Identification of comorbid conditions among middle school students

A cross-sectional study of Jammu province

Authors

DOI:

https://doi.org/10.32674/pfy2xs46

Keywords:

Comorbid conditions, identification, Jammu province , middle school students

Abstract

Using a multistage sampling technique, the students completed the self-constructed Identification Battery on Comorbid Conditions (IBCC), which assesses 10 disorders, including dyslexia, dysgraphia, dyscalculia, dysphasia, dyspraxia, anxiety, attention deficit hyperactive disorder (ADHD), obsessive‒compulsive disorder (OCD), autism, and tic disorder. The results revealed that 20.66% of the students exhibited comorbid conditions, with dyscalculia being the most prevalent, followed by dyslexia and others. Comorbid conditions varied, with some students having different combinations of disorders. The Jammu district had the highest prevalence. This study emphasizes the importance of early diagnosis and intervention, highlighting the need for increased stakeholder awareness to address these issues effectively

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Author Biographies

  • Rafia Khan, School of Education, Lovely Professional University

    Rafia Khan, Research Scholar, in the School of Education, Lovely Professional University, Phagwara, Kapurthala, Punjab, India.  Her major research interests lie in the area of Educational Psychology, Guidance and Counselling and Inclusive Education.  

  • Harish Mittu, Lovely Professional University

    HARISH MITTU, PhD, is an Associate Professor in the School of Education, Lovely Professional University, Phagwara, Kapurthala, Punjab, India.  His major research interests lie in the area of teacher education, educational technology, measurement & evaluation, pedagogy of mathematics & science, inclusive education, and educational psychology.

References

Antony, S., Ramnath, R., Kalaiyarasan, G., Selvan, A., Govindarajan, K., Catherin Jayanthi, A. & Mahendraprabhu, M. (2021). Teachers' understanding in identifying twice-exceptionality: An issue analysis. Ilkogretim Online, 20(5). https://doi.org/10.17051/ilkonline.2021.05.275

Ashraf, F., & Najam, N. (2017). Co-morbidity of specific learning disabilities and depressive symptoms in non-clinical sample of adolescents. Journal of Postgraduate Medical Institute (Peshawar-Pakistan), 31(2). https://jpmi.org.pk/index.php/jpmi/article/view/2018

Bandla, S., Mandadi, G. D., & Bhogaraju, A. (2017). Specific learning disabilities and psychiatric comorbidities in school children in South India. Indian Journal of Psychological Medicine, 39(1), 76-82. https://doi.org/10.4103/0253-7176.198950

Bashir, A., & Ganie, Z. A. (2013). Critical appraisal of the disability programs in Jammu and Kashmir with special reference to children. International Journal of Science and Research, 2(10), 223–227. https://www.ijsr.net/archive/v2i10/MjIxMDEzMDE=.pdf

Bougeard, C., Picarel-Blanchot, F., Schmid, R., Campbell, R., & Buitelaar, J. (2021). Prevalence of autism spectrum disorder and co-morbidities in children and adolescents: A systematic literature review. Frontiers in Psychiatry, 12, 1834. https://doi.org/10.3389/fpsyt.2021.744709

Chacko, D., & Vidhukumar, K. (2020). The prevalence of specific learning disorder among school-going children in Ernakulam district, Kerala, India: Ernakulam learning disorder (ELD) Study. Indian Journal of Psychological Medicine, 42(3), 250-255. https://doi.org/10.4103/IJPSYM.IJPSYM_199_19

Cheng, D., Miao, X., Wu, H., Chen, C., Chen, Q., & Zhou, X. (2022). Dyscalculia and dyslexia in Chinese children with idiopathic epilepsy: Different patterns of prevalence, comorbidity, and gender differences. Epilepsia Open, 7(1), 160-169. https://doi.org/10.1002/epi4.12577

Choudhary, M. G., Jain, A., Chahar, C. K., et al. (2012). A case control study on specific learning disorders in school going children in Bikaner city. Indian Journal of Pediatrics, 79, 1477–1481. https://doi.org/10.1007/s12098-012-0699-7

