Sahoo Saddichha, Khess Christoday R J
Department of Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, India.
J Nerv Ment Dis. 2010 Dec;198(12):901-4. doi: 10.1097/NMD.0b013e3181fe75dc.
The lifetime prevalence of depression, anxiety, and stress among adolescents and young adults around the world is currently estimated to range from 5% to 70%, with an Indian study reporting no depression among college going adolescents. This cross-sectional study was conducted to determine prevalence of current depressive, anxiety, and stress-related symptoms on a Dimensional and Categorical basis among young adults in Ranchi city of India. A stratified sample of 500 students was selected to be representative of the city's college going population (n = 50,000) of which 405 were taken up for final analysis. Data were obtained using Depression, Anxiety, and Stress Scale to assess symptoms on dimensional basis and using Mini International Neuropsychiatric Interview to diagnose on categorical basis. Mean age of students was 19.3 years with an average education of 14.7 years. Ranging from mild to extremely severe, depressive symptoms were present in 18.5% of the population, anxiety in 24.4%, and stress in 20%. Clinical depression was present in 12.1% and generalized anxiety disorder in 19.0%. Comorbid anxiety and depression was high, with about 87% of those having depression also suffering from anxiety disorder. Detecting depressive, anxiety, and stress-related symptoms in the college population is a critical preventive strategy, which can help in preventing disruption to the learning process. Health policies must integrate young adults' depression, stress, and anxiety as a disorder of public health significance.
目前估计,全球青少年和青年中抑郁症、焦虑症和压力症的终生患病率在5%至70%之间,一项印度研究报告称,上大学的青少年中没有抑郁症患者。这项横断面研究旨在确定印度兰契市青年中当前抑郁、焦虑和压力相关症状在维度和分类基础上的患病率。选取了500名学生的分层样本,以代表该市上大学的人群(共50000人),其中405人纳入最终分析。使用抑郁、焦虑和压力量表在维度基础上评估症状,并使用迷你国际神经精神访谈在分类基础上进行诊断。学生的平均年龄为19.3岁,平均受教育年限为14.7年。从轻度到极其严重,18.5%的人群存在抑郁症状,24.4%存在焦虑症状,20%存在压力症状。临床抑郁症的患病率为12.1%,广泛性焦虑症的患病率为19.0%。焦虑和抑郁共病的情况很严重,约87%的抑郁症患者同时患有焦虑症。在大学生群体中检测抑郁、焦虑和压力相关症状是一项关键的预防策略,有助于防止学习过程受到干扰。卫生政策必须将青年的抑郁、压力和焦虑作为具有公共卫生意义的疾病纳入其中。