1
|
Treister-Goltzman Y, Menashe I, Nemet D. Association of adolescent obesity with Anxiety, Depression and Attention-Deficit/Hyperactivity disorder in the Arab population in Israel - a nationwide study. J Affect Disord 2024; 369:71-79. [PMID: 39321983 DOI: 10.1016/j.jad.2024.09.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2024] [Revised: 09/19/2024] [Accepted: 09/22/2024] [Indexed: 09/27/2024]
Abstract
BACKGROUND The health ramifications of adolescent obesity are understudied in the Israeli Arab population, and the impact of ethnicity on the association of obesity with mental health problems is unclear. AIM To examine the association of weight categories with Anxiety, Depression and Attention-Deficit/Hyperactivity Disorder (ADHD) among Arab adolescents in Israel and to compare this association to a Jewish comparison group. METHODS A cross-sectional nationwide study of 313,936 Arab adolescents aged 14-19 years between the years 2007-2022, and 289,616 Jewish adolescents in a comparison group. RESULTS The aORs for Anxiety, Depression and ADHD in Arab adolescents increased from a reference 'normal weight' category to 'class 3 obesity', reaching aORs (95 % CI) of 1.31 (1.16-1.47), 1.64 (1.31-2.02) and 1.51 (1.40-1.63) in 'class 2 obesity', and 1.51 (1.20-1.87), 2.81(2.00-3.84) and 1.69 (1.45-1.96) in 'class 3 obesity', respectively. The dose-dependent association between weight categories and psychiatric comorbidity was confirmed in sensitivity analyses with comorbidity with the purchase of medications serving as the dependent variable. The Jewish comparison group demonstrated a comparable increment in aORs with increase in weight category. The association between excessive weight categories and psychiatric comorbidities was stronger in Arab females, than in males. LIMITATIONS Relying on the recorded weight and height measurements and the diagnoses of psychiatric comorbidity could lead to bias. CONCLUSION The study findings emphasize the need to relate to the mental health of adolescents with excessive weight, which can improve their overall quality of life and the success of adolescent weight loss intervention programs.
Collapse
Affiliation(s)
- Yulia Treister-Goltzman
- Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, The Haim Doron Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; Clalit Health Services, Southern district, Israel.
| | - Idan Menashe
- Department of Epidemiology, Biostatistics, and Community Health Sciences, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Dan Nemet
- Child Health and Sports Center, Meir Medical Center, Kfar-Saba, Tel Aviv University, School of Medicine, Tel Aviv, Israel
| |
Collapse
|
2
|
Rahman T, Hossain MM, Bristy NN, Hoque MZ, Hossain MM. Influence of cyber-victimization and other factors on depression and anxiety among university students in Bangladesh. JOURNAL OF HEALTH, POPULATION, AND NUTRITION 2023; 42:119. [PMID: 37932869 PMCID: PMC10629170 DOI: 10.1186/s41043-023-00469-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 11/01/2023] [Indexed: 11/08/2023]
Abstract
BACKGROUND AND OBJECTIVES Cyber-victimization is closely linked with mental health problems such as anxiety, depression, etc., and has become a growing concern among university students in Bangladesh. In the era of globalization, smart gadgets, the internet, and other online resources are readily available, and these tools and devices have now become the primary method for cyberbullying. The authors aim to explore the impacts of cyber-victimization and other factors on anxiety and depression among university students in Bangladesh. METHODS The primary data for this cross-sectional study were collected using a well-structured questionnaire. This study employs three widely used scales such as cyberbullying inventory, general anxiety disorder-7 (GAD-7), and patient health questionnaire-9 (PHQ-9). Descriptive statistics and multivariable logistic regression analyses are carried out to identify the factors associated with depression and anxiety among university students in Bangladesh. RESULTS Findings depict that the prevalence of depression and anxiety among university students was 52.5% and 44.0%, respectively. Depressed respondents were considerably more likely to have difficulty sleeping (p < 0.001), spend more time on social media (p = 0.002), have suicidal thoughts (p < 0.001), and have a high cyber-victimization score (p < 0.001) compared to non-depressed respondents. In comparison with non-anxious respondents, anxious respondents were significantly more likely to: have sleeping difficulties (p < 0.001); spend more time on social media (p = 0.031); have suicidal thinking (p < 0.001); and have a comparatively high cyber-victimization score (p < 0.001). Multivariable logistic regression analysis identified that a one-unit increase in the cyber-victimization score results in a 1.24 times higher chance of experiencing depression (AOR: 1.24, 95% CI 1.17-1.31, p < 0.001), and a one-unit increase in the cyber-victimization score results in a 1.23 times higher chance of experiencing anxiety (AOR: 1.23, 95% CI 1.17-1.30, p < 0.001). CONCLUSION University students are struggling with cyberbullying, which can lead to depression and anxiety levels. Promoting more cyberbullying awareness is necessary since failing to do so could result in a sustained or increased prevalence of anxiety and depression levels among students, which could have disastrous repercussions.
Collapse
Affiliation(s)
- Tareq Rahman
- BRAC James P Grant School of Public Health, BRAC University, Dhaka, 1213, Bangladesh
| | - Md Mahin Hossain
- Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh
| | - Nurun Nahar Bristy
- Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh
| | - Md Zahidul Hoque
- Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh
| | - Md Moyazzem Hossain
- Department of Statistics, Jahangirnagar University, Savar, Dhaka, 1342, Bangladesh.
