Parida Darshan, Khardenavis Archit, Pattanayak Swaha, Nagaraj Subba Krishna, Rupani Ashlesh, Yadav Sushma, Singhal Kritika, Joshi Ankur, Prasad Pankaj
Community Medicine, Index Medical College, Hospital and Research Centre, Indore, IND.
Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, IND.
Cureus. 2025 Apr 29;17(4):e83186. doi: 10.7759/cureus.83186. eCollection 2025 Apr.
Adolescence is a critical developmental stage marked by physical, emotional, and psychological changes, making individuals vulnerable to mental health challenges, particularly anxiety. Anxiety during adolescence can significantly impact daily functioning, school performance, and relationships. In India, the prevalence of anxiety among adolescents is rising, exacerbated by academic pressures, social expectations, and limited mental health services. This study aimed to assess the prevalence of anxiety among school-going adolescents in Bhopal and to identify the associated factors.
A community-based cross-sectional study was conducted from May 2019 to May 2021 among 1,500 adolescents aged 14-19 years who attended secondary and higher secondary schools in urban Bhopal, Madhya Pradesh, India. Multistage cluster sampling was used, and data were collected using the Depression, Anxiety, and Stress Scale (DASS-42), with a focus on the anxiety subscale. Statistical analyses, including descriptive statistics, chi-square tests, and logistic regression, were conducted to determine associations between anxiety levels and various demographic and socioeconomic factors using R software version 4.1.0 (R Foundation for Statistical Computing, Vienna, Austria, https://www.R-project.org/).
The study found that 749 (53%) of adolescents experienced some level of anxiety. Among them, 150 (10.6%) had mild anxiety, 304 (21.5%) had moderate anxiety, 195 (13.8%) had severe anxiety, and 100 (7.1%) had extremely severe anxiety. No significant associations were found between anxiety and factors such as age, gender, or screen time. However, a statistically significant association was observed with the father's occupation, where adolescents whose fathers were engaged in government or private services exhibited higher levels of anxiety (p = 0.007). Regression analysis revealed that gender, frequency of outdoor activities, and father's education level were not significantly associated with anxiety. However, paternal occupation showed significant effects, with participants whose fathers were in jobs other than business having lower odds of anxiety.
Anxiety is highly prevalent among school-going adolescents in Bhopal, with the father's occupation being a significant determinant. Early identification and interventions involving both parents and teachers are crucial to addressing anxiety in adolescents. Schools should promote emotional well-being by establishing support systems and fostering open discussions about mental health.
青春期是一个关键的发育阶段，其特征是身体、情感和心理上的变化，这使得个体容易受到心理健康挑战，尤其是焦虑症的影响。青春期的焦虑会对日常功能、学业成绩和人际关系产生重大影响。在印度，青少年焦虑症的患病率正在上升，学业压力、社会期望和有限的心理健康服务加剧了这一情况。本研究旨在评估博帕尔市在校青少年中焦虑症的患病率，并确定相关因素。
2019年5月至2021年5月，在印度中央邦博帕尔市市区的1500名14 - 19岁的青少年中进行了一项基于社区的横断面研究，这些青少年就读于初中和高中。采用多阶段整群抽样，并使用抑郁、焦虑和压力量表（DASS - 42）收集数据，重点关注焦虑分量表。使用R软件版本4.1.0（R统计计算基金会，奥地利维也纳，https://www.R - project.org/）进行统计分析，包括描述性统计、卡方检验和逻辑回归，以确定焦虑水平与各种人口统计学和社会经济因素之间的关联。
研究发现，749名（53%）青少年经历了某种程度的焦虑。其中，150名（10.6%）有轻度焦虑，304名（21.5%）有中度焦虑，195名（13.8%）有重度焦虑，100名（7.1%）有极重度焦虑。未发现焦虑与年龄、性别或屏幕使用时间等因素之间存在显著关联。然而，观察到与父亲职业存在统计学上的显著关联，父亲从事政府或私人服务工作的青少年表现出更高水平的焦虑（p = 0.007）。回归分析显示，性别、户外活动频率和父亲的教育水平与焦虑无显著关联。然而，父亲的职业显示出显著影响，父亲从事非商业工作的参与者焦虑的几率较低。
焦虑症在博帕尔市的在校青少年中非常普遍，父亲的职业是一个重要的决定因素。早期识别以及涉及家长和教师的干预对于解决青少年的焦虑问题至关重要。学校应通过建立支持系统和促进关于心理健康的公开讨论来促进情绪健康。
