Page 1 of 8
Journal for Studies in Management and Planning
Available at http://edupediapublications.org/journals/index.php/JSMaP/
e-ISSN: 2395-0463
Volume 02 Issue 5
May 2016
Available online: http://edupediapublications.org/journals/index.php/JSMaP/ P a g e | 182
Frequency of Depression among School Going Adolescent
Girls in Karachi, Pakistan
1Ambreen Alwani ; 2Muhammad Adnan Kanpurwala ; 3Shafaq Noori ; 4Kiran Punjwani
1-4Student, Health Management department, Institute of Business Management, Karachi
ambr33nalwani@gmail.com
2Assistant Professor, Department of Physiology, Muhammad Bin Qasim Medical & Dental
College, Karachi
drmuhammadadnan@hotmail.com
3Assistant Professor, Department of Biochemistry, Muhammad Bin Qasim Medical & Dental
College, Karachi
shafaqnoori@hotmail.com
Abstract:
Introduction
Depression is a serious mental illness, if not taken seriously life - long disorder could be result.
The objective of this study was to assess the frequency of depression among school going
adolescent girls and the factors contributing towards it.
Methodology
A cross sectional study of 204 adolescent girls was conducted from 3 private schools of a single
locality of Karachi. Participants were categorized from an age dependant criteria. Early adolescent
(09 -11); Middle adolescent (12 - 14); Late adolescent (15 -19). Goldberg's depression
questionnaire was used as a tool to assess the depression level and the score was calculated by chi
square with the P< 0.05 considered as significant.
Results
It was found that more than 72 % of adolescent girls are experiencing some level of depression.
Contributing factors including education and low grades in previous years are mostly involved in
provoking the depression. Middle adolescent age group were more prone to depression as
compared to early and late.
Conclusion:
Page 2 of 8
Journal for Studies in Management and Planning
Available at http://edupediapublications.org/journals/index.php/JSMaP/
e-ISSN: 2395-0463
Volume 02 Issue 5
May 2016
Available online: http://edupediapublications.org/journals/index.php/JSMaP/ P a g e | 183
The results showed high percentage frequency of depression in middle adolescence age groud and
last year grade and education are contributing factor. Therefore initially proper awareness and
clinical assessment is advisable to avoid any serious relevant consequences in future. Counselling
and guidelines from health care provider may be helpful to cope up the increase incidence of
depression which may leads to mental problems.
Key Words: depression, adolescence, school
Introduction
Stress plays important role in pathogenesis of mental disorders. Anxiety and depression are
extremely common, dramatic and debilitating multifaceted disorders, and it is now becoming clear
that without knowledge of both clinical and biological aspects of anxiety and depression, it is
impossible to offer effective treatment strategies for the patients.
1 Anxiety and Depression are a
serious health problem affecting people of all ages. A recent local study showed that 50.2%
individuals reported some degree of anxiety. Employment and education status were found to be
significantly associated (p = 0.01) with anxiety among the participants.
2 Severity, duration and the
presence of other symptoms are the factors that distinguished the normal sadness from clinical
depression.1 Prasla in 2012, showed that 18 % of adolescents suffered from depression and the
ratio of girls are almost double when compare to boys. They found that pubertal changes from the
age of 11 contribute significantly to depression.3
Naz and Siddiqui developed an Indigenous
Depression Scale for Adolescent School girls and found that decrease in grades and withdrawal
behaviour from studies may be the cause of early depression. They also found that the major
reason for depression in girls in Pakistani orientation were early marriages, stressful load of
household works and increased degree of internalizing the pubertal changes among school girls.
4
In another study from Norway in which the depression and feeling questionnaire was established
for adolescents and they found through multivariate analysis that dysthymia was associated with
factors like gender and single parents.5
The importance of body image in adolescent's girl has also explained the depression.
6-7 Peterson et
al, examined the developmental process of depression in early and middle adolescent age and
revealed that women are more prone to depression because they experienced more challenges. But
these symptoms disappears once challenges are considered.
8 Bardone et al, examined the young
Page 3 of 8
Journal for Studies in Management and Planning
Available at http://edupediapublications.org/journals/index.php/JSMaP/
e-ISSN: 2395-0463
Volume 02 Issue 5
May 2016
Available online: http://edupediapublications.org/journals/index.php/JSMaP/ P a g e | 184
adult physical health outcomes of adolescent girls with behaviour problems and found that girls
with depression prone more medical problems.
9
On the basis of above mentioned studies the present study is designed to evaluate the frequency
and level of depression among adolescence school going girls and also explore the association of
major contributing factors with depression.
Materials & Methods:
This is comparative cross sectional study. 204 samples of adolescent girls were selected for this
study. All were studying in private schools located in the locality of Federal B Area Karachi. The
Survey was completed in 4 weeks and Goldberg's scale was used to measure the depression level.
The samples were categorized according to their age: Early adolescence (9-11), Middle
adolescence (12-14), Late adolescence (15-19). Goldberg's questionnaire was used to score the
depression level. Participants scored 0-9 considered no depression, a score between 10 - 17
considered as mild depression, 18 -35 considered moderate while 36 and Up considered severe
depression. For ethical issue, all participants and their legal guardians gave informed consent and
their confidentiality and anonymity were protected. After calculation of scores through Goldberg’s
scale different factors including; education, low grade in previous years, Self employment, number
of siblings, family type were compared with level of depression.
Statistical Analysis:
Statistical analysis was measured by using chi square, whereas p-value 0.05 was considered as
significant through SPSS 16.
Results:
Data from 204 adolescent girl's samples were collected from the locality of federal B Area Karachi
to assess the depression level. The figure I showed frequency of depression in adolescent girls. The
score found that 42 participants were of no depression (25.5 %), 52 were of minor (27.9 %), 57
moderate (26 %) and 53 (20.6%) were of severe depression. The demographic data showed that
middle adolescence 72 % group experiencing more depressive disorders as compared to early 8 %
and late adolescence 20% (table I). No significant differences were found when demographics and
other contributing factors include to assess their association (table II) with depression. But last year
academic grade and education were found to be significant with depression (P<0.05).