| |
Collapse
|
3
|
Koly KN, Islam MS, Potenza MN, Mahumud RA, Islam MS, Uddin MS, Sarwar MAH, Begum F, Reidpath DD. Psychosocial health of school-going adolescents during the COVID-19 pandemic: Findings from a nationwide survey in Bangladesh. PLoS One 2023; 18:e0283374. [PMID: 36972260 PMCID: PMC10042372 DOI: 10.1371/journal.pone.0283374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 03/08/2023] [Indexed: 03/29/2023] Open
Abstract
BACKGROUND Common psychosocial health problems (PHPs) have become more prevalent among adolescents globally during the COVID-19 pandemic. However, the psychosocial health of school-going adolescents has remained unexplored in Bangladesh due to limited research during the pandemic. The present study aimed to estimate the prevalence of PHPs (i.e., depression and anxiety) and assess associated lifestyle and behavioral factors among school-going adolescents in Bangladesh during the COVID-19 pandemic. METHODS A nationwide cross-sectional survey was conducted among 3,571 school-going adolescents (male: 57.4%, mean age: 14.9±1.8 years; age range: 10-19 years) covering all divisions, including 63 districts in Bangladesh. A semi-structured e-questionnaire, including informed consent and questions related to socio-demographics, lifestyle, academics, pandemic and PHPs, was used to collect data between May and July 2021. RESULTS The prevalence of moderate to severe depression and anxiety were 37.3% and 21.7%, respectively, ranging from 24.7% in the Sylhet Division to 47.5% in the Rajshahi Division for depression, and from 13.4% in the Sylhet Division to 30.3% in the Rajshahi Division for anxiety. Depression and anxiety were associated with older age, reports of poor teacher cooperation in online classes, worries due to academic delays, parental comparison of academic performance with other classmates, difficulties coping with quarantine situations, changes in eating habits, weight gain, physical inactivity and having experienced cyberbullying. Moreover, being female was associated with higher odds of depression. CONCLUSIONS Adolescent psychosocial problems represent a public health problem. The findings suggest a need for generating improved empirically supported school-based psychosocial support programs involving parents and teachers to ensure the well-being of adolescents in Bangladesh. School-based prevention of psychosocial problems that promote environmental and policy changes related to lifestyle practices and active living should be developed, tested, and implemented.
Collapse
Affiliation(s)
- Kamrun Nahar Koly
- Health System & Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, Bangladesh
| | - Md Saiful Islam
- Health System & Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, Bangladesh
| | - Marc N Potenza
- Department of Psychiatry and Child Study Center, Yale School of Medicine, New Haven, CT, United States of America
- Connecticut Mental Health Center, New Haven, CT, United States of America
- Connecticut Council on Problem Gambling, Wethersfield, CT, United States of America
- Department of Neuroscience and Wu Tsai Institute, Yale University, New Haven, CT, United States of America
| | - Rashidul Alam Mahumud
- Faculty of Medicine and Health, NHMRC Clinical Trials Centre, The University of Sydney, Camperdown, NSW, Australia
- Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Md Shefatul Islam
- Aspire to Innovate (a2i), Information and Communication Technology Division, Agargaon, Dhaka, Bangladesh
| | - Md Salim Uddin
- Aspire to Innovate (a2i), Information and Communication Technology Division, Agargaon, Dhaka, Bangladesh
| | - Md Afzal Hossain Sarwar
- Aspire to Innovate (a2i), Information and Communication Technology Division, Agargaon, Dhaka, Bangladesh
| | - Farzana Begum
- Health System & Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, Bangladesh
| | - Daniel D Reidpath
- Health System & Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, Bangladesh
- Institute for Global Health and Development, Queen Margaret University, Edinburgh, Scotland
| |
Collapse
|
4
|
The Relationship between Depressive Symptoms, Anxiety and Sociodemographic Characteristics in Individuals with Chronic Diseases. JOURNAL OF BASIC AND CLINICAL HEALTH SCIENCES 2022. [DOI: 10.30621/jbachs.1037380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Purpose: This study aims to reveal the relationship between depressive symptoms, anxiety level and socio-demographic characteristics of individuals with chronic diseases.
Methods: The study sample consisted of 149 individuals over the age of 18 who agreed to participate in the study and had a chronic disease. Each of the participants completed a questionnaire that revealed their socio-demographic characteristics, a Beck Depression Inventory and a Generalized Anxiety Inventory-7.
Results: The participants’ mean BDI score was 14.56±10.08 and the average score of GAD-7 test was 7.40±5.57. 34% of the patients are at risk of moderate and 8.7% at risk of severe depression. 22.8% of individuals are under high and 11.4% under serious anxiety threat. Average total scores of depression and anxiety scales are significantly higher in those with lower incomes than normal or higher incomes and in singles when compared to married people. In addition, the GAD-7 test scale mean score of those who did not comply with the treatment was higher. In addition, a positive linear relationship was found between BDI and GAD-7.
Conclusions: Depression and anxiety levels are significantly higher in patients with chronic disease. It is recommended that, individuals at risk among those with chronic diseases should be identified and supported psycho-socially.
Collapse
|
5
|
Banik R, Islam MS, Ahmed M, Koly KN, Mubarak M, Rahman M, Zhai ZW, Sikder MT, Potenza MN. General psychiatric symptoms among Bangladeshi people approximately one year after the onset of the COVID-19 pandemic. BMC Psychiatry 2022; 22:615. [PMID: 36123664 PMCID: PMC9483885 DOI: 10.1186/s12888-022-04232-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 08/25/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Coronavirus disease-2019 (COVID-19) has had negative physical and mental impacts on people globally. The current study examined general psychiatric symptoms (fear, anxiety, depression, and insomnia) and loneliness, and their interrelationships and correlates among Bangladeshi individuals approximately 1 year after the onset of the COVID-19 outbreak. METHODS An internet-based cross-sectional survey was conducted among 1004 Bangladeshi people (51.8% male; mean age: 25.41 ± 7.80; age range: 18-60 years). Data were collected using a semi-structured e-questionnaire including informed consent, socio-demographics, lifestyle measures, and psychometric tools assessing loneliness, anxiety, depression, insomnia, and fear of COVID-19. RESULTS Sizeable participants screened positive for loneliness (63.5%), anxiety (26.3%), depression (46.4%), and insomnia (50.7%). Considerable numbers of respondents also reported fear of COVID-19. In hierarchical regression analyses, loneliness, anxiety, depression, insomnia, and fear of COVID-19 were associated with socio-demographic and lifestyle factors. Loneliness, anxiety, depression, insomnia, and fear of COVID-19 were positively correlated with each other (p < 0.001). In exploratory path analyses, anxiety, depression, and insomnia mediated the relationship between loneliness and fear of COVID-19. CONCLUSIONS The findings indicate that many people in Bangladesh have experienced psychiatric concerns approximately 1 year after the onset of the COVID-19 outbreak. Investigation into empirically supported interventions and their implementation is needed.
