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Data Note

Physio-Psychosocial Risks of Depression among College-Going Adolescents in Bangladesh: A Data Note

[version 1; peer review: 1 approved with reservations]
PUBLISHED 17 Jun 2024
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This article is included in the Global Public Health gateway.

Abstract

Background

The prevalence of depression among adolescents is an increasing global problem, including in Bangladesh as well. This cross-sectional data was collected to examine the physiological and psychological risk factors for depression among college-going adolescents in Bangladesh.

Methodology

Simple random sampling was employed as a sampling technique during the study period from May 2022 to August 2022. In the survey, a total of 1919 college-going adolescents were included through a Google-based questionnaire platform. The survey included socio-demographic characteristics and Patient Health Questionnaire (PHQ-9) questions. Before starting the survey, the questionnaire was translated and pre-tested in Bengali. To assess the dataset's feasibility and effectiveness, the pre-testing was done with a total of 43 adolescents. The questionnaire was revised several times before the final study to ensure it satisfied all standards.

Conclusion

This dataset may be valuable for researchers investigating the relationship between academic performance, psychological well-being, and other socio-demographic characteristics. To get a deeper understanding of the broader framework, policymakers may find it advantageous to enact policies that are specifically tailored to meet the needs and preferences of adolescents

Keywords

Mental health, depression, physio-psychosocial risk, college-going adolescents, Bangladesh

Introduction

The prevalence of psychological disorders among adolescents is consistently increasing worldwide. Based on the results of a meta-analysis, the worldwide average occurrence rate of mental disorders in adolescents was determined to be 13.4 percent.1 Multiple studies in the Asian zone have examined the frequency of depression among the region's adolescents. For example, estimates for the overall incidence of depression among teenagers range from fifteen to forty percent.24 Adolescents' depression is associated with conditions like not getting enough sleep, having a lot of stress at school, not having somebody to talk to, being addicted to drugs or alcohol, and hurting themselves.5,6 Financial strain, familial strife, and cultural adjustment issues are among the socioeconomic variables that might put college-aged teenagers at risk for depression.7,8 Adolescents in Bangladesh are dealing with an underrecognized epidemic of mental health issues. The current body of research indicates that the overall prevalence of psychological difficulties may range from 6.5% to 31%, with a corresponding range of 13.4% to 22.9% among adolescents.9,10 Depression was more common among college students in Bangladesh who reported high levels of academic stress, poor quality sleep, and family conflict, according to the literature. Few studies in Bangladesh have examined the factors that may contribute to depression among university students.1114 Despite evidence of the impact of validated measures on common psychiatric diseases, there seems to be a continued need for specialized research on adolescent depression due to cultural and socio-demographic disparities among countries. This data article aimed to assess depression among college-aged adolescents in Bangladesh as well as determine the physio-psychosocial risk variables that are related to it, considering its contemporary relevance.

Methods

The study was conducted following the guidelines set out in the Declaration of Helsinki (2000) and was ethically approved from the Department of Biostatistics, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka-1212, Bangladesh with registration number: NIP/BIOS/2022/000/01, dated March 12, 2022. Written consent was taken from each participant before initiating the Google-based data collection. The participants who agreed with the consent were included further to join the interview.

Study design

The study design was cross-sectional.

Study population

The study population was the college-going adolescents participated from all administrative divisions of Bangladesh.

Data collection duration

May to August, 2022

Participants’ selection criteria

The inclusion criteria of this study were: i) students who were studying at the college level (during the data collection period); ii) adolescents aged 13 to 19 years old; and (iii) who were Bangladeshi by birth. On the other hand, the exclusion criteria were: i) adolescents who were holding dual citizenship; ii) foreign adolescents currently studying in Bangladesh; and iii) adolescents who did not provide consent.

Data description

The dataset was deposited in Mendeley Data which supports the original research article published in the Journal of Affective Disorders Reports.15 Participants were the students who enrolled in college and were in grades eleven and twelve. A total of 1919 adolescents participated in the study, and this number was determined by using the statistical technique of determining the sample size for a cross-sectional prevalence study.

Study variables

The independent variables of the study included the socio-demographic characteristics of the college-going adolescents, their behavioral risks, and history of illness. The socio-demographic variables were age, sex, family economic condition, marital status, Grade point average (GPA), and religion. Respondents’ behaviors related variables included smoking habit, uses of social media, involvement in pre-marital relationship, pre-marital sex experience, regular physical exercises, practicing religion, family unrest, and experience in blackmail. The major history of illness related variables were physical illness, illness history in covid-19, and history of family mental illness. The details independent variables included in the study are presented in Table 1.

Table 1. Description of the participants.

