Sharma Krishan Kumar, Meena Parth Singh, Jhilowa Charan Singh, Jhanwar Shubham, Rohilla Jitendra, Tak Pinki, Jain Mahendra
Central Jail, Ajmer, Rajasthan, India.
Department of Psychiatry, Jawaharlal Nehru Medical College, Ajmer, Rajasthan, India.
J Educ Health Promot. 2021 Aug 31;10:283. doi: 10.4103/jehp.jehp_1281_20. eCollection 2021.
Various kinds of stressors and psychological problems have been reported in the adolescent student population. This study assessed and compared depression, anxiety, and various coping styles among high school students attending coaching classes for medical entrance examination (MEE) and those not.
Systemic random sampling technique was used to recruit 400 high school students with equal number of those attending (Group 1) and those not attending any coaching class for MEE (Group 2). They underwent screening for depression and anxiety through Patient Health Questionnaire-9 and Generalized Anxiety Disorder 7-item. Coping styles were assessed through brief COPE inventory. Screening positive subjects were assessed in detail by a psychiatrist using ICD-10 (International Classification of Diseases 10 Revision), Diagnostic Criteria for Research (DCR). The severity of depression and anxiety was measured through HAM-D and HAM-A, respectively.
Depression and anxiety were reported by higher proportion of Group 1 (36%) than Group 2 (22%), (1) = 9.52; = 0.002. In both the groups, depressive disorder was the most common, followed by generalised anxiety-disorder and mixed anxiety-depression. The severity of depression (HAM-D score) and anxiety (HAM-A Score) was significantly more Group 1. "Active coping" ( = 4.79 = 0.02) and "Humor" ( = 30.90, ≤ 0.01) were more commonly used by healthy students, while "Religious coping" ( = 37.92 ≤ 0.01) were the most common among those diagnosed with depression/anxiety disorder.
Higher prevalence of the psychological problems in adolescent school students preparing for MEE highlights the importance of aptitude assessment, career counseling, and school mental health program before their exposure to the competitive academic atmosphere.
据报道，青少年学生群体中存在各种压力源和心理问题。本研究评估并比较了参加医学入学考试辅导班的高中生与未参加辅导班的高中生的抑郁、焦虑及各种应对方式。
采用系统随机抽样技术招募400名高中生，其中参加医学入学考试辅导班的学生（第1组）和未参加任何医学入学考试辅导班的学生（第2组）人数相等。他们通过患者健康问卷-9和广泛性焦虑障碍7项量表进行抑郁和焦虑筛查。通过简易应对方式问卷评估应对方式。筛查呈阳性的受试者由精神科医生使用国际疾病分类第10版研究诊断标准（ICD-10）进行详细评估。分别通过汉密尔顿抑郁量表（HAM-D）和汉密尔顿焦虑量表（HAM-A）测量抑郁和焦虑的严重程度。
第1组（36%）报告抑郁和焦虑的比例高于第2组（22%），（1）=9.52；=0.002。在两组中，抑郁症最为常见，其次是广泛性焦虑症和混合性焦虑抑郁。第1组的抑郁严重程度（HAM-D评分）和焦虑严重程度（HAM-A评分）明显更高。健康学生更常使用“积极应对”（=4.79，=0.02）和“幽默”（=30.90，≤0.01），而“宗教应对”（=37.92，≤0.01）在被诊断为抑郁/焦虑障碍的学生中最为常见。
准备医学入学考试的青少年学生中心理问题的较高患病率凸显了在他们接触竞争激烈的学术氛围之前进行能力评估、职业咨询和学校心理健康计划的重要性。
