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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

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Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Assessment of anxiety in adolescents involved in a study abroad program: a prospective study

Yulia Roitblat
  • Department of Sciences, Yohana Jabotinsky Youth Town for Sciences and Arts Six Year Comprehensive School, Beer Yakov, Israel
  • Other articles by this author:
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/ Ryan Cleminson / Aaron Kavin / Edan Schonberger / Michael Shterenshis
  • Corresponding author
  • Department of Sciences, Alexander Muss High School in Israel (AMHSI) affiliated to Alexander Muss Institute for Israel Education (AMIIE), Hod HaSharon, Israel
  • AMHSI, 8/6 Shivat Zion Street, Rishon LeZion 7534141, Israel, Phone: 97254-337-9865
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Published Online: 2017-11-23 | DOI: https://doi.org/10.1515/ijamh-2017-0101



The aim of the study was to measure the effects on levels of anxiety in healthy teenagers caused by a temporary change of country and school during a study abroad program.


In a prospective study we gathered the data from six anxiety level related tests on high school participants in a study abroad program (age 15–17, n = 364, M 172, F 192). These volunteer participants were divided into two separate groups: with self-reported elevated levels of anxiety (n = 111; YES-group) and with self-reported normal levels of anxiety (n = 253; NO-group). Two control groups of schoolchildren drawn from two local schools were used for comparison (n = 100 each). Three tests were subjective, i.e. self-fill-out tests. The next three tests were objective psychological or neurophysiological tests designed to estimate reflex control, concentration and a feeling for the passage of time.


The initial mean anxiety level score among the 364 participants was 41.5 ± 16.7 (min 16, max 80) on 5–110 scale. For the YES-group the score was 56.5 ± 15.9, and for the NO-group the score was 34.7 ± 17.4 (p = 0.05). The retesting after they had been in the same place for 7 weeks revealed that the mean anxiety level score of the participants decreased to 37.4 ± 16.9 (min 15, max 72). For the YES-group the score significantly decreased to 39.3 ± 15.5, and for the NO-group the score slightly elevated to 36.7 ± 16.4 producing similar results for both groups (p = 0.81).


A temporary change of country and school at first results in a rise in anxiety levels in about one third of participants. However, after an extended stay it falls to normal levels.

Keywords: anxiety level; healthy adolescents; high school; study abroad program; test anxiety.


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About the article

Received: 2017-06-14

Accepted: 2017-08-20

Published Online: 2017-11-23

Citation Information: International Journal of Adolescent Medicine and Health, 20170101, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2017-0101.

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