VariablesResponse category
GenderFemale
Male
Family income10 to 15 thousand
15 to 25 thousand
25 to 40 thousand
Above 40 thousand
Below 10 thousand
ReligionHinduism
Islam
Others
ExerciseNo
Yes
Pre-marital relationshipNo
Yes
SmokingNo
Yes
Use of social mediaNo
Yes
SSC GPAAbove GPA-3
Above GPA-4
GPA-5
Marital statusMarried
Unmarried
Family unrestNo
Yes
Mental illnessNo
Yes

On the other hand, the dependent variable included the Patient Health Questionnaire (PHQ-9) that was used to evaluate the participant's degree of depression symptoms to arrive at a result.15 The Patient Health Questionnaire-9 (PHQ-9) is widely recognized as a very effective and user-friendly tool for identifying depression in individuals. The scale's validity has been verified in Bangladesh.16 The codes assigned to the PHQ-9 questions range from “0 = not at all” to “3 = virtually every day.” The degree of depression was categorized into five distinct levels based on the Patient Health Questionnaire-9 (PHQ-9) scores: none-minimal (score: 0 to 4), mild (score: 5 to 9), moderate (score: 10 to 14), moderately severe (score: 15 to 19), and severe (score: 20 to 27). Participants in this research who scored 10 or above were classified as having a positive diagnosis of depression.17

Data validation and quality control

Before commencing the survey, the questionnaire was translated into the Bengali language and subjected to validation via pre-testing. To determine the feasibility and effectiveness of the dataset, preliminary research (pre-testing) with 43 students was conducted. Subsequently, they were discarded throughout the further analysis of the data. The questionnaire underwent many iterations of revisions before the implementation of the final study, ensuring its compliance with all the specified criteria.

To ensure the accuracy of the data, we utilized various methods. These included thoroughly reviewing and verifying the completed questionnaires, employing SPSS 26.0 for examining the frequency of each variable to identify any unusual findings, and conducting reliability analysis (specifically Cronbach's alpha), which yielded a reliability coefficient value of 0.78 for the PHQ-9 questionnaire. Additionally, we employed various statistical techniques to guarantee the reliability and validity of the dataset's findings.

Limitations

One of the major drawbacks of the dataset is that it is based on a cross-sectional methodology, which means that it is not possible to demonstrate causal relationships and the consequences of such interactions. Those people who were included in this dataset were responsible for providing their pertinent information, which was gathered by self-reporting. Considering this, there is a potential that the persons involved may make errors or fail to provide accurate information. A further restriction of the dataset is that this is the case. In addition, this dataset did not include any confounding factors that might potentially affect the prevalence of depression among the persons who participated in the study.

Ethics consideration

The study was conducted following the guidelines set out in the Declaration of Helsinki (2000) and was ethically approved from the Department of Biostatistics, National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka-1212, Bangladesh with registration number: NIP/BIOS/2022/000/01, dated March 12, 2022. Written consent was taken from each participant before initiating the Google-based data collection. The participants who agreed with the consent were included further to join the interview.

CRediT author statement

Md Abu Bakkar Siddik: Writing – review & editing, Writing – original draft, Visualization, Validation, Methodology, Investigation, Formal analysis, Data curation, Conceptualization. Nafiul Hasan: Writing – review & editing, Visualization, Formal analysis. Al Mahmud: Writing – review & editing, Writing – original draft, Investigation, Data curation. Akher Ali: Writing – review & editing, Investigation, Data curation. Md. Khalid Syfullah: Writing – review & editing, Writing – original draft, Investigation, Data curation. Md. Zamilur Rahman: Writing – review & editing, Writing – original draft. Anton Abdulbasah Kamil: Writing – review & editing, Writing – original draft, Funding acquisition. Mohammad Meshbahur Rahman: Writing – review & editing, Writing – original draft, Visualization, Validation, Supervision, Software, Resources, Project administration, Methodology, Investigation, Funding acquisition, Formal analysis, Data curation, Conceptualization.

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how to cite this article
Siddik MAB, Hasan N, Mahmud A et al. Physio-Psychosocial Risks of Depression among College-Going Adolescents in Bangladesh: A Data Note [version 1; peer review: 1 approved with reservations]. F1000Research 2024, 13:645 (https://doi.org/10.12688/f1000research.151055.1)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Current Reviewer Status: ?
Key to Reviewer Statuses VIEW
ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 1
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PUBLISHED 17 Jun 2024
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Reviewer Report 13 Aug 2024
Toan Ha, University of Pittsburgh, Pittsburgh, Pennsylvania, USA 
Approved with Reservations
VIEWS 7
This cross-sectional data was collected to examine the physiological and psychological risk factors for depression among college-going adolescents in Bangladesh. However, the authors should use depressive symptoms instead of depression as this is a cross-sectional study. 

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HOW TO CITE THIS REPORT
Ha T. Reviewer Report For: Physio-Psychosocial Risks of Depression among College-Going Adolescents in Bangladesh: A Data Note [version 1; peer review: 1 approved with reservations]. F1000Research 2024, 13:645 (https://doi.org/10.5256/f1000research.165675.r308776)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

Comments on this article Comments (0)

Version 1
VERSION 1 PUBLISHED 17 Jun 2024
Comment
Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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