Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India

Evidence on the association of chronic illnesses with depression among adolescents in the Indian community setting is limited. A simple random sample of 583 adolescents, comprising 56.6% of boys and 43.4% of girls, were interviewed on home visits. Self-reports on chronic illnesses were elicited, fol...

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Main Authors: Aditi Mohta, Sumit Malhotra, Mani Kalaivani, Bichitra Nanda Patra, Baridalyne Nongkynrih
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-04-01
Series:Indian Journal of Public Health
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Online Access:https://journals.lww.com/10.4103/ijph.ijph_327_23
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author Aditi Mohta
Sumit Malhotra
Mani Kalaivani
Bichitra Nanda Patra
Baridalyne Nongkynrih
author_facet Aditi Mohta
Sumit Malhotra
Mani Kalaivani
Bichitra Nanda Patra
Baridalyne Nongkynrih
author_sort Aditi Mohta
collection DOAJ
description Evidence on the association of chronic illnesses with depression among adolescents in the Indian community setting is limited. A simple random sample of 583 adolescents, comprising 56.6% of boys and 43.4% of girls, were interviewed on home visits. Self-reports on chronic illnesses were elicited, followed by administration of Patient Health Questionnaire-9 (PHQ-9) questionnaire to screen for depression, and for confirmation of diagnosis by age-appropriate Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI Kid), or MINI. The prevalence of chronic illnesses was 8.4% (95% confidence interval [CI]: 6.3–11.0). Of these participants, 42.8% screened positive for depression. The prevalence of depression was 10.2% (95% CI: 3.4–22.2) among adolescents with chronic illness. The prevalence of physical–mental multimorbidity was 0.8% (95% CI: 0.3–2.0). The presence of chronic illness was associated with depression identified using both PHQ-9 (adjusted odds ratio [AOR] =3.1 [95% CI: 1.7–5.8], P < 0.001) and MINI Kid/MINI (AOR = 3.2 [95% CI: 1.1–9.4], P = 0.037). Adolescents with chronic illnesses can be targeted for mental morbidity screening in a bid to improve functional outcomes.
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institution Kabale University
issn 0019-557X
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language English
publishDate 2024-04-01
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record_format Article
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spelling doaj-art-c4e3bbb73b6146b1951daefc57c5dd882025-01-25T05:18:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2229-76932024-04-0168228729010.4103/ijph.ijph_327_23Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, IndiaAditi MohtaSumit MalhotraMani KalaivaniBichitra Nanda PatraBaridalyne NongkynrihEvidence on the association of chronic illnesses with depression among adolescents in the Indian community setting is limited. A simple random sample of 583 adolescents, comprising 56.6% of boys and 43.4% of girls, were interviewed on home visits. Self-reports on chronic illnesses were elicited, followed by administration of Patient Health Questionnaire-9 (PHQ-9) questionnaire to screen for depression, and for confirmation of diagnosis by age-appropriate Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI Kid), or MINI. The prevalence of chronic illnesses was 8.4% (95% confidence interval [CI]: 6.3–11.0). Of these participants, 42.8% screened positive for depression. The prevalence of depression was 10.2% (95% CI: 3.4–22.2) among adolescents with chronic illness. The prevalence of physical–mental multimorbidity was 0.8% (95% CI: 0.3–2.0). The presence of chronic illness was associated with depression identified using both PHQ-9 (adjusted odds ratio [AOR] =3.1 [95% CI: 1.7–5.8], P < 0.001) and MINI Kid/MINI (AOR = 3.2 [95% CI: 1.1–9.4], P = 0.037). Adolescents with chronic illnesses can be targeted for mental morbidity screening in a bid to improve functional outcomes.https://journals.lww.com/10.4103/ijph.ijph_327_23adolescentschildrencommunitymental healthnorth indiaphysical–mental multimorbidityrural
spellingShingle Aditi Mohta
Sumit Malhotra
Mani Kalaivani
Bichitra Nanda Patra
Baridalyne Nongkynrih
Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India
Indian Journal of Public Health
adolescents
children
community
mental health
north india
physical–mental multimorbidity
rural
title Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India
title_full Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India
title_fullStr Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India
title_full_unstemmed Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India
title_short Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India
title_sort chronic illnesses and depression among community based adolescents in rural haryana india
topic adolescents
children
community
mental health
north india
physical–mental multimorbidity
rural
url https://journals.lww.com/10.4103/ijph.ijph_327_23
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AT manikalaivani chronicillnessesanddepressionamongcommunitybasedadolescentsinruralharyanaindia
AT bichitranandapatra chronicillnessesanddepressionamongcommunitybasedadolescentsinruralharyanaindia
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