Collapse
Affiliation(s)
- Rajon Banik
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
| | - Md. Saiful Islam
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
- Centre for Advanced Research Excellence in Public Health, Savar, Dhaka 1342 Bangladesh
| | - Masruk Ahmed
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
| | - Kamrun Nahar Koly
- grid.414142.60000 0004 0600 7174Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka, 1212 Bangladesh
| | - Mahfuza Mubarak
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
| | - Mahmudur Rahman
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
| | - Zu Wei Zhai
- grid.260002.60000 0000 9743 9925Program in Neuroscience, Middlebury College, Middlebury, VT USA
| | - Md. Tajuddin Sikder
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
| | - Marc N. Potenza
- grid.47100.320000000419368710Department of Psychiatry and Child Study Center, Yale School of Medicine, New Haven, CT USA
- grid.414671.10000 0000 8938 4936Connecticut Mental Health Center, New Haven, CT USA
- Connecticut Council on Problem Gambling, Wethersfield, CT USA
- grid.47100.320000000419368710Department of Neuroscience, Yale University, New Haven, CT USA
| |
Collapse
|
6
|
Islam MS, Tasnim R, Sujan MSH, Bőthe B, Ferdous MZ, Sikder MT, Siddique MAB, Toma TY, Kamruzzaman S, Sakib MN, Pinky KN, Islam MR, Anter FS, Hossain A, Hossen I, Kraus SW, Potenza MN. Validation and Evaluation of the Psychometric Properties of the Bangla Version of the Brief Pornography Screen in Men and Women. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00903-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
7
|
Islam MS, Ferdous MZ, Sujan MSH, Tasnim R, Masud JHB, Kundu S, Mosaddek ASM, Choudhuri MSK, Kira IA, Gozal D. The psychometric properties of the Bangla Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): preliminary reports from a large-scale validation study. BMC Psychiatry 2022; 22:280. [PMID: 35443625 PMCID: PMC9020159 DOI: 10.1186/s12888-022-03920-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 04/01/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND The Posttraumatic Stress Disorder Checklist (PCL-5) is the most widely used screening tool in assessing posttraumatic stress disorder symptoms, based on the Diagnostic and Statistical Manual of Mental disorders (DSM-5) criteria. This study aimed to evaluate the psychometric properties of the newly translated Bangla PCL-5. METHODS A cross-sectional survey was carried out among 10,605 individuals (61.0% male; mean age: 23.6 ± 5.5 [13-71 years]) during May and June 2020, several months after the onset of the COVID-19 outbreak in Bangladesh. The survey included the Bangla PCL-5 and the PHQ-9 depression scale. We used confirmatory factor analysis to test the four-factor DSM-5 model, the six-factor Anhedonia model, and the seven-factor hybrid model. RESULTS The Bangla PCL-5 displayed adequate internal consistency (Cronbach's alpha = 0.90). The Bangla PCL-5 score was significantly correlated with scores of the PHQ-9 depression scale, confirming strong convergent validity. Confirmatory factor analyses indicated the models had a good fit to the data, including the four-factor DSM-5 model, the six-factor Anhedonia model, and the seven-factor hybrid model. Overall, the seven-factor hybrid model exhibited the best fit to the data. CONCLUSIONS The Bangla PCL-5 appears to be a valid and reliable psychometric screening tool that may be employed in the prospective evaluation of posttraumatic stress disorder in Bangladesh.
Collapse
Affiliation(s)
- Md. Saiful Islam
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka-1342 Bangladesh ,Centre for Advanced Research Excellence in Public Health, Savar, Dhaka-1342 Bangladesh
| | - Most. Zannatul Ferdous
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka-1342 Bangladesh ,Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka-1207 Bangladesh
| | - Md. Safaet Hossain Sujan
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka-1342 Bangladesh ,Centre for Advanced Research Excellence in Public Health, Savar, Dhaka-1342 Bangladesh
| | - Rafia Tasnim
- grid.411808.40000 0001 0664 5967Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka-1342 Bangladesh ,Centre for Advanced Research Excellence in Public Health, Savar, Dhaka-1342 Bangladesh
| | - Jakir Hossain Bhuiyan Masud
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka-1207 Bangladesh ,Public Health Informatics Foundation (PHIF), Mirpur, Dhaka-1216 Bangladesh
| | - Sourav Kundu
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka-1207 Bangladesh ,grid.444800.c0000 0000 9772 7011Advanced Institute of Industrial Technology, Shinagawa City, Tokyo, 140-0011 Japan
| | - Abu Syed Md. Mosaddek
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka-1207 Bangladesh ,Department of Pharmacology, Uttara Adhunik Medical College, Uttara, Dhaka-1230 Bangladesh
| | - M. Shahabuddin K. Choudhuri
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka-1207 Bangladesh ,grid.411808.40000 0001 0664 5967Department of Pharmacy, Jahangirnagar University, Savar, Dhaka-1342 Bangladesh ,United States Pharmacopeial Convention (USP) Herbal Medicines Compendium South Asia Expert Panel Member, New Delhi, India
| | - Ibrahim A. Kira
- Center for Cumulative Trauma Studies, Stone Mountain, GA USA ,grid.256304.60000 0004 1936 7400Affiliate of Center for Stress, Trauma and Resiliency, Georgia State University, Atlanta, GA USA
| | - David Gozal
- grid.134936.a0000 0001 2162 3504Department of Child Health and the Child Health Research Institute, The University of Missouri School of Medicine, Columbia, MO 65201 USA
| |
Collapse
|
8
|
Rahman ME, Saiful Islam M, Mamun MA, Moonajilin MS, Yi S. Prevalence and Factors Associated with Suicidal Ideation Among University Students in Bangladesh. Arch Suicide Res 2022; 26:975-984. [PMID: 33073746 DOI: 10.1080/13811118.2020.1833800] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
This study aimed to determine the prevalence of and factors associated with suicidal ideation among university students in Bangladesh. We collected cross-sectional data from 407 students aged between 18 and 27 years at Jahangirnagar University (Dhaka, Bangladesh), using a convenience sampling technique. Of the total sample, 13.8% reported having suicidal ideation during the past 12 months. In multiple logistic regression analysis, being female, being a fifth-year student, lower socioeconomic status, exposure to traumatic events, family suicide history, and depression were associated with suicidal ideation. The findings emphasize the need for appropriate support services for university students with a focus on mental health wellbeing and suicide prevention.
