Prevalence and risk factors for anxiety and depression among school going adolescent of Rajkot, Gujarat, India
DOI:
https://doi.org/10.18203/2349-3291.ijcp20200701Keywords:
Adolescent, Anxiety, Beck anxiety inventory, Depression, Socio economic classAbstract
Background: Adolescence is a period of turmoil, leading to several mental health challenges including anxiety and/or depression. Anxiety and depressive disorders affects 10-15% of adolescents. Anxiety and depression are associated with substantial negative effects on adolescent’s social, emotional and academic success. This leads to poor social and coping skills, low self-esteem, perceptions of social rejection, and difficulty forming friendships. This study was carried out with an objective to study prevalence and risk factors for anxiety and depression among adolescents.
Methods: A cross sectional study conducted from April 2014 to December 2015 among 1026 school going adolescents from 4 schools of Rajkot, Gujarat, India. Anxiety and depression were measured using Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) respectively. Chi-square test was applied as test of significance.
Results: Majority of the students (58.1%) was belonged to early adolescent age group. Two third were males. Maximum adolescents (42.5%) were coming from class III. Prevalence of moderate-severe anxiety and depression was 9.9% and 18.5%. Anxiety was not significantly associated with age, gender and socio economic class. Prevalence of depression was significantly higher in boys (20.5%) as compared to girls (14.5%, p=0.02). Moderate to severe depression was gradually increased with increasing in age. Adolescent from upper socio economic class (I, II, III- 19.1%) were severely depressed than adolescent from lower socio economic class (IV, V- 4.1%).
Conclusions: Anxiety and depression was significantly present in adolescent age group. Depression was commonly observed in boys and gradually increased with increasing in age. There is need of strengthening school health services with screening and cost effective interventions to minimize the risk of drug abuse, suicide and violence.
References
Handbook S. Rashtriya Kishor Swasthya Karyakram. Adolescent Health Division Ministry of Health and Family Welfare Government of India. 2014.
Kliegman RM, Stanton BMD, St. Geme J, Schor NF. Growth, Development and Behavior. In: Text book of paediatrics. 20th ed. Elsevier publication; 2016:84.
Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Arch General Psychiatr. 2003;60(8):837-44.
Essau CA, Conradt J, Petermann F. Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. J Anxiety Disorders. 2000;14(3):263-79.
Bakhla AK, Sinha P, Sharan R, Binay Y, Verma V, Chaudhury S. Anxiety in school students: Role of parenting and gender. Industrial Psychiatry J. 2013;22(2):131.
Deb S, Chatterjee P, Walsh KM. Anxiety among high school students in India: comparisons across gender, school type, social strata, and perceptions of quality time with parents. Australian J Educational Developmental Psychol. 2010;10(1):18-31.
Carter R, Silverman WK, Jaccard J. Sex variations in youth anxiety symptoms: effects of pubertal development and gender role orientation. J Clin Child Adolescent Psychol. 2011;40(5):730-41.
Seeman MV. Gender and its effects on psychopathology. Psychiatric Services. 2000 Sep;51(9):1190-a.
Bansal V, Goyal S, Srivastava K. Study of prevalence of depression in adolescent students of a public school. Industrial psychiatr J. 2009;18(1):43-6.
Mohanraj R, Subbaiah K. Prevalence of depressive symptoms among urban adolescents of South India. J Indian Assoc Child Adolescent Mental Health. 2010;6(2):33-43.
Jayanthi P, Thirunavukarasu M. Prevalence of depression among school going adolescents in South India. Int J Pharm Clin Res. 2015;7(1):61-3.
Vashisht A, Gadi NA, Singh J, Mukherjee MP, Pathak R, Mishra P. Prevalence of depression and assessment of risk factors among school going adolescents. Indian J Comm Health. 2014;26(2):196-9.
