COVID-19 Pandemic Increases the Risk of Anxiety and Depression among Adolescents: A Cross-Sectional Study in Rural West Bengal, India.

IF 2.9 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Amal K Mitra, Sinjita Dutta, Aparajita Mondal, Mamunur Rashid
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Abstract

About 14% of adolescents experience mental illnesses globally. The rate increased after the COVID-19 pandemic. This study aimed to estimate the prevalence of COVID-related major mental illnesses (depression and anxiety) and their predictors among adolescents. This community-based cross-sectional study was conducted among 350 adolescents aged 10-19 years, recruited from rural communities in West Bengal, India. The study areas included 27 subcenters in the Budge Budge II Block, which comprised 191,709 population and 45,333 households. Data were collected from randomly selected households by trained research assistants through house-to-house interviews. Pretested standardized questionnaires, Patient Health Questionnaire (PHQ) for depression, Generalized Anxiety Disorder (GAD) for anxiety, and a demographic questionnaire were used for data collection. The prevalence of anxiety was 35.7% (125 out of 350), and the prevalence of depression was 30.0% (105 out of 350). Females had significantly higher scores of anxiety (6.67 ± 4.76 vs. 3.42 ± 3.17, respectively, p < 0.001) and depression (5.51 ± 4.99 vs. 3.26 ± 3.86, respectively, p < 0.001) compared to males. Adolescents who had COVID-19 cases or deaths in the family had significantly higher scores of anxiety and depression compared to those who did not have these events. In multivariate analysis, the statistically significant predictors of anxiety were COVID-19 death in the family, COVID-19 cases in the family, female gender, and a lower income group (p < 0.001 for all). For depression, the significant predictors included COVID-19 death in the family, COVID-19 cases in the family, female gender, a lower income group, and a higher age group in adolescents (p < 0.001 for all). Based on the study results, we recommend that immediate attention is needed for adolescents' mental health support and coping with stresses following COVID-19.

COVID-19 大流行增加了青少年焦虑和抑郁的风险:印度西孟加拉邦农村地区的一项横断面研究。
全球约有 14% 的青少年患有精神疾病。这一比例在 COVID-19 大流行后有所上升。本研究旨在估算与 COVID 相关的主要精神疾病(抑郁症和焦虑症)在青少年中的患病率及其预测因素。这项基于社区的横断面研究从印度西孟加拉邦的农村社区招募了 350 名 10-19 岁的青少年。研究地区包括 Budge Budge II 区的 27 个分中心,共有 191 709 人和 45 333 户家庭。数据由训练有素的研究助理通过挨家挨户访谈的方式从随机抽取的家庭中收集。收集数据时使用了经过预先测试的标准化问卷、抑郁症患者健康问卷(Patient Health Questionnaire,PHQ)、焦虑症患者广泛焦虑症问卷(Generalized Anxiety Disorder,GAD)以及人口统计学问卷。焦虑症患病率为 35.7%(350 人中有 125 人),抑郁症患病率为 30.0%(350 人中有 105 人)。与男性相比,女性的焦虑(6.67 ± 4.76 vs. 3.42 ± 3.17,p < 0.001)和抑郁(5.51 ± 4.99 vs. 3.26 ± 3.86,p < 0.001)得分明显更高。与没有发生过 COVID-19 病例或死亡事件的青少年相比,发生过 COVID-19 病例或死亡事件的青少年的焦虑和抑郁得分明显更高。在多变量分析中,具有统计学意义的焦虑预测因素包括家庭中的 COVID-19 死亡病例、家庭中的 COVID-19 病例、女性性别和较低收入群体(所有因素的 p 均小于 0.001)。抑郁症的重要预测因素包括:家庭中的 COVID-19 死亡病例、家庭中的 COVID-19 病例、女性性别、较低收入群体和较高年龄段的青少年(所有因素的 p 均小于 0.001)。根据研究结果,我们建议应立即关注青少年在 COVID-19 之后的心理健康支持和压力应对。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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