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العنوان
Epidemiology of Depression, Anxiety and Obsessive Compulsive Disorders among Secondary School Students in Menoufiya Governorate, Egypt /
المؤلف
Ibrahem, Reda Abdel Latif.
هيئة الاعداد
باحث / Reda Abdel Latif Ibrahem
مشرف / Rabie Al Desoky Al Bahnasy
مشرف / Gaafar Mohamed Abdel- Rasoul
مشرف / Omayma Abu-Elfateh Mohamed
الموضوع
Community Medicine. Public Health. Depression, Anxiety- Secondary School Students- Menoufiya Governorate, Egypt.
تاريخ النشر
2013.
عدد الصفحات
145 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الصحة العامة والصحة البيئية والمهنية
تاريخ الإجازة
14/3/2013
مكان الإجازة
جامعة المنوفية - كلية الطب - Health and Community Medicine Department.
الفهرس
Only 14 pages are availabe for public view

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Abstract

Many children and adolescents have mental health problems that
interfere with their normal development and daily life activities. Some
mental health problems are mild, while others are more severe. Some mental
health problems last for only short periods of time, while others, potentially,
last a lifetime. The National Institute of Mental Health Disorders (NIMH),
part of the National Institutes of Health (NIH), reports the following:
• Research studies have reported that up to about 3.7 percent of children
between the ages of 8 and 15 in the US suffer from depression.
• Anxiety disorders are among the most common mental health
problems that occur in children and adolescents.
It is important to know that help is available. Most children and
adolescents who experience mental health problems can return to normal
daily lives, if they receive appropriate treatment.
In summary, our study revealed that the prevalence of the studied mental
disorders depression, anxiety and OCD are 28.6%, 41.2% and 15.8% for
depression symptoms, anxiety symptoms and OC symptoms respectively
and 11.3%, 21% and 2.7% for depression disorders, anxiety disorders and
OCD respectively with female predominance in both symptoms and
disorders that reveals that female to male ratio are (3.7 times, 2.4 times,
3.3% times) for depression symptoms, anxiety symptoms and OC symptoms
respectively and (10.1 times, 2.9 times, 1.6% times) for depression
disorders, anxiety disorders and OCD respectively.
Depression disorders are significantly correlated with sociodemographic
criteria as female sex, urban residence, general education, first
birth order and low socio economic level, also it is correlated with family
history of psychiatric disorders. In addition to familial troubles like parent
separation, exposure to physical abuse also past history of chronic diseases
or sexual harassment, smoking and substance abuse which affecting
occurrence of depression disorders.
Social activities and good social relations within family and school
have direct impact on prevalence of depression disorder as friendship,
hobbies, practicing exercise and using internet are all protective against
different mental disorders especially depression. While the results revealed
that, as regards social relations, bad or problematic relation within the family
or school especially with mother and teachers has significant effect on
occurrence of depression.
Working beside study seems to be protective factors as there is low
prevalence of depression among those who have work besides studying.
Finally, significant relation between depression disorders and bad
scholastic performance illustrate the bad outcome of depression and other
mental disorders on coming future of the students.
Similarly, anxiety disorders is significantly related to the previously
mentioned factors with minimal differences as non significant relation
between smoking and anxiety which explained as cigarette smoke contain
anxiolytic substances, also anxiety related to family history of chronic
diseases.
This similarity between depression and anxiety in risk factors and
associated conditions is supported by high rate of comorbidity between them
as 58.1% of depressed participants show associated anxiety disorder.
As regards OCD, socio-demographic criteria have no effect on
occurrence of obsessive compulsive disorders, except SEL. Also it is
correlated to family history of mental retardation and suicidal trials.
Troublesome family conditions also affects as parent death, past
history of physical abuse and past history of sexual harassment.
Also in OCD, social relations within family and within school and
social activities show significant effect in decreasing OCD occurrence.
Co-morbidities of OCD by other mental disorders has the highest
level as 40.5% and 62.2% of those having OCD also show depression and
anxiety disorders respectively.
In conclusion, our study indicates that depression, anxiety and
obsessive compulsive symptoms as well as their disorders are common in
our subjects and they correlated with some psychosocial factors like stressful
life events, problematic relations within the family or school.
Our study also indicates female predominance of the studied disorders
which requires special attention to female adolescents and more studies on
female in our community to illustrate the underlying factors related to the
criteria of our society.
Psychiatric disorders as related to many problematic outcomes like
substance abuse, suicidal thoughts and bad scholastic performance illustrate
the real need to enlighten general public about psychiatric disorders and its
effects on adolescence which is the most important and sensitive period of
life to gain their support and participation to overcome this masked problem.