Collapse
|
9
|
Rafi A, Islam S, Hasan MT, Hossain G. Prevalence and impact of migraine among university students in Bangladesh: findings from a cross-sectional survey. BMC Neurol 2022; 22:68. [PMID: 35219314 PMCID: PMC8881749 DOI: 10.1186/s12883-022-02594-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 02/19/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Migraine is one of the main causes of long-term morbidity, and it is one of the major contributors of all types of headaches in worldwide. Despite its disruptive effect, it is frequently underdiagnosed and undertreated in Bangladesh. The aim of the present study was to determine the prevalence of migraines and its impact on daily life of university students in Bangladesh.
Methods
This cross-sectional study was conducted among 2,352 students of Rajshahi University and Jahangirnagar University during March 2020 through a self-administered online survey. ID Migraine™ scale and HIT-6 scale were used to screen migraine and its impact respectively. Frequency distribution, Chi-square test and t-test along with multiple logistic regressions model were used to determine the prevalence and associated factors of migraine respectively.
Results
The overall prevalence of migraine among the participants was 21.4%. The prevalence was higher among females (29%) than males (12%). A multivariable logistic regression model provided the following eight risk factors of migraine: (i) gender (p < 0.01), (ii) family income (p < 0.01), (iii) marital status (p < 0.01), (iv) infrequent exercise (p < 0.01), (v) family history of headache (p < 0.01), (vi) high screen time (p < 0.05), (vii) depressive symptoms (p < 0.05) and (viii) anxiety disorder (p < 0.01). More than two-thirds of the people with migraines reported more than five attacks during the past month with moderate to severe intense headache. Stress was the most reported trigger of migraine among university students (71%) followed by irregular sleep (47%), academic pressure (33%), and external noise (28%). Almost 37% of the participants who had migraines reported that headache caused severe impact in their day to day life.
Conclusions
The prevalence of migraine among university students of Bangladesh is alarmingly high. Frequent migraine attacks and severe intensity of headache cause a substantial level of impact among the sufferers. Cautious avoidance of the triggering factors through appropriate interventions and prophylactic medication can mitigate the negative impact of migraine as well as improve the quality of life.
Collapse
|
10
|
Anxiety among urban, semi-urban and rural school adolescents in Dhaka, Bangladesh: Investigating prevalence and associated factors. PLoS One 2022; 17:e0262716. [PMID: 35061810 PMCID: PMC8782381 DOI: 10.1371/journal.pone.0262716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 12/31/2021] [Indexed: 11/19/2022] Open
Abstract
Background
Anxiety disorder is one of the emerging public health problems in many low- and middle-income countries (LMICs). Likewise, in Bangladesh, a growing number of adolescents are experiencing such symptoms though we have very limited research evidence available. The purpose of this study was to investigate the prevalence of anxiety and the factors associated with this condition among urban, semi-urban, and rural school adolescents in Bangladesh.
Methods
This cross-sectional study used a two-stage cluster sampling procedure. A self-administered questionnaire was conveyed to 2355 adolescents from nine secondary schools of Dhaka, Bangladesh. Of the respondents, 2313 completed the seven-item Generalized Anxiety Disorder (GAD-7). Besides, sociodemographic information, self-reported body image as well as modification of Leisure Time Exercise Questionnaire (LTEQ) and WHO Global PA Questionnaire (GPAQ) were used to determine the sociodemographic and lifestyle factors associated with anxiety among adolescents.
Results
A total of 20.1% of adolescents were experiencing moderate to severe anxiety; of them, a significantly higher proportion (49.9%) of female adolescents were suffering more than males (40.1%). Furthermore, age, student’s grade, father’s educational level, number of family members, and residential setting were found to be significantly associated with anxiety among adolescents. In terms of lifestyle factors, irregular physical activity (AOR: 1.31; 95% CI: 1.05–1.63), high screen time (AOR: 1.51; 95% CI:1.21–1.88), sleep dissatisfaction (AOR: 3.79; 95% CI: 3.02–4.76), and underweight body image (AOR: 2.37; 95% CI:1.70–3.28) were found to be significantly associated with anxiety among school adolescents of urban, semi-urban, and rural residential settings.
Conclusions
Anxiety is prevalent among urban, semi-urban, and rural school adolescents in Dhaka, Bangladesh. To lessen this prevalence of anxiety among Bangladeshi adolescents, evidence-based health programs- healthy school trials—and policies should therefore be taken based on the findings of this study.
