title: ADad 10: the impairment in Anxiety Disorders among adolescents in a rural community population in India.
abstract: OBJECTIVE
  There is significant paucity of studies on the impairment associated with Anxiety Disorders (AD) among adolescents. This study focuses on the prevalence and pattern of impairment as well as impairment in the context of severity of AD, co-morbidities, suicide, age and gender in this population.
  
  
  METHODS
  In a prospective community survey of 500 adolescents, independent raters administered the Screen for Child Anxiety Related Emotional Disorders (SCARED) and Schedule for Affective Disorders and Schizophrenia for School-Age Children/Present and Lifetime to collect the required data. Descriptive statistics and Chi-square tests were done to evaluate the prevalence and profile of impairment, compare the impairment among different types of AD, severity of AD, number of co-morbidities, age and gender on impairment, effect of impairment on the need for suicide prevention.
  
  
  RESULTS
  Impairment in adolescents with AD was a rule, noted in 94.4%. Irrespective of the type of AD diagnosed, impairment at home was significant in adolescents with AD. The presentation of impairment among different Anxiety Disorders was different with different functional settings. Severity of AD and the number of co-morbidities was related to the impairment. Need for suicide related interventions were not different in those with and without impairment. Age and gender did not influence the presence of impairment.
  
  
  CONCLUSIONS
  Anxiety Disorders among adolescents in India result in significant functional impairment. Clinically, in this population assessment of impairment is required. Community policies and plans should have special management strategy to address impairment in adolescents with Anxiety Disorders.
authors.affiliation: Child and Adolescent Psychiatry Unit, Christian Medical College, Vellore, 632 002, Tamil Nadu, South India, russell@cmcvellore.ac.in.
authors.forename: Paul Swamidhas Sudhakar
authors.initials: PS
authors.lastname: Russell
authors.forename: M K C
authors.initials: MK
authors.lastname: Nair
authors.forename: Sushila
authors.initials: S
authors.lastname: Russell
authors.forename: Priya
authors.initials: P
authors.lastname: Mammen
authors.forename: Sherab
authors.initials: S
authors.lastname: Tsheringla
authors.forename: Abhiram
authors.initials: A
authors.lastname: Chandran
authors.forename: Babu
authors.initials: B
authors.lastname: George
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D002648:Child; D015897:Comorbidity; D006306:Health Surveys; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D015995:Prevalence; D011446:Prospective Studies; D012423:Rural Health / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D012737:Sex Factors; D055815:Young Adult