De Filippis, R., Aguglia, A., Costanza, A., Benatti, B., Placenti, V., Vai, E., Bruno, E., De Berardis, D., Dell’Osso, B., Albert, U., De Fazio, P., Amore, M., Serafini, G., Ghaemi, N. S., & Amerio, A. (2024). Obsessive–Compulsive disorder as an epiphenomenon of comorbid bipolar disorder? An updated systematic review. Journal of Clinical Medicine, 13(5), 12-30. https://doi.org/10.3390/jcm13051230

Dike-Israel, N. A., & Akinboye, D. O. (2021). Prevalence and comorbidity of depression and anxiety among medical students in Babcock university, Ogun State, Nigeria. Asian Journal of Medicine and Health, 19, 46-55. https://doi.org/10.9734/ajmah/2021/v19i430321

Duke, R. E., Torty, C., Okorie, U., Kim, M. J., Eneli, N., Edadi, U., & Bowman, R. (2021). Pattern of comorbidities in school-aged children with cerebral palsy in Cross River State, Nigeria. BMC Pediatrics, 21(1), 1-8. https://doi.org/10.1186/s12887-021-02637-9

Durand, G., & Arbone, I. S. (2022). Exploring the relationship between ADHD, its common comorbidities, and their relationship to organizational skills. PeerJ, 10. https://doi.org/10.7717/peerj.12836

El Sheikh, M. M., El Missiry, M. A., Hatata, H. A., Sabry, W. M., El Fiky, A. A. A., & Essawi, H. I. (2016). Frequency of occurrence of specific reading disorder and associated psychiatric comorbidity in a sample of Egyptian primary school students. Child and Adolescent Mental Health, 21(4), 209-216. https://doi.org/10.1111/camh.12174

Ek, U., Westerlund, J., Holmberg, K., & Fernell, E. (2010). Academic performance of adolescents with ADHD and other behavioural and learning problems —a population-based longitudinal study. Acta Pædiatrica, 100(3), 402–406. https://doi.org/10.1111/j.1651-2227.2010.02048.x

Ercan, E. S., Unsel-Bolat, G., Tufan, A. E., Karakoc Demirkaya, S., Bilac, O., Celik, G., & Ünal, F. (2022). Effect of impairment on the prevalence and comorbidities of attention deficit hyperactivity disorder in a national survey: Nation-wide prevalence and comorbidities of ADHD. Journal of Attention Disorders, 26(5), 674-684. https://doi.org/10.1177/10870547211017985

Ghamdi, K. A., & AlMusailhi, J. (2024). Attention-deficit hyperactivity disorder and autism spectrum disorder: Towards better diagnosis and management. Medical Archives, 78(2), 159.https://doi.org/10.5455/medarh.2024.78.159-163

Government of India (2016). Disabled persons in India. https://ceobihar.nic.in/PDF/disabled_persons_in_India_2016.pdf

He, V. Y., Condon, J. R., Ralph, A. P., Zhao, Y., Roberts, K., De Dassel, J. L., Currie, B. J., Fittock, M., Edwards, K. N., & Carapetis, J. R. (2016). Long-Term outcomes from acute rheumatic fever and rheumatic heart disease. Circulation, 134(3), 222–232. https://doi.org/10.1161/circulationaha.115.020966

Housen, T., Lenglet, A., Ariti, C., Shah, S., Shah, H., Ara, S., & Pintaldi, G. (2017). Prevalence of anxiety, depression and post-traumatic stress disorder in the Kashmir valley. BMJ Global Health, 2(4). https://doi.org/10.1136/bmjgh-2017-000419

Huang, Y. F., Chiou, H. Y., Chung, C. H., Chien, W. C., & Chang, H. J. (2019). Psychiatric disorders after attention-deficit/hyperactivity disorder: A nationwide population-based study in Taiwan. Journal of Nursing Scholarship, 51(2), 138-146. https://doi.org/10.1111/jnu.12457

