Academic literature on the topic 'Adolescent Stress Scale'

Abstract: Adolescence has been described as a developmental phase marked by challenges, tensions, and uncertainties that can generate stress and lower adolescents' future expectations. This study aims to describe adolescent perceptions of stress and future expectations.It is a mixed-methods study of 17 high school students, selected from a sample of 295 adolescents, aged 14 to 18 years, who are pupils in a private school system in the metropolitan region of Belém do Pará. The Stress Scale for Adolescents was used, in addition to focus groups. The results indicated higher stress levels in female adolescents. The participants who had no stress had good family relationships and well-defined future expectations. However, the adolescents who had stress associated their family context with stressors and had no expectations for the future.

This study was aimed to produce a culturally validated scale to determine the presence of stressful life events among adolescents in Bangladesh, and formulate the relative life change units for each event. The study used qualitative research, including a focus group and questionnaire, and quantitative analysis in the validation process. Researchers first developed a provisional stress scale that was translated in Bangla through a translation exercise. Using an open-ended question along with this provisional scale on a school sample of 449 (228 rated on imagination and 221 on actual experience) adolescents, researchers developed Dhaka stress scale– adolescent with 56 items and predictive interpretation of the overall score was made. Content validity was found excellent as item level content validity index was around 1 and the scale level validity index was 0.93. The correlation coefficient was 0.72 between this scale and adolescent life events stress scale. For reliability, Cronbach’s alpha values were ranged from 0.83 to 0.97. The scale is simple to administer to assess stress in adolescents and usable in both clinical and research settings.

ABSTRACTThis paper on the coping actions of Australian adolescents reporls on research spanning a 5-year period. The central indicator of coping in this work is the Adolescent Coping Scale (ACS), an 80-item checklist that identifies 18 coping strategies commonly used by adolescents. There are clear indications that age, gender, and family of origin are concomitants of coping. Furthermore, coping varies according to adolescent perceptions of the self, perception of the adolescent's ability by others, family climate, and the experience of stress in the family. Positive family climate is generally associated with the use of functional styles of coping. Adolescents who are identified as highly able or gifted use a different coping repertoire in comparison to their nongifted peers. Young people in intact or separated households use similar strategies to manage their general concerns. Moreover, those dealing with separation of parents were generally as adaptive in their use of coping strategies.

Lay definitions tend to conceptualize stress as negative, undesirable, and maladaptive. However, contemporary stress models emphasize the differentiation between negative and positive stress responses, known as distress and eustress. Despite prominent theoretical conceptualisations accepting the existence of eustress, the vast majority of stress measures tend to focus exclusively on the distress response. The current study introduces the Adolescent Distress-Eustress Scale (ADES) which holistically captures both aspects of the stress response, bridging the gap between theory and measurement and counteracting the typically negatively focused approach to stress research. The ADES was systematically developed and tested in a socio-educationally diverse sample of 981 adolescents ( Mage = 15.19, 50.62% female). The finalized self-report scale consists of two 5-item subscales, individually indexing distress and eustress. Initial psychometric properties of the ADES are promising, and the scale has the potential to meet the needs of researchers, schools, and organizations.

The purpose of the study is to identify the level of stress among adolescents regarding body image and the strategies that they use to cope with it. 282 adolescents in 10th and 11th grade answered three questionnaires: the Adolescent Stress Questionnaire, the Body Image Coping Strategies Inventory and the Body Esteem Scale for Adolescents and Adults. In the order of results, factors generating stress in adolescents are money pressure, uncertain future, school/leisure conflicts, school performance, assuming adult responsibilities, school attendance, romantic relationships, home life, interactions with teachers and peer pressure. Girls are more stressed by home life, peer pressure, an uncertain future, money pressure and adult responsibilities, while boys by school attendance. The most frequently used coping mechanism is positive rational acceptance. The level of stress among adolescents correlates with the level of satisfaction regarding the body image. Keywords: Body image, coping mechanisms, stress, adolescence, boys, girls.

