technology
“I feel like so many people now enjoy so much more doing things on electronics and so definitely in sessions with kids I’m often recommending having a clinician use apps…sometimes technology is the way to really hook families in and engage them.”
“You know everybody has a phone and if we can have some apps where…I mean it’s so exciting to me what you are talking about. I can’t think of a better idea, I really can’t. I mean people always have their phones on them even if you are really, really poor, people tend to have a phone.”
Challenges identified by trainers centered around confidentiality, access and comfort with technology, and potential negative impacts on the therapeutic process. For example, one trainer stated,
“I do not know if people worry about if somebody else saw the app and wondered, ‘oh you are in therapy, oh what happened to you?’ So, some things around privacy issues and confidentiality, but those will be pretty easy to fix.”
The majority of families believed that the an m Health homework resource would make practicing therapy skills at home more fun or interesting ( n =11; 91.7%), would help families practice skills more often ( n =12; 100%), would positively affect the therapeutic relationship ( n =12; 100%), and would improve treatment effectiveness ( n =11; 91.7%). Neutral responses were provided by all families who did not respond affirmatively to these questions (i.e., no negative responses were provided). Families also suggested that an m Health homework resource would have excellent clinical utility, helping to improve communication between providers and families, make treatment and homework more rewarding, encourage more engagement from youth One caregiver commented,
“I think it would encourage the kids to get [homework] done even before the parents. The kids would want to do it on the phone, they love messing with phones.”
“I think by having the reminders, as well as having something there that’s interactive for the kids and the caregivers both. I think it would be a huge help.”
Similar to trainers, challenges noted by families related to confidentiality and some families not having access to the technology or the internet. Additional family perspectives on benefits and challenges are provided in Table 8 .
Family Perspectives on Benefits and Challenges relating to m Health Solutions to Homework Barriers
Themes | Sub-themes | No. of Families Raising Theme | No. of References to Theme |
---|---|---|---|
Clinical utility | 11 | 60 | |
Will lead to better communication between providers and families | 10 | 21 | |
Would help make treatment and homework more rewarding | 7 | 9 | |
Youth like technology and would engage with it | 7 | 7 | |
Would help families remember to do assignments | 5 | 7 | |
Would help reinforce skills learned in therapy | 4 | 6 | |
Could help to bring families together | 4 | 4 | |
Would help treatment go faster | 4 | 5 | |
Would help families remember why homework is beneficial | 1 | 1 | |
Confidentiality issues | 11 | 20 | |
Access, comfort | 9 | 15 | |
Some families may not have access to the technology | 6 | 6 | |
Some families may not have internet access | 4 | 4 | |
Some families aren’t good with technology | 2 | 2 | |
Youth access to device might be restricted | 2 | 2 | |
Some families might have concerns about data or storage space | 1 | 1 |
The aims of this study were to assess barriers to the successful implementation of homework during youth mental health treatment, obtain suggestions for m Health solutions to those barriers, and explore perceptions on the benefits and challenges associated with m Health solutions to homework barriers through semi-structured qualitative interviews with relevant stakeholders. National trainers in TF-CBT provided a unique perspective on the common challenges met by mental health providers and their patients as well as potential solutions to those challenges, particularly given their extensive experience problem-solving common clinical challenges with community mental health providers. Interviews with youth TF-CBT patients and their caregivers provided important perspectives from those most affected by homework barriers in mental health treatment.
Trainer and family perspectives on the various barriers to the successful implementation of homework during mental health treatment aligned well with the heuristic proposed by Kazantzis and Shinkfield (2007) , which classifies barriers as occurring on the provider-, patient-, task-, and environmental-levels. Most of the provider-level barriers noted by trainers were consistent with expert recommendations from the research literature, such as providers’ beliefs relating to homework and patient engagement in homework ( Coon et al., 2005 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ), difficulty designing homework activities and individualizing them to specific patients ( Kazantzis & Shinkfield, 2007 ), forgetting about homework and running out of time during the session ( Friedberg & Mcclure, 2005 ), difficulty with consistency and not wanting to put too many demands on patients ( Coon et al., 2005 ), and difficulty effectively assessing patient barriers ( Kazantzis & Shinkfield, 2007 ). Experts have proposed a model for practice that directly addresses many of these provider-level barriers by proposing an ideal process for facilitating engagement in homework ( Kazantzis, MacEwan, & Dattilio, 2005 ).
Trainer and family perspectives on the most common patient-level homework barriers were similar and were also consistent with the extant literature. These included patients’ avoidance or symptoms ( Coon et al., 2005 ; Dattilio et al., 2011 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ; Hudson & Kendall, 2005 ; Leahy, 2002 ), forgetting to complete assignments ( Coon et al., 2005 ; Hudson & Kendall, 2005 ), not understanding when, where, or how to do assignments or the rationale ( Dattilio et al., 2011 ; Friedberg & Mcclure, 2005 ; Garland & Scott, 2002 ), and beliefs about homework tasks and their ability to complete them ( Dattilio et al., 2011 ; Kazantzis & Shinkfield, 2007 ). Interestingly, whereas the most commonly endorsed patient-level barrier by trainers was patients not seeing homework as an integral part of therapy or important, the most commonly endorsed barriers by families included avoidance or symptoms, forgetfulness, and lack of understanding about assignments, reflecting differing views on the more significant barriers faced by patients. This discrepancy in the trainers/providers vs . families’ perspectives regarding between session assignments suggests the importance of therapists’ focusing more time on explaining assignments, discussing potential challenges, emphasizing the benefits of completing assignments in overcoming symptoms/difficulties and ultimately inspiring follow through.
Task-level barriers reported by both trainers and families included assignments not aligning with patient values or treatment goals ( Coon et al., 2005 ; Dattilio et al., 2011 ; Hudson & Kendall, 2005 ). Many trainers reported that the word “homework” is an aversive term to patients, particularly to youth patients. Perhaps relatedly, many families reported that children view homework assignments are boring. Negative associations with homework may be addressed by referring to “homework” as practice assignments, experiments, exercises, or action plans, as recommended by a recent Beck Institute blog post by Drs. Judith Beck and Francine Broder ( Beck & Broder, 2016 ).
Finally, environment-level barriers noted by trainers and families included the home lives of patients being busy and chaotic – leaving little time to complete homework assignments; a lack of caregiver involvement in the case of youth; and a lack of reward or reinforcement for completing homework assignments, all of which have been previously noted ( Bru et al., 2013 ; Coon et al., 2005 ; Dattilio et al., 2011 ; Kazantzis & Shinkfield, 2007 ). In sum, trainer and family perspectives on barriers to the successful implementation of homework were largely consistent with those suggested by experts. Further, there was a general agreement between trainers and families with respect to those barriers. It is important to note the interrelatedness of several barriers within various levels. For example, patients not understanding the importance of homework or seeing it as an integral part of therapy could very much reflect a mismatch in alliance, tasks needed to achieve therapy goals, or a poor therapist rationale and opportunity for client feedback and discussion. Further, a patient’s understanding of the rationale for homework might be dependent on the provider’s skill in its explanation.
Trainers and families provided numerous suggestions for m Health solutions to homework barriers. These functionality and content suggestions included: reminders and schedules to overcome barriers to forgetting; behavior and symptom tracking and reports or activity summaries to assist providers in assessing homework completion; a variety of homework activities to choose from to help providers struggling with developing activities; resources for caregivers to improve caregiver support; and an integrated reward system to make completing homework rewarding and reinforcing for patients. Other suggested features related more to user interface and user experience. For example, interviewees felt that the m Health resource should allow easy navigation to relevant resources; include clear instructions via video, text, and audio to help patients understand and remember how to do assignments; include interactive and fun activities to help make the assignments less boring and less like “homework;” and be patient-centered and developmentally appropriate. Trainers and families also felt that a text message-based system for reminding patients to complete homework assignments would be beneficial, indicating that this approach would provide a good alternative to a purely app-based resource.
