Prevalence and Correlates of Depressive and Generalised Anxiety Symptoms Among Female Adolescents in Nepal: Results of a Cross-sectional National Population-Based Survey in 2022

IF 1.4 4区 医学 Q2 SOCIAL WORK
Karl Peltzer, Supa Pengpid
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Abstract

The aim of this study was to assess the prevalence and associated factors of major depressive disorder symptoms (MDDs) and generalized anxiety disorder symptoms (GADs) among female adolescents in Nepal. In a national cross-sectional population-based survey of female adolescents (N = 1379; 15–19 years) in Nepal, MDDs was assessed with the PHQ-9 and GADs with the GAD-7. Logistic and Poisson regression were used to estimate predictors of MDDs and GADs. The prevalence of MDDs was 7.8% (4.5% with a cut-off of ≥ 10 scores), and the prevalence of GADs was 13.4% (5.6% with a cut-off of ≥ 10 scores). In multivariable models, older age (17–19 years), higher education, greater wealth status, poor self-rated health status, genital sore or ulcer, currently pregnant, pregnancy loss, alcohol use, and early sexual debut were positively associated with MDDs and/or MDD scores. Older age, greater wealth status, living in the Terai region, poor self-rated health status, current alcohol use, pregnancy loss, big problem with getting permission for medical help were positively associated with GADs and/or GAD scores. About one in ten female adolescents report MDDs or GADs, and several associated factors were identified which can be targeted in mental health interventions in this population.

尼泊尔女性青少年抑郁症和广泛焦虑症的患病率及其相关因素:2022 年全国人口横断面调查结果
本研究旨在评估尼泊尔女性青少年中重度抑郁症状(MDDs)和广泛性焦虑症状(GADs)的患病率和相关因素。在一项针对尼泊尔女性青少年(N = 1379;15-19 岁)的全国性横断面人群调查中,重性抑郁症状采用 PHQ-9 进行评估,广泛性焦虑症状采用 GAD-7 进行评估。采用逻辑回归和泊松回归估计多发性抑郁症和严重心理障碍的预测因素。MDD 患病率为 7.8%(≥10 分时为 4.5%),GAD 患病率为 13.4%(≥10 分时为 5.6%)。在多变量模型中,年龄较大(17-19 岁)、教育程度较高、财富状况较好、自评健康状况较差、生殖器疼痛或溃疡、目前怀孕、怀孕失败、酗酒和初次性行为较早与 MDD 和/或 MDD 评分呈正相关。年龄较大、财富状况较好、居住在德赖地区、自评健康状况较差、目前酗酒、怀孕失败、在获得医疗帮助许可方面存在较大问题与严重心理障碍和/或严重心理障碍得分呈正相关。大约每十名女性青少年中就有一人报告患有抑郁性精神障碍或紧张性精神障碍,研究还发现了一些相关因素,这些因素可以作为对这一人群进行心理健康干预的目标。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
89
期刊介绍: The Child and Adolescent Social Work Journal (CASW) features original articles that focus on social work practice with children, adolescents, and their families. Topics include issues affecting a variety of specific populations in special settings.  CASW welcomes a range of scholarly contributions focused on children and adolescents, including theoretical papers, narrative case studies, historical analyses, traditional reviews of the literature, descriptive studies, single-system research designs, correlational investigations, methodological works, pre-experimental, quasi-experimental and experimental evaluations, meta-analyses and systematic reviews. Manuscripts involving qualitative, quantitative, and mixed methods are welcome to be submitted, as are papers grounded in one or more theoretical orientations, or those that are not based on any formal theory. CASW values different disciplines and interdisciplinary work that informs social work practice and policy. Authors from public health, nursing, psychology, sociology, and other disciplines are encouraged to submit manuscripts. All manuscripts should include specific implications for social work policy and practice with children and adolescents. Appropriate fields of practice include interpersonal practice, small groups, families, organizations, communities, policy practice, nationally-oriented work, and international studies.  Authors considering publication in CASW should review the following editorial: Schelbe, L., & Thyer, B. A. (2019). Child and Adolescent Social Work Journal Editorial Policy: Guidelines for Authors. Child and Adolescent Social Work Journal, 36, 75-80.
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