Collapse
|
11
|
Tasnim R, Sujan MSH, Islam MS, Ferdous MZ, Hasan MM, Koly KN, Potenza MN. Depression and anxiety among individuals with medical conditions during the COVID-19 pandemic: Findings from a nationwide survey in Bangladesh. Acta Psychol (Amst) 2021; 220:103426. [PMID: 34619554 PMCID: PMC8486640 DOI: 10.1016/j.actpsy.2021.103426] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 09/30/2021] [Accepted: 09/30/2021] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) disproportionately impacts individuals with medical conditions, including with respect to their mental health. The present study investigated depression and anxiety and their correlates among individuals with medical conditions in Bangladesh. METHODS Subjects were recruited to participate in an internet-based survey. Data were collected from November 2020 to January 2021 using convenience sampling by a semi-structured questionnaire through online platforms. Multiple regression analyses were performed to determine associations applying Bonferroni correction (p < 0.004). The Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7) measured depression and anxiety, respectively. RESULTS Nine-hundred-and-seventy-one participants (50.1% male; mean age = 42.29 ± 15.86 years; age range = 18-80 years) with medical conditions were included in final analyses. The most frequently reported conditions were diabetes, hypertension, obesity, heart disease, asthma, and anemia. Estimates of moderate to severe depression and anxiety were 38.9% and 35.2%, respectively. The mean depression and anxiety scores were significantly higher among participants who reported having hypertension, obesity, heart disease, asthma, anemia, cancer and chronic obstructive pulmonary disease (COPD). Using Bonferroni correction (p < 0.004), depression was associated with being female and a student, having poorer quality of life, poorer health status and greater numbers of co-morbidities, not engaging in physical exercise and tobacco smoking. Anxiety was associated with being female and a student, having lower socioeconomic status, poorer quality of life, poorer health status and greater numbers of co-morbidities, less sleep and tobacco smoking. CONCLUSIONS Depression and anxiety are prevalent among individuals with medical conditions and correlate with sociodemographic, quality-of-life and smoking measures. Interventions targeting vulnerable groups should be employed and investigated.
Collapse
Affiliation(s)
- Rafia Tasnim
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; Centre for Advanced Research Excellence in Public Health, Savar, Dhaka 1342, Bangladesh.
| | - Md Safaet Hossain Sujan
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; Centre for Advanced Research Excellence in Public Health, Savar, Dhaka 1342, Bangladesh.
| | - Md Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; Centre for Advanced Research Excellence in Public Health, Savar, Dhaka 1342, Bangladesh.
| | - Most Zannatul Ferdous
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh.
| | | | - Kamrun Nahar Koly
- Health System and Population Studies Division, icddr,b, Mohakhali, Dhaka 1212, Bangladesh.
| | - Marc N Potenza
- Department of Psychiatry and Child Study Center, Yale School of Medicine, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA; Department of Neuroscience, Yale University, New Haven, CT, USA.
| |
Collapse
|
12
|
KOÇ ET, ÇALIŞKAN Z, ERDEM E. Factors affecting obesity in preadolescents: the case of Cappadocia. CUKUROVA MEDICAL JOURNAL 2021. [DOI: 10.17826/cumj.920570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
13
|
Alsaleem MA. Depression, Anxiety, Stress, and Obesity among Male Adolescents at Abha City, Southwestern Saudi Arabia. The Journal of Genetic Psychology 2021; 182:488-494. [PMID: 34542378 DOI: 10.1080/00221325.2021.1978922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The objective was to study depression, anxiety, stress, and obesity among male adolescents in Abha City, southwestern Saudi Arabia. A cross-sectional study was conducted on a sample of 398 male students. Standard methods for measuring body weight and height were applied. Body Mass Index (BMI) was calculated. The Arabic version of the Depression Anxiety Stress Scale (DASS-21) was used to detect common mental disorders. Results of the study showed that only 69 (17.3%) adolescents had normal body weight, 176 (44.2%) had overweight, and 153 (38.4%) were obese. The present study showed that obese male adolescents had more stress, anxiety, and depression (44.4%, 73.2%, and 65.7%, respectively) than normal weights. The study showed that obesity was a significant risk factor for anxiety (aOR = 1.97; 95% CI: 1.01-3.27) and depression (aOR = 1.90; 95% CI: 1.06-3.40). In conclusion, there is an urgent need for depression and anxiety screening and treatment programs among adolescents to prevent adolescent obesity. It should be hand in hand with nutritional and exercise-based interventions as an essential tool in preventing teenage obesity.
Collapse
Affiliation(s)
- Mohammed Abadi Alsaleem
- Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia
| |
Collapse
|
14
|
Islam MS, Rahman ME, Banik R, Emran MGI, Saiara N, Hossain S, Hasan MT, Sikder MT, Smith L, Potenza MN. Financial and Mental Health Concerns of Impoverished Urban-Dwelling Bangladeshi People During COVID-19. Front Psychol 2021; 12:663687. [PMID: 34421719 PMCID: PMC8377359 DOI: 10.3389/fpsyg.2021.663687] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 07/13/2021] [Indexed: 12/28/2022] Open
Abstract
Background: The COVID-19 pandemic has impacted the physical, mental and financial health of many individuals. Individuals living in impoverished crowded settings may be particularly vulnerable to COVID-19-related stressors. How substantially marginalized groups like impoverished urban-dwelling individuals have been impacted during this pandemic is poorly understood. The present study aimed to investigate the associated factors of financial concerns and symptoms of depression and posttraumatic stress disorder (PTSD) during the COVID-19 pandemic among impoverished urban-dwelling individuals residing in Dhaka, Bangladesh. Methods: A cross-sectional survey was conducted between August and September 2020 using face-to-face interviews in six disadvantaged neighborhoods ("slums") in Dhaka. Individuals were interviewed using a semi-structured questionnaire consisting of questions assessing socio-demographics, lifestyle, financial well-being relating to the COVID-19 pandemic, depression, and PTSD. Results: Four-hundred-and-thirty-five individuals (male = 54.7%; mean age = 45.0 ± 12.0 years; age range = 18-85 years) participated. Most (96.3%) reported that their household income decreased due to the COVID-19 pandemic. Factors associated with decreased household incomes included female gender, primary education, joblessness, food scarcity and depression. Depression symptoms were linked to female gender, joblessness, divorce, living in a joint family, excessive sleep and smoking. Low incomes, excessive sleep, joblessness and food scarcity were positively associated with PTSD symptoms. In contrast, less sleep appeared protective against PTSD. Conclusions: Public health initiatives, in particular mental health services that target stress and biocentric approaches that consider how humans interact with multiple facets of nature, should be introduced to mitigate against potential financial and psychological effects of the pandemic on impoverished urban-dwelling individuals in Bangladesh.