As outlined in recent reviews, there are several studies on m Health resources that include the functionality and content features suggested in this study and can also be used to facilitate homework implementation ( Bakker et al., 2016 ; Tang & Kreindler, 2017 ). For example, a number of m Health resources can be used for self-monitoring and symptom tracking, and many have engaging activities that can be used to support between-session learning and skill development in the areas of relaxation, cognitive therapy, imaginal exposure, and parent behavioral management ( Bunnell et al., 2019 ; Jungbluth & Shirk, 2013 ; Kristjánsdóttir et al., 2013 ; Newman, Przeworski, Consoli, & Barr Taylor, 2014 ; Reger et al., 2013 ; Shapiro et al., 2010 ; Whiteside, Ale, Vickers Douglas, Tiede, & Dammann, 2014 ). SMS- and app-based reminders and feedback on progress can also be used to encourage continued engagement in skills practice ( Aguilera & Muñoz, 2011 ; Harrison et al., 2011 ; Reger et al., 2013 ; Wiederhold, Boyd, Sulea, Gaggioli, & Riva, 2014 ). However, as stated previously, most of these resources were not designed with the express intention of addressing barriers to homework implementation, particularly for youth and family patient populations, leaving room for future work in this area.
Trainers and families expressed very positive views on m Health solutions to homework barriers. Trainers felt that m Health would increase provider use and family adherence to homework, positively affect the therapeutic relationship, and increase treatment efficiency and effectiveness. Families felt that it would make practicing therapy skills at home more fun or interesting, help families practice skills more often, positively affect the therapeutic relationship, and improve treatment effectiveness. A potential benefit commonly noted by trainers and families was a high likelihood that youth would engage with the resource given their generally strong interest in technology, and that this would help to reinforce the practice of skills learned during therapy. A particular benefit noted was increased access to helpful resources between-sessions. Trainers and families expressed concerns about issues relating to confidentiality. While they did not view this as a fatal flaw of the resource, they suggested implementing appropriate safeguards to protect patient privacy and clearly explaining data protection to encourage use.
There are several limitations to this study. Regarding generalizability of results, the selection of trainers and families interviewed was based on experience with TF-CBT, a specific treatment protocol for childhood trauma. Although interview questions were kept general during interviews, referring to mental health treatment rather than solely to TF-CBT, the views expressed by interviewees may relate more to TF-CBT than other child mental health treatments. However, a strength of this research is that TF-CBT has a broad symptom focus (e.g., PTSD, anxiety, depression, anger, disruptive behavior) and includes treatment components used in numerous youth mental health treatments (e.g., psychoeducation, relaxation, cognitive coping, affective modulation, exposure), which suggests that results would be applicable to a range of child mental health treatments. Additionally, national trainers in TF-CBT have consistent exposure to working closely with community mental health providers and regularly help them to problem-solve common barriers in clinical practice. This added insight into difficulties experienced by numerous mental health providers rather than asking individual providers about their experience. This is a strength of this study but also a potential limitation as not directly measured, thus an assumption. The views of trainers may not be completely representative of the every-day challenges to homework implementation experienced by community mental health providers. Given the small samples size and lack of diversity, the results should be interpreted with caution as they may not reflect the experiences or views of therapists and patients who utilize homework across different treatment approaches, therapy settings, and populations.
With respect to interview questions and results, they tended to focus on barriers and challenges and provided less of an opportunity for trainers and family members to share factors that may have led to successes with homework assignments. Such information could also importantly support the development and presentation of m health solutions by therapists. Relatedly, families were asked about barriers faced by youth and caregivers, and not by providers, which would have provided interesting data on family perspectives on providers’ limitations. Although comfort with technology in general was assessed in youth and caregivers, it was not specified as comfort with m Health, and ratings were not collected from trainers. As such, a potential limitation of this study is that participants’ comfort specifically with mHealth was unknown. Furthermore, this study focused specifically on m Health without a comparison to other low-tech solutions, which might have resulted in inflated levels of interest in m health solutions to homework barriers. A final limitation is that interviews were coded by the first author, and there is potential for variability in coding that was not accounted for (i.e., the same themes might have been classified in different ways). Despite this limitation, themes were reviewed and by an internationally recognized expert in the implementation of homework and related barriers during CBT (the fourth author) and compared until agreement was reached, supporting the derived themes.
This study provides important new information on barriers to the successful implementation of homework during youth mental health treatment, based on perspectives of providers, youth, and caregivers with that treatment experience. This study adds to the literature on these barriers, which has been based largely on recommendations from experts in the field. The results of this study aligned well with this literature, providing additional support for these recommendations. Valuable insights on potential m Health solutions to these homework barriers were also provided. These data are being used to inform the development of an m Health resource that aims to address homework barriers in hopes of improving provider use and patient adherence to homework during youth mental health treatment, with the ultimate goal of improving the quality of care received by patients in community mental health settings.
10608_2020_10090_moesm1_esm, acknowledgments.
Compliance with Ethical Standards
Funding. Dr. Bunnell was supported by the National Institute of Mental Health (grant numbers F32 MH108250 and K23 MH118482).
Disclosure of Potential Conflicts of Interest
Conflict of Interest. The authors declare that they have no conflict of interest.
Research Involving Human Participants and/or Animals
Statement of Human Rights.
Ethics approval. All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Board at the Medical University of South Carolina (Pro00047774) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Statement on the Welfare of Animals
Ethical approval. This article does not contain any studies with animals performed by any of the authors.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Are you wondering when is homework stressful? Well, homework is a vital constituent in keeping students attentive to the course covered in a class. By applying the lessons, students learned in class, they can gain a mastery of the material by reflecting on it in greater detail and applying what they learned through homework.
However, students get advantages from homework, as it improves soft skills like organisation and time management which are important after high school. However, the additional work usually causes anxiety for both the parents and the child. As their load of homework accumulates, some students may find themselves growing more and more bored.
Students may take assistance online and ask someone to do my online homework . As there are many platforms available for the students such as Chegg, Scholarly Help, and Quizlet offering academic services that can assist students in completing their homework on time.
There are the following reasons why is homework stressful and leads to depression for students and affect their mental health. As they work hard on their assignments for alarmingly long periods, students’ mental health is repeatedly put at risk. Here are some serious arguments against too much homework.
Homework should be intended to encourage children to express themselves more creatively. Teachers must assign kids intriguing assignments that highlight their uniqueness. similar to writing an essay on a topic they enjoy.
Moreover, the key is encouraging the child instead of criticizing him for writing a poor essay so that he can express himself more creatively.
One of the most prevalent adverse effects of schoolwork is lack of sleep. The average student only gets about 5 hours of sleep per night since they stay up late to complete their homework, even though the body needs at least 7 hours of sleep every day. Lack of sleep has an impact on both mental and physical health.
Students learn more effectively while they are having fun. They typically learn things more quickly when their minds are not clouded by fear. However, the fear factor that most teachers introduce into homework causes kids to turn to unethical means of completing their assignments.
The lack of coordination between teachers in the existing educational system is a concern. As a result, teachers frequently end up assigning children far more work than they can handle. In such circumstances, children turn to cheat on their schoolwork by either copying their friends’ work or using online resources that assist with homework.
Homework stress can increase anxiety levels and that could hurt the blood pressure norms in young people . Do you know? Around 3.5% of young people in the USA have high blood pressure. So why is homework stressful for children when homework is meant to be enjoyable and something they look forward to doing? It is simple to reject this claim by asserting that schoolwork is never enjoyable, yet with some careful consideration and preparation, homework may become pleasurable.
Students that have an excessive amount of homework miss out on personal time. They can’t get enough enjoyment. There is little time left over for hobbies, interpersonal interaction with colleagues, and other activities.