The aim of this research was to analyze the relationship between stressful events, coping, and emotion regulation in adolescents from marginalized settings. A cross-sectional study was conducted with 523 adolescents aged 13 to 15 years. The Global Scale of Perceived Stress for Adolescents, the Coping Scale for Adolescents, and the Multidimensional Scale of Emotion Regulation for Adolescents, were used. Several mediation models were tested considering whether coping mediated the relationship between stressful events and emotion regulation responses, or, on contrary, emotion regulation assumes a mediating role between stressful events and coping. Data indicate significant direct and indirect effects in all models, with the highest explained variance in the models which included emotion regulation as a mediating variable. Results are discussed considering the role of coping and emotion regulation as mediating variables, and their relationship with diverse stressful events. In this research, emotion regulation strategies lead to adolescent coping.

Abstrak Penelitian ini bertujuan untuk mengetahui tingkat stres remaja dan kebutuhan untuk mengembangkan video tutorial mindfulness-breathing meditation sebagai strategi dalam mengurangi stres remaja. Convenience sampling yang digunakan untuk mengumpulkan data pada 165 peserta didik. Alat ukur yang digunakan adalah perceived stress scale (PSS) dan studi kebutuhan video mindfulness-breathing meditation. Hasil penelitian menunjukkan bahwa tingkat stres remaja yang tinggi (27 dari skor total 40). Perempuan memiliki tingkat stres yang lebih tinggi daripada laki-laki (27,2 vs 26,6), persentase perempuan yang mengalami stres tingkat tinggi lebih banyak daripada laki-laki (54,1%vs 41,3%). Meskipun prevalensi stres sangat tinggi di kalangan remaja, sebagian besar peserta didik sangat minim memiliki paparan materi mengenai cara mengurangi stres (80,15%) serta mengenai latihan bernafas dengan baik. Peserta didik juga sangat antusias untuk mempelajari meditasi pernafasan melalui video (100%). Diketahui juga bahwa pengembangan video mindfulness-breathing meditation sangat penting untuk membantu peserta didik dalam mengurangi stres mereka. Kata Kunci: Stres, Remaja, Mindfulness, Breathing Meditation Abstract This research aims to determine the stress level of adolescents and the need to develop a mindfulness-breathing meditation video as a strategy to reduce adolescents’ stress. The convenience sampling was used to collect data form was 165 students. The measures are the perceived stress scale (PSS) and the needs of mindfulness-breathing meditation video. The results shows that the adolescent’ stress level is high (27 out of 40). Female has higher level stress than male (27,2 vs 26,6), the percentage of female who experience high level stress was outnumber male (54,1% vs 41,3%). Despite the high prevalence of stress among adolescent, most of students has minimum exposure to stress reduction (80,15%) as well as breathing exercises. All students enthusiastic to learn mindfulness-breathing meditation through video. It is recommended that development of mindfulness-breathing meditation video is crucial to help students in reducing their stress. Keywords: Stress, Adolescent, Mindfulness, Breathing Meditation

Background: Changing emotional and physical status along with increasing social, family and academic pressure lead to various impairments in mental health of adolescents. Objective: To examine the level of stress and its consequences in school going adolescences and examine adolescent’s adjustment at various places- home, school, peers, teachers and general matters. Methods: A descriptive and a single stage study were done at one of the school in Kathmandu Metropolitan. Every section of the class of the selected school was visited to explain the students about semi-structured pro forma, Student Stress Scale (SSS) and Pre-Adolescent Adjustment Scale (PAAS). The SSS was used to measure stresses faced by adolescents during last on year and PAAS measured their adjustments at places like home, school, peers, teachers and general matters. Results: 104 students participated in the study, male- 45, female- 59. Children with joint family type showed highest level of stress (mean 424.67; p=0.002). Among females, it is the broken family type which showed the highest level of stress (p=0.002). Among boys, second birth order showed highest level of stress (mean 382.31; p=0.005). Similarly among girls, it was first birth order (Mean 537.67; p=0.009). Among top 10 stressors labeled by students, highest stressor is death of a close family members followed by death of a close friend.Conclusion: Children during adolescent period undergo various stresses and adjustment and it depend upon their ability to cope with stress in various places like home, school, peers and teachers. Health Renaissance, January-April 2013; Vol. 11 No.1; 11-16 DOI: http://dx.doi.org/10.3126/hren.v11i1.7594

