Department of Community Medicine, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Jolly Grant, Dehradun, Uttarakhand, India
Abstract
BACKGROUND: The preeminent mental health conditions, namely social phobia and depression among adolescents, usually remain incognito. The transition period from childhood to adulthood makes adolescents more liable for low amour‑propre, loneliness, and even increases the suicidal tendencies among them. To burgeon the knowledge regarding social phobia and depression among adolescents, the present study was put forward with the objective to assess the prevalence of social anxiety disorders (social phobia) and depression among adolescents. MATERIALS AND METHODS: A cross‑sectional study was conducted for 2 months on 600 students aged 10–19 years belonging to classes VIII–XII of government and private schools in the Dehradun district recruited through multistage random sampling technique. A pre‑tested semi‑structured questionnaire having sociodemographic details, validated self‑administered tools, Social Phobia Inventory tool, and Kutchers Adolescent Depression Scale (Cronbach’s alpha: 0.77 and 0.79) were used. Statistical package for social sciences, version 23 was used for data analysis. Chi‑square test, Fisher exact test, and Pearson correlation analysis were used for analysis RESULTS: Prevalence of social phobia was found to be 37% among school‑going adolescents. Further, 23.7% of the study participants had mild social phobia, while moderate and severe phobia was seen among 11.5% and 2.3%, respectively. Females had more moderate and severe social phobia than males. Adolescents of government schools had more moderate affective distress and somatic distress as compared to adolescents of private schools. CONCLUSION: Social phobia and depression among school‑going adolescents are on the upsurge. The present study shows that social phobia and depression have a strong correlation among themselves, which needs to be addressed as expeditiously as possible. Coping strategies and social skill therapy and programs are pressing priorities for the fulgent future of adolescents.
Chhabra V, Bhatia MS, Gupta S, Kumar P, Srivastava S. Prevalence of social phobia in school‑going adolescents in an urban area. Delhi Psychiatry Journal 2009; 12 (1): 18‑25 2. Boyd CP, Kostanski M, Gullone E, Ollendick TH, Shek DT. Prevalence of anxiety and depression in Australian adolescents: Comparisons with worldwide data. J Genetic Psychol 2000;161:479‑92. 3. Hitchcock CA, Chavira DA, Stein MB. Recent findings in social phobia among children and adolescents. Isr J Psychiatry Relat Sci 2009;46:3444. 4. Gren‑Landell M, Tillfors M, Fumark T, Roblin G, Andersen G, Svedin CG. Social phobia in Swedish adolescents: Prevalence and gender differences. Soc Psychiatry Psychiatr Epidemiol 2009;44:1‑7. 5. Carla MG, Hardoy MC, Cadeddu M, Carpiniello B, Dell’Osso L, Reda MA, et al. Social phobia in an Italian region: Do Italian studies show lower frequencies than community surveys conducted in other European counties. BMC Psychiatry 2004;4:31. 6. Shah P, Kataria L. Social phobia and its impact in Indian university students. Int J Ment. Health. 2009;6:2. 7. U Harikrishnan, A Ali, H Sobhana, Prevalence of social phobia among school Going AAdolescents. Int J Indian Psycholog 2016;3:74. 8. Mehtalia K, Vankar GK Social anxiety in adolescents. Indian J Psychiatry 2004;46:221‑7. 9. Tomb M, Hunter L. Prevention of anxiety in children and adolescents in a school setting: The role of school‑based practitioners. Children School 2004;26:87‑101. 10. Bokhorst K, Goossens FA, De Ruyter PA. Early detection of social anxiety: Reliability and validity of a teacher questionnaire for the identification of social anxiety in young children. Soc Behav Pers 2001;29:787‑98.
