Introduction: Adolescence is a critical developmental stage marked by physical, emotional, and psychological changes, making individuals vulnerable to mental health challenges, particularly anxiety. Anxiety during adolescence can significantly impact daily functioning, school performance, and relationships. In India, the prevalence of anxiety among adolescents is rising, exacerbated by academic pressures, social expectations, and limited mental health services. This study aimed to assess the prevalence of anxiety among school-going adolescents in Bhopal and to identify the associated factors.

Materials and methods: A community-based cross-sectional study was conducted from May 2019 to May 2021 among 1,500 adolescents aged 14-19 years who attended secondary and higher secondary schools in urban Bhopal, Madhya Pradesh, India. Multistage cluster sampling was used, and data were collected using the Depression, Anxiety, and Stress Scale (DASS-42), with a focus on the anxiety subscale. Statistical analyses, including descriptive statistics, chi-square tests, and logistic regression, were conducted to determine associations between anxiety levels and various demographic and socioeconomic factors using R software version 4.1.0 (R Foundation for Statistical Computing, Vienna, Austria, https://www.R-project.org/).

Results: The study found that 749 (53%) of adolescents experienced some level of anxiety. Among them, 150 (10.6%) had mild anxiety, 304 (21.5%) had moderate anxiety, 195 (13.8%) had severe anxiety, and 100 (7.1%) had extremely severe anxiety. No significant associations were found between anxiety and factors such as age, gender, or screen time. However, a statistically significant association was observed with the father's occupation, where adolescents whose fathers were engaged in government or private services exhibited higher levels of anxiety (p = 0.007). Regression analysis revealed that gender, frequency of outdoor activities, and father's education level were not significantly associated with anxiety. However, paternal occupation showed significant effects, with participants whose fathers were in jobs other than business having lower odds of anxiety.

Conclusions: Anxiety is highly prevalent among school-going adolescents in Bhopal, with the father's occupation being a significant determinant. Early identification and interventions involving both parents and teachers are crucial to addressing anxiety in adolescents. Schools should promote emotional well-being by establishing support systems and fostering open discussions about mental health.

Keywords: adolescents; anxiety; dass-42; mental health; psychological changes.

Copyright © 2025, Parida et al.

简介： 青春期是一个关键的发展阶段，伴随着身体、情感和心理的变化，使个体容易受到心理健康挑战的影响，尤其是焦虑。青少年时期的焦虑会显著影响日常生活功能、学业表现和人际关系。在印度，青少年中的焦虑症发病率正在上升，这主要是由于学术压力、社会期望以及有限的心理健康服务所致。本研究旨在评估博帕尔市在校青少年的焦虑症发生率，并识别相关因素。

材料与方法： 从2019年5月至2021年5月，我们对印度中央邦博帕尔市城区内就读于中学和高中的14至19岁青少年进行了社区为基础的横断面研究。本研究采用多阶段分层抽样法，并使用抑郁、焦虑和压力量表（DASS-42）收集数据，重点关注焦虑子量表。我们利用R软件版本4.1.0（奥地利维也纳R基金会统计计算，https://www.R-project.org/）进行了描述性统计分析、卡方检验以及逻辑回归分析，以确定不同人口学和社会经济因素与焦虑水平之间的关联。

结果： 本研究发现，在1500名青少年中，有749名（占53%）不同程度地经历了焦虑。其中，轻度焦虑者为150人（占10.6%），中度焦虑者为304人（占21.5%），重度焦虑者为195人（占13.8%），极重度焦虑者为100人（占7.1%）。我们没有发现年龄、性别或屏幕时间与焦虑之间存在显著关联，但父亲职业类别是显著的统计学相关因素：父母从事政府或私人服务工作的青少年表现出更高的焦虑水平（p = 0.007）。回归分析表明，性别、户外活动频率和父亲教育程度均未对焦虑产生显著影响。然而，父亲的职业显示出显著效果，那些父亲不在商界工作的人群患焦虑症的风险较低。

结论： 博帕尔市在校青少年的焦虑症发生率很高，并且父辈职业是重要的决定因素。早期识别和涉及父母及教师在内的干预措施对于解决青少年焦虑问题至关重要。学校应当通过建立支持系统并促进有关心理健康开放讨论的方式，来推动学生的情感福祉。

关键词： 青少年；焦虑；DASS-42；心理健康；心理变化。