Parental stress may influence adolescents’ food intake and weight development over time, however, it is largely unknown why this is the case. This study examines whether the link between parental stress and adolescents’ snack intake and weight outcome is mediated by food parenting practices (FPPs). Participants included 400 parents and their adolescent children (aged 12–16) who completed questionnaires. The Perceived Stress Scale (PSS) was used to assess parental general stress levels and the Adolescent Food Parenting Questionnaire (AFPQ) to assess FPPs. Multiple mediation analyses with parallel mediators were performed, with parental general stress as an independent variable and adolescent snack intake and zBMI as dependent variables. FPPs (autonomy support, coercive control, modeling, healthy structure, snack structure) were entered as mediators in the model, adjusted for covariates. Autonomy support mediated the link between parental general stress and adolescent savory snack and sweet snack intake at follow-up. Parents who reported higher stress levels provided less autonomy support, which resulted in more adolescent snacking. None of the other FPPs mediated any link between parental stress and intake or weight outcome, and no significant indirect effects were observed with zBMI as an outcome variable. Further research should replicate this finding and may further examine underlying mechanisms.

Many risk factors have been put forward to account for the significant increase in adolescent male suicide over the last 20 years, and the pronounced sex difference in suicide statistics. In particular, hopelessness has been shown to be a strong indicator of suicidality. This study investigated the relationship of gender role, stress, and coping to hopelessness in a normal adolescent population. It was hypothesized that stress, coping and a masculine gender role would contribute to hopelessness. 288 adolescent students between the ages of 15 and 18 were surveyed using the Adolescent Stress Scale, the Beck Hopelessness Scale, the Australian Sex Role Scale, and the Adolescent Coping Scale. Contrary to expectation, having a masculine gender role was not related to hopelessness; students with an undifferentiated gender role had higher levels of hopelessness than androgynous, masculine, and feminine students. However, the majority of students who had an undifferentiated gender role were male. Hopelessness was also associated with high levels of stress and the use of avoidance coping strategies. The results are discussed within the transactional stress model and the stress-diathesis model.

Beck's cognitive diathesis-stress theory has generated much research into the etiology of depression. Central to the theory are depressogenic schemata that interact with stressors, resulting in increases in depressive symptomatology. These schemata are commonly assessed using the Dysfunctional Attitudes Scale (DAS). Importantly, the DAS was not designed for use in children---it has been validated with adults and contains advanced language. Thus, the Child and Adolescent Dysfunctional Attitudes Scale (CADAS) was developed.
Study 1 sought to psychometrically validate the CADAS. 453 children completed the CADAS item pool and measures assessing divergent validity. The CADAS was readministered 3 weeks later. Items were retained based on item-total correlations, internal consistency, and factor analyses. The finalized CADAS is a 22-item self-report measure with a unidimensional factor structure and sound psychometric properties.
Study 2 tested Beck's theory using the CADAS to assess depressogenic schemata as a vulnerability factor for depression. An independent sample of 241 children completed the CADAS and a measure of depression one week before receiving school report cards (Time 1). The morning after receiving reports (Time 2), stress was assessed by obtaining parents' reactions to reports, and with an index of children's subjective acceptable grades compared to actual grades. Five days later (Time 3), depression was reassessed.
As hypothesized, regression analyses collapsing across age revealed that Time 1 CADAS interacted with Time 2 parental stress to predict changes in depression from Times 1 to 3. High-CADAS children showed greater increases in depression relative to low-CADAS children when facing the stress of parental anger and disappointment regarding their grades. Consistent with cognitive-developmental theory, planned supplemental analyses indicated that the CADAS x stress interaction predicted depressive changes only in older, formal-operational children. The relationship between the CADAS x stress interaction and depressive changes was mediated by negative views of the self, but not by views of the world or of the future.
This work yields a measure of depressogenic schemata in school-aged children that further contributes to understanding their etiology of depression. These schemata, together with negative views of oneself, may be important targets for modification in the cognitive therapy of childhood depression.