11. Deb S. A study on the negative effects of academic stress. Paper presented at the International Seminar on Leaning and Motivation, Kedah Darul Amen, Malaysia, 2001. 12. National Crime Records Bureau. Accidental Deaths and Suicides in India: 2000. Delhi, India: Ministry of Home Affairs, Government of India; 2000. 13. Weiss DD, Last C, editors. Developmental Variations in the Prevalence and Manifestations of Anxiety Disorders, The Developmental Psychopathology of Anxiety. Oxford University Press; 2001. p. 2742. 14. Costello EJ, Egger HL, Angold A. Developmental epidemiology of anxiety disorders. In: Ollendick T and March J, editors. Phobic Anxiety Disorders in Children and Adolescents: A Clinician’s Guide to Effective Psychosocial and Pharmacological Interventions. Oxford University Press; 2003. p. 61‑91. 15. Fehm L, Beesdo K, Jacobi F, Fiedler A, Social anxiety disorder above and below the diagnostic threshold: Prevalence, comorbidity and impairment in the general population. Soc Psychiatry Psychiatr Epidemiol 2008;43:257‑65. 16. Whisman MA, Sheldon CT, Georing P. Psychiatric disorders and dissatisfaction with social relationships: Does type of relationship matters? J Abnorm Psycholo 2000;109:803‑8. 17. Clark DM, Ehlers A, Hackmann A, McManus F, Fennel M, Grey N, et al. Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. J Consult Clin Psychol 2006;74:568‑78. 18. Van Ameringen M, Mancini C, Farvolden P. The impact of anxiety disorders on educational achievement. J Anxiety Disord 2003;17:561–71. 19. Katzelnick DJ, Kobak KA, DeLeire T, Henk HJ, Greist JH, Davidson JR, et al. Impact of generalized social anxiety disorder in managed care. Am J Psychiatry 2001;158:1999–2007. 20. Moitra E, Beard C, Weisberg RB, Keller MB. Occupational impairment and Social Anxiety Disorder in a sample of primary care patients. J Affect Disord 2011;130:209–12. 21. Stein MB, Kean YM. Disability and quality of life in social phobia: Epidemiologic findings. Am J Psychiatry 2000;157:1606–13. 22. Olfson M, Guardino M, Struening E, Schneier FR, Hellman F, Klein DF. Barriers to the treatment of social anxiety. Am J Psychiatry 2000;157:521–7. 23. Stein MB. An epidemiologic perspective on social anxiety disorder. J Clin Psychiatry 2006;67(Suppl 12):3‑8. 24. Connor KM, Connor KM, Davidson JR, Churchill LE, Sherwood A, Foa E, et al. Psychometric Properties of the Social Phobia Inventory (SPIN).: New self rating scale. The British Journal of Psychiatry, 176, 379‑386. 25. Brooks S, The Kutcher Adolescent Depression Scale (KADS). Child and Adolescent Psychopharmacology News 2004; 9 (5): 4‑6. 26. Archana S, Prasad KN, Jabeen B. Prevalence of social anxiety disorder and its determinants in school going adolescents in rural population of Ramnagara district. Int J Med Sci Public Health 2017;6:1308‑13. 27. Jayashree K, Mithra PP, Nair MKC, Unnikrishnan B, Pai K. Depression and Anxiety Disorders among School going Adolescents in an Urban Area of South India. Indian J Community Med 2018;43:28‑32. 28. Farooq SA, Muneeb A, Ajmal W, Tauni MA, Mahmood S, Sohaib Qadri SK, et al. Quality of Life Perceptions in School‑Going Adolescents with Social Anxiety. J Child Dev Disord 2017;3:2. 29. Deb S, Chatterjee P, Walsh K. Anxiety among high school students in India: Comparison across gender, school type, social strata and perceptions of quality time with parents. Aust J Educ Dev Psychol 2010;10:18‑31. 30. McDonald A. The prevalence and effects of test anxiety in school children. Educational Psychology 2001;21:89‑101. 31. Mekuria K, Mulat H, Derajew H, Mekonen T, Fekadu W, Belete A, et al. High magnitude of social anxiety disorder in school adolescents. Psychiatry J 2017;5643136. doi: 10.1155/2017/5643136. 32. Jin Y, He L, Kang Y, Chen Y, Lu W, Ren X, et al. Prevalence and risk factors of anxiety status among students aged 13‑26 years. Int J Clin Exp Med 2014;7:4420‑6. 33. Mishra SK, Srivastava M, Tiwary NK, Kumar A. Prevalence of depression and anxiety among children in rural and suburban areas of Eastern Uttar Pradesh: A crosssectional study. J Family Med Prim Care 2018;7:21‑6. 34. Soohida G, Sampath H. Social phobia among school students – Prevalence, demographic correlates and socio academic impairment. JIndian Assoc. Child Adolesc Mentl Health 2016;12:211‑29. 35. Kathleen RM, Jianping H. Marcy B, Sonja AS, Shelli A, Lihong C, et al. Lifetime prevalence of mental disorders in US adolescents: Results from the national comorbidity studyadolescent supplement (NCSA). J Am Acad Child Adolesc Psychiatry 2010;49:9809. 