Clinicians’ Perspectives on Diagnostic Markers for Depression Among Adolescents in India: An Embedded Mixed-Methods Study

Aggarwal, Pankhuri; Raval, Vaishali V.; Chari, Uttara; Raman, Vijaya; Sreenivas, Kamalesh Kadnur; Krishnamurthy, Sanjana; Visweswariah, Ashok Mysore

doi:10.1007/s11013-020-09680-8

Cited by 7 publications

(3 citation statements)

References 54 publications

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“…With this view of self as sociocentric (Shweder & Bourne, 1984) in these communities, it is not surprising that distress is also experienced interpersonally. Interpersonal conflicts and relationship issues have been found to be central in contributing to depression among adolescents and adults in India (Aggarwal et al, 2021; Raghuram et al, 2001). Interpersonal or family problems have also been indicated as a common factor contributing to suicide among youth in India, in addition to financial or academic difficulties and pre‐existing mental illness (Patel et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Examining psychometric properties of the Interpersonal Needs Questionnaire among college students in India

Aggarwal

Ortiz

Jain

et al. 2021

Suicide & Life Threat Behav

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Background With the second‐highest population in the world, suicide‐related deaths in India are high, and adults under 30 are particularly at an increased risk. However, empirical examinations of factors contributing to suicide in India and assessments of reliability and validity of self‐report measures assessing these constructs are rare. Aims The present study examined the psychometric properties of the Interpersonal Needs Questionnaire (INQ). Materials & Methods Undergraduate students in India (N = 432) completed the INQ and questionnaires assessing suicidal ideation, depression, fearlessness about death, and pain tolerance. Results Confirmatory factor analyses of the 15‐item INQ indicated that after removing three items assessing perceived burdensomeness, the two‐factor structure of INQ demonstrated acceptable fit with good internal consistency for each of the subscales (α = .84–.90). In line with the interpersonal‐psychological theory of suicidal behavior (IPTS), thwarted belongingness and perceived burdensomeness interacted to predict suicidal ideation. Additionally, these constructs were positively associated with suicidal ideation and depression, and weakly correlated with fearlessness about death and pain tolerance. Discussion Results support the relevance of the IPTS for understanding suicidal ideation among college students in India. Conclusion The results suggest that modified INQ demonstrates strong internal consistency, as well as good construct, criterion, and discriminant validity among Indian college students.

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Section: Introductionmentioning

confidence: 99%

Examining psychometric properties of the Interpersonal Needs Questionnaire among college students in India

Aggarwal

Ortiz

Jain

et al. 2021

Suicide & Life Threat Behav

Self Cite

View full text Add to dashboard Cite

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“…One paper investigated the utility of the DSM-V and ICD-10 diagnostic criteria for major depressive disorder (MDD), originally developed in the West, for Indian clinicians treating Indian adolescents with depressive symptoms. Clinicians found the majority of DSM-5 and ICD-10 criteria for MDD to be useful, but further identified additional markers of depression in Indian youth (interpersonal conflicts and problems, disturbed school functioning, anger-related symptoms, anxiety-related symptoms, and additional somatic complaints not included in DSM-5 or ICD-10) ( 25 ).…”

Section: Results: Descriptive Synthesis Of the Datamentioning

confidence: 99%

“…Two broad categories of studies were identified: those focused on somatization as an entity in its own right, as defined by the DSM diagnostic classifications, and those considering somatic complaints as part of a broader picture, such as depression (22)(23)(24)(25)(26)(27)(28)(29), or of a still broader entity comprising the so-called "internalizing symptoms, " which encompass anxiety, depression, and somatization (24, [30][31][32][33][34][35][36][37][38].…”

Section: Entanglement Between Anxiety and Depressionmentioning

confidence: 99%

Systematic review on somatization in a transcultural context among teenagers and young adults: Focus on the nosography blur

Salmon

Sibéoni²,

Harf³

et al. 2022

Front. Psychiatry

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AimsSomatic complaints are a frequent cause for consultation in primary care. In a transcultural context, somatic complaints are typically associated with psychological distress. A recent review about somatic symptom disorders in adolescence showed some nosographic heterogeneity and outlined various etiological hypotheses (traumatic, environmental, or neurologic), separate from the cross-cultural considerations. Migrants' children encounter specific problems involving cultural mixing-issues of filiation (familial transmission) and affiliation (belonging to a group). This paper aims to provide a systematic review of somatization in transcultural contexts among teenagers and young adults, aged 13 to 24, over the past decade.MethodsThis review adheres to the quality criteria set forth by the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Two authors queried three English databases (Medline, PsycInfo, WebOfScience) about somatization in transcultural contexts (migrant or non-Western population) among teenagers (13–18), young adults (19–24), or both. The methodological process comprised articles selection, data extraction, and then the analysis of emerging themes. Setting selection criteria to limit the transcultural field was difficult.ResultsThe study analyzed 68 articles. We present a descriptive analysis of the results, centered on three main themes. First, the literature highlights a nosographic muddle reflected in the combination of anxious and depressive symptoms together with the highly variable symptomatology. Second, discrimination issues were prevalent among the migrant population. Lastly, the literature review points out possibilities for improving a care pathway and reducing the diagnostic delay induced by migrants' hesitancy about Western care and the recurrent use of inappropriate diagnostic criteria.ConclusionThis review discusses the links between the nosographic muddle described here and the diagnostic delays these patients experience and raises concerns about rigid diagnostic compartmentalization. The work of the psychiatrist Frantz Fanon is here useful to understand externalized symptoms resulting from physical and psychological confinement. Discrimination issues raise questions about the cultural counter-transference health professionals experience in dealing with young migrants. Defining healthcare professionals' representations about somatic complaints in a transcultural context might be a fruitful path to explore in future research.Protocol PROSPERO registration numberCRD42021294132. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021294132.

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Gender, Paid Work, and Mental Health of Adolescents and Young Adults in Resource-Poor Settings of India

Ganguly

Goli

Sullivan³

2023

Child Ind Res

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Clinicians’ Perspectives on Diagnostic Markers for Depression Among Adolescents in India: An Embedded Mixed-Methods Study

Cited by 7 publications

References 54 publications

Examining psychometric properties of the Interpersonal Needs Questionnaire among college students in India

Examining psychometric properties of the Interpersonal Needs Questionnaire among college students in India

Systematic review on somatization in a transcultural context among teenagers and young adults: Focus on the nosography blur

Gender, Paid Work, and Mental Health of Adolescents and Young Adults in Resource-Poor Settings of India

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