Screening for common mental health problems and their determinants among school-going adolescent girls in Gujarat, India

Mangal, Abha; Thakur, Archana; Nimavat, Khyati A.; Dabar, Deepti; Yadav, Sankalp

doi:10.4103/jfmpc.jfmpc_732_19

Cited by 28 publications

(32 citation statements)

References 14 publications

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“…However, in the present study, type of school and class of study were not significantly associated with various categories of classification of distress according to the GHQ scale. A similar study was done by Mangal A et al 27 also support these findings. In developing countries like India, the mental health of children is not adequately taken care of.…”

Section: Discussionsupporting

confidence: 83%

“…Similar to the present study, the type of school, educational status of the parents, and working mother had shown significant association with girls with mental health problems in a study on adolescent school girls. 27 The 48.78% of adolescent school-going girls had common mental disorders by GHQ-12 in the study by Mangal A et al in Gujarat. 27 In the present study, according to the GHQ scale, 43.4% had evidence of distress, while 50.2% had severe psychological distress.…”

Section: Discussionmentioning

confidence: 92%

“…27 The 48.78% of adolescent school-going girls had common mental disorders by GHQ-12 in the study by Mangal A et al in Gujarat. 27 In the present study, according to the GHQ scale, 43.4% had evidence of distress, while 50.2% had severe psychological distress. GHQ scale has 12 items with a maximum possible score of 36, with each item ranked between 0 to 3.…”

Section: Discussionmentioning

confidence: 92%

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Perceived Stress among Adolescent School Students in Hubli: A Cross-Sectional Study

Gajula

Bant

Bathija

2021

Natl J Community Med

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Background: Psychological morbidity in children and adolescents is high. The present study was done to assess the level of perceived stress and psychological morbidities among secondary school students. Methods: A cross-sectional study was done on 311 adolescent students in 9th and 10th classes of two government and two private schools in Hubli city, Karnataka. A validated and culturally adapted version of the 12-item general health questionnaire (GHQ-12) and perceived stress scale (PSS-10) was administered with Cronbach's alpha of 0.74. coGuide software was used for analysis. Results: Out of 311 students, 159 (51.13%) were males; 50.5% were from government schools, 72.3% were from 10th class while 27.7% were from 9th class. On assessment by PSS-10 scale, 11.9% had low stress, 63.7% had average stress, and 24.4% were highly stressed. According to GHQ scale, 43.4% had evidence of distress while 50.2% had severe psychological distress. Conclusion: There was a high prevalence of stress among school students. It calls for regular assessment by trained psychologists. Integration of mental health services with school health services is the need of the hour.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 92%

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Perceived Stress among Adolescent School Students in Hubli: A Cross-Sectional Study

Gajula

Bant

Bathija

2021

Natl J Community Med

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“…15 However, the focus has remained mainly on learning and behavior disorders of children without knowing the estimation of different types of mental illness among schoolgoing adolescents. 16 Most of the scientific studies which report the prevalence of depression in India have varied in their approach, sample size, settings, target population and tools. So, in the absence of targeted national level surveys, there is a greater need to synthesize good quality data from crosssectional studies to know the disease burden.…”

mentioning

confidence: 99%

Prevalence of depression among school going adolescents in India: a systematic review and meta-analysis of cross-sectional studies

Kamath¹,

Dsouza²,

Mahapatra³

et al. 2021

Int J Community Med Public Health

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The objective of this systematic review was to estimate the pooled prevalence of depression among schoolgoing adolescents in India by using Beck’s Depression Inventory (BDI 1 or BDI 2). A systematic literature search was conducted in PubMed, Ovid MEDLINE, Ovid EMBASE, CINAHL, Cochrane Library, PsycINFO and Google Scholar to identify cross-sectional school-based studies published during 1990-2020. Studies with pre-identified mental illness were excluded. Heterogeneity between studies were examined and estimates were pooled using a random-effects model. Subgroup and sensitivity analysis were performed. Publication bias was evaluated using funnel plot and Egger’s test. We included 13 studies in the meta-analysis. The random effect meta-analysis revealed that the pooled prevalence of depression among school going adolescents was 53% (95% CI: 41% - 65%). By gender, the prevalence was 50% (95 % CI: 38%–62%) in males and 57% (95% CI: 46% - 69%) in females. The subgroup analysis revealed that the pooled prevalence increased with the education levels (High school: 42%; High school and pre-university: 55%; and Pre-university: 67%). In this review we found that more than half of the school going adolescents in India suffered from depression that ranged from mild to severe. These results draw attention to re-look at the mental health policy and newer public health approaches to address depression. Further, strengthening school-based mental health services, along with the community and center-based care is crucial to prevent and effective management of depression among adolescents.

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“…The panel considered the accessibility and acceptability of locations in which screening might best be conducted, along with the timing of the application of the instruments. While screening in schools is favoured by many [ 93 – 95 ], the experts drew attention towards the needs of marginalized C&A, who may not attend educational institutions. Screening that includes interviewing multiple key informants [ 96 – 98 ] was recommended.…”

Section: Discussionmentioning

confidence: 99%

The ethical, social, and cultural dimensions of screening for mental health in children and adolescents of the developing world

et al. 2020

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Despite their burden and high prevalence, mental health disorders of children and adolescents remain neglected in many parts of the world. In developing countries, where half of the population is younger than 18 years old, one of every five children and adolescents is estimated to suffer from a mental health disorder. It is then essential to detect these conditions through screening in a timely and accurate manner. But such screening is fraught with considerable ethical, social, and cultural challenges. This study systematically identifies, for the first time, these challenges, along with potential solutions to address them. We report on the results of an international multi-and inter-disciplinary three-round Delphi survey completed by 135 mental health experts from 37 countries. We asked these experts to identify and rank the main ethical, social, and cultural challenges of screening for child and adolescent mental health problems in developing nations, and to propose solutions for each challenge. Thirty-nine significant challenges emerged around eight themes, along with 32 potential solutions organized into seven themes. There was a high degree of consensus among the experts, but a few interesting disagreements arose between members of the panel from high-income countries and those from low-and middle-income nations. The panelists overwhelmingly supported mental health screening for children and adolescents. They recommended ensuring local acceptance and support for screening prior to program initiation, along with careful and comprehensive protection of human rights; integrating screening procedures into primary care; designing and implementing culturally appropriate screening tools, programs, and follow-up; securing longterm funding; expanding capacity building; and task-shifting screening to local non-specialists. These recommendations can serve as a guide for policy and decision-making, resource allocation, and international cooperation. They also offer a novel approach to

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Screening for common mental health problems and their determinants among school-going adolescent girls in Gujarat, India

Cited by 28 publications

References 14 publications

Perceived Stress among Adolescent School Students in Hubli: A Cross-Sectional Study

Perceived Stress among Adolescent School Students in Hubli: A Cross-Sectional Study

Prevalence of depression among school going adolescents in India: a systematic review and meta-analysis of cross-sectional studies

The ethical, social, and cultural dimensions of screening for mental health in children and adolescents of the developing world

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