ADad 3: The Epidemiology of Anxiety Disorders Among Adolescents in a Rural Community Population in India

Nair, M. K. C.; Russell, Paul Swamidhas Sudhakar; Mammen, Priya; Chandran, Rabin; Krishnan, Raman; Nazeema, Suma; Chembagam, Neethu; Peter, Devakumari

doi:10.1007/s12098-013-1097-5

Cited by 23 publications

(28 citation statements)

References 29 publications

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“…[2] The prevalence was higher among females than males in this study which is similar to the findings of the other studies with a range of 9.6-16.5%. [1,4,7] The incidence of social anxiety in the sample of the population of school going children under the age group 14-17 years to be 10.3% by liebowitz social anxiety scale. [4] The age distribution clearly showed that the level of social anxiety was higher in children in their early teens, standing at 11.9% in 14 years old, 17.0% in 15 years, 6.4% in 16 years, and 0% in 17 years old children (P < 0.05) and similar observation was found in our study.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of social anxiety disorder and its determinants in school going adolescents in rural population of Ramnagara district

Singh‐Manoux¹,

Prasad²,

Jabeen³

2017

Int J Med Sci Public Health

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Section: Discussionmentioning

confidence: 99%

“…This community-based, cross-sectional, and descriptive study was conducted in the month of August 2016 among the school children studying [6][7][8][9][10] th standard from randomly selected six schools in Sathanur, Hobli of Ramnagara district. The schools were three government and three privately owned.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of social anxiety disorder and its determinants in school going adolescents in rural population of Ramnagara district

Singh‐Manoux¹,

Prasad²,

Jabeen³

2017

Int J Med Sci Public Health

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“…Epidemiological studies across the world have reported the prevalence of anxiety disorder ranging from 2 to 24% with the median prevalence rate of 8% [3–5]. Epidemiological studies from India report a prevalence ranging from 4 to 14.4% [6, 7].…”

Section: Introductionmentioning

confidence: 99%

Favourable short-term course and outcome of pediatric anxiety spectrum disorders: a prospective study from India

Kothiyal

Girimaji

Seshadri

et al. 2019

Child Adolesc Psychiatry Ment Health

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Background Although anxiety disorders are the most prevalent psychiatric disorders among children and adolescents, there is a paucity of research on the course and outcome of anxiety spectrum disorders in low and middle-income countries. Methods 60 children and adolescents aged 6–16 years with anxiety spectrum disorders attending the child and adolescent psychiatry department in a tertiary care center from India were included after taking written informed consent and assent in this prospective study conducted between April 2012 to May 2014. Assessments were done at baseline, 12 weeks and 24 weeks using pediatric anxiety rating scale, clinical global impression-severity, clinical global assessment scale and pediatric quality of life scale; MINI-KID (version 6.0) was used to examine remission status. Results Mean age of children was 12.68 years and mean duration of illness was 34.52 months. Follow-up rate at 24 weeks was 80% with a remission rate of 64.6%. Socio-demographic factors did not affect the baseline severity or course and outcome measures. Children with greater baseline severity and social phobia had a less favorable outcome at 24 weeks. Improvements made in the initial 12 weeks were maintained at 24 weeks follow up. These findings are in line with earlier studies from high-income countries. Limitations Small sample size, attrition, rater bias. Conclusion The study has shown a favorable outcome in children and adolescents with anxiety spectrum disorders receiving treatment-as-usual in a tertiary care setting. Adolescents who present with greater severity, comorbid with other anxiety disorders and depression at baseline require intensive intervention, and long-term follow up. There is a need for interventional research with specific focus on universal preventive programs for anxiety spectrum disorders that are feasible for delivery in low and middle-income countries.