Adolescence is an important period in the life cycle for which to study stress, due to the many involved developmental changes that require adaptation. This adaptation can be very stressful and result in pathology. Stress is defined as a "process" involving a continual transaction between stressors in the environment, mediating variables, and stress responses. The Stress-Response Scale for Adolescents (SRSA) was developed to measure self-perceived stress responses of those between the ages of 14 to 20. The SRSA's development involved three studies. Study 1 involved item selection, scale construction, item reduction, and estimations of internal consistency and validity. Truthfulness items were developed to determine the honesty of responses. Study 2 tested the ability of the SRSA, through roe-enactment methodology, to distinguish those in a high-stress condition versus those in a low-stress condition. Study 3, again with the use of role-enactment methodology, tested the potential of the SRSA to detect changes in stress-response levels when individuals were taken from a low-stress to a high-stress condition and vice versa. The final SRSA includes 32 stress-response and six truthfulness items. Initially, factor analysis of the SRSA revealed a high loading of gender on the primary factor. Separate forms were created for males and females. Repeat factor analyses of items in the two forms revealed four factors each for males and females but were of questionable utility due to high intercorrelations. All sections of the SRSA should be used for most purposes. Internal consistency estimates of the SRSA are .96 (2 < .05) for females and .94 (2 < .05) for males. Validity estimates are all in the expected direction and range from .25 to .79 for both males and females. The truthfulness items have a coefficient alpha of .82 for females and .77 for males, with validity estimates ranging from .34 for females to .14 (25 < .05) for males. Studies 2 and 3 revealed that the SRSA does have the potential of differentiating between those in different stress conditions and also of detecting stress-response changes. It was concluded that the SRSA, although in preliminary form, has the potential of assessing the stress response in adolescents as long as the discussed weaknesses, such as small sample size and nonrandomization, are taken into account.

La détresse émotionnelle est souvent précurseur au développement des troubles psychologiques. La psychopathologie la plus fréquente dans le monde est la dépression et il a été estimé que d'ici quelques années, son impact économique sera supérieur à celle des maladies courantes telles que les maladies infectieuses et cardio-vasculaires. Des études ont démontré que le niveau de stress et d'anxiété sont des facteurs qui contribuent de façon significative au développement de la dépression et ce dès l'adolescence. L'objectif de cette thèse a été donc d'étudier les propriétés psychométriques de la version française de l'échelle Depression Anxiety Stress (DASS-21; Lovibond & Lovibond, 1995) pour son utilisation éventuelle à l'Île Maurice auprès des adolescents. L'étude de la validité de l'instrument comporte l'exploration de la validité de construit par le biais de la validité factorielle, l'étude de la cohérence interne et enfin par une analyse des validités convergente et divergente. La validité de construit de la DASS-21 a été renforcée puisque le fonctionnement différentiel des items en fonction du genre n'a pas été démontré. Enfin, il s'est avéré que le principal facteur de risque pour la survenue de la dépression chez les sujets mauriciens est le stress perçu (perception subjective de l'événement qualifié de stressant)
Depression is among the most common psychopathology for which treatment is sought in psychological and psychiatric practices and its impact at all levels including its economical outlay in the coming years has been estimated on a worldwide scale to surpass that of current illnesses such as infectious diseases and cardiovascular illnesses. Research has demonstrated that stress and anxiety levels, as early as in adolescence, are among factors that contribute to the development of depression. The aim of this research study is therefore to investigate the psychometric properties of the French Depression Anxiety Stress Scales (DASS-21; Lovibond & Lovibond, 1995) for its eventual use in the Mauritian adolescent population as a means to screen for depression, anxiety, and stress. Factor analyses were conducted on 1002 response sets and the three-factor structure of the DASS-21 was supported. Internal consistency was satisfactory and the scales demonstrated concurrent validity with other measures of depression, anxiety and stress. The construct validity of the scales was further strengthened with gender invariance. Finally, appraisal of stress was the psychological dimension which predicted best depression in the Mauritian adolescent population

