title: Depression, anxiety and stress levels in industrial workers: A pilot study in Bangalore, India.
abstract: BACKGROUND
  Mental health disorders affect around 500 million people worldwide. In India, around 10-12% of people are affected by a mental disorder either due to stress, depression, anxiety, or any other cause. Mental health of workers affects the productivity of the workplace, with estimates putting these losses to be over 100 million dollars annually.
  
  
  OBJECTIVE
  The study aims to measure depression, anxiety, and stress levels of workers in an industry and to investigate if it has any effect on productivity of the firm.
  
  
  METHODS
  The study utilized a cross-sectional design and was conducted among workmen of the firm. A sociodemographic based questionnaire and a mental health screening tool -Depression Anxiety Stress Scale (DASS)-21 were used for the same. A total of 90 completed questionnaires were analyzed for the study. The data was analyzed for central tendencies as well as for any associations and correlations.
  
  
  RESULTS
  The study showed that none of the workers had a positive score for depression. It also showed that around 36% of the workers had a positive score for anxiety and 18% of the workers had a positive score for stress on DASS-21 scale. The odds ratio between stress and number of leaves taken by a worker in the last 3 months suggested a dose-response relationship, but was statistically insignificant.
  
  
  CONCLUSIONS
  The study found a prevalence rate of around 18-36% for anxiety and stress amongst the workers at the factory. Large-scale studies will help understand the effect mental health status has on the Indian workplace.
authors.affiliation: Department of Community Medicine, Intern, St Johns Medical College, Bangalore, Karnataka, India.
authors.forename: Sheldon
authors.initials: S
authors.lastname: Rao
authors.affiliation: Associate Professor, St Johns Medical College, Bangalore, Karnataka, India.
authors.forename: Naveen
authors.initials: N
authors.lastname: Ramesh
keywords: DASS-21; India; mental health; productivity; workplace