TEENAGE DEPRESSION AND NEGATIVE ENVIRONMENT

Abstract
Depressive disorders are prevalent all over the world impacting the mood and feelings of a
person and is diagnosed by association with other mental disorders. The depressive and
anxiety disorders are now getting matter of serious concern for the researchers as the number
of affected people are getting increased annually. The different sampling techniques are used
for the research studies. In the current study, random sampling is done to get the result. 50
participants from the age of 13-19 years were selected and their responses were recorded. The
sample is the representative unit of the targeted population. The online survey is used to
evaluate the results of research study. 10 close ended questions were chosen for the research
study. The participants were asked to fill the questionnaire and to submit it in the time. After
the results have been achieved, it is said that the family and friends should play the
cooperative role and should pay attention towards the health of teen agers. They should be
communicated and their problems should be discussed in detail. All these steps can help to
overcome these problems. It is recommended to follow the traditional diet plans. Depression
is a disorder where the patients suffer from spoiled dietary habits. The patients either do not
take sufficient food or they take excessive food turning into different eating disorders. the
depression can be controlled by taking the regular meal plans. It may have beneficial effects
on brain and helps to reduce depression to some extent. The traditional diet plans may help to
gain the positive mental health. All the six food groups should be included in diet. the fruits
and vegetables intake should be increased. The diary intake should also be considered. The
fruits and vegetables are nutrient dense and are full of energy. The communication and
cognitive behavioural theory will help to overcome the issues. The first hypothesis is found to
be have positive results because the negative home environment and teen agers depression
are correlated positively. The parental abuse and the likelihood of female to be suffered from
depression also cover in it.
Table of Contents
TEENAGE DEPRESSION AND NEGATIVE ENVIRONMENT..................................................1
Abstract................................................................................................................................................1
CHAPTER 1........................................................................................................................................2
1.1. INTRODUCTION...............................................................................................................2
1.2. Problem Statement:.............................................................................................................4
1.3. Hypothesis:...........................................................................................................................4
CHAPTER 2........................................................................................................................................5
REVIEW OF LITERATURE.............................................................................................................5
2.1. Depression Symptoms and Causes..........................................................................................5
2.2. Depression in female.................................................................................................................5
2.3. Psychological Support in depression.......................................................................................6
2.4. Pathophysiology of depression.................................................................................................7
CHAPTER 3......................................................................................................................................11
METHODLOGY...............................................................................................................................11
3.1. Research Design:.....................................................................................................................11
3.2. Targeted population:..............................................................................................................11
3.3. Sampling Technique:..............................................................................................................12
3.4. Research Tool:........................................................................................................................12
3.5. Ethical Approval:...................................................................................................................12
3.6. Data Analysis:.........................................................................................................................12
3.7. Timeline:..................................................................................................................................12
CHAPTER 4......................................................................................................................................12
Results and DISCUSSION................................................................................................................12
4.1. Questionnaire with detailed responses:.................................................................................12
4.2. Results:....................................................................................................................................14
4.3. DISCUSSION:...................................................................................................................23
CHAPTER 5......................................................................................................................................24
CONCLUSION..................................................................................................................................24
CHAPTER 6......................................................................................................................................25
REFERENCES..................................................................................................................................25

CHAPTER 1
1.1. INTRODUCTION
Depressive disorders are prevalent all over the world impacting the mood and feelings
of a person and is diagnosed by association with other mental disorders. The depressive and
anxiety disorders are now getting matter of serious concern for the researchers as the number
of affected people are getting increased annually. Depression is not a disorder, it is a
condition that anyone can feel at any stage of life and can be identified through the feeling of
sadness, loneliness and a number of diseases linked afterwards. The duration and symptoms
of the depression vary from person to person and the circumstances present (Ustunet al.,
2000).