A utilização de instrumentos, escalas ou questionários pode ser uma estratégia útil para pesquisadores e profissionais da saúde com vistas a identificar problemas de saúde mental na infância e adolescência. A Arousal Predisposition Scale (APS) é uma escala com 12 itens elaborada para mensurar o nível de arousal de um indivíduo. Entende-se como arousal a predisposição ou característica individual de resposta aos estímulos ambientais. Estudos demonstram que existe associação entre problemas de comportamento e níveis de resposta a estímulos. Todavia, não há no Brasil instrumentos ou escalas adaptados transculturalmente para esse fim. O presente estudo tem por objetivo realizar a adaptação transcultural e a avaliação das propriedades psicométricas da versão em português do Brasil da APS para crianças e adolescentes. Utilizou-se o referencial de Beaton e colaboradores para validação de instrumentos para medidas de saúde. O estudo foi realizado com escolares da rede pública de ensino da área de abrangência de uma Unidade Básica de Saúde. Foram incluídas três faixas etárias: crianças de 8 a 10 anos, pré-adolescentes de 11 a 14 anos e adolescentes de 15 a 17 anos completos. O estudo foi dividido em duas etapas, sendo que a primeira tratou das etapas de tradução, retradução, avaliação por comitê de especialistas e avaliação da clareza da versão pré-final traduzida. A segunda etapa consistiu na avaliação das propriedades psicométricas da versão final (consistência interna, concordância intra-avaliadores e validade de critério). Utilizou-se a escala Questionário de Capacidades e Dificuldades (SDQ) para verificar a validade de critério. Após as considerações do comitê de especialistas e o resultado da avaliação da clareza por 76 estudantes, a escala foi retraduzida e enviada para o autor da APS, que aprovou a versão final, concluindo-se então a fase de adaptação transcultural. Um total de 189 estudantes participou da avaliação das propriedades psicométricas. A consistência interna dos itens foi aceitável para os grupos de pré-adolescentes e adolescentes, com alfa de Cronbach 0,766 e 0,772, respectivamente. Entretanto, não apresentou consistência interna aceitável para o grupo de crianças, com alfa de Cronbach de 0,633. Em relação à consistência intra-avaliadores, não houve diferença significativa entre a média do total da escala no teste-reteste dos três grupos (p>0,05). Observou-se correlação significativa de moderada a forte da APS com a SDQ, principalmente nos domínios equilíbrio emocional, conduta e hiperatividade. Portanto, a APS está adaptada e validada no Brasil para a faixa etária acima de 11 anos, sendo agora denominada Escala de Predisposição de Resposta a Estímulos (EPRE). A escala pode ser útil aos profissionais da saúde, sobretudo enfermeiros que atuam na atenção primária em saúde escolar, para identificar precocemente casos detectados de problemas comportamentais e neles posteriormente intervir.
The use of instruments, scales or questionnaires can be a useful strategy for researchers and health professionals to identify mental health problems in childhood and adolescence. The Arousal Predisposition Scale (APS) is a scale with 12 items designed to measure the level of arousal from an individual. Arousal is understood as a predisposition or individual response characteristic to environmental stimuli. Studies show that there is an association between behavior problems and levels of response to stimuli. However, there are no instruments or scales transculturally adapted for this purpose in Brazil. This study aims to perform the transcultural adaptation and evaluation of the psychometric properties of the Brazilian Portuguese version of APS for children and adolescents. We used the guidelines of Beaton et al. for validation of instruments for health measures. The study was conducted with students from public schools within an area covered by a primary care unit. We included three age groups: children aged 8 to 10 years, pre-adolescents 11 to 14 years and adolescents aged 15 to 17 years. The study was allocated into two phases, the first of which dealt with the stages of translation, backtranslation, expert committee review and assessment of the clarity of the pre-final version (translated). The second step was to assess the psychometric properties of the final version (internal consistency, intra-rater reliability and criterion validity). We used the scale Strengths and Difficulties Questionnaire (SDQ) to check