However, many students dislike doing their assignments since they don’t have enough time. As they grow to detest it, they can stop learning. In any case, it has a significant negative impact on their mental health.
Children are no different than everyone else in need of a break. Weekends with no homework should be considered by schools so that kids have time to unwind and prepare for the coming week. Without a break, doing homework all week long might be stressful.
Encouraging children’s well-being and health begins with parents being involved in their children’s lives. By taking part in their homework routine, you can see any issues your child may be having and offer them the necessary support.
Your student will develop and maintain good study habits if you have a clear and organized homework regimen. If there is still a lot of schoolwork to finish, try putting a time limit. Students must obtain regular, good sleep every single night.
The student is ultimately responsible for their homework. Because of this, parents should only focus on ensuring that their children are on track with their assignments and leave it to the teacher to determine what skills the students have and have not learned in class.
One of the nicest things a parent can do for their kids is to ask open-ended questions and listen to their responses. Many kids are reluctant to acknowledge they are struggling with their homework because they fear being labelled as failures or lazy if they do.
However, every parent wants their child to succeed to the best of their ability, but it’s crucial to be prepared to ease the pressure if your child starts to show signs of being overburdened with homework.
Also, make sure to contact the teacher with any problems regarding your homework by phone or email. Additionally, it demonstrates to your student that you and their teacher are working together to further their education.
If you are still thinking is homework stressful then It’s better to do homework with buddies because it gives them these advantages. Their stress is reduced by collaborating, interacting, and sharing with peers.
Additionally, students are more relaxed when they work on homework with pals. It makes even having too much homework manageable by ensuring they receive the support they require when working on the assignment. Additionally, it improves their communication abilities.
However, doing homework with friends guarantees that one learns how to communicate well and express themselves.
Create a schedule for finishing schoolwork on time with your child. Every few weeks, review the strategy and make any necessary adjustments. Gratefully, more schools are making an effort to control the quantity of homework assigned to children to lessen the stress this produces.
Finally, be aware that homework-related stress is fairly prevalent and is likely to occasionally affect you or your student. Sometimes all you or your kid needs to calm down and get back on track is a brief moment of comfort. So if you are a student and wondering if is homework stressful then you must go through this blog.
While homework is a crucial component of a student’s education, when kids are overwhelmed by the amount of work they have to perform, the advantages of homework can be lost and grades can suffer. Finding a balance that ensures students understand the material covered in class without becoming overburdened is therefore essential.
Zuella Montemayor did her degree in psychology at the University of Toronto. She is interested in mental health, wellness, and lifestyle.
Psychreg is a digital media company and not a clinical company. Our content does not constitute a medical or psychological consultation. See a certified medical or mental health professional for diagnosis.
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Caroline Lou
Opinion Editor Jula Utzschneider writes on the overwhelming chip on every student’s shoulder: homework.
Jula Utzschneider , Opinion Editor November 10, 2021
When the bell rings to end last period every day, I feel a sense of relief. However, this feeling soon wears off as I realize just how much work I have to do after the already-stressful school day ends.
While homework can be beneficial, more often than not, it is assigned excessively and unnecessarily. Teachers give a significant amount of homework, often due the next day. This causes students to spend far too much time doing such assignments and can be detrimental.
A 2013 study conducted at Stanford University found that students in top-performing school districts who spend too much time on homework experience more stress, physical health problems, a lack of balance in their lives and alienation from society. That study, published in The Journal of Experimental Education , suggested that any more than two hours of homework per night is counterproductive. However, students who participated in the study reported doing slightly more than three hours of homework every night.
And, yes, the amount of homework given to students depends on the course level they take. But, with increasingly competitive college acceptance rates (demanding more extracurriculars and college-level classes), many students feel forced to take these more challenging courses. This is a huge problem, especially as teachers give homework only thinking about their own class, not the five or six others students have.
Additionally, when it came to stress, more than 70% of students in the Stanford study said they were “often or always stressed over schoolwork,” with 56% listing homework as a primary stressor. More than 80% of students reported having at least one stress-related symptom (such as headaches, exhaustion, sleep deprivation, weight loss, stomach problems and more) in the past month, and 44% said they had experienced three or more symptoms.
Less than 1% of the students said homework was not a stressor, demonstrating that the vast majority feel overwhelmed and pressured by the amount of work they receive.
Not to mention, the time spent on these assignments could easily be spent doing something enjoyable. Many students feel forced or obligated to choose homework over practicing other talents or skills, which should never be the case. Teachers should be encouraging these extracurriculars, rather than making it impossible for students to partake in them.
In terms of what teachers can do, it’s quite simple, really. Homework is intended for students to either practice a subject further or to cover topics teachers couldn’t during the allotted class time. It should not be busywork that just wastes a student’s time.
Teachers should be giving students work that is absolutely necessary (not busy work), and eliminate it altogether where they can. It is extremely important that students not only get through high school but thrive and enjoy it too.
How much time do you spend doing homework on an average school night?
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m • May 4, 2023 at 12:41 pm
m • Jan 4, 2024 at 12:10 pm
sophia • Mar 8, 2023 at 1:57 pm
very true in fact i am writing a essay right now this is resurch
“…students described the amount of homework each night as “overwhelming,” “unmanageable,” or “more than [they] could handle,””
According to new research, too much homework is associated with academic stress, a lack of balance in children’s lives and even physical health problems.
The new study into 4,317 students at 10 high-performing US high schools questions whether the average of 3 hours homework per night is really justified ( Galloway et al., 2013 ).
The researchers asked students about the work they were doing and discovered that:
“Some of the students described the amount of homework each night as “overwhelming,” “unmanageable,” or “more than [they] could handle,” with one describing the load as “an endless barrage of work.””
One student wrote:
“There’s never a time to rest. There’s always something more you should be doing. If I go to bed before 1:30 I feel like I’m slacking off, or just screwing myself over for an even later night later in the week… There’s never a break. Never.”
The knock-on effects of all this homework were felt in both their sleep quality and their health:
“Many complained that the workload led to sleep deprivation and other health problems. Students described homework as the “main reason” preventing them from getting the recommended 9.25 hr of sleep each night.”
This feedback was supported by measures of the amount of homework students did and their well-being and engagement:
“Students who spent more hours on homework tended to be more behaviorally engaged in school, but were simultaneously more stressed about their school work and tended to reportmore physical symptoms due to stress, fewer hours of sleep on school nights, less ability to get enough sleep, and less ability to make time for friends and family.”
But surely all this homework is necessary and important?
Apparently not:
“…students will often do work they see as “pointless,” “useless,” and “mindless” because their grades will be affected if they do not. This kind of busy work, by its very nature, discourages learning and instead promotes doing homework simply to get points.”
All of this doesn’t mean homework should be banned, but 3 hours a night on average? Seriously?
The authors conclude by saying:
“Given the negative outcomes we find associated with more time spent on homework, our study calls into question the desirability of such diligence and the utility of assigning large quantities of homework in high-performing schools. […] any homework assigned should have a purpose and benefit, and it should be designed to cultivate learning and development.”
It seems the horrible, wasteful, idiotic culture of pointless ‘busywork’ is alive in well in some high schools.
→ Related: 10 Sleep Deprivation Effects.
Image credit: Vic Xia
Psychologist, Jeremy Dean, PhD is the founder and author of PsyBlog. He holds a doctorate in psychology from University College London and two other advanced degrees in psychology. He has been writing about scientific research on PsyBlog since 2004. View all posts by Dr Jeremy Dean
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“[Students] average about 3.1 hours of homework each night,” according to an article published by Stanford . Teens across the country come home from school, exhausted from a long day, only to do more schoolwork. They sit at their computers, working on homework assignments for hours on end. To say the relentless amount of work they have to do is overwhelming would be an understatement. The sheer amount of homework given has many negative impacts on teenagers.