Hussu, A. M., & Strle, M. (2010). The assessment of children with special needs. Procedia: Social & Behavioral Sciences, 2(2), 5281–5284. https://doi.org/10.1016/j.sbspro.2010.03.861

Islam, M. S., Rahman, M. E., Moonajilin, M. S., & van Os, J. (2021). Prevalence of depression, anxiety and associated factors among school going adolescents in Bangladesh: Findings from a cross-sectional study. Plos one, 16(4), e0247898. http://doi.org/10.1371/journal.pone.0247898

Jhambh, I., Arun, P., & Garg, J. (2014). Cross-sectional study of self-reported ADHD symptoms and psychological comorbidity among college students in Chandigarh, India. Industrial Psychiatry Journal, 23(2), 111. https://doi.org/10.4103/0972-6748.151679

Jogia, J., Sharif, A. H., Nawaz, F. A., Khan, A. R., Alawami, R. H., Aljanahi, M. A., & Sultan, M. A. (2022). Comorbidities associated with attention-deficit/hyperactivity disorder in children and adolescents at a tertiary care setting. Global Pediatric Health, 9. https://doi.org/10.1177/2333794X221076607

Johnson, B. (2005). Psychological comorbidity in children and adolescents with learning disorders. Journal of Indian Association for Child and Adolescent Mental Health, 1(1). http://www.jiacam.org/ojs/index.php/JIACAM/article/view/301

Khodeir, M. S., El-Sady, S. R., & Mohammed, H. A. E. R. (2020). The prevalence of psychiatric comorbid disorders among children with specific learning disorders: A systematic review. The Egyptian Journal of Otolaryngology, 36(1), 1-10. https://doi.org/10.1186/s43163-020-00054-w

Klein, D. N. (2004). Different reasons for comorbidity require different solutions. World Psychiatry, 3(1), 28. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414660/

Kwon, S. J., Kim, Y., & Kwak, Y. (2018). Difficulties faced by university students with self-reported symptoms of attention-deficit hyperactivity disorder: A qualitative study. Child and Adolescent Psychiatry and Mental Health, 12(1). https://doi.org/10.1186/s13034-018-0218-3

Lingeswaran, A. (2013). Assessing knowledge of primary school teachers on specific learning disabilities in two schools in India. Journal Of Education and Health Promotion, 2.https://doi.org/10.4103/2277-9531.115807

Margalit, M., Abramowitz, M. Z., Jaffe, E., Herbst, R., & Knobler, H. Y. (2020). Inclusion in community services and PTSD symptoms among adolescents with attention-deficit disorders (ADHD) and learning disabilities (LD). European Journal of Special Needs Education, 35(4), 482-496. https://doi.org/10.1080/08856257.2019.1708640

McGrath, J. J., Lim, C. C. W., Plana-Ripoll, O., Holtz, Y., Agerbo, E., Momen, N. C., & De Jonge, P. (2020). Comorbidity within mental disorders: a comprehensive analysis based on 145 990 survey respondents from 27 countries. Epidemiology and Psychiatric Sciences, 29. https://doi.org/10.1017/S2045796020000633

McHugh, R. K. (2015). Treatment of co-occurring anxiety disorders and substance use disorders. Harvard Review of Psychiatry, 23(2), 99. https://doi.org/10.1097/HRP.0000000000000058

Mishra, P., & Pahwa, P. (2018). Review on learning disability in Indian and abroad. Paripex Indian Journal of Research, 07. https://doi.org/10.36106/paripex

Mohammadi, M. R., Badrfam, R., Khaleghi, A., Ahmadi, N., Hooshyari, Z., & Zandifar, A. (2021). Lifetime prevalence, predictors and comorbidities of tic disorders: A population-based survey of children and adolescents in Iran. Child Psychiatry & Human Development, 1-11. https://doi.org/10.1007/s10578-021-01186-7

Paul, M. A., & Khan, W. (2019). Prevalence of childhood mental disorders among school children of Kashmir valley. Community Mental Health Journal, 55(6), 1031-1037. https://link.springer.com/article/10.1007/s10597-018-0253-9