the validity of the criteria. After the considerations of the committee of experts and the evaluation result of the clarity by 76 students, the scale was retranslated and sent to the author of the APS, who approved the final version, thus completing the stage of transcultural adaptation. The internal consistency of the items was acceptable for groups of pre-adolescents and adolescents, with Cronbach's alpha 0.766 and 0.772, respectively. However, it did not demonstrate acceptable internal consistency for the group of children, with Cronbach's alpha of 0.633. In relation to intra-rater reliability, there was no significant difference between the averages of the total scale on test-retest of the three groups (p > 0.05). We observed a significant correlation of moderate to strong of APS with SDQ, mainly in the areas of emotional balance, behavior, and hyperactivity. Therefore, APS is adapted and validated in Brazil for the age group above 11 years, and is now called Escala de Predisposição de Resposta a Estímulos, EPRE, (Predisposition Scale of Response to Stimuli). The scale can be useful to health professionals, particularly nurses who work in primary care in school health, to detect and identify early cases of behavioral problems and subsequently intervene.
La utilización de instrumentos, escalas o cuestionarios puede ser una estrategia útil para investigadores y profesionales de la salud con vistas a identificar problemas de salud mental en la infancia y en la adolescencia. Arousal Predisposition Scale (APS) es una escala que presenta 12 puntos y que ha sido elaborada para medir el nivel de arousal de un individuo. Se entiende como arousal la predisposición o la característica individual de respuesta a los estímulos ambientales. Estudios demuestran que existe una asociación entre los problemas de comportamiento y los niveles de respuesta a los estímulos. Sin embargo, en Brasil no existen instrumentos o escalas adaptados transculturalmente para esa finalidad. Este estudio pretende realizar la adaptación transcultural y evaluar las propiedades psicométricas de la versión en portugués de Brasil de APS para niños y adolescentes. Para la validación de instrumentos para medidas de salud se utilizó el referencial de Beaton y colaboradores. El estudio fue aplicado a escolares de la red pública de enseñanza del área de cobertura de una Unidad Básica de Salud. Se incluyeron tres franjas etarias: niños de 08 a 10 años, preadolescentes de 11 a 14 años y adolescentes de 15 a 17 años completos. Se ha dividido el estudio en dos etapas, siendo que la primera trató de las etapas de traducción, retraducción, evaluación por parte de un comité de especialistas y evaluación de la claridad de la versión pre final traducida. La segunda etapa consistió en la evaluación de las propiedades psicométricas de la versión final (consistencia interna, concordancia de los evaluadores internos y validez del criterio). Se ha utilizado la escala Cuestionario de Capacidades y Dificultades (SDQ) para comprobar la validez del criterio. Tras las consideraciones del comité de expertos y el resultado de la evaluación de la caridad por parte de 76 alumnos, la escala fue retraducida y enviada al autor de la APS, quien aprobó la versión final, por lo que se concluyó la etapa de adaptación transcultural. Un grupo de 189 alumnos participaron en la evaluación de las propiedades psicométricas. La consistencia interna de los ítems fue aceptable para los grupos de preadolescentes y adolescentes, con alfa de Cronbach, 0,766 y 0,772, respectivamente. Sin embargo, no hubo consistencia interna aceptable para el grupo de niños, con alfa de Cronbach de 0,633. Con relación a la consistencia entre los evaluadores internos, no hubo diferencia significativa entre el promedio del total de la escala en el test-retest de los tres grupos (p>0,05). Se observó una correlación significativa de moderada a fuerte de la APS con la SDQ, principalmente en los dominios de equilibrio emocional, conducta e hiperactividad. Por lo tanto, la APS está adaptada y habilitada en Brasil para la franja etaria superior a los 11 años, siendo que ahora se la denomina Escala de Predisposición de Respuesta a Estímulos (EPRE). La escala puede ser útil para los profesionales de la salud, principalmente para los enfermeros que actúan en la atención primaria en salud escolar, para identificar de forma precoz los casos detectados como trastornos del comportamiento y poder intervenir en ellos más tarde.