Students have had homework for decades, but in more recent years it has become increasingly more demanding. Multiple studies have shown that students average about three hours of homework per night. The Atlantic mentioned that students now have twice as much homework as students did in the 1990s. This is extremely detrimental to teens’ mental health and levels of stress. Students have a lot to do after school, such as spending time with family, extracurricular activities, taking care of siblings or other family members, hanging out with friends, or all of the above. Having to juggle all of this as well as hours on end of homework is unreasonable because teenagers already have enough to think or worry about.
According to a student- run survey conducted in Cherry Hill West, students reported that they received the most homework in math, history, and language arts classes. They receive anywhere from 1 to 4 or more hours of homework every day, but only about 22.7% somewhat or strongly agree that it helps them learn. Of the students who participated, 63.6% think schools should continue to give out homework sometimes, while 27.3% said they should not give out homework at all. In an open-ended response section, students had a lot to say. One student wrote, “I think we should get homework to practice work if we are seen struggling, or didn’t finish work in class. But if we get homework, I think it just shows that the teacher needs more time to teach and instead of speeding up, gives us more work.” Another added, “Homework is important to learn the material. However, too much may lead to the student not learning that much, or it may become stressful to do homework everyday.” Others wrote, “The work I get in chemistry doesn’t help me learn at all if anything it confuses me more,” and “I think math is the only class I could use homework as that helps me learn while world language is supposed to help me learn but feels more like a time waste.” A student admitted, “I think homework is beneficial for students but the amount of homework teachers give us each day is very overwhelming and puts a lot of stress on kids. I always have my work done but all of the homework I have really changes my emotions and it effects me.” Another pointed out, “you are at school for most of your day waking up before the sun and still after all of that they send you home each day with work you need to do before the next day. Does that really make sense[?]”
As an article from Healthline mentioned, “Researchers asked students whether they experienced physical symptoms of stress… More than 80 percent of students reported having at least one stress-related symptom in the past month, and 44 percent said they had experienced three or more symptoms.” If school is causing students physical symptoms of stress, it needs to re-evaluate whether or not homework is beneficial to students, especially teenagers. Students aren’t learning anything if they have hours of “busy work” every night, so much so that it gives them symptoms of stress, such as headaches, weight loss, sleep deprivation, and so on. The continuous hours of work are doing nothing but harming students mentally and physically.
The mental effects of homework can be harmful as well. Mental health issues are often ignored, even when schools can be the root of the problem. An article from USA Today contained a quote from a licensed therapist and social worker named Cynthia Catchings, which reads, “ heavy workloads can also cause serious mental health problems in the long run, like anxiety and depression.” Mental health problems are not beneficial in any way to education. In fact, it makes it more difficult for students to focus and learn.
Some studies have suggested that students should receive less homework. To an extent, homework can help students in certain areas, such as math. However, too much has detrimental impacts on their mental and physical health. Emmy Kang, a mental health counselor, has a suggestion. She mentioned, “I don’t think (we) should scrap homework; I think we should scrap meaningless, purposeless busy work-type homework. That’s something that needs to be scrapped entirely,” she says, encouraging teachers to be thoughtful and consider the amount of time it would take for students to complete assignments,” according to USA Today . Students don’t have much control over the homework they receive, but if enough people could explain to teachers the negative impacts it has on them, they might be convinced. Teachers need to realize that their students have other classes and other assignments to do. While this may not work for everything, it would at least be a start, which would be beneficial to students.
The sole purpose of schools is to educate children and young adults to help them later on in life. However, school curriculums have gone too far if hours of homework for each class are seen as necessary and beneficial to learning. Many studies have shown that homework has harmful effects on students, so how does it make sense to keep assigning it? At this rate, the amount of time spent on homework will increase in years to come, along with the effects of poor mental and physical health. Currently, students do an average of 3 hours of homework, according to the Washington Post, and the estimated amount of teenagers suffering from at least one mental illness is 1 in 5, as Polaris Teen Center stated. This is already bad enough–it’s worrisome to think it could get much worse. Homework is not more important than physical or mental health, by any standards.
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Actually useful ways to help children with homework, bullying, and mental health.
by Allie Volpe
In early 2020, around the onset of Covid-19 lockdowns, Jessica Mungekar noticed her seventh grade honor student, Layla, retreat. “I knew that she felt really uncomfortable and she wanted to fall into the background,” Mungekar says. “She didn’t want to be noticed and I didn’t quite understand it.”
Meanwhile, Layla was keeping the source of her pain secret from her mother: She was being bullied and was struggling with her identity as a biracial teen in a predominantly white town. Layla feared if she told her mom about the extent of the bullying, Jessica would have called the school, making the problem even worse.
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Things came to a head the summer before Layla’s first year of high school when she shared with her mom details of a traumatic event. Layla urged her mother not to make decisions on her behalf in the aftermath. Instead, Jessica went into what she calls “mama bear mode” and made demands of her daughter: Cut off contact with these friends, join these extracurricular activities, you are only allowed out of the house during these hours. Layla felt like her autonomy was being taken away.
Over the course of a few months, mother and daughter worked to repair their relationship and communication. Now, Jessica says she is sure to listen to Layla instead of immediately offering advice, validates her daughter’s feelings, and gives her freedom to express herself. For her part, Layla confides in her mother all the time, even about her dating life. Her friends often seek out Jessica for counsel, too. “She’s become a safe place where people go to get advice,” Layla, now 16, says. “She’s joyous and doesn’t pass judgment.”
Students are faced with a daily barrage of potential stressors: a demanding course load, tricky social dynamics, managing both their time and emotions. In a four-year study designed to estimate the prevalence of mental disorders in kindergarteners through 12th graders, findings showed one in six students exhibited enough symptoms to meet the criteria for one or more childhood mental disorders, such as anxiety disorders and attention-deficit/hyperactivity disorder. According to a 2019 Pew Research Center report, 61 percent of teens said they felt a lot of pressure to get good grades. About 22 percent of 12- to 18-year-old students reported being bullied during the school year in 2019, per a National Center for Education Statistics survey . None of these statistics takes into account the toll of the pandemic, which set students back academically and had negative effects on their mental health .
Once kids leave the house, parents and other adults in their lives have little influence on their students’ school days. Unable to witness or guide children through the difficulties in and out of the classroom, parents often get piecemeal or incomplete views of how their kids spent the last hours, especially if the child is young and can’t adequately verbalize their struggles or frustrations. Signs that a student may be experiencing hardship at school include increased irritability, difficulty sleeping or lack of sleep, and changes in appetite, says Jessica Kendorski , the chair of the school psychology department and professor at the Philadelphia College of Osteopathic Medicine. They may also say they feel sick in order to stay home, when in reality they may be stressed or anxious about school, Kendorski says.
Another indicator of a struggling child includes extreme people-pleasing, says Meredith Draughn , the school counselor at B. Everett Jordan Elementary School in Graham, NC, and the 2023 American School Counselor Association Counselor of the Year. High school students may also exhibit a “freeze” response, Draughn says. “It’s like well, that kid just doesn’t care, right? That kid’s super apathetic,” she says. “What we find when we dig into it more is they’re so overwhelmed by everything that’s happening that they just choose to do nothing because they don’t know how to address it.”
What, then, is the right way to support the students in your life? The tactics will vary based on the age of your child and the issues they’re facing. Regardless of your approach, experts say to always keep your kids in the loop of any decisions you’re making about their emotional and academic success.
From homework to challenging classes, students experience a number of academic hurdles. Sometimes, they may fail a test or drop the ball on a project. While some students may criticize themselves (“I’m not smart enough”) or claim the material was too difficult, parents should promote a growth mindset : the ability to learn from setbacks, implement new processes, and improve. “You want to praise the effort and the strategies that they used,” Kendorski says. “If they fail something, you want to talk through ‘Why did you fail this? Let’s talk about what you can do to be successful next time.’”
