Evidence map›Paper›PMID 31138306›Full record

ArticleBMC psychology2019

"It is like a mind attack": stress and coping among urban school-going adolescents in India.

Rachana Parikh, Mahima Sapru, Madhuri Krishna, Pim Cuijpers, Vikram Patel, Daniel Michelson

Open access · goldAbstract read
In one paragraph

Article in BMC psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  5. Article
  6. Control-Oriented and Escape-Oriented Coping: Links to Social Support and Mental Health in Early Adolescents.European journal of investigation in health, psychology and education · 2025
    Article
  7. Barriers and Facilitators for Accessing Mental Health Care and Support for Adolescents in India - A Systematic Review.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Review
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  9. Article
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  16. Review
  17. Article
  18. Occlusal stress.British dental journal · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 4 countries.

Rachana ParikhSangath, C-1/52, 1st Floor, Safdarjung Development Area, New Delhi, Delhi, 110016, India.
Mahima SapruPresent Address: Evalueserve.com Private Limited, Tower 6, 8th Floor, Candor Gurgaon One Realty Projects Pvt. Ltd., IT/ITES SEZ, Candor TechSpace, Tikri, Sector-48, Gurgaon, 122001, Haryana, India.
Madhuri KrishnaSangath, C-1/52, 1st Floor, Safdarjung Development Area, New Delhi, Delhi, 110016, India.
Pim CuijpersDepartment of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, van der Boechorstraat 1, 1081, BT, Amsterdam, The Netherlands.
Vikram PatelSangath, C-1/52, 1st Floor, Safdarjung Development Area, New Delhi, Delhi, 110016, India.
Daniel MichelsonSchool of Psychology, University of Sussex, Falmer, Brighton, BN1 9RH, UK. D.Michelson@sussex.ac.uk.
Sangath · INEvalueserve (India) · INHarvard Global Health Institute · USUniversity of Sussex · GBVrije Universiteit Amsterdam · NL

Funding

Wellcome TrustWellcome Trust 106919/A/15/Z
6 · The paper itself

Abstract

backgroundMental health problems are leading contributors to the global disease burden in adolescents. This study aims to highlight (1) salient context-specific factors that influence stress and coping among school-going adolescents across two urban sites in India; and (2) potential targets for preventing mental health difficulties.

methodsFocus group discussions were undertaken with a large sample of 191 school-going adolescent boys and girls aged 11-17 years (mean = 14 years), recruited from low- and middle-income communities in the predominantly urban states of Goa and Delhi. Framework analysis was used to identify themes related to causes of stress, stress reactions, impacts and coping strategies.

resultsProximal social environments (home, school, peers and neighborhood) played a major role in causing stress in adolescents' daily lives. Salient social stressors included academic pressure, difficulties in romantic relationships, negotiating parental and peer influences, and exposure to violence and other threats to personal safety. Additionally, girls highlighted stress from having to conform to normative gender roles and in managing the risk of sexual harassment, especially in Delhi. Anger, rumination and loss of concentration were commonly experienced stress reactions. Adolescents primarily used emotion-focused coping strategies (e.g., distraction, escape-avoidance, emotional support seeking). Problem-focused coping (e.g., instrumental support seeking) was less common. Examples of harmful coping (e.g., substance use) were also reported.

conclusionsThe development of culturally sensitive and age-appropriate psychosocial interventions for distressed adolescents should attend to the challenges posed by home, school, peer and neighborhood environments. Enhancements to problem- and emotion-focused strategies are needed in order to bolster adolescents' repertoire of adaptive coping skills in stressful social environments.

Indexed as

Adaptation, PsychologicalAdolescentAngerChildFemaleFocus GroupsHumansIndiaMaleParentsSchoolsSocial EnvironmentStress, PsychologicalCopingIndiaMental healthSchoolsStress

Identifiers

PMID31138306
PMCPMC6540371
OpenAlexW2946998700

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.