Prevalence of depression and anxiety among school-going adolescents in Indian Kashmir valley during COVID-19 pandemic

BACKGROUND: The coronavirus disease 2019 pandemic has led to severe disruption in routine activities, significant mortality and morbidity. Adolescents are particularly prone to mental health issues. The present study aims to estimate prevalence of depression and anxiety and its determinants among school-going adolescents in Kashmir valley of India. RESULTS: The Patient Health Questionnaire for Adolescents and Generalised Anxiety Disorder questionnaire were used to screen for depression and anxiety among school-going adolescents aged between 15 and 19 years during January and February 2021. Out of the 439 adolescents who had responded, 426 (97.03%) were included in final analysis. The adolescents had a mean age of 17.5 + 1.26 years and comprised of 57% males. The overall prevalence of depression was 16% and was associated with a past history of COVID-19 infection. Anxiety was present in 20% of adolescents. The prevalence was 14% for boys and 27.5% for girls. On logistic regression, anxiety was associated with female gender, past history of personal COVID-19 infection, history of COVID-19 diagnosis in family and hospital admission due to COVID-19 in family. CONCLUSIONS: Anxiety and depression are major public health problems among adolescents. The high burden estimated in our study highlights the need for immediate action to support adolescents particularly those with a self/family history of COVID-19.