Prevalence and socioeconomic correlates of depression, anxiety and stress among undergraduate students from reserved social categories in a rural college of West Bengal: a cross-sectional study

Kousik Nag; Jayita Pal; Sanjoy Kumar Sadhukhan; Dhiren Kumar Ruidas; Vibhuti Vaibhav; Arindam Chatterjee

doi:10.18203/2394-6040.ijcmph20263174

Authors

Kousik Nag Department of Epidemiology, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
Jayita Pal Department of Epidemiology, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
Sanjoy Kumar Sadhukhan Department of Epidemiology, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
Dhiren Kumar Ruidas Department of Geology, Chunaram Govinda Memorial Government College, Purulia, India
Vibhuti Vaibhav Department of Epidemiology, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India
Arindam Chatterjee Department of Community Medicine, AIIH&PH, Kolkata, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20263174

Keywords:

Anxiety, Depression, Reserved social category, Rural college, Stress, Undergraduate students

Abstract

Background: Common mental disorders such as depression, anxiety and stress are increasingly reported among young adults, particularly college students. Evidence from India suggests that socio-economic disadvantage and social stratification may influence mental health outcomes; however, limited data exist focusing specifically on students from socially reserved categories. This study aimed to estimate the prevalence of depression, anxiety and stress and to examine their socio-demographic correlates among undergraduate students belonging to reserved social categories in a rural college of West Bengal.

Methods: A census-based cross-sectional study was conducted among 176 undergraduate students aged 18–24 years belonging to Scheduled Castes, Scheduled Tribes and Other Backward Classes in a government college of Purulia district. Data were collected using a pretested questionnaire and the Depression Anxiety Stress Scale-21 (DASS-21). Scores were categorized using standard cut-offs. Associations between socio-demographic variables and outcomes were assessed using the chi-square test, with p<0.05 considered statistically significant.

Results: The prevalence of depression, anxiety and stress was 34.1%, 42.0% and 43.2%, respectively. Nearly half of the participants (48.9%) had at least one form of mental morbidity. Most cases were mild to moderate; however, severe to extremely severe forms were observed in 3.9% (depression), 14.2% (anxiety) and 9.1% (stress). No statistically significant associations were found between socio-demographic variables and mental health outcomes.

Conclusions: A substantial burden of psychological morbidity was observed among students from reserved social categories, highlighting an important yet underexplored vulnerable group. Targeted mental health interventions and institutional support systems are needed. Future research using qualitative or mixed-method approaches is recommended to explore contextual and psychosocial determinants not captured in quantitative assessments.

Author Biographies

Jayita Pal, Department of Epidemiology, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India

Assistant Professor, Department of Epidemiology, AIIH&PH, Kolkata, India

Sanjoy Kumar Sadhukhan, Department of Epidemiology, All India Institute of Hygiene and Public Health (AIIH&PH), Kolkata, India

Professor and HOD, Department of Epidemiology, AIIH&PH, Kolkata, India

References

World Health Organization. Depression: a global public health concern. Geneva: WHO. 2012. Available at: https://www.who.int/publications/i/item/depression-a-global-public-health-concern. Accessed on 21 January 2026.

World Health Organization. Mental health of adolescents. Geneva: WHO. 2021. Available at: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health. Accessed on 21 January 2026.

Taneja N, Sachdeva S, Dwivedi N. Assessment of depression, anxiety and stress among college students in Delhi. Indian J Soc Psychiatry. 2018;34:157–62.

Bayram N, Bilgel N. The prevalence and sociodemographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008;43(8):667–72.

Shah P, Sapkota A, Chhetri A. Depression, anxiety and stress among first-year medical students in a tertiary care hospital: a descriptive cross-sectional study. J Nepal Med Assoc. 2021;59(236):346–52.

Patel V, Saxena S, Lund C, Thornicroft G, Baingana F, Bolton P, et al. The Lancet Commission on global mental health and sustainable development. Lancet. 2018;392(10157):1553-98.

Desai S, Dubey A. Caste in 21st Century India: Competing Narratives. Econ Polit Wkly. 2012;12;46(11):40-9.

Thorat S, Newman KS. Blocked by caste: economic discrimination in modern India. New Delhi: Oxford University Press. 2010.

Kumar S, Kumar A. Socioeconomic inequalities and mental health in India. J Public Health (Oxf). 2019;41:1–8.

Subramanian SV, Ackerson LK, Subramanyam MA, Sivaramakrishnan K. Health inequalities in India: the axes of stratification. Brown J World Aff. 2008;14(2):127–38.

Mirza AA, Milaat WA, Ramadan IK, Baig M, Elmorsy SA, Beyari GM, et al. Depression, anxiety and stress among medical and non-medical students in Saudi Arabia: an epidemiological comparative cross-sectional study. Neurosciences (Riyadh). 2021;26(2):141–51.

Ibrahim AK, Kelly SJ, Adams CE, Glazebrook C. A systematic review of studies of depression prevalence in university students. J Psychiatr Res. 2013 Mar;47(3):391-400.

Anand A, Mandal I, Hossain S. B.G. Prasad scale 2025: an updated framework for socioeconomic assessment in India. Natl J Community Med. 2025;16(5):555–8.

Ahmed O, Faisal RA, Alim SMAH, Sharker T, Hiramoni FA. The psychometric properties of the Depression Anxiety Stress Scale-21 (DASS-21) Bangla version. Acta Psychol (Amst). 2022;223:103509.

American Psychological Association. Anxiety. Washington (DC): APA. Available at: https://www.apa.org/topics/anxiety. Accessed on 21 January 2026.

Auerbach RP, Mortier P, Bruffaerts R, Alonso J, Benjet C, Cuijpers P, et al. WHO World Mental Health Surveys International College Student Project: prevalence and distribution of mental disorders. J Abnorm Psychol. 2018;127(7):623–38.

Saraswathi I, Saikarthik J, Senthil Kumar K, Madhan Srinivasan K, Ardhanaari M, Gunapriya R. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in India. Asian J Psychiatr. 2020;53:102234.

Son C, Hegde S, Smith A, Wang X, Sasangohar F. Effects of COVID-19 on college students’ mental health. J Med Internet Res. 2020;22(9):21279.

Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of COVID-19 epidemic on college students in China. Psychiatry Res. 2020;287:112934.

Karyotaki E, Cuijpers P, Albor Y, Alonso J, Auerbach RP, Bantjes J, et al. Sources of Stress and Their Associations With Mental Disorders Among College Students: Results of the World Health Organization World Mental Health Surveys International College Student Initiative. Front Psychol. 2020;30;11:1759.

Mahdavinoor SMM, Rafiei MH, Mahdavinoor SH. Mental health status of students during coronavirus pandemic outbreak: A cross-sectional study. Ann Med Surg (Lond). 2022;78:103739.

Deb S, Strodl E, Sun J. Academic stress, parental pressure, anxiety and mental health among Indian high school students. Int J Psychol Behav Sci. 2015;5(1):26–34.

Gupta N. Understanding adolescent mental health in India: challenges, interventions and policy implications. Int J Sci Res Arch. 2025;15(2):931–7.

Islam MA, Barna SD, Raihan H, Khan MNA, Hossain MT. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PLoS One. 2020;26;15(8):238162.

Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, et al. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020;277:55-64.