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“…Comparably, in India, a meta-analysis of 13 psychiatric epidemiological studies (N=33,572) conducted in urban and rural India across all age groups yielded an estimated prevalence rate of 5.8% for GAD [ 4 ]. Similarly, Nair et al [ 5 ] found a 6.6% prevalence of GAD among adolescents in India. In Indian universities, in particular, Sahoo and Khess [ 6 ] found a 19% prevalence of GAD in 405 young male university students.…”

Section: Introductionmentioning

confidence: 90%

“…These studies suggest that anxiety is a major public health concern, particularly in Indian students. Given that the global average age of onset of GAD is in adolescence and in early adulthood [ 1 , 5 , 7 , 8 ], university students are a vulnerable population.…”

Section: Introductionmentioning

confidence: 99%

The Feasibility, Acceptability, and Efficacy of Delivering Internet-Based Self-Help and Guided Self-Help Interventions for Generalized Anxiety Disorder to Indian University Students: Design of a Randomized Controlled Trial

Kanuri¹,

Newman²,

Ruzek³

et al. 2015

JMIR Res Protoc

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BackgroundGeneralized anxiety disorder (GAD) is one of the most common mental disorders among university students; however, many students go untreated due to treatment costs, stigma concerns, and limited access to trained mental health professionals. These barriers are heightened in universities in India, where there are scant mental health care services and severe stigma surrounding help seeking.ObjectiveTo evaluate the feasibility, acceptability, and efficacy of Internet-based, or “online,” cognitive behavioral therapy (CBT)-based unguided and guided self-help interventions (using the programs GAD Online and Lantern, respectively) to reduce GAD symptoms in students with clinical and subthreshold GAD and, ultimately, reduce the prevalence and incidence of GAD among the student population.MethodsStudents will be recruited via 3 colleges in Hyderabad, India, and referred for a campus-wide online screening. Self-report data will be collected entirely online. A total of 300 qualifying students will be randomized in a 1:1:1 ratio to receive GAD Online, Lantern, or to be in a wait-list control condition, stratified by clinical and subthreshold GAD symptomatology. Students will complete a postintervention assessment after 3 months and a follow-up assessment 6 months later, at which point students in the wait-list control condition will receive one of the programs. The primary outcome is GAD symptom severity at 3 months postintervention. Secondary outcomes include GAD caseness at 9 months, other anxiety and depression symptoms, self-efficacy, and functional measures (eg, sleep, social functioning) at 3 and 9 months, respectively. Primary analyses will be differences between each of the intervention groups and the wait-list control group, analyzed on an intention-to-treat (ITT) basis using mixed-design ANOVA.ResultsThe study commenced in February 2015. The sample was recruited over a 3-week period at each college. The trial is expected to end in December 2015.ConclusionsThis trial will be the first to evaluate the use of Internet-based CBT programs compared with a wait-list control group for the treatment of GAD among students in Indian universities. If effective, these programs have the potential to reduce the mental health care treatment gap by providing readily accessible, private, and cost-effective evidence-based care to students with GAD who do not currently receive the treatment they need.Trial RegistrationClinicalTrials.gov NCT02410265 http://clinicaltrials.gov/ct2/show/NCT02410265 (Archived by WebCite at http://www.webcitation.org/6ddqH6Rbt).

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ADad 3: The Epidemiology of Anxiety Disorders Among Adolescents in a Rural Community Population in India

Abstract: The prevalence of Anxiety Disorders in South Indian adolescents was higher than found in the western literature. Prevalence of specific AD was age and gender specific. Adolescent and mental health policies must integrate anxiety disorder of public health significance.

Cited by 23 publications

References 29 publications

Prevalence of social anxiety disorder and its determinants in school going adolescents in rural population of Ramnagara district

Prevalence of social anxiety disorder and its determinants in school going adolescents in rural population of Ramnagara district

Favourable short-term course and outcome of pediatric anxiety spectrum disorders: a prospective study from India

The Feasibility, Acceptability, and Efficacy of Delivering Internet-Based Self-Help and Guided Self-Help Interventions for Generalized Anxiety Disorder to Indian University Students: Design of a Randomized Controlled Trial

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