Anxiety among Adolescent Students and its Association with Socio Demographic Variables in a Rural Block of Haryana

Ram Bilas Jain, Priyanka Choudhary, Sujata Sethi, Amit Kumar Mital, Neeraj Pawar


Background: Anxiety is one of the most common psychological disorders in school-aged children and adolescents worldwide. Anxiety is associated with substantial negative effects on children’s social, emotional and academic success.

Objectives: To find out the prevalence of anxiety among adolescent students and its association with sociodemographic factors in rural block Beri.

Methods: It was a cross sectional study taking the sample size of 600 (300 males and 300 females) studying in class 8th to 12th. A pre-designed, pre-tested tool SCL 90 R containing 90 items was used to screen anxiety in these students. Anxiety is one of the psychiatric morbidities screened by this tool. Cut off point of estimated raw score of 1 was used to label as anxiety.

Results: It was observed that nearly 18.5% adolescents suffered from anxiety. Anxiety was highest in 17-19 years age group (30.4%) followed by mid adolescence phase (13-16 years). Anxiety was maximum in 10th and 12th standard students which were 19.3% and 24% respectively. It was significantly high among females (23.7%) than males (13.7%). Anxiety was maximum in upper and lower socio-economic class of students with 24.1% and 22.3% respectively. It was more among students whose mothers were unemployed (19.5%) than those whose mothers were employed (14.6%).

Conclusion: More than one – third (35%) of study subjects who were apparently healthy suffered from unnoticed anxiety. Appropriate counseling through school-based screening programme is the urgent need of the hour.


Adolescent, Anxiety, School adolescents

Full Text:



Costello EJ, Mustillo S, Erkanli A et al. Prevalence and

development of psychiatric disorders in childhood and

adolescence. Arch Gen Psychiatry 2003; 60: 837-44.

Bernstein GA, Borchardt CM. Anxiety disorders of

childhood and adolescence: A critical review. Journal

of the American Academy of Child and Adolescent

Psychiatry 1991; 30: 519-32.

Boyd CP, Kostanski M, Gullone E et al. Prevalence of

anxiety and depression in Australian adolescents:

Comparisons with worldwide data. The Journal of

Genetic Psychology 2000; 161: 479-92.

Student Mental Health Working Group. CR166. The

mental health of students in higher education. Royal

College of Psychiatrists, London.; 2011: 97.

World Health Organization. The world health report

- mental health: new understanding, new hope.

The World Health Organization, Geneva. 2001.

Deb S. A study on the negative effects of academic

stress. The International Seminar on Learning and

Motivation, Kedah Darul Aman, Malaysia. 2001.

Essau, CA, Conradt J, Petermann F. Frequency,

comorbidity and psychosocial impairment of anxiety

disorders in German adolescents. Journal of Anxiety

Disorders 2000; 14: 263-79.

Albano AM, Chorpita BF, Barlow DH. Childhood

anxiety disorders. In: Mash EJ, Barkley RA (Eds.), Child

Psychopathology. Guilford Press, New York. 2003:


Bokhorst K, Goossens FA, De Ruyter PA. Early detection

of social anxiety: reliability and validity of a teacher

questionnaire for the identification of social anxiety

in young children. Social Behavior and Personality

; 29: 787-98.

Donovan CL, Spence SH. Prevention of childhood

anxiety disorders. Clinical Psychology Review 2000;

(4): 509-31.

McLoone J, Hudson JL, Rapee R. Treating anxiety

disorders in a school setting. Education and Treatment

of Children 2006; 29 (2): 219-42.

Guarnaccia PJ. A cross-cultural perspective on anxiety

disorders. In: Friedman S (Ed.), Cultural issues in the

treatment of anxiety. Guilford, New York. 1997: 3-20.

Essau CA. Comorbidity of anxiety disorders in

adolescents. Depress Anxiety 2003; 18(1): 1-6.

Cummings CM, Caporino NE, Kendall PC. Comorbidity

of anxiety and depression in children and adolescents:

years after. Psychol Bull 2014; 140(3): 816-45.

Woodward LJ, Fergusson DM. Life course outcomes of

young people with anxiety disorders in adolescence.

The American Academy of Child and Adolescent

Psychiatry 2001; 40(9): 1086-93.

Last CG, Perrin S, Hersen M, et al. A prospective study

of childhood anxiety disorders. J Am Acad Child Adolesc

Psychiatry 1996; 35(11): 1502-10.

Malhotra S, Patra BN. Prevalence of child and adolescent

psychiatric disorders in India: a systematic review and

meta-analysis. Child and Adolescent Psychiatry and

Mental Health 2014; 8: 22.

Derogatis LR, Lipman RS. The SCL 90: An outpatientpsychiatric rating scale. Psychopharmacol Bull 1973;

: 13-28.

Siri C, Cilia R, Gaspari DD et al. Psychiatric symptoms

in Parkinson’s disease assessed with the SCL-90R selfreported

questionnaire. Neurol Sci 2009; 31: 35-40.

Khairnar M, Wadgave U, Shimpi PV. Updated BG Prasad

socioeconomic classification for 2016. J Indian Assoc

Public Health Dent 2016; 14: 469-70.

Deb S, Chatterjee P, Walsh K. Anxiety amongst

high school students in India. Australian Journal of

Educational & Developmental Psychology 2010; 10:


Beesdo K, Knappe S, Psycha D, et al. Anxiety and anxiety

disorders in children and adolescents: developmental

issues and implications for DSM-V. Psychiatr Clin North

Am 2009; 32(3): 483-524.

Michalčáková R, Lacinová L. Fears in Adolescence.

Psihologijske teme 2009; 18(1): 21-36.

King NJ, Ollier K, Iacuone R et al. Fears of children and

adolescents: a cross-sectional Australian study using

the revised-fear survey schedule for children. Journal

of Child Psychology and Psychiatry 1989; 30: 775-84.

Rao JVRC. Anxiety among adolescent students. Conflux

Journal of Education 2014; 2(4): 25-8.

Bhasin SK, Sharma R, Saini NK. Depression, anxiety

and stress among adolescent students belonging to

affluent families: a school-based study. Indian Journal

of Pediatrics 2010; 77: 161-5.

Nair MKC, Russell PSS, Subramaniam VS et al. Dad 8:

school phobia and anxiety disorders among adolescents

in a rural community population in India. Indian J

Pediatr 2013; 80(2): 171–4.

Bihari S. Academic Anxiety among secondary school

students with reference to gender, habitat and types

of school. International Journal of Education and

Psychological Research 2014; 3(4): 30-2.


  • There are currently no refbacks.

Copyright (c) 2018 Epidemiology International (ISSN: 2455-7048)

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.