ADad 7: Relationship Between Depression and Anxiety Disorders Among Adolescents in a Rural Community Population in India
| Autor: | Neethu Chembagam, Praveen Kumar Jakati, Sherab Tsheringla, M. K. C. Nair, Paul Russell, Suma Nazeema, Satya Raj Shankar |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Population India Comorbidity Rural Health Severity of Illness Index Age and gender Young Adult Prevalence of mental disorders Risk Factors mental disorders Prevalence medicine Humans Prospective Studies Child Psychiatry education Depression (differential diagnoses) Psychiatric Status Rating Scales Depressive Disorder education.field_of_study Rural community business.industry medicine.disease Anxiety Disorders Health Surveys Pediatrics Perinatology and Child Health Anxiety Major depressive disorder Female Dysthymic Disorder medicine.symptom business Anxiety disorder |
| Zdroj: | The Indian Journal of Pediatrics. 80:165-170 |
| ISSN: | 0973-7693 0019-5456 |
| DOI: | 10.1007/s12098-013-1232-3 |
| Popis: | Anxiety Disorders (AD) often co-exist with the heterotypic co-morbidity of Major Depressive Disorder (MDD) and Dysthymia (DysD). This study documents the prevalence of concurrent Depressive Disorder and its subtypes among AD, relationship between specific AD and Depressive Disorders, influence of severity of Depressive Disorders (DD) on AD and vice-versa, as well as the effect of age and gender on this co-morbidity.In a prospective community survey of 500 adolescents, independent raters administered the Screen for Child Anxiety Related Emotional Disorders, Beck Depression Inventory and Schedule for Affective Disorders and Schizophrenia for School-Age Children/Present and Lifetime Version to collect the required data. Descriptive statistics, Independent t tests and Chi-square tests were done to evaluate the prevalence of concurrent Depressive Disorders among AD, relationship between specific AD and Depressive Disorders, severity of DD, and effect of age and gender on this co-morbidity.Depressive Disorders were concurrently present in 23.7% of adolescents with AD, while 13.9% had concurrently only MDD, 8.3% had only DysD and 1.5% had both. More adolescents with AD had multiple mood disorders than otherwise. Twenty percent of adolescents with Panic Disorder, 12.1% with Generalised anxiety Disorder, 5.3% with Separation Anxiety Disorder and 12% with Social Anxiety Disorder had Depressive Disorders. Dysthymic disorder was statistically significantly more among those with PD (P = 0.009). Depressive Disorders were more severe among those with AD (P = 0.001) and the AD was more severe in those with DD (P = 0.01). As the severity of AD increased the severity of the DD also increased (P = 0.001). While DD were more prevalent among the late adolescence (P = 0.001), gender did not have any influence.The two-way overlap between AD and DD is prevalent. Adolescents with Anxiety Disorders should be screened for Depressive Disorders, and when present should be treated. |
| Databáze: | OpenAIRE |
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