Collapse
Affiliation(s)
- Md. Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
- Center for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
| | - Md. Estiar Rahman
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
| | - Rajon Banik
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
| | | | - Noshin Saiara
- Department of Biotechnology and Genetic Engineering, Jahangirnagar University, Dhaka, Bangladesh
| | - Sahadat Hossain
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
| | - M. Tasdik Hasan
- Department of Primary Care and Mental Health, University of Liverpool, Liverpool, United Kingdom
| | - Md. Tajuddin Sikder
- Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh
| | - Lee Smith
- The Cambridge Center for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom
| | - Marc N. Potenza
- Department of Psychiatry and Child Study Center, Yale School of Medicine, New Haven, CT, United States
- Connecticut Mental Health Center, New Haven, CT, United States
- Connecticut Council on Problem Gambling, Wethersfield, CT, United States
- Department of Neuroscience, Yale University, New Haven, CT, United States
| |
Collapse
|
15
|
Islam MS, Tasnim R, Sujan MSH, Ferdous MZ, Sikder MT, Masud JHB, Kundu S, Tahsin P, Mosaddek ASM, Griffiths MD. Depressive symptoms associated with COVID-19 preventive practice measures, daily activities in home quarantine and suicidal behaviors: Findings from a large-scale online survey in Bangladesh. BMC Psychiatry 2021; 21:273. [PMID: 34039292 PMCID: PMC8150150 DOI: 10.1186/s12888-021-03246-7] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 04/27/2021] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND The world is facing a public health emergency situation caused by the COVID-19 pandemic. Psychological wellbeing among individuals worldwide has been negatively affected by the pandemic especially in low- and middle-income countries such as Bangladesh. The present study aimed to assess the estimate of depressive symptoms and investigated its associations with COVID-19 preventive practice measures, daily activities in home quarantine, and suicidal behaviors in a large-scale Bangladeshi online survey. METHODS An online-based cross-sectional survey was widely distributed to Bangladeshi citizens. A total of 13,654 participants (61.0% male; mean age = 24.0 years [SD = 6.0]; age range 18-65 years) completed the survey between May and June (2020). The survey included socio-demographics and COVID-19-related questions, along with lifestyle, suicidal, and psychometric measures. Hierarchical regression was performed to determine significant associations between depression and examined variables. RESULTS The estimate of depressive symptoms during the COVID-19 pandemic was 43.5%. Based on hierarchical regression analysis, depression was significantly associated with not engaging in COVID-19 preventive measures, daily activities in home quarantine (e.g., playing videogames), and suicidal behaviors. CONCLUSIONS Depressive symptoms appeared to be high during the COVID-19 pandemic in Bangladesh. To fight against the pandemic, mental health issues as well as physical health issues need to be taken into consideration.
Collapse
Affiliation(s)
- Md. Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
- Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, 1342 Bangladesh
| | - Rafia Tasnim
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
- Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, 1342 Bangladesh
| | - Md. Safaet Hossain Sujan
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
- Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, 1342 Bangladesh
| | - Most. Zannatul Ferdous
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka, 1207 Bangladesh
| | - Md. Tajuddin Sikder
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, 1342 Bangladesh
| | - Jakir Hossain Bhuiyan Masud
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka, 1207 Bangladesh
- Public Health Informatics Foundation (PHIF), Mirpur, Dhaka, 1216 Bangladesh
| | - Sourav Kundu
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka, 1207 Bangladesh
- Advanced Institute of Industrial Technology, Shinagawa City, Tokyo, 140-0011 Japan
| | - Promi Tahsin
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka, 1207 Bangladesh
| | - Abu Syed Md. Mosaddek
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka, 1207 Bangladesh
- Department of Pharmacology, Uttara Adhunik Medical College, Uttara, Dhaka, 1230 Bangladesh
| | - Mark D. Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, 50 Shakespeare Street, Nottingham, NG1 4FQ UK
| |
Collapse
|
16
|
Islam MS, Sujan MSH, Tasnim R, Mohona RA, Ferdous MZ, Kamruzzaman S, Toma TY, Sakib MN, Pinky KN, Islam MR, Siddique MAB, Anter FS, Hossain A, Hossen I, Sikder MT, Pontes HM. Problematic Smartphone and Social Media Use Among Bangladeshi College and University Students Amid COVID-19: The Role of Psychological Well-Being and Pandemic Related Factors. Front Psychiatry 2021; 12:647386. [PMID: 33935834 PMCID: PMC8085355 DOI: 10.3389/fpsyt.2021.647386] [Citation(s) in RCA: 58] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 03/05/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Smartphone and social media use are an integral part of our daily life. Currently, the impact of excessive smartphone and social media use during the COVID-19 pandemic is poorly understood. The present study aimed to investigate problematic smartphone use (PSPU) and problematic social media use (PSMU) among Bangladeshi college and university students during the COVID-19 pandemic. Methods: A cross-sectional study was carried out involving 5,511 Bangladeshi college and university students (male: 58.9%; mean age: 21.2 years [SD = 1.7]; age range: 18-25) during the social-distancing in the COVID-19 pandemic (July 2020). A self-reported survey containing questions regarding socio-demographic, lifestyle, and home quarantine activities along with four psychometric scales was completed by participants. Results: The mean scores of PSPU and PSMU were 20.8 ± 6.8 (out of 36) and 14.7 ± 4.8 (out of 30). Based on a hierarchical regression analysis, PSPU and PSMU were positively associated with lower age, poor sleep, social media use, watching television, anxiety, and depression. Additionally, PSMU was linked to being female, living with nuclear family, having urban residence, irregular physical exercise, poor engagement with academic studies, and avoiding earning activities, whilst being male, being married, living with lower-income family, and alcohol consumption were linked to PSMU. Conclusions: The findings indicate that PSPU and PSMU were linked to poor psychological well-being (i.e., anxiety and depression) and other factors (especially lower age, poor sleep) during the pandemic, further suggesting the need for interventions including virtual awareness programs among college and university students.
