A picture of Indian adolescent mental health: an analysis from three urban secondary schools
-
Katelyn N.G. Long
, Lisa H. Gren
, Paul M. Long , Rachel Jaggi , Srabani Banik und Nicole L. Mihalopoulos
Abstract
Purpose
Mental health disorders are a pressing issue among adolescents around the world, including in India. A better understanding of the factors related to poor mental health will allow for more effective and targeted interventions for Indian adolescents.
Methods
The Indian Adolescent Health Questionnaire (IAHQ), a validated questionnaire designed specifically for use in schools, was administered to approximately 1500 secondary students in three private urban Indian schools in 2012. The Strengths and Difficulties Questionnaire (SDQ) module assessed mental health. Linear regression was used to predict SDQ scores. The biopsychosocial framework was used as an organizing framework to understand how each explanatory variable in the final model might impact the SDQ score.
Results
One thousand four hundred and eight students returned IAHQ surveys (93.9% response rate); 1102 students completed questions for inclusion in the regression model (78.3% inclusion rate). Statistically significant (p < 0.05) independent variables associated with SDQ scores were gender, level of overall health, negative peer pressure, insults from peers, kindness of peers, feeling safe at home, at school, or with friends, and grades.
Discussion
Schools have a role to play in improving adolescent mental health. Many of the significant variables in our study can be addressed in the school environment through school-wide, long-term programs utilizing teachers and lay counselors. The IAHQ and SDQ can be used by schools to identify factors that contribute to poor mental health among students and then develop targeted programs to support improved mental health.
Acknowledgments
We are very grateful for the ongoing support of Mercy Hospital and Research Center throughout this entire study. We also thank each of the schools for their partnership in this study as well as the students, for sharing their time and experiences with us. Finally, we are indebted to Caitlin Walker for her excellent review of the literature during the early phases of this project.
-
Sources of funding: Basic project support was provided by University of Utah Study Abroad Scholarship to authors KNGL and PML.
-
Disclosure of potential conflicts: The authors have no conflicts of interests to declare.
-
Manuscript contributions: Authors KNGL, PML, LHG, NLM were involved in the design, execution, and oversight of the study. Authors KNGL, PML, and SB were involved in primary data collection. KNGL and LHG conducted statistical analysis. All authors contributed to the interpretation of data, authorship of the paper, and approved this version of the paper.
References
[1] Organization WH. Preamble to the constitution of the World Health Organization. New York, NY: World Health Organization, 1946.Suche in Google Scholar
[2] Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382:1575–86.10.1016/S0140-6736(13)61611-6Suche in Google Scholar
[3] Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C, et al. Global burden of disease in young people aged 10-24 years: a systematic analysis. Lancet. 2011;377:2093–102.10.1016/S0140-6736(11)60512-6Suche in Google Scholar
[4] Belfer ML. Child and adolescent mental disorders: the magnitude of the problem across the globe. J Child Psychol Psychiatry. 2008;49:226–36.10.1111/j.1469-7610.2007.01855.xSuche in Google Scholar
[5] Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry. 2007;6:168–76.Suche in Google Scholar
[6] Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Poulton R. Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry. 2003;60:709–17.10.1001/archpsyc.60.7.709Suche in Google Scholar
[7] UNICEF. Adolescence An Age of Opportunity. Communication. 2011. February 2011.Suche in Google Scholar
[8] Malhotra S, Patra BN. Prevalence of child and adolescent psychiatric disorders in India: a systematic review and meta-analysis. Child Adolesc Psychiatry Ment Health. 2014;8:22.10.1186/1753-2000-8-22Suche in Google Scholar
[9] Arun P, Chavan BS. Stress and suicidal ideas in adolescent students in Chandigarh. Indian J Med Sci. 2009;63:281–7.10.4103/0019-5359.55112Suche in Google Scholar
[10] Deb S, Chatterjee P, Walsh K. Anxiety among High School Students in India: comparisons across gender, school type, social strata and perceptions of quality time with parents. Australian J Educ Dev Psychol. 2010;10:18–31.Suche in Google Scholar
