Anxiety Levels Among School-going Adolescents in Peri-urban Areas of Karachi, Pakistan

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2023 Oct 19

PMID 37856459

Authors

Tooba Seemi

Hina Sharif

Sana Sharif

Hira Naeem

Farhat Ul Ain Naeem

Zoya Fatima

Affiliations

Soon will be listed here.

Abstract

Introduction: Mental health problems are pervasive nowadays. Adolescents are often expected to balance academic performance with familial obligations and work to support the family financially if they belong to low-socio-economic areas. These pressures can lead to Anxiety, stress, and even depression.

Objective: The study's main objective is to assess the association of gender, parenting style, eating habit, and screen timing with the level of Anxiety among school-going adolescents in three peri-urban areas of Karachi, Pakistan.

Methodology: A school-based cross-sectional study was conducted among adolescents of age group 10-19 years using the Generalized Anxiety Disorder-7 (GAD-7) scale in two months in, three populated peri-urban areas of Karachi, Pakistan. Collected Data was analyzed by statistical software SPSS version with 80% response rate.

Finding: In our collected data, 544 students participated; 313 (57%) were female, and 231(42%) were male. Among them 173(33%) participants showed moderate to severe level of anxiety out of which 140(26%) were female and 33(7%) were male. As per our study, strict Parenting style plays a significant role in developing moderate to severe 108(20%) levels of Anxiety, shown among adolescents in the studied population. In addition to this, those who do not take tuition 115 (21%), do not use transport to school 91(16%), spend significant time in games on mobile and computer 101 (18%), and have no involvement in physical activities 172 (31%) show more moderate to severe level anxiety than others factors. A significant multivariate association between level of anxiety with gender, school commute, type of lunch Intake, smoker family member at home, physical activity, video game, tuition and strict parent.

Conclusion: This study concluded that there are various factors which have great association with anxiety and can affect adolescents' mental health badly. The factors were parental strictness, video game playing, a sedentary lifestyle, and the smoking habits of family members. Children and adolescents must be evaluated as soon as possible while they are still young to prevent mental health issues.

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References

Ayran G, Kose S, Kucukoglu S, Ozdemir A . The effect of anxiety on nicotine dependence among university students during the COVID-19 pandemic. Perspect Psychiatr Care. 2021; 58(1):114-123. PMC: 8242501. DOI: 10.1111/ppc.12825. View

Faravelli C, Alessandra Scarpato M, Castellini G, Lo Sauro C . Gender differences in depression and anxiety: the role of age. Psychiatry Res. 2013; 210(3):1301-3. DOI: 10.1016/j.psychres.2013.09.027. View

Dong C, Sanchez L, Price R . Relationship of obesity to depression: a family-based study. Int J Obes Relat Metab Disord. 2004; 28(6):790-5. DOI: 10.1038/sj.ijo.0802626. View

Dietrich A, Riese H, Sondeijker F, Greaves-Lord K, van Roon A, Ormel J . Externalizing and internalizing problems in relation to autonomic function: a population-based study in preadolescents. J Am Acad Child Adolesc Psychiatry. 2007; 46(3):378-386. DOI: 10.1097/CHI.0b013e31802b91ea. View

Blakemore S . Adolescence and mental health. Lancet. 2019; 393(10185):2030-2031. DOI: 10.1016/S0140-6736(19)31013-X. View

Liu R, Chen X, Qi H, Feng Y, Xiao L, Yuan X . The proportion and associated factors of anxiety in Chinese adolescents with depression during the COVID-19 outbreak. J Affect Disord. 2021; 284:114-119. PMC: 7869627. DOI: 10.1016/j.jad.2021.02.020. View

Khawar M, Abbasi M, Hussain S, Riaz M, Rafiq M, Mehmood R . Psychological impacts of COVID-19 and satisfaction from online classes: disturbance in daily routine and prevalence of depression, stress, and anxiety among students of Pakistan. Heliyon. 2021; 7(5):e07030. PMC: 8165417. DOI: 10.1016/j.heliyon.2021.e07030. View

Beigh S, Jain S . Prevalence of metabolic syndrome and gender differences. Bioinformation. 2012; 8(13):613-6. PMC: 3400989. DOI: 10.6026/97320630008613. View

Herva A, Laitinen J, Miettunen J, Veijola J, Karvonen J, Laksy K . Obesity and depression: results from the longitudinal Northern Finland 1966 Birth Cohort Study. Int J Obes (Lond). 2005; 30(3):520-7. DOI: 10.1038/sj.ijo.0803174. View

10.

Bandelow B, Michaelis S . Epidemiology of anxiety disorders in the 21st century. Dialogues Clin Neurosci. 2015; 17(3):327-35. PMC: 4610617. View

11.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

12.

Richardson L, Davis R, Poulton R, McCauley E, Moffitt T, Caspi A . A longitudinal evaluation of adolescent depression and adult obesity. Arch Pediatr Adolesc Med. 2003; 157(8):739-45. DOI: 10.1001/archpedi.157.8.739. View

13.

Whiteford H, Degenhardt L, Rehm J, Baxter A, Ferrari A, Erskine H . Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013; 382(9904):1575-86. DOI: 10.1016/S0140-6736(13)61611-6. View

14.

Cooney L, Dokras A . Depression and Anxiety in Polycystic Ovary Syndrome: Etiology and Treatment. Curr Psychiatry Rep. 2017; 19(11):83. DOI: 10.1007/s11920-017-0834-2. View

15.

Gorostiaga A, Aliri J, Balluerka N, Lameirinhas J . Parenting Styles and Internalizing Symptoms in Adolescence: A Systematic Literature Review. Int J Environ Res Public Health. 2019; 16(17). PMC: 6747480. DOI: 10.3390/ijerph16173192. View

16.

Nguyen H, Nguyen H, Zouini B, Senhaji M, Bador K, Meszaros Z . The COVID-19 Pandemic and Adolescents' Psychological Distress: A Multinational Cross-Sectional Study. Int J Environ Res Public Health. 2022; 19(14). PMC: 9317312. DOI: 10.3390/ijerph19148261. View

17.

Bentley K, Sakurai H, Lowman K, Rines-Toth L, McKowen J, Pedrelli P . Validation of brief screening measures for depression and anxiety in young people with substance use disorders. J Affect Disord. 2021; 282:1021-1029. PMC: 7896042. DOI: 10.1016/j.jad.2021.01.005. View

18.

Narmandakh A, Roest A, de Jonge P, Oldehinkel A . Psychosocial and biological risk factors of anxiety disorders in adolescents: a TRAILS report. Eur Child Adolesc Psychiatry. 2020; 30(12):1969-1982. PMC: 8563629. DOI: 10.1007/s00787-020-01669-3. View

19.

Costello E, Copeland W, Angold A . Trends in psychopathology across the adolescent years: what changes when children become adolescents, and when adolescents become adults?. J Child Psychol Psychiatry. 2011; 52(10):1015-25. PMC: 3204367. DOI: 10.1111/j.1469-7610.2011.02446.x. View

20.

Gariepy G, Nitka D, Schmitz N . The association between obesity and anxiety disorders in the population: a systematic review and meta-analysis. Int J Obes (Lond). 2009; 34(3):407-19. DOI: 10.1038/ijo.2009.252. View