A fixed mindset is one where people believe their skills are set in stone and they have no possibility of improving. When students in his classroom share fixed mindset sentiments like “I can’t do this,” elementary school teacher Josh Monroe is quick to amend the statement: “You can’t do this yet .” The power of yet helps students “understand that you don’t have to know it all right now — and it’s important that you don’t, that’s how you grow,” he says.
While it’s crucial to encourage a growth mindset with students who use negative self-talk, like “I’ll never learn this” or “I’m not good enough,” a fixed mindset can also backfire if you constantly tell a student “You’re so smart,” Kendorski says. “When things start to get really difficult, you might find kids that don’t want to take chances,” she says, “because they think that if I fail, I’m going to lose that ‘I’m so smart’ title.” Instead, she says, focus on accomplishments based on effort and strategies: “I’m really proud of you for organizing a study group with your friends.”
To help ensure your kids get their homework done and prepare for tests, Kendorski encourages a routine: dedicating a time and a place for schoolwork. If your student retains information more effectively if they study for a little bit each day instead of cramming, offer that as an option.
When the kid in your life asks for help with homework and you’re a little rusty on, say, algebra, don’t feel ashamed to admit you don’t know how to solve the problem, Draughn says. Monroe recommends the online educational tool Khan Academy , which features videos that guide both parents and students through all levels of educational concepts and lessons. For additional academic resources, reach out to your student’s teacher who will know about after-school tutoring sessions or extra guidance, Draughn says. “Going to teachers early and often, when help is needed, is the most crucial part of it,” she says, “because there are those programs, but they do fill up pretty quickly.”
School can be a social minefield, with kids learning how to independently interact with peers and regulate their emotions. If your child shares that they’re being picked on or ostracized in school, Draughn suggests that you first validate their experience and never downplay their emotions. Ask them what level of support they want: Do they think it would be helpful to talk to a school counselor or a teacher? Or do they prefer you to reach out to the teacher directly? In Layla Mungekar’s experience, she would have opted for her mother to not interfere with her social life. “Letting them lead the way on that is important,” Draughn says. “They may say, I feel like I have the tools to handle this — and that’s great. Then you check in. But doing nothing and just not mentioning it again is not going to help anything.”
You might also start counseling your kid on self-advocacy and assertiveness at home, too, Draughn says, helping them identify moments where they should speak out against bad behavior and pointing out trustworthy adults to whom they can report issues, regardless of whether they are on the receiving end or have witnessed another student being bullied. “If someone is making you feel socially or physically unsafe, that’s the time to speak up,” says Tracee Perryman , the author of Elevating Futures: A Model For Empowering Black Elementary Student Success . Again, only reach out to the school yourself after talking it over with your kid.
However, your child may simply be shy and reserved, not the victim of bullying. Perryman says to help build confidence with the kids in your life by reminding them that what they have to say is important and they have valuable interests and insights worth sharing with others.
When it comes to social media, Jessica Mungekar discovered teens will “do what they’re going to do, whether you want them to or not,” she says. It’s better to listen if your child is involved with social media-related conflict, remind them they are not in trouble, and support them as you work to create a plan together. “I think it’s important in this day and age for kids to have social media because otherwise they get [alienated] by their peers,” Layla Mungekar says. “But it’s a lot safer when parents have those conversations, like yeah, this is going to happen and when it does happen, you should feel safe to come to me and not be blamed for that.”
Experts emphasize the transitory nature of school. While it’s crucial for students to apply themselves academically and make strides socially, remind them that one speed bump, fight with a friend, blunder, or bad grade will not drastically alter the trajectory of their lives. “It’s better that I make those mistakes now,” Layla says, “while I have someone there to help me.”
Just like adults, kids can get stressed due to the demands of school and extracurriculars, as well as conflicts with friends and family. If kids are sleeping very late on weekends or too tired to do activities they typically enjoy, like spending time with friends, they might need more balance in their schedules, Perryman says.
Ask your kid directly: “Are you playing T-ball three nights a week because you like it or you feel like you have to?” or “You had three extracurriculars last semester and it was really overwhelming for you. Do you want to pick two for this coming semester?” Draughn suggests. Remind your kid that just because they step away from a hobby now doesn’t mean they can’t come back to it in the future. Make sure students have one weeknight and one weekend day solely devoted to downtime, too, Draughn says. However, don’t discount the fact that sports and other activities can be rejuvenating for kids, even if they’re not resting.
Parents and supportive adults are quick to problem-solve for the kids in their lives, but Kendorski stresses the importance of asking, “Do you want me to listen? Or do you want me to help?” Your child might just want to vent about a tough baseball practice. When Layla wants validation and a hug from her mom, she asks her “to be a waterfall.” When she’s feeling less emotionally charged, then Layla and her mom can problem-solve.
For high-achieving students who may be stressed about grades and college applications, Kendorski suggests asking your kids what story they’re telling themselves about success. For example, they might worry that a bad test grade means they’ll never get into their dream college. Help them map more realistic outcomes by thinking about the absolute worst-case scenario and alternative paths. For example, the worst that could happen if they fail a single test is maybe they get a C for the quarter. But reinforce how if they study and complete all their homework, the likelihood of failing is minimized.
Remember not to make your stress their stress. Children are intuitive and can pick up on how the adults in their lives are feeling, Kendorski says. Instead of turning away from uncomfortable emotions, encourage open communication. If you’re disappointed in a mediocre grade, try saying, “I’m feeling a little bummed about the C on that test, but that’s my issue. I know you work hard and with some more practice, I know you’ll do better next time.”
Parents should always validate their child’s struggles and encourage caring for their mental health. Whether they’re seeking support from a trusted teacher or you think they’d benefit from speaking with a therapist — ask them how they’d feel about chatting with a professional before scheduling an appointment — remind them that “mental health is health,” Draughn says. That matters more than any test score.
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It’s no secret that homework can be a pain. And as students grapple with an ongoing pandemic that has had a wide-range of mental health impacts, is it time schools start listening to their pleas about their workloads?
Some teachers are turning to social media to take a stand against homework.
Tiktok user @misguided.teacher says he doesn’t assign it because the “whole premise of homework is flawed.”
Do students need homework to learn?
For starters, he says he can’t grade work on “even playing fields” when students’ home environments can be vastly different.
“Even students who go home to a peaceful house, do they really want to spend their time on busy work? Because typically that’s what a lot of homework is, it’s busy work,” he says in the video that has garnered 1.6 million likes. “You only get one year to be 7, you only got one year to be 10, you only get one year to be 16, 18.”
Mental health experts agree heavy work loads have the potential do more harm than good for students, especially when taking into account the impacts of the pandemic. But they also say the answer may not be to eliminate homework altogether.
Chinese schoolgirl uses robot to do her homework
Emmy Kang, mental health counselor at Humantold, says studies have shown heavy workloads can be “detrimental” for students and cause a “big impact on their mental, physical and emotional health.”
“More than half of students say that homework is their primary source of stress, and we know what stress can do on our bodies,” she says, adding that staying up late to finish assignments also leads to disrupted sleep and exhaustion.
Cynthia Catchings, a licensed clinical social worker and therapist at Talkspace, says heavy workloads can also cause serious mental health problems in the long run, like anxiety and depression.
And for all the distress homework causes, it’s not as useful as many may think, says Dr. Nicholas Kardaras, a psychologist and CEO of Omega Recovery treatment center.
“The research shows that there’s really limited benefit of homework for elementary age students, that really the school work should be contained in the classroom,” he says.
For older students, Kang says homework benefits plateau at about two hours per night.
Should Hong Kong introduce a zero-homework policy?
