 10.38140/ijsse.v1i2.2101

Exploring adolescent learners’ perceptions of mental health and behavioural needs in a rural school setting

Abstract

The rising prevalence of mental health issues, estimated at approximately one-fourth among youth in rural South African schools, is a growing concern. This study investigates how adolescent learners perceive mental health and behavioural problems in a rural school located in the Thabo Mofutsanyana district. It further explores the impact of these challenges on learners’ academic performance and overall well-being. Eight participants were purposively selected from a selected high school in the Eastern Free State, South Africa. Using narrative analysis, the study found that the learners demonstrated an awareness of mental health and behavioural issues and identified a link between these challenges and their academic performance. The findings highlight the need for community-based support systems that promote adolescent mental well-being. The study recommends the integration of Western and Indigenous knowledge systems to develop more holistic and culturally relevant mental health interventions for rural youth.

How to Cite

Mukuna, K. R. (2025). Exploring adolescent learners’ perceptions of mental health and behavioural needs in a rural school setting. International Journal of Studies in Sexuality Education, 1(2), 11–18. https://doi.org/10.38140/ijsse.v1i2.2101

References

  1. Alharahsheh, H. H., & Pius, A. (2020). A review of key paradigms: Positivism VS interpretivism. Global academic journal of humanities and social sciences, 2(3), 39-43. https://doi.org/10.36348/gajhss.2020.v02i03.001
  2. Bamberg, M. (2012). Narrative analysis. In H. Cooper (ed.), APA handbook of research methods in psychology (2nd ed.) (pp. 77–94). American Psychological Association.
  3. Bohnenkamp, J. H., Stephan, S. H., & Bobo, N. (2015). Supporting student mental health: The role of the school nurse in coordinated school mental health care. Psychology in the Schools, 52(7), 714-727. https://doi.org/10.1002/pits.21851
  4. Cavioni, V., Grazzani, I., Ornaghi, V., Agliati, A., & Pepe, A. (2021). Adolescents’ mental health at school: The mediating role of life satisfaction. Frontiers in Psychology, 12, 720628. https://doi.org/10.3389/fpsyg.2021.720628
  5. Chinekesh, A., Hosseini, S. A., Mohammadi, F., Motlagh, M. E., Eftekhari, M. B., Djalalinia, S., & Ardalan, G. (2018). An explanatory model for the concept of mental health in Iranian youth. F1000Research, 7, 52. https://doi.org/10.12688/f1000research.12893.2
  6. Creswell, J. W. (2014). Qualitative inquiry & research design: choosing among five approaches (4th ed.). Thousand Oaks, CA: Sage.
  7. Creswell, J. W., & Poth, C. N. (2016). Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks, CA: Sage publications.
  8. Crowe, A., Mullen, P. R., & Littlewood, K. (2018). Self?stigma, mental health literacy, and health outcomes in integrated care. Journal of Counseling and Development, 96(3), 267–277. https://doi.org/10.1002/jcad.12201
  9. Dias, P., Campos, L., Almeida, H., & Palha, F. (2018). Mental health literacy in young adults: Adaptation and psychometric properties of the mental health literacy questionnaire. International Journal of Environmental Research and Public Health, 15(7), 1318. https://doi.org/10.3390/ijerph15071318
  10. Duffy, J., Rooney, B., & Matthews, J. (2021). Coaches' mental health literacy and role perceptions for supporting young people's mental health. Journal of Applied Sport Psychology, 33(1), 45–59. https://doi.org/10.1080/10413200.2019.1646840
  11. Esin C., Fathi M., & Squire C. (2014). Narrative analysis: The constructionist approach. In U. Flick (ed.), The Sage handbook of qualitative data analysis (pp. 203–216). London: Sage.
  12. Gale, J., Janis, J., Coburn, A., & Rochford, H. (2019). Behavioral health in rural America: Challenges and opportunities. Rural Policy Research Institute.
