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Table 2 Developmental challenges and interactions with contextual factors causing stress in adolescents

From: “It is like a mind attack”: stress and coping among urban school-going adolescents in India

Developmental challenges (sub-themes)

Salient domains in adolescents’ ecological environment

Family

Peer

School

Community/ neighborhood

Academic pressure

High expectations; punishment for poor exam performance; insecurity regarding future career prospects.

Competition to perform well.

Excessive homework; punishment for poor exam performance; lack of guidance to improve exam performance.

Social constructions of ‘success’ that emphasise exam performance in order to progress into high-status professions.

Romantic relationships

Disapproval of romantic relationships and consequent punishment (especially for females).

Interpersonal problems stemming from relationships, including distress from break-ups and teasing from others.

Disapproval of romantic relationships.

Social derogation of romantic relationships.

Negotiating autonomy

Limits on how students are permitted to spend their time; parental control over career choices.

Challenges of connecting with others and gaining peer acceptance, while resisting deviant peer influences.

Restrictions on selection of subjects and limits on choices for vocational growth, especially in ‘non-academic’ fields such as sports and arts.

Restrictive social norms requiring adolescents to abide by family and school expectations.

Safety / victimization

Harsh/physical discipline directed at adolescents; exposure to domestic violence between parents (linked to paternal alcohol use); sexism and gender discrimination against girls, including lower access to material and financial resources and greater burden of household chores.

Bullying.

Corporeal punishment from teachers; lack of support to deal with bullying from peers.

Violence and sexual harassment (of females by males).