“Most students, especially at these high-achieving schools, they’re doing a minimum of three hours, and it’s taking away time from their friends from their families, their extracurricular activities. And these are all very important things for a person’s mental and emotional health.”
Catchings, who taught Primary Three to Secondary 6 for 12 years, says she’s seen the positive effects of a no homework policy while working with students abroad.
“Not having homework was something that I always admired from French students (and) French schools, because that helped students really have time off and disconnect from school,” she says.
The answer may not be to eliminate homework completely, but to be more mindful of the type of work students go home with, suggests Kang, who was a secondary school teacher for 10 years.
“I don’t think (we) should scrap homework, I think we should scrap meaningless, purposeless, busy work-type homework. That’s something that needs to be scrapped entirely,” she says, encouraging teachers to be thoughtful and consider the amount of time it would take for students to complete assignments.
More than two hours of homework may be counterproductive, research suggests.
A Stanford education researcher found that too much homework can negatively affect kids, especially their lives away from school, where family, friends and activities matter. "Our findings on the effects of homework challenge the traditional assumption that homework is inherently good," wrote Denise Pope , a senior lecturer at the Stanford Graduate School of Education and a co-author of a study published in the Journal of Experimental Education . The researchers used survey data to examine perceptions about homework, student well-being and behavioral engagement in a sample of 4,317 students from 10 high-performing high schools in upper-middle-class California communities. Along with the survey data, Pope and her colleagues used open-ended answers to explore the students' views on homework. Median household income exceeded $90,000 in these communities, and 93 percent of the students went on to college, either two-year or four-year. Students in these schools average about 3.1 hours of homework each night. "The findings address how current homework practices in privileged, high-performing schools sustain students' advantage in competitive climates yet hinder learning, full engagement and well-being," Pope wrote. Pope and her colleagues found that too much homework can diminish its effectiveness and even be counterproductive. They cite prior research indicating that homework benefits plateau at about two hours per night, and that 90 minutes to two and a half hours is optimal for high school. Their study found that too much homework is associated with: • Greater stress : 56 percent of the students considered homework a primary source of stress, according to the survey data. Forty-three percent viewed tests as a primary stressor, while 33 percent put the pressure to get good grades in that category. Less than 1 percent of the students said homework was not a stressor. • Reductions in health : In their open-ended answers, many students said their homework load led to sleep deprivation and other health problems. The researchers asked students whether they experienced health issues such as headaches, exhaustion, sleep deprivation, weight loss and stomach problems. • Less time for friends, family and extracurricular pursuits : Both the survey data and student responses indicate that spending too much time on homework meant that students were "not meeting their developmental needs or cultivating other critical life skills," according to the researchers. Students were more likely to drop activities, not see friends or family, and not pursue hobbies they enjoy. A balancing act The results offer empirical evidence that many students struggle to find balance between homework, extracurricular activities and social time, the researchers said. Many students felt forced or obligated to choose homework over developing other talents or skills. Also, there was no relationship between the time spent on homework and how much the student enjoyed it. The research quoted students as saying they often do homework they see as "pointless" or "mindless" in order to keep their grades up. "This kind of busy work, by its very nature, discourages learning and instead promotes doing homework simply to get points," said Pope, who is also a co-founder of Challenge Success , a nonprofit organization affiliated with the GSE that conducts research and works with schools and parents to improve students' educational experiences.. Pope said the research calls into question the value of assigning large amounts of homework in high-performing schools. Homework should not be simply assigned as a routine practice, she said. "Rather, any homework assigned should have a purpose and benefit, and it should be designed to cultivate learning and development," wrote Pope. High-performing paradox In places where students attend high-performing schools, too much homework can reduce their time to foster skills in the area of personal responsibility, the researchers concluded. "Young people are spending more time alone," they wrote, "which means less time for family and fewer opportunities to engage in their communities." Student perspectives The researchers say that while their open-ended or "self-reporting" methodology to gauge student concerns about homework may have limitations – some might regard it as an opportunity for "typical adolescent complaining" – it was important to learn firsthand what the students believe. The paper was co-authored by Mollie Galloway from Lewis and Clark College and Jerusha Conner from Villanova University.
Clifton B. Parker is a writer at the Stanford News Service .
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How much homework is too much?
Homework has become a matter of concern for educators, parents, and researchers due to its potential effects on students’ stress levels. It’s no secret students often find themselves grappling with high levels of stress and anxiety throughout their academic careers, so understanding the extent to which homework affects those stress levels is important.
By delving into the latest research and understanding the underlying factors at play, we hope to curate insights for educators, parents, and students who are wondering whether homework causing stress in their lives?
Over the years, numerous studies investigated the relationship between homework and stress levels in students.
One study published in the Journal of Experimental Education found that students who reported spending more than two hours per night on homework experienced higher stress levels and physical health issues . Those same students reported over three hours of homework a night on average.
This study, conducted by Stanford lecturer Denise Pope, has been heavily cited throughout the years, with WebMD producing the below video on the topic– part of their special report series on teens and stress :
Additional studies published by Sleep Health Journal found that long hours on homework on may be a risk factor for depression , suggesting that reducing workload outside of class may benefit sleep and mental fitness .
Homework-induced stress on students can involve both psychological and physiological side effects.
• Anxiety: The pressure to perform well academically and meet homework expectations can lead to heightened levels of anxiety in students. Constant worry about completing assignments on time and achieving high grades can be overwhelming.
• Sleep Disturbances : Homework-related stress can disrupt students’ sleep patterns, leading to sleep anxiety or sleep deprivation, both of which can negatively impact cognitive function and emotional regulation.
• Reduced Motivation: Excessive homework demands could drain students’ motivation, causing them to feel fatigued and disengaged from their studies. Reduced motivation may lead to a lack of interest in learning, hindering students’ overall academic performance.
• Impaired Immune Function: Prolonged stress could weaken the immune system, making students more susceptible to illnesses and infections.
• Disrupted Hormonal Balance : The body’s stress response triggers the release of hormones like cortisol, which, when chronically elevated due to stress, can disrupt the delicate hormonal balance and lead to various health issues.
• Gastrointestinal Disturbances: Stress has been known to affect the gastrointestinal system, leading to symptoms such as stomachaches, nausea, and other digestive problems.
• Cardiovascular Impact: The increased heart rate and elevated blood pressure associated with stress can strain the cardiovascular system, potentially increasing the risk of heart-related issues in the long run.
• Brain impact: Prolonged exposure to stress hormones may impact the brain’s functioning , affecting memory, concentration, and other cognitive abilities.
It’s important to note that homework also offers many benefits that contribute to students’ academic growth and development, such as:
• Development of Time Management Skills: Completing homework within specified deadlines encourages students to manage their time efficiently. This valuable skill extends beyond academics and becomes essential in various aspects of life.
• Preparation for Future Challenges : Homework helps prepare students for future academic challenges and responsibilities. It fosters a sense of discipline and responsibility, qualities that are crucial for success in higher education and professional life.
• Enhanced Problem-Solving Abilities: Homework often presents students with challenging problems to solve. Tackling these problems independently nurtures critical thinking and problem-solving skills.
While homework can foster discipline, time management, and self-directed learning, the middle ground may be to strike a balance that promotes both academic growth and mental well-being .
As a general guideline, educators suggest assigning a workload that allows students to grasp concepts effectively without overwhelming them . Quality over quantity is key, ensuring that homework assignments are purposeful, relevant, and targeted towards specific objectives.
Finding a balance between academic responsibilities and well-being is crucial for students. Here are some practical tips and techniques to help manage homework-related stress and foster a healthier approach to learning:
• Effective Time Management : Encourage students to create a structured study schedule that allocates sufficient time for homework, breaks, and other activities. Prioritizing tasks and setting realistic goals can prevent last-minute rushes and reduce the feeling of being overwhelmed.
