A survey to evaluate mental well being and coping strategies of adolescents during COVID-19 pandemic in Bangalore, India

Background: The COVID-19 pandemic has brought about significant changes in the lifestyle of adolescents. Adolescence is a development stage of high vulnerability that can impact well-being later in life. Mental health plays an important role in one’s quality of life. Understanding coping mechanisms helps make a person safe and resilient from psychological distress. The present study aims to evaluate the mental well-being and coping strategies used by adolescents in India during the COVID-19 pandemic. Methods: A cross sectional study was conducted in a school in Bangalore, India via an online survey, circulated via the class teacher. Participants included 222 adolescents with ages ranging from 13 to 19. The DASS-21 and Brief COPE scales were used to assess mental well-being and coping mechanisms respectively. The questionnaire concluded with validated general lifestyle related questions. This included inquiring relationships between students and their families, friends, academic performance, social media consumption etc. The data was collected over a period of one month.  Results: In the DASS-21 scoring, 31.9% (n=69), 24.8% (n=55) and 5.4% (n=12) received scores indicating extremely severe depression, anxiety and stress respectively. Females were statistically found to be more depressed and anxious than males. Behavioural disengagement and self blame were commonly used coping mechanisms by those who were found to be psychologically distressed.  Conclusions: Psychological distress has been observed in adolescents in varying degrees during the COVID-19 pandemic. This should be addressed in order to prevent further distress. Keywords: adolescents, covid-19, mental well being, DASS-21, Brief COPE, depression, anxiety, stress