A cross-sectional study to explore the prevalence of depression and the determinants among school-going adolescents in Indonesia
Background: Compared to adult-onset depression, depression that begins in adolescence (or earlier) often has a recurrent course and is linked to more detrimental effects, such as impairment in a number of important psychosocial aspects that can last into adulthood, suggesting that adolescence serves...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
|
| Series: | Archives of Mental Health |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/amh.amh_175_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background:
Compared to adult-onset depression, depression that begins in adolescence (or earlier) often has a recurrent course and is linked to more detrimental effects, such as impairment in a number of important psychosocial aspects that can last into adulthood, suggesting that adolescence serves as a critical window time period for early detection and prevention of depression.
Aim:
The aim of this study was to investigate the prevalence of depression among adolescents and identify the significant determinants.
Methods:
A cross-sectional study involving 1873 adolescents aged 14–18 years old was conducted in 16 public high schools across five provinces of Indonesia from February 2023 to January 2024. Convenience sampling was performed to recruit the participants. An Indonesian version of self-rated validated instruments was employed to assess study variables: sociodemographic profiles, rosenberg self-esteem scale (RSES), general self-efficacy scale (GSES), multidimensional scale of perceived social support (MSPSS),thethree item UCLA loneliness Scale (ULS-3), the 10-item connor–davidson resilience scale (CD-RISC-10), patient health questionnaire-9 (PHQ-9). The Chi-square test was employed as a bivariate analysis, and binary logistic regression was performed as a multivariable analysis.
Results:
The prevalence of adolescent depression was 37.3%. Multivariable analysis revealed that female (adjusted odds ratio [AOR] = 1.863; 95% confidence interval [CI]: 1.477–2.350), alcoholic (AOR = 6.080; 95%CI: 2.096–17.640), chronic illness (AOR = 6.845; 95%CI: 3.029–15.465), low self-esteem (AOR = 4.203; 95%CI: 3.339–5.290), low family support (AOR = 3.064; 95%CI: 2.034–4.616), low friends support (AOR = 2.029; 95%CI: 1.328–3.101), and loneliness (AOR = 3.447; 95%CI: 2.493–4.767) were significantly associated with depression (P < 0.05).
Conclusions:
Our findings highlight the multifaceted nature of depression among adolescents. A proactive strategy for the detection and prevention of adolescent-onset depression that targets identified key predictors should be employed on a regular basis. |
|---|---|
| ISSN: | 2589-9171 2589-918X |