Stress is a fact of life. There has been much research done since the early 1970's dealing with the various aspects and relationships of stress and life events for all stages of human development. The purpose of this study was to investigate perceived life-event stressors of 9th grade and 12th grade students in three Pacific Northwest rural schools. The study also sought to a) ascertain whether male students in the 9th grade and 12th grade perceive stressful life events differently than female students in the same grade, and b) explore if there was a difference in perceptions of students of "different" rural community populations and different age populations (9th & 12th graders).

Chapter 7 addresses anxiety disorders, one of the most common mental health problems experienced by children and adolescents. The difference between the normal anxiety everyone experiences and problematic anxiety that significantly interferes with a youth’s daily functioning is discussed. The causes of anxiety, current research on the brain, and the development of anxiety disorders is presented. The symptom criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM) used to diagnose anxiety disorders in children and adolescents are described. Posttraumatic stress disorder, even though it is no longer included in the same chapter in the DSM as anxiety disorders, is also addressed. Common scales and inventories used for assessing the symptoms of anxiety are included, along with links to obtain these tools or learn more about them. The chapter ends with four real-life case studies followed by questions for consideration or class discussion.

ABSTRACT Background: Women of reproductive need higher nutrition intake to obtain adequate levels of nutrition prepare for pregnancy and during their pregnancy. Inadequate nutrition intakes in pregnant women have been reported to lead to poor maternal and infant outcomes. This study aimed to investigate the effects of fad diets and other factors on the risk of chronic energy deficiency among adolescent females at the boarding school. Subjects and Method: A cross-sectional study was conducted at Islamic boarding school in Yogyakarta, Indonesia. A sample of 200 female adolescents aged 19-24 years was selected by simple random sampling. The dependent variable was CED. The independent variables were perception toward body image, calorie intake, protein intake, fad diet, stress, and knowledge toward nutrition. The data were collected by digital weight scale, microtoise, mid-upper arm circumference tape, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: The risk of CED in female adolescents increased with negative body image (OR= 2.30; 95% CI= 1.02 to 5.18; p= 0.044), fad diet (OR= 3.94; 95% CI= 1.71 to 9.08; p= 0.001), and high stress (OR= 7.02; 95% CI= 2.93 to 16.83; p<0.001). The risk of CED decreased with high calorie intake (OR= 0.31; 95% CI= 0.14 to 0.69; p= 0.005), high protein intake (OR= 0.30; 95% CI= 0.11 to 0.83; p= 0.020), and high knowledge toward nutrition (OR= 0.43; 95% CI= 0.20 to 0.96; p= 0.038). Conclusion: The risk of CED in female adolescents increases with negative body image, fad diet, and high stress. The risk of CED decreases with high calorie intake, high protein intake, and high knowledge toward nutrition. Keywords: chronic energy deficiency, body image, fad diet Correspondence: Fitria Widhiyanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: fwidhiyanti@gmail.com. Mobile: +6282135793992. DOI: https://doi.org/10.26911/the7thicph.03.102