Section C: This section comprised of the 12-item General Health Questionnaire (GHQ-12). This is a screening instrument for detecting psychological distress and it has an advantage of being ideal for quick screening. The participants’ were asked to choose one response which best fits how he/she felt recently from four responses. It utilises 2 scoring methods: bimodal scale (0-0-1-1) and a 4-point Likert-type scale (0-1-2-3). Total scores are calculated by summing up the total scores for each item and higher scores indicated greater psychological distress. It has been widely used in a number of psychological distress surveys among adolescents in Nigeria (Akanni and Otakpor, 2016; Osasona et al., 2011). The co-efficient of alpha for the scale in this study was 0.85. Certain modification was made on the instrument for difficult words by putting in bracket beside them less difficult words to simplify wordings for the adolescents to understand. For example ‘strain’ in item 5 was supplemented with ‘tension’.