  13. Gasparyan, G. (2021). Double-sided transformations of culture-bound constituents in William Saroyan’s cross-cultural domain. Translation Studies: Theory ?nd Practice, 1(2), 31-44. https://doi.org/10.46991/TSTP/2021.1.2.031
  14. Ghandour, R. M., Sherman, L. J., Vladutiu, C. J., Ali, M. M., Lynch, S. E., Bitsko, R. H., & Blumberg, S. J. (2019). Prevalence and treatment of depression, anxiety, and conduct problems in US children. The Journal of Pediatrics, 206, 256-267. https://doi.org/10.1016/j.jpeds.2018.09.021
  15. Gold, K. J., Andrew, L. B., Goldman, E. B., & Schwenk, T. L. (2016). I would never want to have a mental health diagnosis on my record: a survey of female physicians on mental health diagnosis, treatment, and reporting. General hospital psychiatry, 43, 51-57. https://doi.org/10.1016/j.genhosppsych.2016.09.004
  16. Gordon, L. J., Rees, C. E., Ker, J. S., & Cleland, J. (2015). Leadership and followership in the healthcare workplace: exploring medical trainees’ experiences through narrative inquiry. BMJ open, 5(12), e008898. https://doi.org/10.1136/bmjopen-2015-008898
  17. Green, J., & Thorogood, N. (2018). Qualitative methods for health research. New Delhi: Sage.
  18. Gueldner, B. A., Feuerborn, L. L., & Merrell, K. W., (2020). Social and emotional learning in the classroom: Promoting mental health and academic success. London: Guilford Publications.
  19. Hall, S., McKinstry, C., & Hyett, N. (2016). Youth Perceptions of Positive Mental Health. British Journal of Occupational Therapy, 79(8), 475-483. https://doi.org/10.1177/0308022616632775
  20. Herman, L., & Vervaeck, B. (2019). Handbook of narrative analysis. University of Nebraska Press.
  21. Hosokawa, R., & Katsura, T. (2020). The relationship between neighborhood environment and child mental health in Japanese elementary school students. International Journal of Environmental Research and Public Health, 17(15), 5491. https://doi.org/10.3390/ijerph17155491
  22. Hourigan, R. M., & Edgar, S. N. (2020). The foundations of phenomenology: epistemology, methodology, and analysis. In C. M. Conway (ed.), Approaches to Qualitative Research: An Oxford Handbook of Qualitative Research in American Music Education, (Vol. 1, pp. 110-124). New York: Oxford University Press.
  23. Jackson, C. (2017). Fear of failure. In Understanding learning and motivation in youth (pp. 30-39). London: Routledge.
  24. Jorm, A. F. (2012). Mental health literacy: empowering the community to take action for better mental health. American psychologist, 67(3), 231-243. https://doi.org/10.1037/a0025957
  25. Jorm, A. F., Nakane, Y., Christensen, H., Yoshioka, K., Griffiths, K. M., & Wata, Y. (2005). Public beliefs about treatment and outcome of mental disorders: a comparison of Australia and Japan. BMC Medicine, 3(12), 1-14. https://doi.org/10.1186/1741-7015-3-12
  26. Juma, K., Wekesah, F. M., Kabiru, C. W., & Izugbara, C. O. (2020). Burden, drivers, and impacts of poor mental health in young people of West and Central Africa: implications for research and programming. In M. L. McLean (ed.). West African youth challenges and opportunity pathways, (pp. 233-265). Cham: Palgrave Macmillan, Spring. https://doi.org/10.1007/978-3-030-21092-2
  27. Jumbe, S., Nyali, J., Simbeye, M., Zakeyu, N., Motshewa, G., & Pulapa, S. R. (2022). We do not talk about it: engaging youth in Malawi to inform adaptation of a mental health literacy intervention. PLoS One 17(3), e0265530. https://doi.org/10.1371/journal.pone.0265530
  28. Kamimura, A., Trinh, H. N., Johansen, M., Hurley, J., Pye, M., Sin, K., & Nguyen, H. (2018). Perceptions of mental health and mental health services among college students in Vietnam and the United States. Asian Journal of Psychiatry, 37, 15-19. https://doi.org/10.1016/j.ajp.2018.07.012
  29. Kapungu, C., Juan, C., Jessee, C. L., & Edmeades, J. E. (2018). Socio-ecological approach to understanding the gendered drivers of poor adolescent mental health in low-and-middle income countries. YouthPower Learning, Making Cents International.