[11] Aaron R, Joseph A, Abraham S, Muliyil J, George K, Prasad J, et al. Suicides in young people in rural southern India. Lancet. 2004;363:1117–8.10.1016/S0140-6736(04)15896-0Suche in Google Scholar
[12] Sharma R, Grover VL, Chaturvedi S. Suicidal behavior amongst adolescent students in south Delhi. Ind J Psychiatry. 2008;50:30–3.10.4103/0019-5545.39756Suche in Google Scholar PubMed PubMed Central
[13] Solomon RJ, Solomon S, Toumbourou JW. Suicidal behaviour and correlates among young people in Mumbai, India. SSRN 2011 Available at: https://ssrn.com/abstract=1772705 or http://dx.doi.org/10.2139/ssrn.1772705.10.2139/ssrn.1772705Suche in Google Scholar
[14] Aggarwal S, Berk M. Evolution of adolescent mental health in a rapidly changing socioeconomic environment: a review of mental health studies in adolescents in India over last 10 years. Asian J Psychiatry. 2015;13:3–12.10.1016/j.ajp.2014.11.007Suche in Google Scholar PubMed
[15] Long KN, Long PM, Pinto S, Crookston BT, Gren LH, Mihalopoulos NL, et al. Development and validation of the Indian adolescent health questionnaire. J Tropic Pediatr. 2013;59:231–42.10.1093/tropej/fmt006Suche in Google Scholar
[16] Youthinmind. Strengths and Difficulties Questionnaire 2011; Available from: https://www.sdqinfo.org. May 2017.Suche in Google Scholar
[17] Borrell-Carrio F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med. 2004;2:576–82.10.1370/afm.245Suche in Google Scholar
[18] Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.10.1126/science.847460Suche in Google Scholar
[19] Bhola P, Rekha DP, Sathyanarayanan V, Daniel S, Thomas T. Self-reported suicidality and its predictors among adolescents from a pre-university college in Bangalore, India. Asian J Psychiatry. 2014;7:38–45.10.1016/j.ajp.2013.10.003Suche in Google Scholar
[20] Child EW. The Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030). New York, NY: United Nations, 2015.Suche in Google Scholar
[21] Patel V, Flisher AJ, Nikapota A, Malhotra S. Promoting child and adolescent mental health in low and middle income countries. J Child Psychol Psychiatry Allied Discipl. 2008;49:313–34.10.1111/j.1469-7610.2007.01824.xSuche in Google Scholar
[22] Janicke DM, Harman JS, Kelleher KJ, Zhang J. Psychiatric diagnosis in children and adolescents with obesity-related health conditions. J Dev Behav Pediatr. 2008;29:276–84.10.1097/DBP.0b013e31817102f8Suche in Google Scholar
[23] Pizzi MA, Vroman K. Childhood obesity: effects on children’s participation, mental health, and psychosocial development. Occup Ther Health Care. 2013;27:99–112.10.3109/07380577.2013.784839Suche in Google Scholar
[24] Rani M, Karunanidhi S, Basilea W. Risk and protective factors to depressive symptoms in school-going adolescents. J Indian Assoc Child Adolesc Ment Health. 2010;6:101–119.10.1177/0973134220100403Suche in Google Scholar
[25] Pillai A, Andrews T, Patel V. Violence, psychological distress and the risk of suicidal behaviour in young people in India. Int J Epidemiol. 2009;38:459–69.10.1093/ije/dyn166Suche in Google Scholar
[26] Cheng Y, Li X, Lou C, Sonenstein FL, Kalamar A, Jejeebhoy S, et al. The association between social support and mental health among vulnerable adolescents in five cities: findings from the study of the well-being of adolescents in vulnerable environments. J Adolesc Health. 2014;55:S31–8.10.1016/j.jadohealth.2014.08.020Suche in Google Scholar
[27] Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378:1515–25.10.1016/S0140-6736(11)60827-1Suche in Google Scholar
[28] Marshall BD, Astone N, Blum RW, Jejeebhoy S, Delany-Moretlwe S, Brahmbhatt H, et al. Social capital and vulnerable urban youth in five global cities. J Adolesc Health. 2014;55:S21–30.10.1016/j.jadohealth.2014.08.021Suche in Google Scholar
[29] Mosavel M, Ahmed R, Ports KA, Simon C. South African, urban youth narratives: resilience within community. Int J Adolesc Youth. 2015;20:245–55.10.1080/02673843.2013.785439Suche in Google Scholar
[30] Barry MM, Clarke AM, Jenkins R, Patel V. A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries. BMC Public Health. 2013;13:835.10.1186/1471-2458-13-835Suche in Google Scholar
[31] Fazel M, Patel V, Thomas S, Tol W. Mental health interventions in schools in low-income and middle-income countries. Lancet Psychiatry. 2014;1:388–98.10.1016/S2215-0366(14)70357-8Suche in Google Scholar
