The Indian Journal of Pediatrics

, Volume 77, Issue 2, pp 161–165 | Cite as

Depression, anxiety and stress among adolescent students belonging to affluent families: A school-based study

  • Sanjiv K. BhasinEmail author
  • Rahul Sharma
  • N. K. Saini
Original Article



To study depression, anxiety and stress (DAS) among adolescent school students belonging to affluent families and the factors associated with high levels of DAS.


242 adolescent students belonging to class 9–12th selected for the study. DASS-21 questionnaire was used for assessing DAS.


The scores in the three domains (DAS) were found to be remarkably correlated. It was seen that depression was significantly more among the females (mean rank 132.5) than the males (mean rank 113.2), p=0.03. Depression (p=0.025), Anxiety (0.005) and Stress (p<0.001) were all significantly higher among the ‘board classes’ i.e., 10th and 12th as compared to the classes 9th and 11th. All the three (DAS) were found to have an inverse relationship with the academic performance of the students. Depression and Stress were found to be significantly associated with the number of adverse events in the student’s life that occurred in last one year.


A significant proportion of the students were found to be having high levels of DAS and several important factors were found to be associated with them. Proactive steps at the school-level and community-level and steps for improved parent-adolescent communication are needed for amelioration of the problem.

Key words

Depression Anxiety Stress Adolescents Students 


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  1. 1.
    John T, Cherian A. Depressive disorders in the child and adolescent population [editorial]. Indian Pediatr 2001;38:1211–1216.PubMedGoogle Scholar
  2. 2.
    Vijaykumar L. Suicide and its prevention- the urgent need in India. Indian J Psychiatry 2007;49:81–84.CrossRefGoogle Scholar
  3. 3.
    Student Mental Health Working Group. The mental health of students in higher education. Royal College of Psychiatrists; London, 2003.Google Scholar
  4. 4.
    World Health Organization. The world health report 2001 — mental health: new understanding, new hope. Geneva: The World Health Organization; 2001.Google Scholar
  5. 5.
    Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales 2nd ed Sydney: Psychology Foundation, 1995.Google Scholar
  6. 6.
    Lovibond SH, Lovibond PF. Depression Anxiety Stress Scale -21 (DASS-21). Available online at: Last accessed: October 24, 2008.Google Scholar
  7. 7.
    Lovibond SH, Lovibond PF. Overview of the DASS and its uses. Available online at: Last accessed: February 15, 2009.Google Scholar
  8. 8.
    Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 2008;43:667–672.CrossRefPubMedGoogle Scholar
  9. 9.
    Vaidya PM, Mulgaonkar KP. Prevalence of depression anxiety & stress in undergraduate medical students & its co relation with their academic performance. Indian J Occu Therapy 2007;39:7–10.Google Scholar
  10. 10.
    Al-Gelban KS. Depression, anxiety and stress among Saudi adolescent school boys. J R Soc Health 2007;127:33–37.CrossRefGoogle Scholar
  11. 11.
    Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol 2005;44:227–239.CrossRefPubMedGoogle Scholar
  12. 12.
    Nieuwenhuijsen K, deBoer AGEM, Verbeek JHAM, Blonk RWB, vanDijk FJH. The Depression Anxiety Stress Scales (DASS): detecting anxiety disorder and depression in employees absent from work because of mental health problems. Occup Environ Med 2003;60:i77–i82.CrossRefPubMedGoogle Scholar
  13. 13.
    Psychology Foundation of Australia. DASS publications. Available online at: Last accessed: February 15, 2009.Google Scholar
  14. 14.
    Lowry R. Concepts and Applications of Inferential Statistics. Available online at: Last accessed 22 October, 2008.Google Scholar
  15. 15.
    Dawson B, Trapp RG. Basic and clinical biostatistics 4th ed. Lange Medical Books/McGraw Hill, 2004.Google Scholar
  16. 16.
    Andrews B, Wilding JM. The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol 2004;95:509–521.CrossRefPubMedGoogle Scholar
  17. 17.
    Shiels C, Gabbay M, Exley D. Psychological distress in students registered at a university-based general practice. Prim Care Community Psych 2008;13:9–18.Google Scholar
  18. 18.
    Saluja G, Iachan R, Scheidt PC, Overpeck MD, Sun W, Giedd JN. Prevalence of and risk factors for depressive symptoms among young adolescents. Arch Pediatr Adolesc Med 2004;158:760–765.CrossRefPubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2010

Authors and Affiliations

  • Sanjiv K. Bhasin
    • 2
    • 3
    Email author
  • Rahul Sharma
    • 1
  • N. K. Saini
    • 2
  1. 1.Department of Community MedicineVMMC and Safdarjung HospitalDelhiIndia
  2. 2.Department of Community MedicineUCMS & GTB HospitalDelhiIndia
  3. 3.Department of Community MedicineUniversity College of Medical Sciences and GTB HospitalDelhiIndia

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