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印度青少年的焦虑、压力、抑郁及社会心理功能

Anxiety, stress, depression, and psychosocial functioning of Indian adolescents.

作者信息

Singh Kamlesh, Junnarkar Mohita, Sharma Soumya

机构信息

Department of Humanities and Social Sciences, Indian Institute of Technology Delhi, New Delhi, India.

出版信息

Indian J Psychiatry. 2015 Oct-Dec;57(4):367-74. doi: 10.4103/0019-5545.171841.

Abstract

BACKGROUND

Lifetime prevalence of depression and anxiety increases from 1% of the population under age 12 years to ~17%-25% of the population by the end of adolescence. The greatest increase in new cases occurs between 15-18 years. Indian empirical studies have reported a prevalence of psychiatric morbidity in the range between 14.4% and 31.7%; thus, affecting psychosocial functioning.

AIMS

The objectives of the current study were to (i) examine the psychometric properties of the DASS and SDQ on Indian adolescents, (ii) explore the role of socio- demographic variablesand (iii) examine if there was any difference between school going and school dropouts.

METHODOLOGY

Data from 1812 students, aged 12-19 years was collected with mean age = 15.67 years (SD =1.41 years). The participants were administered a booklet containing demographic questionnaire and psychometric scales such as DASS-21 (Henry & Crawford, 2005; Lovibond & Lovibond, 1999) and Strengths and Difficulties Questionnaire (Goodman, 1997).

STATISTICAL ANALYSIS

Structure validation, correlational analysis and multivariate analysis.

RESULTS AND CONCLUSIONS

The results of validation indicated that English and Hindi version of 3 factor model of DASS and 2 factor model of SDQ was an acceptable model fit. It was noted that early adolescents were high on prosocial behaviour whereas late adolescents were high on difficulties score. Females were higher than males on prosocial behaviour. Adolescents residing in rural areas differed from their urban counterparts on prosocial behaviour and anxiety. Government school going adolescents differed from private school going adolescents on prosocial behaviour, stress and anxiety. Negative perception of relationship with family affected adolescents difficulties score, depression and stress. Similarly, negative perception of self-concept leads to higher difficulties score and lower prosocial behaviour score. The school going adolescents differed from non-school going adolescents on stress, depression and anxiety.

摘要

背景

抑郁症和焦虑症的终生患病率从12岁以下人群中的1%增加到青春期结束时的约17%-25%。新病例增加最多的年龄段在15-18岁之间。印度的实证研究报告称,精神疾病的患病率在14.4%至31.7%之间;因此,影响了心理社会功能。

目的

本研究的目的是:(i)检验抑郁焦虑压力量表(DASS)和长处与困难问卷(SDQ)在印度青少年中的心理测量特性;(ii)探讨社会人口统计学变量的作用;(iii)研究在校青少年和辍学者之间是否存在差异。

方法

收集了1812名年龄在12-19岁之间的学生的数据,平均年龄为15.67岁(标准差=1.41岁)。参与者被发放了一本包含人口统计学问卷和心理测量量表的小册子,如抑郁焦虑压力量表-21(亨利和克劳福德,2005年;洛维邦德和洛维邦德,1999年)以及长处与困难问卷(古德曼,1997年)。

统计分析

结构验证、相关分析和多变量分析。

结果与结论

验证结果表明,抑郁焦虑压力量表的三因素模型和长处与困难问卷的两因素模型的英语和印地语版本具有可接受的模型拟合度。研究发现,早期青少年的亲社会行为得分较高,而晚期青少年的困难得分较高。女性在亲社会行为方面高于男性。居住在农村地区的青少年在亲社会行为和焦虑方面与城市青少年不同。就读于政府学校的青少年在亲社会行为、压力和焦虑方面与就读于私立学校的青少年不同。对家庭关系的负面认知会影响青少年的困难得分、抑郁和压力。同样,对自我概念的负面认知会导致更高的困难得分和更低的亲社会行为得分。在校青少年在压力、抑郁和焦虑方面与非在校青少年不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fc/4711236/511be40d9c3a/IJPsy-57-367-g003.jpg

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