36. Srinivasa S, Nair CC, L S R. A study on prevalence of anxiety disorders among higher secondary school students. J Evolution Med Dent Sci 2015;4:44738. 37. Raheel H, Depression And associated factors among adolescent females in Riyadh, Kingdom of Saudi Arabia, Across sectional study. Int J Prev Med 2015; 6:90. 38. Grover S, Raju VV, Sharma A, Shah R. Depression in children and adolescents: A review of Indian studies. Indian J Psychol Med 2019;41:216‑27. 39. Shivaswamy VKC, Nagendra K, Sanjay D, Gouli C, Nk K. Prevalence and association of depression and suicidal tendency among adolescent students. Int J Biomed Adv Res 2012;3:714‑8. 40. Joseph N. Prevalence of depression among pre‑university college students in an urban area of South India. Int J Curr Res 2011;3:439‑42. 41. Sajjadi H, Mohaqeqi Kamal SH, Rafiey H, Vameghi M, Forouzan AS, Rezaei M, et al. A systematic review of the prevalence and risk factors of depression among Iranian adolescents. Glob J Health Sci 2013;5:16‑27. 42. Nair MK, Paul MK, John R. Prevalence of depression among adolescents. Indian J Pediatr 2004;71:5234. 43. Hyde JS, Mezulis AH, Abramson LY. The ABCs of depression: Integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychol Rev 2008;115:291‑313. 44. Jha KK, Singh SK, Nirala SK, Kumar C, Kumar P, Aggrawal N, et al. Prevalence of depression among school going adolescents in an urban area of Bihar, India. Indian J Psychol Med 2017;39:28792. 45. Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet 2012;379:105667. 46. Sørensen MJ, Nissen JB, Mors O, Thomsen PH. Age and gender differences in depressive symptomatology and comorbidity: An incident sample of psychiatrically admitted children. J Affect Disord 2005;84:85–91. 47. Moeini B, Bashirian S, Soltanian AR, Ghaleiha A, Taheri M. Prevalence of depression and its associated sociodemographic factors among Iranian female adolescents in secondary schools. BMC Psychol 2019;7:25. 48. Boden Fergusson DM, Horwood LJ. Cigarette smoking and depression: Tests of causal linkages using a longitudinal birth cohort. Br J Psychiatry 2010;196:440–6. 49. Khasakhala LI, Ndetei DM, Mutiso V, Mbwayo AW, Mathai M. The prevalence of depressive symptoms among adolescents in Nairobi public secondary schools: Association with perceived maladaptive parental behaviour. Afr J Psychiatry (Johannesbg) 2012;15:106–13. 50. Daryanavard A, Madani AS, Mahmoodi M, Rahimi S, Nourooziyan F, Hosseinpoor M. Prevalence of depression among high school students and its relation to family structure. Am J Appl 2011;8:39–44.
51. Bodur S, Kücükkendirci H. Prevalence of depressive symptoms in Turkish adolescents. Eur J Gen Med 2009;6:204–12. 52. Essau CA, Olaya B, Pasha G, Pauli R, Bray D. Iranian adolescents’ ability to recognize depression and beliefs about preventative strategies, treatments and causes of depression. J Affect Disord 2013;149:152–9. 53. Ratnani IJ, Vala AV, Panchal BN, Tiwari DS, Karambelkar SS, Sojitral MG, et al. Association of social anxiety disorder with depression and quality of life among medical undergraduate students. J Family Med Prim Care 2017;6:243‑8.
Kezia Gupta,.. , Jayanti Semwal,.. , Neha Sharma,.. , Abhay Srivastava,.. and Shaili Vyas,.. (2022). Do social phobia and depression go hand in hand? A cross‑sectional study among school‑going adolescents of Northern region of India. Journal of Education and Health Promotion, 12(9), 1-10.
MLA
Kezia Gupta,.. , , Jayanti Semwal,.. , , Neha Sharma,.. , , Abhay Srivastava,.. , and Shaili Vyas,.. . "Do social phobia and depression go hand in hand? A cross‑sectional study among school‑going adolescents of Northern region of India", Journal of Education and Health Promotion, 12, 9, 2022, 1-10.
HARVARD
Kezia Gupta .., Jayanti Semwal .., Neha Sharma .., Abhay Srivastava .., Shaili Vyas .. (2022). 'Do social phobia and depression go hand in hand? A cross‑sectional study among school‑going adolescents of Northern region of India', Journal of Education and Health Promotion, 12(9), pp. 1-10.
CHICAGO
.. Kezia Gupta, .. Jayanti Semwal, .. Neha Sharma, .. Abhay Srivastava and .. Shaili Vyas, "Do social phobia and depression go hand in hand? A cross‑sectional study among school‑going adolescents of Northern region of India," Journal of Education and Health Promotion, 12 9 (2022): 1-10,
VANCOUVER
Kezia Gupta .., Jayanti Semwal .., Neha Sharma .., Abhay Srivastava .., Shaili Vyas .. Do social phobia and depression go hand in hand? A cross‑sectional study among school‑going adolescents of Northern region of India. J Educ Health Promot, 2022; 12(9): 1-10.