Association of psychiatric morbidity with quality of life among late adolescent girls: exploring the iceberg

Authors

  • Narayana Murthy M. R. Department of Community Medicine, JSS Medical College, JSS University, Mysore, Karnataka
  • Smitha M. C. Department of Community Medicine, JSS Medical College, JSS University, Mysore, Karnataka
  • Dushad Ram Department of Community Medicine, JSS Medical College, JSS University, Mysore, Karnataka
  • Praveen Kulkarni Department of Community Medicine, JSS Medical College, JSS University, Mysore, Karnataka
  • Ashok N. C. Department of Community Medicine, JSS Medical College, JSS University, Mysore, Karnataka

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20161378

Keywords:

Adolescent girls, Mental disorder, Quality of life, Mini international neuropsychiatric interview, Version 6.0, WHOQOL- 100 questionnaire

Abstract

Background: Adolescents constituting major chunk of the population, though seem to be healthy group, and are affected by various ailments among which mental disorders constitutes considerable proportion which often begins in adolescence is both preventable and treatable. Less described in the literature is the association between quality of life and a wide range of psychopathology in adolescents especially among girls and henceforth this study was conducted to determine the association between psychiatric disorders and quality of life among late adolescent girls.

Methodology: This cross-sectional study was conducted in a randomly selected pre-university and degree college in Mysore city, Karnataka, India for a period of one year among adolescent girls 16-19 years. Sample size estimated was 683. Mini international neuropsychiatric interview, Version 6.0 was used to diagnose psychiatric morbidity and WHOQOL BREF Questionnaire was used to collect data on Quality of life. Data collected was analyzed using SPSS V.22 .Proportions was calculated, Mann-Witney U Test was used to see the association of psychiatric morbidity with Quality of life. Binary logistic regression was used to determine the independent predictability of psychiatric morbidity by various domains of quality of life.

Results: Analysis showed that overall prevalence of mental health disorders was found to be 15.5 % with major depressive disorder being the most common accounting to 37% There was significant association seen between psychiatric disorder with overall quality of life and physical, psychological, social and environmental domains of QOL (p<0.05). On binary logistic regression overall quality of life was found to be independent predictor of psychiatric morbidity.

Conclusion: Overall quality of life was found to be independent predictor of psychiatric morbidity.

References

WHO Adolescent development. WHO. Available from:http://www.who.int/maternal_child_adolescent/ topics/ adolescence/ dev/ en/.

Population reference bureau. The world’s youth 2013 data sheet. Available from: http://www.prb.org/ pdf13/ youth-data-sheet-2013. Pdf.

Census of India Website : Office of the registrar general and census commissioner, India. [cited 2014 Oct 11]. Available from: http://censusindia.gov.in/

Gore FM, Bloem PJ, Patton GC, Ferguson J, Joseph V, Coffey C, et al. Global burden of disease in young people aged 10-24 years: a systematic analysis. The Lancet. 2011;377 (9783):2093-102.

Srinath S, Girimaji SC, Gururaj G, Seshadri S, Subbakrishna DK, Bhola P, et al. Epidemiological study of child and adolescent psychiatric disorders in urban and rural areas of Bangalore, India. Indian J Med Res. 2005;122(1):67-79.

Ahmad A, Khalique N, Khan Z, Amir A. others. Prevalence of psychosocial problems among school going male adolescents. Indian Journal of Community Medicine. 2007;32(3):219.

Kumar G, Jain A, Hegde S. Prevalence of depression and its associated factors using Beck Depression Inventory among students of a medical college in Karnataka. Indian Journal of Psychiatry. 2012;54(3):223.

Muzammil K, Kishore S, Semwal J. Prevalence of psychosocial problems among adolescents in district Dehradun, Uttarakhand. Indian J Public Health. 2009;53(1):18-21.

Bansal PD, Barman R. Psychopathology of school going children in the age group of 10-15 years. Int J Appl Basic Med Res. 2011;1(1):43-7.

Saraswathi N. A study on the prevalence of psychiatric disorders in Suttur village karnataka. The Rajiv Gandhi university of health sciences; 2011. Available at http://14.139.159.4:8080/ jspui/handle/ 123456789/ 6885

Manjunath R, Kulkarni P. Mental Health Status and Depression among Medical Students in Mysore, Karnataka-An Untouched Public Health Issue. Depression. 2013;4(1):50-3.

Sharma I, Giri D, Dutta A, Mazumder P. Psychosocial factors in children and adolescents with conversion disorder.J Indian Assoc Child Adolesc Men Health 2005; 1:3

Nandi PS, Banerjee G, Mukherjee SP, Nandi S, Nandi DN. A study of psychiatric morbidity of the elderly population of the rural community in West Bengal. Indian J Psychiatry. 1997;39(2):122-9.