• Break Tasks into Smaller Chunks : Large assignments can be daunting and may contribute to stress. Students should break such tasks into smaller, manageable parts. This approach not only makes the workload seem less intimidating but also provides a sense of accomplishment as each section is completed.
• Find a Distraction-Free Zone : Establish a designated study area that is free from distractions like smartphones, television, or social media. This setting will improve focus and productivity, reducing time needed to complete homework.
• Be Active : Regular exercise is known to reduce stress and enhance mood. Encourage students to incorporate physical activity into their daily routine, whether it’s going for a walk, playing a sport, or doing yoga.
• Practice Mindfulness and Relaxation Techniques : Encourage students to engage in mindfulness practices, such as deep breathing exercises or meditation, to alleviate stress and improve concentration. Taking short breaks to relax and clear the mind can enhance overall well-being and cognitive performance.
• Seek Support : Teachers, parents, and school counselors play an essential role in supporting students. Create an open and supportive environment where students feel comfortable expressing their concerns and seeking help when needed.
Stress is caused by so many factors and not just the amount of work students are taking home. Our company created a virtual reality stress management solution… a mental fitness tool called “Healium” that’s teaching students how to learn to self-regulate their stress and downshift in a drugless way. Schools implementing Healium have seen improvements from supporting dysregulated students and ADHD challenges to empowering students with body awareness and learning to self-regulate stress . Here’s one of their stories.
By providing students with the tools they need to self-manage stress and anxiety, we represent a forward-looking approach to education that prioritizes the holistic development of every student.
To learn more about how Healium works, watch the video below.
Sarah Hill , a former interactive TV news journalist at NBC, ABC, and CBS affiliates in Missouri, gained recognition for pioneering interactive news broadcasting using Google Hangouts. She is now the CEO of Healium, the world’s first biometrically powered immersive media channel, helping those with stress, anxiety, insomnia, and other struggles through biofeedback storytelling. With patents, clinical validation, and over seven million views, she has reshaped the landscape of immersive media.
Mental health experts warn to watch social media use by teens.
Teenagers spend nearly five hours a day, on average, on social media. And there's growing consensus that it's a big problem for their mental health.
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Dogs may not have anything to eat, but students could feel less stress if more schools reconsider their homework assignment policies.
Why it matters: Conversations about the value of homework in education have simmered for years, but students' mental health struggles and artificial intelligence have pushed it to the forefront.
Case in point: Butterfield Canyon Elementary School in Herriman, Utah, has had a no-homework policy since 2020.
Zoom out: While students have shown some improvement in mental health metrics since the pandemic, overall wellbeing has not reduced to pre-2020 levels, per the Centers for Disease Control and Prevention.
The big picture: The correlation between homework and academic achievement is hard to measure, Stanford education researcher Denise Pope said.
The intrigue: Artificial intelligence chat bots can provide homework help. Optimistically, these bots can help students, like a tutor would. Or, just give answers.
Zoom in: Katie Trowbridge, who taught high school students in Naperville, Illinois, for 23 years, didn't assign homework on the weekends. She saw that as a time to "learn through experiences," she said.
What we're watching: A bill passed by California's legislature on Saturday and now awaiting Gov. Gavin Newsom's signature would recommend school districts evaluate the mental and physical health impacts of homework assignments.
Editor's note: The story has been updated to reflect the bill has passed and is awaiting Gov. Gavin Newsom's signature. It has also been updated with additional quotes from Stanford education researcher Denise Pope.
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New rules seek to achieve coverage parity for conditions like depression and addiction.
By Lev Facher
Sept. 9, 2024
Addiction Reporter
The Biden administration on Monday announced it would finalize a highly anticipated proposal meant to force health insurers to cover mental health care on the same basis as physical health conditions.
It is the latest salvo in a long-running federal government effort to crack down on insurance plans skimping on treatment for conditions including anxiety, depression, and addiction.
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Despite longstanding law requiring health insurers to cover mental health as comprehensively as physical health, many Americans — even those with health insurance — still face financial obstacles when seeking care.
“It’s simple: It shouldn’t be harder for you to get care when you feel depressed than getting care when you have back pain,” Lisa Gomez, the assistant secretary for employee benefits security at the U.S. Department of Labor, said at a press conference. “It shouldn’t be harder for you to find a provider that can treat your eating disorder than it is to find a provider that can treat your ulcer.”
The finalized regulation follows a proposal that the Health and Human Services, Labor, and Treasury departments first put forward last summer.
The administration said the new rules will compel insurers to act on analyses they were already required to conduct to ensure they were covering mental health conditions on par with others.
The rule prohibits plans from using more restrictive prior authorization for mental health than for physical health conditions. It also closes loopholes that exempted insurance plans sponsored by state and local governments from its requirements.
The administration’s new regulation, however, does not include any new enforcement mechanisms. Asked about measures that will force payers to obey the existing and new parity rules, one Biden administration official simply said that health insurers would offer comprehensive behavioral health benefits as a means of staying competitive.
It is hardly the first time that federal regulators have attempted to penalize insurers believed to be pinching pennies when it comes to mental health coverage.
Congress first passed the Mental Health Parity Act in 1996. It was largely superseded in 2008 by new legislation named for the first bill’s authors: the late Sens. Paul Wellstone (D-Minn.) and Pete Domenici (R-N.M.), and then updated again in 2020.
But Biden administration officials said some insurers still fail to comply.
More than 15 years after the second bill’s passage, “people living with mental health and substance use disorders continue to face greater barriers when seeking benefits for those conditions and disorders under their plan and coverage than when seeking benefits for medical and surgical conditions,” Gomez said. “That’s not fair, it’s not right, and it’s against the law.”
The Biden administration’s move to finalize the new regulation comes more than a year after it was first proposed. Typically, final rules take effect at least 60 days after they are announced.
While efforts to improve mental health parity generally enjoy bipartisan support, one top Republican issued a statement blasting Biden’s latest effort as a regulatory overreach that will have little impact on patients.
“For over a year, we’ve been telling the Biden-Harris administration that these rules will not work,” said Rep. Virginia Foxx (R-N.C.), the chair of the House Committee on Education and Labor. “They are too vague and burdensome; they overregulate instead of allowing health plans to build robust networks; and they will increase premiums for employees already facing high health care costs. These rules do nothing to improve mental health care access and instead put paperwork over patients.”
In statements, Biden and Vice President Kamala Harris, the Democratic presidential nominee, cast the action as part of a far broader effort to help Americans access mental health care. “President Biden and I are committed to ensuring that every person in our country has the mental health care they need to thrive,” Harris said. “That is why we made the largest investment in youth mental health in history and are transforming how mental health is understood, perceived, and treated for all Americans. Today, we are building on this lifesaving and life-changing work by announcing the finalization of a historic rule that will expand mental health care across our nation so more of our loved ones, neighbors, coworkers, and classmates receive the care they deserve.”
STAT’s coverage of chronic health issues is supported by a grant from Bloomberg Philanthropies . Our financial supporters are not involved in any decisions about our journalism.
STAT’s investigation is based on interviews with nearly 100 people around the country, including incarcerated patients and grieving families, prison officials, and legal and medical experts. Reporter Nicholas Florko also filed more than 225 public records requests and combed through thousands of pages of legal filings to tell these stories. His analysis of deaths in custody is based on a special data use agreement between STAT and the Department of Justice.
You can read more about the reporting for this project and the methodology behind our calculations.
The series is the culmination of a reporting fellowship sponsored by the Association of Health Care Journalists and supported by The Commonwealth Fund.
Lev Facher covers the U.S. addiction and overdose crisis.
