1. Common mental disorders among adolescents in an urban area of Delhi.
- Author
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Ahmad, Aftab, Salve, Harshal Ramesh, Nongkynrih, Baridalyne, Sagar, Rajesh, and Krishnan, Anand
- Subjects
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PSYCHIATRIC epidemiology , *MENTAL illness risk factors , *RISK assessment , *CROSS-sectional method , *HEALTH literacy , *SOCIAL media , *STRESS management , *BEHAVIOR modification , *SEX distribution , *SMOKING , *INTERVIEWING , *LOGISTIC regression analysis , *SOCIOECONOMIC status , *ANXIETY , *MULTIVARIATE analysis , *ODDS ratio , *PSYCHOLOGICAL stress , *METROPOLITAN areas , *RESEARCH methodology , *HEALTH behavior , *CONFIDENCE intervals , *MENTAL depression , *SOCIAL classes , *ADOLESCENCE - Abstract
Background: Common mental disorders (CMDs) among adolescents may hamper their psycho-social development. Aim: This study evaluated the prevalence and determinants of CMD like depression and anxiety among late adolescents of an age of 15-19 years residing in an urban resettlement colony of southeast Delhi. Methods: A community-based cross-sectional study was carried out among 556 randomly selected adolescents. CMD was assessed using Mini International Neuropsychiatry Interview -- Kid version 6 (MINI-Kid) based on DSM-IV TR and compliant with ICD-10 definitions of CMD. The associated risk factors were studied using a self-developed semi-structured interview schedule and analyzed using multi-variable logistic regression. Results: A total of 491 adolescents were interviewed (a response rate of 88.3%), of whom 247 (50.3%) were female and 210 (42.8%) belonged to a lower-middle socio-economic status. The lifetime prevalence of CMD was 34% [95% confidence interval (CI): 29.8-38.2]. Of the total, 22.4% (95% CI: 18.7-6.1) of the participants reported depression and 6.7% (95% CI: 4.5-8.9) reported generalized anxiety disorder during their lifetime. Female sex [adjusted odds ratio (aOR) 2.1, 95% CI: 1.4-2.2], experiencing a stressful event in the past 6 months (aOR 4.7, 95% CI: 3.1-7.3), and smoking tobacco (aOR 2.0, 95% CI: 1.2-7.4) significantly increased the odds of having CMD in multi-variate analysis. Conclusion: There is a high prevalence of CMD among adolescents residing in urban resettlement colonies of Delhi, which is composed mostly of people belonging to lower socio-economic strata. Hence, tailored intervention at stress management with promotion of healthy lifestyle is needed for this age group. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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