Plana-Ripoll, O., Pedersen, C. B., Holtz, Y., Benros, M. E., Dalsgaard, S., De Jonge, P., & McGrath, J. J. (2019). Exploring comorbidity within mental disorders among a Danish national population. JAMA Psychiatry, 76(3), 259-270. https://doi.org/10.1001/jamapsychiatry.2018.3658

Pollack, C., Wilmot, D., Centanni, T., Halverson, K., Frosch, I., D'Mello, A., & Christodoulou, J. A. (2021). Anxiety, motivation, and competence in mathematics and reading for children with and without learning difficulties. Frontiers in Psychology. Advance online publication. https://doi.org/10.3389/fpsyg.2021.704821

Roca, M., Gili, M., Garcia-Garcia, M., Salva, J., Vives, M., Campayo, J. G., & Comas, A. (2009). Prevalence and comorbidity of common mental disorders in primary care. Journal of Affective Disorders, 119(1-3), 52-58. https://doi.org/10.1016/j.jad.2009.03.014

Sagar, R., Dandona, R., Gururaj, G., Dhaliwal, R. S., Singh, A., Ferrari, A., & Dandona, L. (2020). The burden of mental disorders across the states of India: The global burden of disease study 1990–2017. The Lancet Psychiatry, 7(2), 148-161. https://doi.org/10.1016/S2215-0366 (19) 30475-4

Sahoo, M. K., Biswas, H., & Padhy, S. K. (2015). Psychological comorbidity in children with specific learning disorders. Journal of Family Medicine and Primary Care, 4(1), 21. https://doi.org/10.4103/2249-4863.152243

Sahu, A., Patil, V., Sagar, R., & Bhargava, R. (2019). Psychiatric comorbidities in children with specific learning disorder-mixed type: A cross-sectional study. Journal of Neurosciences in Rural Practice, 10(4), 617-622. https://doi.org/10.1055/s-0039-1697879

Schrott, B., Kasperzack, D., Weber, L., Becker, K., Burghardt, R., & Kamp-Becker, I. (2019). Effectiveness of the stepping stones triple P group parenting program as an additional intervention in the treatment of autism spectrum disorders: Effects on parenting variables. Journal of Autism and Developmental Disorders, 49(3), 913-923. https://doi.org/10.1007/s10803-018-3764

Singh, S., Sawani, V., Deokate, M., Panchal, S., Subramanyam, A. A., Shah, H. R., & Kamath, R. M. (2017). Specific learning disability: A 5-year study from India. International Journal of Contemporary Pediatrics, 4(3), 863-868. https://doi.org/10.18203/2349-3291.ijcp20171687

Srivastava, A., Sreejayan, K., Joseph, A. M., & Sharma, P. S. V. N. (2010). Indian research on comorbidities. Indian Journal of Psychiatry, 52(Suppl1), S246. https://doi.org/10.4103/0019-5545.69240

Visser, L., Kalmar, J., Linkersdörfer, J., Görgen, R., Rothe, J., Hasselhorn, M., & Schulte-Körne, G. (2020). Comorbidities between specific learning disorders and psychopathology in elementary school children in Germany. Frontiers in Psychiatry, 11, 292. https://doi.org/10.3389/fpsyt.2020.00292

Wang, F., Yang, H., Li, F., Zheng, Y., Xu, H., Wang, R., Li, Y., & Cui, Y. (2024d). Prevalence and comorbidity of anxiety disorder in school-attending children and adolescents aged 6–16 years in China. BMJ Paediatrics Open, 8(1), e001967. https://doi.org/10.1136/bmjpo-2023-001967

Additional Files

Published

2024-10-21

Issue

Section

Conference Special Issue with Chandigarh University

How to Cite

Identification of comorbid conditions among middle school students: A cross-sectional study of Jammu province. (2024). Journal of Interdisciplinary Studies in Education, 13(S1). https://doi.org/10.32674/pfy2xs46