Perception of home environment and its effect on the mental health of school-going adolescent girls of Lucknow: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20222011Keywords:
Home environment, Adolescent girls, Anxiety, DepressionAbstract
Background: Home and family remains the primary social influence, an arena for fostering positive and negative influences in an adolescent’s life. The environment at home occupies a significant position. Objectives were to assess the perception of the home environment, level of anxiety and depression and to study the relationship between the two among school-going adolescent girls.
Methods: School-going adolescent girls from two government schools of Lucknow were selected using a two-stage random sampling technique. A total of 200 participants were personally interviewed for their socio-demographic details, perception of the home environment and screened symptoms of anxiety and depression.
Results: Of all the school-going adolescent girls who screened positive for anxiety and depression symptoms, 7.4-27.1% had severe anxiety, while 0-8.9% had major depression; severe severity, across classes 9th to 12th. Those for whom it was not easy to discuss problems with parents (AOR=3.65, p=0.009) and who perceived unnecessary restrictions (AOR=2.83, p=0.048) were at a greater risk of developing anxiety. While those, for whom it was not easy to discuss problems with parents were at 2.83 times greater risk of developing depression (p=0.048).
Conclusions: The majority of school-going adolescent girls showed symptoms of anxiety or depression. Therefore, adolescents must be screened for poor mental health from time to time and those at high risk must be identified. Parents must be more involved and made aware of the issues leading to poor mental health of adolescents.
References
Mathew N, Khakha DC, Qureshi A, Sagar R, Khakha CC. Stress and coping among adolescents in selected schools in the capital city of India. Indian J Pediatr. 2015;82(9):809-16.
World Health Organization. Adolescent Health. Available at: Available at: https://www.who.int. maternalchildadolescent/adolescence/en/. Accessed on 2021 Mar 02
UNICEF. Progress for Children: A report card on adolescents. New York, USA. 2012.
Singh K, Bassi M, Junnarkar M, Negri L. Mental health and psychological functioning in adolescence: An investigation among Indian students from Delhi. J Adol. 2015;39:59-69.
Gullotta TP, Plant RW, Evans MA. Handbook of Adolescent Behavioral Problems. New York: Springer. 2015.
Zhang S, Baams L, van de Bongardt D, Dubas JS. Intra-and Inter-Individual Differences in Adolescent Depressive Mood: the Role of Relationships with Parents and Friends. J Abnorm Child Psychol. 2018;46(4):811-24.
Sinha A, Ram F. Mental health status of unmarried youth living in single parent families: a case study from India. J Ment Health. 2019;28(4):357-64.
American Psychological Association. Anxiety. Available at: https://www.apa.org/topics/anxiety. Accessed on 2021 Mar 02.
World Health Organization. Depression. Available at: https://www.who.int/news-room/factsheets/detail/ depression. Accessed on 2021 Mar 02.
Bisla P, Singh K, Kumar R. Study of depression, anxiety and stress among school-going adolescents. Indian J Psychol Work. 2017;8:6-9.
Mohanraj R, Subbaiah K. Prevalence of depressive symptoms among urban adolescents inSouth India. J of Ind Ass for Child and Adol Mental Health. 2010;6:33-43.
Räty LK, Larsson G, Söderfeldt BA, Larsson BM. Psychosocial aspects of health in adolescence: The influence of gender, and general self-concept. J Adolesc Health. 2005;36(6):21-8.
Karande S, Gogtay NJ, Bala N, Sant H, Thakkar A, Sholapurwala R. Anxiety symptoms in regular school students in Mumbai City, India. J Postgrad Med. 2018;64(2):92-7.
Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder. Arch Intern Med. 2006;166:1092-7.
Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606-13.
Jayanthi P, Thirunavukarasu M, Rajkumar R. Academic stress and depression among adolescents: a cross-sectional study. Indian Pediatr. 2015;52(3):217-9.
Malik M, Khanna P, Rohilla R, Mehta B, Goyal A. Prevalence of depression among school-going adolescents in an urban area of Haryana, India. Int J Community Med Public Health. 2015;2(4):624-6.
Banstola RS. Psychosocial problem among school-going Adolescents in Pokhara, Western Nepal. Janapriya J Interdisciplinary Studies. 2018;6:121.
Bista B, Thapa P, Sapkota D, Singh SB, Pokharel PK. Psychosocial Problems among Adolescent Students: An Exploratory Study in the Central Region of Nepal. Front. Public Health. 2016;4:158.
Pateley P, Fitzsimons E. Development and predictors of mental ill-health and well-being from childhood to adolescence. Soc Psychiatry Psychiatr Epidemiol. 2018;53(12):1311-23.
Hegde A, Kamath A, Roy K. Is parenting a determinant of adolescent mental health?-A population based study in South India. Int J Adolesc Med Health. 2015;29(3).
