Mishra Shailendra Kumar, Srivastava Mona, Tiwary Narendra K, Kumar Abhinit
Department of Medicine, M.L.N. Medical College, Allahabad, Uttar Pradesh, India.
Department of Psychiatry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
J Family Med Prim Care. 2018 Jan-Feb;7(1):21-26. doi: 10.4103/jfmpc.jfmpc_248_17.
Psychiatric morbidity in children and adolescents is a major concern as they become more complex and intense with children's transition into adolescence.
The aim of this study is to assess and compare the prevalence of depression and anxiety among children residing in rural and suburban area of eastern Uttar Pradesh and understand the burden of these problems in our society.
Children, in the age group 11-18 years, were divided into 2 groups: Group I - 100 children from rural area Tikri; Group II - 100 children from suburban area Sunderpur. Their sociodemographic details were recorded. Children's Depression Inventory and Revised Children's Manifest Anxiety Scale were used to screen for depression and anxiety in children, respectively. The final diagnosis was done using present state examination in accordance with International Classification of Mental and Behavioral Disorders 10. Data were statistically analyzed using Chi-square test.
The prevalence of depression was found to be 14.5% while that of anxiety disorder was found to be 15%. There was no significant difference in the prevalence of depression or anxiety in rural and suburban areas ( > 0.05). Depression and anxiety were more prevalent in middle adolescence, in females, and in lower-middle socioeconomic group. Depression was more prevalent in the students of class 9 -12, whereas anxiety was more in students of lower classes. Depression was more prevalent in joint families. These differences show some important trends regarding factors affecting these problems.
This study yields useful information which could be of use in early management of psychiatric disorders present in the community and prevent their development into chronic disorders.
随着儿童向青少年过渡，儿童和青少年的精神疾病愈发复杂和严重，这成为一个主要关注点。
本研究旨在评估和比较居住在印度北方邦东部农村和郊区的儿童中抑郁症和焦虑症的患病率，并了解这些问题在我们社会中的负担情况。
将11至18岁的儿童分为两组：第一组——来自农村地区蒂克里的100名儿童；第二组——来自郊区桑德布尔的100名儿童。记录他们的社会人口学详细信息。分别使用儿童抑郁量表和修订版儿童显性焦虑量表对儿童的抑郁症和焦虑症进行筛查。根据《国际疾病分类第10版：精神与行为障碍分类》，通过现况检查做出最终诊断。数据采用卡方检验进行统计学分析。
发现抑郁症患病率为14.5%，而焦虑症患病率为15%。农村和郊区抑郁症或焦虑症的患病率没有显著差异（P>0.05）。抑郁症和焦虑症在青春期中期、女性以及社会经济地位较低的中等阶层中更为普遍。抑郁症在9至12年级的学生中更为普遍，而焦虑症在低年级学生中更为常见。抑郁症在大家庭中更为普遍。这些差异显示了影响这些问题的因素的一些重要趋势。
本研究产生了有用的信息，可用于社区中精神疾病的早期管理，并防止其发展为慢性疾病。