  30. Katz, J., Mercer, S. H., & Skinner, S. (2020). Developing self-concept, coping skills, and social support in grades 3–12: A cluster-randomized trial of a combined mental health literacy and dialectical behavior therapy skills program. School Mental Health, 12(2), 323-335. https://doi.org/10.1007/s12310-019-09353-x
  31. King, T., & Fazel, M. (2019). Examining the mental health outcomes of peer-led schoolbased interventions on young people aged between 4 and 18 years old: a systematic review protocol. Systematic reviews, 8(1), 104. https://doi.org/10.1186/s13643-019-1027-3
  32. Kuyken, W., Ball, S., Crane, C., Ganguli, P., Jones, B., Montero-Marin, J., ... & MYRIAD Team. (2022). Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial. BMJ Ment Health, 25(3), 99-109. https://doi.org/10.1136/ebmental-2021-300396
  33. Lindsay, S. (2019). Addressing Mental Health Issues in School Leads to Improved Performance. Retrieved from https://www.icanotes.com/2019/01/10/addressing-mental-health-issues-in-school-leads-toimproved-performance/#respond
  34. Mack, K. A., Jones, C. M., & Ballesteros, M. F. (2017). Illicit drug use, illicit drug use disorders, and drug overdose deaths in metropolitan and nonmetropolitan areas. United States. (MMWR Surveillance Summaries, 66, No. SS-19). Centers for Disease Control and Prevention, U.S. Department of Health, and Human Services.
  35. Magaldi, D., & Berler, M. (2020). Semi-structured Interviews. In: Zeigler-Hill V., Shackelford T.K. (Eds.) Encyclopedia of Personality and Individual Differences. Cham: Springer. https://doi.org/10.1007/978-3-319-24612-3_857
  36. Marshall, J. M., & Dunstan, D. A. (2019). Mental health literacy of Australian rural adolescents: An analysis using vignettes and short films. Australian Psychologist, 48(2), 119-127. https://doi.org/10.1111/j.1742-9544.2011.00048.x
  37. Maxwell, J. A. (2013). Qualitative research design: An interactive approach: An interactive approach. London: Sage.
  38. Mngoma, N. F., & Ayonrinde, O. A. (2022). Mental distress and substance use among rural Black South African youth who are not in employment, education or training (NEET). International Journal of Social Psychiatry, 69(3), 532-542. https://doi.org/10.1177/00207640221114252
  39. Mokdad, A. H., Forouzanfar, M. H., Daoud, F., Mokdad, A. A., El Bcheraoui, C., Moradi-Lakeh, M., ... & Murray, C. J. (2016). Global burden of diseases, injuries, and risk factors for young people's health during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 387(10036), 2383-2401. https://doi.org/10.1016/s0140-6736(16)00648-6
  40. Mukuna, R. (2021). Exploring enabler actions influencing basotho teachers’ wellbeing to cope with schools’ adversities at a rural school. Journal of Educational and Social Research, 11(3), 227-240. https://doi.org/10.36941/jesr-2021-0065
  41. Musbahi, A., Khan, Z., Welsh, P., Ghouri, N., & Durrani, A. (2022). Understanding the stigma: a novel quantitative study comparing mental health attitudes and perceptions between young British Muslims and their non-Muslims peers. Journal of Mental Health, 31(1), 92-98. https://doi.org/10.1080/09638237.2021.1952951
  42. Nichols, L. M., Goforth, A. N., Sacra, M., & Ahlers, K. (2017). Collaboration to support rural student social-emotional needs. Rural Educator, 38(1), 38-48.
  43. Oluwole, L. O., Obadeji, A., & Dada, M. U. (2017). Perceptions and Attitudes of Students of Mass Communication towards Mental Illness in Nigerian Tertiary Institution. Indian Journal of Social Psychiatry, 315-319. https://doi.org/10.4103/0971- 9962.19365
  44. Orngu, T. D. (2014). Cultural Perspectives and Attitudes towards Mental Health in Nigeria: Social Workers at a dilemma. In A. Francis, P. LaRosa, L. Sankaran, & S. Rajeev (eds.), Social Work Practice in Mental Health: Cross-cultural Perspectives (1st ed.), (pp. 154-164). Lagos: Allied Publishers.
  45. Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N.B., … & Bonell, C. (2016). Our future: a Lancet commission on adolescent health and well-being. Lance, 387(10036), 2423-2478.
