ArticlePLOS global public health2022
Depression, anxiety and stress among high school students: A cross-sectional study in an urban municipality of Kathmandu, Nepal.
Article in PLOS global public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Relationship Between Negative Cognition and Poor Quality of Life and Anxiety in Adolescents: A Meta-Analysis.Alpha psychiatry · 2026Pooled it
- Prevalence and Associated Factors of Depression in Nepal: A Systematic Review and Meta-analysis.JNMA; journal of the Nepal Medical Association · 2025Pooled it
- Corporal Punishment and Associated Factors Among School-Going Adolescents of Chandragiri Municipality, Kathmandu District, Nepal: A Cross-Sectional Study.Health science reports · 2026Article
- Prevalence of Anxiety and Associated Factors Among Nursing Students in Pokhara Metropolitan: A Cross-Sectional Study.Health science reports · 2026Article
- Adverse childhood experiences, resilience and mental health among young people aged 16-29 years in Nepal: a population-based household survey (2025).The Lancet regional health. Southeast Asia · 2026Article
- Feasibility and acceptability of a multi-level school-based intervention for adolescent mental health in Nepal: a mixed-methods study.Child and adolescent psychiatry and mental health · 2026Article
- Prevalence of Stress, Anxiety, and Depression Among Bangladeshi School-Going Adolescents: A Cross-Sectional Study.Health science reports · 2026Article
- Perceived Academic Stress and Its Correlates Among Secondary School Adolescents in Kathmandu, Nepal.Public health challenges · 2026Article
- Relationship between poverty and symptoms of depression and anxiety among adolescents in Nepal: Examining the mediating effect of external and internal resilience.Journal of affective disorders · 2026Article
- Prevalence and determinants of anxiety, depression, and suicidal ideation among adolescents of Parbat District: A cross-sectional study.PLOS mental health · 2026Article
- School-based prevalence and factors associated with depressive symptoms among secondary school adolescents in Mahagadhimai Municipality, Nepal.PLOS global public health · 2026Article
- Depression, anxiety, and stress levels among adolescents - A school-based study.Journal of family medicine and primary care · 2025Article
- Student Perspectives on Campus-Based Mental Health Initiatives: Insights From an Urban Indian Context.Cureus · 2025Article
- Mental health status of children (14-17 years) in conflict with law residing in the correction homes in Bagmati Province, Nepal: a mixed method study.BMC psychiatry · 2025Article
- Sleep quality is associated with stress in secondary school students.BMC public health · 2025Article
- Article
- Relationship of parenting styles on depression, anxiety, stress and self-esteem of adolescents.PloS one · 2025Article
- Psychological well-being of adolescents in Pokhara, Nepal: A comparison between migrated and non-migrated parents.PLOS mental health · 2025Article
- Investigating the prevalence and associated factors of depression, anxiety, and loneliness among people with type-2 diabetes in Bangladesh: a community-based study.Scientific reports · 2024Article
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Depression and anxiety are the most widely recognized mental issues affecting youths. It is extremely important to investigate the burden and associated risk factors of these common mental disorders to combat them. Therefore, this study was undertaken with the aim to estimate the prevalence and identify factors associated with depression, anxiety, and stress among high school students in an urban municipality of Kathmandu, Nepal. A cross-sectional study was conducted among 453 students of five randomly selected high schools in Tokha Municipality of Kathmandu. Previously validated Nepali version of depression, anxiety, and stress scale (DASS-21) was used to assess the level of symptoms of depression, anxiety and stress (DAS). Multivariable logistic regression was carried out to decide statistically significant variables of symptoms of DAS at p-value<0.05. The overall prevalence of DAS was found to be 56.5% (95% CI: 51.8%, 61.1%), 55.6% (95%CI: 50.9%, 60.2%) and 32.9% (95%CI: 28.6%, 37.4%) respectively. In the multivariable model, nuclear family type, students from science or humanities faculty, presence of perceived academic stress, and being electronically bullied were found to be significantly associated with depression. Female sex, having mother with no formal education, students from science or humanities faculty and presence of perceived academic stress were significantly associated with anxiety. Likewise, female sex, currently living without parents, and presence of perceived academic stress were significantly associated with stress. Prevention and control activities such as school-based counseling services focusing to reduce and manage academic stress and electronic bullying are recommended in considering the findings of this research.
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Registered trials
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