Jha Kunal Kishor, Singh Satyajeet Kumar, Nirala Santosh Kumar, Kumar Chandramani, Kumar Pragya, Aggrawal Neeraj
Geisinger Medical Center, Danville, PA 17822, USA.
Department of Psychiatry and Community Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.
Indian J Psychol Med. 2017 May-Jun;39(3):287-292. doi: 10.4103/0253-7176.207326.
Depression is one of the under-recognized health problems in adolescents. Emotional instability resulted from childhood to adulthood transition makes adolescents vulnerable to depression.
The aim of the study was to explore the prevalence of depression and its associated sociodemographic factors among school-going adolescents.
This cross-sectional study was undertaken from January 2016 to June 2016 in adolescents studying in 9-12 standard from forty schools located in an urban area of Patna, Bihar. The self-administered questionnaire of Beck's Depression Inventory II was utilized to assess the prevalence of depression. Statistical analysis was done with Pearson's Chi-square test using SPSS software version 21.0.
Among the 1412 selected students, the prevalence of depression was found to be 49.2%, wherein the prevalence of severe depression was 7.7%. The overall prevalence of depression was significantly ( < 0.001) higher among girls (55.1%) than boys (45.8%). The prevalence of depression was found to be higher among students belonging to minorities (Buddhism, Jainism, etc.) (63.3%, < 0.001). Elder students were found to be more depressed than younger students. Depression was found to be statistically significantly associated with gender and religion ( < 0.005). Guilty feeling (69.48%) was one of the most prominent clinical factors associated with depression followed by pessimism (58.14%), sadness (56.52%), and past failure (55.81%).
Mental health is one of the most neglected aspects of our society. There is a need to increase awareness about depression among teachers and parents to identify and help depressed adolescents in the school.
抑郁症是青少年中未得到充分认识的健康问题之一。从童年到成年的过渡所导致的情绪不稳定使青少年易患抑郁症。
本研究旨在探讨在校青少年中抑郁症的患病率及其相关的社会人口学因素。
本横断面研究于2016年1月至2016年6月在比哈尔邦巴特那市区40所学校9至12年级的青少年中进行。采用贝克抑郁量表第二版自填问卷评估抑郁症患病率。使用SPSS 21.0软件进行Pearson卡方检验统计分析。
在1412名选定的学生中,抑郁症患病率为49.2%,其中重度抑郁症患病率为7.7%。女孩(55.1%)的抑郁症总体患病率显著高于男孩(45.8%)(<0.001)。属于少数群体(佛教、耆那教等)的学生中抑郁症患病率较高(63.3%,<0.001)。年长学生比年轻学生更易抑郁。抑郁症在统计学上与性别和宗教显著相关(<0.005)。内疚感(69.48%)是与抑郁症相关的最突出临床因素之一,其次是悲观情绪(58.14%)、悲伤(56.52%)和过去的失败(55.81%)。
心理健康是我们社会最被忽视的方面之一。有必要提高教师和家长对抑郁症的认识,以便在学校识别并帮助抑郁的青少年。