  46. Radez, J., Reardon, T., Creswell, C., Lawrence, P. J., Evdoka-Burton, G., & Waite, P. (2021). Why do children and adolescents (not) seek and access professional help for their mental health problems? A systematic review of quantitative and qualitative studies. European Child Adolescent Psychiatry, 30(2), 183–211. https://doi.org/10.1007/s00787-019-01469-4
  47. Ratnayake, P., & Hyde, C. (2019). Mental health literacy, help-seeking behaviour and well-being in young people: implications for practice. The Educational and Developmental Psychologist, 36(1), 16-21. https://doi.org/10.1017/edp.2019.1
  48. Rudestam, K. E., & Newton, R. R. (2015). Surviving your dissertation: A comprehensive guide to content and process (4th ed.). Thousand Oaks, CA: Sage.
  49. Schulte-Korne, G. (2016). Mental health problems in a school setting in children and adolescents. Deutsches Ärzteblatt International, 113(11), 183-190. https://doi.org/10.3238/arztebl.2016.0183
  50. Showalter, D., Hartman, S., Johnson, J., & Klein, B. (2019). Why rural matters 2018-19: The time is now. United States of America: Rural School and Community Trust.
  51. Singletarya, J. H., Bartle, C. L., Svirydzenka, N., Suter-Giorgini, N. M., Cashmore, M, A., and Dogra, N. 2015. Young peoples' perceptions on mental and physical health in the context of general well-being. Health Education Journal, 74(3), 257-269. https://doi.org/10.1177/0017896914533219
  52. Sleet, D. A., Baldwin, G., Marr, A., Spivak, H., Patterson, S., Morrison, C., ... & Degutis, L. C. (2012). History of injury and violence as public health problems and emergence of the National Center for Injury Prevention and Control at CDC. Journal of safety research, 43(4), 233-247. https://doi.org/10.1016/j.jsr.2012.09.002
  53. Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, L., Salazar de Pablo, G., ... & Fusar-Poli, P. (2022). Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies. Molecular psychiatry, 27(1), 281-295. https://doi.org/10.1038/s41380-021-01161-7
  54. United Nations Children's Fund (UNICEF) South Africa. (October 2023). 60 per cent of youth needed mental health support over past year – UNICEF South Africa U-Report poll. Retrieved from https://www.unicef.org/southafrica/press-releases/60-cent-youth-needed-mental-health-support-over-past-year-u-report?utm_source=chatgpt.com
  55. Uppendahl, J. R., Alozkan-Sever, C., Cuijpers, P., de Vries, R., & Sijbrandij, M. (2020). Psychological and psychosocial interventions for PTSD, depression and anxiety among children and adolescents in low-and middle-income countries: A meta-analysis. Frontiers in psychiatry, 10, 933. https://doi.org/10.3389/fpsyt.2019.00933
  56. Wahl, O., Susin, J., Lax, A., Kaplan, L., & Zatina, D. (2012). Knowledge and Attitudes about Mental Illness: A survey of middle school students. Psychiatric Services, 63(7), 649-654. https://doi.org/10.1176/appi.ps.201100358
  57. Whitfield, T. M. (2020). Examining the Effects of Stress, Ego Identity, and Life Satisfaction on the Resilience of Single-Parent Subgroups, (Unpublished PhD thesis). Lynchburg: Liberty University, USA.
  58. Woodgate, R., Comaskey, B., Tennent, P., Wener, P., & Altman, G. (2020). The wicked problem of stigma for youth living with anxiety. Qualitative Health Research, 30, 104973232091646 https://doi.org/10.1177/1049732320916460
  59. World Health Organisation (WHO). (2020). Adolescent health and development. https://www.who.int/news-room/questions-and-answers/item/adolescent-health-and-development
  60. World Health Organisation (WHO). (2020). Guidelines on Mental Health Promotive and Preventive Interventions for Adolescents: Helping Adolescents Thrive. World Health Organization. https://www.who.int/publications/i/item/9789240011854
  61. World Health Organisation (WHO). (2022, June 8). Mental disorders. Retrieved January 6, 2023.
  62. Yongsi, H. B. N. (2015). Knowledge and attitudes towards mental health and mental illness among general public in Yaounde. SAS J Med [serial online], 1(1), 26-32. https://doi.org/10.36347/sasjm.2015.v01i01.005