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People with depression are more likely to have a distinct brain pattern
They have a 'salience network' that is 70% to 73% larger than people without depressive symptoms
The salience network is associated with reward processing, and could affect how people feel pleasure and enjoyment
FRIDAY, Sept. 6, 2024 (HealthDay News) -- A distinct brain pattern appears to make some people more likely to develop depression , a new study indicates.
“Deep” functional MRI brain scans revealed that a brain feature called the salience network is nearly twice as large in people with depression than in those without the condition, researchers reported Sept. 4 in the journal Nature .
The salience network is a group of brain regions thought to be involved in reward processing and focusing attention, researchers said.
“Having a larger salience network appears to increase the risk for depression—the effect is an order of magnitude larger than what we usually see in fMRI studies,” said senior researcher Dr. Conor Liston , a professor of psychiatry and neuroscience at Weill Cornell Medicine in New York.
Functional MRI scans identify patterns of activity in the brain by measuring changes in blood flow.
Researchers recruited six people with major depression to undergo repeated fMRI brain scans, and compared their results to those from 37 healthy people.
On average, the depression patients had salience networks that occupied 73% more brain surface compared to those of the control group.
The salience network “being implicated in depression kind of makes sense, because one of the main deficits in depression is anhedonia, which is the inability to feel pleasure and enjoy everyday activities,” said lead researcher Dr. Charles Lynch , an assistant professor of neuroscience at Weill Cornell Medicine.
The research team then looked at previous brain scans from hundreds of other patients, to validate what they’d found in this handful of people with depression.
Researchers found that the salience network was more than 70% larger, on average, in 299 patients with depression, compared to 932 healthy controls.
The data suggest that people with larger salience networks in childhood are more likely to develop depression later in life -- almost as if they were pre-wired for the condition, researchers said.
“For years, many investigators assumed that brain networks look the same in everybody,” Lynch said. “But the findings in this work build on a growing body of research indicating that there are fundamental differences between individuals.”
The team next plans to study the effects of depression treatments on the activity of brain networks, to see how drugs and other therapies work to quell depressive symptoms.
More information
The National Institute of Mental Health has more about depression .
SOURCE: Weill Cornell Medicine, news release, Sept. 4, 2024
Some people might be pre-wired for depression from childhood, based on their brain development.
Protecting the mental health of refugee children.
Rhitu Chatterjee
Studies show that refugee kids in this country experience higher levels of anxiety, depression and post traumatic stress compared to kids born here. Now, a new effort in Maine is trying to prevent such long term impacts in refugee children – by supporting their families.
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COMMENTS
Emmy Kang, mental health counselor at Humantold, says studies have shown heavy workloads can be "detrimental" for students and cause a "big impact on their mental, physical and emotional health ...
Cynthia Catchings, a licensed clinical social worker and therapist at Talkspace, says heavy workloads can also cause serious mental health problems in the long run, like anxiety and depression.
Why Homework is Bad: Stress and Consequences
Health Hazards of Homework. Pediatrics. A new study by the Stanford Graduate School of Education and colleagues found that students in high-performing schools who did excessive hours of homework "experienced greater behavioral engagement in school but also more academic stress, physical health problems, and lack of balance in their lives.".
Stanford research shows pitfalls of homework
Mental health challenges and neurodevelopmental differences directly affect children's ability to do homework. Understanding what difficulties are getting in the way—beyond the usual explanation ...
Mental health experts weigh in. August 16 2021, by Sara M Moniuszko. It's no secret that kids hate homework. And as students grapple with an ongoing pandemic that has had a wide-range of mental ...
Is homework a necessary evil?
Homework as a Mental Health Concern. It's time for an in depth discussion about homework as a major concern for those pursuing mental health in schools. So many problems between kids and their families, the home and school, and students and teachers arise from conflicts over homework. The topic is a long standing concern for mental health ...
Research shows that excessive homework leads to increased stress, physical health problems and a lack of balance in students' lives. And studies have shown that more than two hours of daily homework can be counterproductive, yet many teachers assign more.. Homework proponents argue that homework improves academic performance. Indeed, a meta-analysis of research on this issue found a ...
Introduction. Homework, or between-session practice of skills learned during therapy, is one of the most integral, yet underutilized components of high-quality, evidence-based mental health care (Kazantzis & Deane, 1999).Homework activities (e.g., self-monitoring, relaxation, exposure, parent behavior management) are assigned by providers in-session and completed by patients between sessions ...
Lack of sleep. One of the most prevalent adverse effects of schoolwork is lack of sleep. The average student only gets about 5 hours of sleep per night since they stay up late to complete their homework, even though the body needs at least 7 hours of sleep every day. Lack of sleep has an impact on both mental and physical health.
Keywords: homework, stress, mental health The outcomes of adolescent mental health is a threat to students' health and wellbeing, more so than it ever has been in the modern era. As of 2019, the CDC reported a nearly 40. percent increase in feelings of sadness or hopelessness over the last ten years, and similar.
This is a huge problem, especially as teachers give homework only thinking about their own class, not the five or six others students have. Additionally, when it came to stress, more than 70% of students in the Stanford study said they were "often or always stressed over schoolwork," with 56% listing homework as a primary stressor ...
According to new research, too much homework is associated with academic stress, a lack of balance in children's lives and even physical health problems. The new study into 4,317 students at 10 high-performing US high schools questions whether the average of 3 hours homework per night is really justified (Galloway et al., 2013).
How Homework Is Destroying Teens' Health - The Lion's Roar
When the kid in your life asks for help with homework and you're a little rusty on, say, algebra, don't feel ashamed to admit you don't know how to solve the problem, Draughn says.
Additionally, this study explores the moderating effects of teacher support and parent involvement. The results indicate that homework time has a negative effect on adolescent mental health, but only when the amount of time spent on homework exceeds about 1 hour and 15 minutes. Overall, there is a non-linear relationship between homework time ...
Chinese schoolgirl uses robot to do her homework. Emmy Kang, mental health counselor at Humantold, says studies have shown heavy workloads can be "detrimental" for students and cause a "big ...
More than two hours of homework may be counterproductive ...
Does Homework Cause Stress? Exploring the Impact on ...
During the past few decades, mental health problems among adolescents have received considerable attention as a public health concern. ... Thus, it seems plausible that sex may modify the relationships of high homework burden with adolescent mental health problems, or modify the mediation effects of sleep loss in such relationships. ...
And there's growing consensus that it's a big problem for their mental health. Teenagers spend nearly five hours a day, on average, on social media. And there's growing consensus that it's a big problem for their mental health. Search Query Show Search. Home. WUSF News. WUSF News Home; Local / State; Politics / Issues ...
Why it matters: Conversations about the value of homework in education have simmered for years, but students' mental health struggles and artificial intelligence have pushed it to the forefront. 37% of 13-year-old students said they had "no homework assigned" on the day before a National Center for Education Statistics survey in 2023.
And there's growing consensus that it's a big problem for their mental health. Mental Health. Mental health experts warn to watch social media use by teens. September 9, 2024 3:46 AM ET.
The Biden administration on Monday announced it would finalize a highly anticipated proposal meant to force health insurers to cover mental health care on the same basis as physical health conditions.
FRIDAY, Sept. 6, 2024 (HealthDay News) -- A distinct brain pattern appears to make some people more likely to develop depression, a new study indicates. "Deep" functional MRI brain scans revealed that a brain feature called the salience network is nearly twice as large in people with depression than in those without the condition, researchers reported Sept. 4 in the journal Nature.
The risks of ignoring early signs of mental health issues An urgent response to mental health issues arising in children and teens who survive a school shooting, or gun violence in general, is ...
Protecting the mental health of refugee children Studies show that refugee kids in this country experience higher levels of anxiety, depression and post traumatic stress compared to kids born here ...
Buso announced that because "our reality has changed," ministry assistance to HMOs to treat mental health issues will double to about NIS 600 million ($162 million) in 2025.