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Updated: Aug 30, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Anxiety, somatic complaints, and depressive symptoms in rural adolescents
Kathryn R Puskar1, Susan M Sereika, Linda L Haller
1University of Pittsburgh School of Nursing, PA, USA. KRP12@pitt.edu
Problem:
Undiagnosed and untreated anxiety in adolescents is often associated with greater rates of mood and behavior problems, somatic complaints, and risk for future psychiatric disorders. METHODS. A self-report anxiety instrument was administered as part of a community survey of 466 rural adolescents.
Findings:
Anxiety symptoms were strongly correlated with both physical complaints and depression. Females had higher scores for total anxiety and the anxiety subtypes of generalized anxiety disorder, separation anxiety disorder, panic disorder, social phobia, and school phobia.
Conclusions:
Implications for nursing practice are provided.
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