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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. |