[32] Sangath. SHAPE: School Health Promotion and Empowerment. 2013. Available from: http://www.sangath.com/index.php. May 2016.Suche in Google Scholar
[33] Balaji M, Andrews T, Andrew G, Patel V. The acceptability, feasibility, and effectiveness of a population-based intervention to promote youth health: an exploratory study in Goa, India. J Adolesc Health. 2011;48:453–60.10.1016/j.jadohealth.2010.07.029Suche in Google Scholar PubMed PubMed Central
[34] Srikala B, Kishore KK. Empowering adolescents with life skills education in schools – School mental health program: does it work?. Indian J Psychiatry. 2010;52:344–9.10.4103/0019-5545.74310Suche in Google Scholar PubMed PubMed Central
[35] Dhoundiyal M, Venkatesh R. The psychological world of adolescence: a comparative evaluation between rural and urban girls. Indian J Psychol Med. 2009;31:35–8.10.4103/0253-7176.53313Suche in Google Scholar PubMed PubMed Central
[36] Malhotra S, Kohli A, Kapoor M, Pradhan B. Incidence of childhood psychiatric disorders in India. Indian J Psychiatry. 2009;51:101–7.10.4103/0019-5545.49449Suche in Google Scholar PubMed PubMed Central
©2019 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Editorial
- Adverse effects of stimulant medications in children and adolescents: focus on drug abuse
- Short Communication
- Adolescent and parent perspectives prior to involvement in a Fontan transition program
- Reviews
- Adolescent suicide as a global public health issue
- (Health-related) quality of life and psychosocial factors in adolescents with chronic disease: a systematic literature review
- Original Articles
- Clustering of chronic diseases risk factors among adolescents: a quasi-experimental study in Sousse, Tunisia
- Blood, joy and tears: menarche narratives of undergraduate females in a selected in Nigeria Private University
- Renal lymphangiectasia treated with percutaneous drainage and sclerotherapy
- Trichotillomania in celiac disease patient refractory to iron replacement
- Metabolic syndrome in Iranian adolescents with polycystic ovary syndrome
- Looks can be deceiving: body image dissatisfaction relates to social anxiety through fear of negative evaluation
- Excessive exercise among adolescents with eating disorders: examination of psychological and demographic variables
- Diet quality of adolescents with eating disorders
- A picture of Indian adolescent mental health: an analysis from three urban secondary schools
- From child to grown up in a medical world: developing an adolescent transition programme at a Norwegian University hospital
- Household food insecurity and its association with morbidity report among school adolescent in Jimma zone, Ethiopia
- The effects of introducing Tabata interval training and stability exercises to school children as a school-based intervention program
Artikel in diesem Heft
- Editorial
- Adverse effects of stimulant medications in children and adolescents: focus on drug abuse
- Short Communication
- Adolescent and parent perspectives prior to involvement in a Fontan transition program
- Reviews
- Adolescent suicide as a global public health issue
- (Health-related) quality of life and psychosocial factors in adolescents with chronic disease: a systematic literature review
- Original Articles
- Clustering of chronic diseases risk factors among adolescents: a quasi-experimental study in Sousse, Tunisia
- Blood, joy and tears: menarche narratives of undergraduate females in a selected in Nigeria Private University
- Renal lymphangiectasia treated with percutaneous drainage and sclerotherapy
- Trichotillomania in celiac disease patient refractory to iron replacement
- Metabolic syndrome in Iranian adolescents with polycystic ovary syndrome
- Looks can be deceiving: body image dissatisfaction relates to social anxiety through fear of negative evaluation
- Excessive exercise among adolescents with eating disorders: examination of psychological and demographic variables
- Diet quality of adolescents with eating disorders
- A picture of Indian adolescent mental health: an analysis from three urban secondary schools
- From child to grown up in a medical world: developing an adolescent transition programme at a Norwegian University hospital
- Household food insecurity and its association with morbidity report among school adolescent in Jimma zone, Ethiopia
- The effects of introducing Tabata interval training and stability exercises to school children as a school-based intervention program