Collapse
Affiliation(s)
- Md. Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
| | - Md. Safaet Hossain Sujan
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
| | - Rafia Tasnim
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
| | - Rashenda Aziz Mohona
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
- Department of Public Health, North South University, Dhaka, Bangladesh
| | - Most. Zannatul Ferdous
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
| | - Sk Kamruzzaman
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
- Faculty of Animal Science and Veterinary Medicine, Patuakhali Science and Technology University, Barishal, Bangladesh
| | - Tanziha Yeasmin Toma
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
| | - Md. Nazmus Sakib
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
- Department of Ayurvedic Medicine, Hamdard University Bangladesh, Gazaria, Bangladesh
| | - Khairrun Nahar Pinky
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
- Department of Population Science and Human Resource Development, Rajshahi University, Rajshahi, Bangladesh
| | - Md. Riad Islam
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
- Department of Anthropology, Rajshahi University, Rajshahi, Bangladesh
| | - Md. Abid Bin Siddique
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
| | - Fahim Shariar Anter
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
- Department of Biochemistry and Molecular Biology, Noakhali Science and Technology University, Noakhali, Bangladesh
| | - Alomgir Hossain
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
- Department of Genetic Engineering and Biotechnology, Rajshahi University, Rajshahi, Bangladesh
| | - Ikram Hossen
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
- Centre for Advanced Research Excellence in Public Health, Dhaka, Bangladesh
| | - Md. Tajuddin Sikder
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
| | - Halley M. Pontes
- Department of Organizational Psychology, Birkbeck, University of London, London, United Kingdom
| |
Collapse
|
17
|
Islam MS, Rahman ME, Moonajilin MS, van Os J. Prevalence of depression, anxiety and associated factors among school going adolescents in Bangladesh: Findings from a cross-sectional study. PLoS One 2021; 16:e0247898. [PMID: 33793610 PMCID: PMC8016317 DOI: 10.1371/journal.pone.0247898] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 02/10/2021] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Common mental disorders in early life represent a major concern as they become more complex and intense with transition into adolescence. Despite global recognition of the significance of adolescent mental health, it remains a neglected area in research and health policy in Bangladesh. This study aimed to investigate the prevalence and factors associated with depression and anxiety among school going adolescents in Bangladesh. METHODS A cross-sectional survey was conducted among 563 students aged 13-18 years at selected schools (secondary and higher secondary) in Dhaka City. After providing written informed consent, participants completed a survey examining socio-demographic variables, along with the PHQ-9 and GAD-7 scales. Logistic regression was used to examine associations between variables under examination. RESULTS The prevalence rates of moderate to severe levels of depression and anxiety were 26.5% and 18.1%, respectively. Based on multivariable analyses, unsatisfactory sleep (AOR = 3.17; 95% CI = 1.81-5.53, p < .001), cigarette smoking (AOR = 2.00; 95% CI = 1.01-3.97, p = .048), and anxiety (AOR = 10.47; 95% CI = 6.11-17.95, p < .001) were associated with depression. Anxiety was associated with being 15-16 years (AOR = 2.66; 95% CI = 1.18-6.00, p = .018), not having good perceived relationships with friends (AOR = 2.10; 95% CI = 1.24-3.56, p = .006) and depression (AOR = 10.22; 95% CI = 6.01-17.38, p < .001). CONCLUSIONS Depression and anxiety were prevalent among school going adolescents in Bangladesh. The findings suggest epidemiological data can direct policy-level decisions regarding evaluation, prevention, and intervention of mental health conditions among school going adolescents in Bangladesh.
Collapse
Affiliation(s)
- Md Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
- Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, Bangladesh
| | - Md Estiar Rahman
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Mst Sabrina Moonajilin
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh
| | - Jim van Os
- Department of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
- Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom
| |
Collapse
|
18
|
Islam MS, Ferdous MZ, Islam US, Mosaddek ASM, Potenza MN, Pardhan S. Treatment, Persistent Symptoms, and Depression in People Infected with COVID-19 in Bangladesh. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1453. [PMID: 33562427 PMCID: PMC7914967 DOI: 10.3390/ijerph18041453] [Citation(s) in RCA: 68] [Impact Index Per Article: 22.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 01/26/2021] [Accepted: 01/28/2021] [Indexed: 01/13/2023]
Abstract
Background: Coronavirus disease (COVID-19) has affected people's lives globally. While important research has been conducted, much remains to be known. In Bangladesh, initial treatment (self-administered, hospitalized), persistent COVID-19 symptoms ("long COVID-19"), and whether COVID-19 leads to changes in mental state, such as depressive symptoms, of people are not known. This study aimed to examine treatment, persistent symptoms, and depression in people who had been infected with COVID-19 in Bangladesh. Methods: A cross-sectional survey was conducted on 1002 individuals infected with COVID-19 (60% male; mean age = 34.7 ± 13.9; age range = 18-81 years), with data taken over a one-month period (11 September 2020 to 13 October 2020). A self-reported online questionnaire was used to collect data on socio-demographics, lifestyle, COVID-19 symptoms (during and beyond COVID-19), medication (over-the-counter or doctor-prescribed), and depression (assessed using the Patient Health Questionnaire (PHQ-9)). Results: Twenty-four percent of participants self-medicated with over-the-counter medicine when they were first diagnosed with COVID-19. Self-medication was higher among female vs. male respondents (29.6% vs. 20.2%, respectively, p = 0.002). A minority (20%) reported that they experienced persistent COVID-like symptoms after recovering from COVID-19. The most reported persistent symptoms were diarrhea (12.7%) and fatigue (11.5%). Forty-eight percent of participants were categorized as having moderate to severe depression. Based on multivariate regression analysis, depression during COVID-19 was positively associated with lower family income, poor health status, sleep disturbance, lack of physical activity, hypertension, asthma/respiratory problems, fear of COVID-19 re-infection, and persistent COVID-19 symptoms. Conclusions: The findings suggest a need for appropriate interventions for COVID-19 patients to promote physical and mental wellbeing.