Herman AA, Stein DJ, Seedat S, Heeringa SG, Moomal H, Williams DR. The South African Stress and Health (SASH) study: 12-month and lifetime prevalence of common mental disorders. SAMJ: South African Medical Journal. 2009;99(5):339-44.

Meltzer H, Gatward R, Great Britain, Office for National Statistics, Social Survey Division. The mental health of children and adolescents in Great Britain: summary report. London: Office for National Statistics; 2000.

Nock MK, Green JG, Hwang I, McLaughlin KA, Sampson NA, Zaslavsky AM, et al. Prevalence, Correlates, and Treatment of Lifetime Suicidal Behavior Among Adolescents: Results From the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry. 2013;70(3):300.

Epidemiology of mental disorders in children and adolescents.Available http://www.ncbi.nlm.nih.gov/ pmc/ articles/ PMC2807642/.

McLaughlin KA, Costello EJ, Leblanc W, Sampson NA, Kessler RC. Socioeconomic Status and Adolescent Mental Disorders. American Journal of Public Health. 2012;102(9):1742-50.

Roberts RE, Roberts CR, Xing Y. Comorbidity of Substance Use Disorders and Other Psychiatric Disorders Among Adolescents: Evidence from an Epidemiologic Survey. Drug Alcohol Depend. 2007;88 (Suppl 1):S4-13.

Abbo C, Kinyanda E, Kizza RB, Levin J, dyanabangi S, Stein DJ. Prevalence, comorbidity and predictors of anxiety disorders in children and adolescents in rural north-eastern Uganda. Child and adolescent psychiatry and mental health. 2013;7(1):21.

Sidhu TK. Evaluation of psychiatric morbidity in adolescents in Patiala District, Punjab. Indian Journal of Community Health. 2012;24(1):63-6.

Skapinakis P, Bellos S, Koupidis S, Grammatikopoulos I, Theodorakis PN, Mavreas V. Prevalence and socio-demographic associations of common mental disorders in a nationally representative sample of the general population of Greece. BMC psychiatry. 2013;13(1):163.

Jaju S, Al-Adawi S, Al-Kharusi H, Morsi M, Al-Riyami A. Prevalence and age-of-onset distributions of DSM IV mental disorders and their severity among school going Omani adolescents and youths: WMH-CIDI findings. Child and Adolescent Psychiatry and Mental Health. 2009;3(1):29.

Belfer ML. Child and adolescent mental health around the world: challenges for progress. Journal of Indian Association for Child and Adolescent Mental Health. 2005;1(1):3.

Blay SL, Marchesoni MSM. Association among physical, psychiatric and socioeconomic conditions and WHOQOL-Bref scores. Cadernos de Saúde Pública. 2011; 27(4):677-86.

Spitzer RL, Kroenke K, Linzer M, Hahn SR, Williams JB, deGruy FV 3rd, et al. Health-related quality of life in primary care patients with mental disorders: Results from the prime-md 1000 study. JAMA. 1995; 274(19):1511-7.

Zatzick DF, Marmar CR, Weiss DS, Browner WS, Metzler TJ, Golding JM, et al. Posttraumatic stress disorder and functioning and quality of life outcomes in a nationally representative sample of male Vietnam veterans. Am J Psychiatry. 1997;154(12):1690-5.

Hollander E, Kwon JH, Stein DJ, Broatch J, Rowland CT, Himelein CA. Obsessive-compulsive and spectrum disorders: overview and quality of life issues. J Clin Psychiatry. 1996;57 Suppl 8:3-6.

Henning ER, Turk CL, Mennin DS, Fresco DM, Heimberg RG. Impairment and quality of life in individuals with generalized anxiety disorder. Depress Anxiety. 2007; 24(5):342-9.

Olatunji B, Cisler J, Tolin D. Quality of life in the anxiety disorders: A meta-analytic review. Clinical Psychology Review. 2007;27(5):572-81.

Norberg M, Diefenbach G, Tolin D. Quality of life and anxiety and depressive disorder comorbidity. Journal of Anxiety Disorders. 2008;22(8):1516-22.

Barrera T, Norton P. Quality of life impairment in generalized anxiety disorder, social phobia, and panic disorder. Journal of Anxiety Disorders. 2009;23(8):1086-90.

Downloads

Published

2017-02-03

How to Cite

R., N. M. M., C., S. M., Ram, D., Kulkarni, P., & C., A. N. (2017). Association of psychiatric morbidity with quality of life among late adolescent girls: exploring the iceberg. International Journal Of Community Medicine And Public Health, 3(5), 1167–1172. https://doi.org/10.18203/2394-6040.ijcmph20161378

Issue

Section

Original Research Articles