Collapse
Affiliation(s)
- Md. Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; (M.Z.F.); (U.S.I.)
- Youth Research Association, Savar, Dhaka 1342, Bangladesh
| | - Most. Zannatul Ferdous
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; (M.Z.F.); (U.S.I.)
| | - Ummay Soumayia Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; (M.Z.F.); (U.S.I.)
| | - Abu Syed Md. Mosaddek
- Department of Pharmacology, Uttara Adhunik Medical College, Uttara, Dhaka 1230, Bangladesh
- Quest Bangladesh Biomedical Research Center, Lalmatia, Dhaka 1207, Bangladesh
| | - Marc N. Potenza
- Department of Psychiatry, and Child Study Center, Yale School of Medicine, New Haven, CT 06510, USA;
- Connecticut Mental Health Center, New Haven, CT 06519, USA
- Connecticut Council on Problem Gambling, Wethersfield, CT 06519, USA
- Department of Neuroscience, Yale University, New Haven, CT 06510, USA
| | - Shahina Pardhan
- Vision and Eye Research Institute, School of Medicine, Anglia Ruskin University, Young Street, Cambridge CB1 2LZ, UK;
| |
Collapse
|
19
|
Islam MS, Ferdous MZ, Potenza MN. Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: An online pilot survey early in the outbreak. J Affect Disord 2020; 276:30-37. [PMID: 32697713 PMCID: PMC7362838 DOI: 10.1016/j.jad.2020.06.049] [Citation(s) in RCA: 123] [Impact Index Per Article: 30.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 05/15/2020] [Accepted: 06/24/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND Precisely how the COVID-19 pandemic has impacted mental health worldwide is currently poorly understood. The study aimed to assess panic and anxiety among individuals in the general Bangladesh population early in the COVID-19 outbreak. METHODOLOGY A cross-sectional online survey was conducted from March 29 to April 06, 2020, involving 1311 community-dwelling individuals aged between 13 and 63 years and residing in Bangladesh. After providing informed consent, participants completed an online survey assessing socio-demographic variables and using the Panic Disorder Severity Scale and Generalized Anxiety Disorder (GAD-7) to assess panic and anxiety symptomatology, respectively. Binary logistic regression analyses were conducted. RESULTS Estimates of panic and generalized anxiety were 79.6%, and 37.3%, respectively. Factors statistically predicting panic were being older (more than 30 years), having higher education (above bachelor), being married, and living with a joint family. Factors statistically predicting generalized anxiety were being female, being older (more than 30 years), having higher education (above bachelor), being married, being a non-governmental employee. LIMITATIONS As this study employs the cross-sectional and self-reported measures, causal inferences cannot be indicated. Sampling biases may have influenced estimates of panic and generalized anxiety. CONCLUSION Sizable proportions of respondents reported panic and generalized anxiety in the setting of COVID-19. The findings suggest the need for additional surveillance of panic and generalized anxiety through longitudinal assessments. Evidence-based intervention programs and supportive services to address panic and generalized anxiety appear important for Bangladeshi individuals during this stage (and likely later stages) of the COVID-19 pandemic.
Collapse
Affiliation(s)
- Md Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; Youth Research Association, Savar, Dhaka 1342, Bangladesh.
| | - Most Zannatul Ferdous
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh.
| | - Marc N Potenza
- Department of Psychiatry and Child Study Center, Yale School of Medicine, New Haven, CT, USA; Connecticut Mental Health Center, New Haven, CT, USA; Connecticut Council on Problem Gambling, Wethersfield, CT, USA; Department of Neuroscience, Yale University, New Haven, CT, USA.
| |
Collapse
|
20
|
Saiful Islam M, Rahman ME, Moonajilin MS, Griffiths MD. Validation and evaluation of the psychometric properties of bangla nine-item Internet Disorder Scale-Short Form. J Addict Dis 2020; 38:540-549. [PMID: 32762512 DOI: 10.1080/10550887.2020.1799134] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Online activities such as online gaming and social media use have become very popular and for most individuals, engagement in such activities is highly enjoyable. However, for a small minority of individuals, such behaviors can lead to problematic internet use. There are many screening instruments that assess problematic internet use including the nine-item Internet Disorder Scale-Short-Form (IDS9-SF). The present study translated the IDS9-SF into Bangla and investigated its psychometric properties. The sample comprised 534 adolescents aged 13 to 18 years (61.0% male; mean age 15.7 years (SD = 1.5) from selected schools (secondary and higher secondary) in Dhaka City. The study included confirmatory factor analysis, Cronbach's alpha, and item-total correlation. Results demonstrated that the Bangla IDS9-SF had very good internal validity (Cronbach's alpha = .82), and that IDS score was positively and significantly correlated with scores on depression and anxiety scales. A confirmatory factor analysis showed the model had an excellent fit to the data. Therefore, the Bangla IDS9-SF appears to be a valid and reliable instrument that may be employed in further research on problematic internet use in Bangladesh.
Collapse
Affiliation(s)
- Md Saiful Islam
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh.,Youth Research Association, Savar, Bangladesh
| | - Md Estiar Rahman
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
| | - Mst Sabrina Moonajilin
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Bangladesh
| | - Mark D Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
| |
Collapse
|