According to World Health Organization in 2015, about 300 million people are
affected by depression each year and it makes up almost 4.4% of the total world’s population.
The female tend to be more affected from depression (5.1%) and those of, male are (3.6%)
(Baxter et al., 2003). It is an alarming situation to see the number of affected persons to be
increased each year. The number of affected persons is usually getting accelerated in third
world and under developed countries where the anxiety and mental health disorders are
common. The people have to face the financial issues in addition to social and personal issues
due to which the situation is getting worsen and the people are getting more affected (Baxter
et al., 2003).

The prevalence of depression varies in different age groups as it is more common in

female above the age of 50 (7.4%) and in the male of age above 50 years (5.5%) (Ferrari et
al., 2013). The children can also get affected from the depression and it can also occur in
adulthood but on these age groups, the prevalence is less and is not severe on average. It
cannot be estimated that all the adults may face the same situation but every person is
different and the onset of depression varies (Ustunet al., 2000).
 Nearly 322 million in total are suffering from depression and it can be of different
types and severity. More than 50% of this population is from South Asia and Western Pacific
region referring the highest number of people living over there (Ferrari et al., 2013). The
report from data of 2005-2015 showed that there has been an increase in 18.4% in the people
getting affected from depression. The proportion of anxiety in 2015 also went up to 3.6% in
total by 2015 and it is also more common in female as compared to male. The anxiety and
depressive disorders go side by side (Baxter et al., 2003).

In the American Regions, about 7.0% of the female are suffering from anxiety
disorders and the prevalence is not clearly observed in the case of anxiety disorders but the
trend has been seen up growing in the aged people. the aged people are more depressed
because of their retired life, social set up and the family problems (Ferrari et al., 2013). The
prevalence also varies according the geographical regions as the under developed countries
have to face more depressive and anxiety disorders because of unemployment, low income
and family disputes. The lack of education and awareness also aggravate the situation in
many countries (Baxter et al., 2003).

The total number of people suffering from anxiety disorders are 264 million that
makes up 14.9% of the total population in 2015 and the trend is seen to be increased in the
upcoming years in aged people. the age group from 55-74 years tends to be more affected and
the less trend has been seen in the children and young ones (Ferrari et al., 2013). The children
may suffer from anxiety but the severity is not of serious stage and it diminishes with the
short interval of time. The same trend has been seen in the adult age group, the people under
40 years.

The depression leads to different outcomes and a detailed report till the data of 2015
has been presented. One of the outcomes of the depression is suicide where the people make
different attempts to kill themselves and the successful attempts leads to mortality. According
to a survey, nearly 788,000 people lost their lives by suicide and the number who tried to do
so is even much more but they did not get successful results in their attempts (Afifi et al.,
2009). Suicide has been declared in the list of top 20 causes of deaths in 2015 accounting for
almost 1.5%. it has been regarded as the second most leading cause of death in the age group
of 15-29 years in 2015. The suicide can be attempted at any stage of life and there are
numerous reasons due to which people attempt to commit suicide, depression and anxiety
being the leading ones (GDB, 2015).
 (Afifi et al., 2009) revealed the details about depression and made the comparison of
major depression for the first time between 10 surveys that advocates the Diagnostic
Interview Schedule to represent the whole population. The criteria of DSM-III were used to
refer the depression and the prevalence varies in age groups, geographical regions and
gender. The prevalence of major depressive episodes ranged from 1.5% in Taiwan and went
up to 19% in Beirut, the mid point was found to be 9.2% in Germany and 9.6% in
Canada(Alonso et al., 2004).

The people have to face serious illness and chronic diseases in the major depressive
episodes as the studies have shown the people who intend to have treatment of MDE have the
major attacks of depression twice or thrice a year. The severity of these MDEs varies each
time and depends on mental health, mental stability and financial circumstances of the patient
at that time. This prevalence is high in middle income countries (53%) in comparison to high
income countries (37%) (Alonso et al., 2004).

Even in the high income countries, the ratio is less than 30% in Germany, Italy,
France and Netherlands to more than 40% in U.S and Israel. The onset of depression is not an
unusual concept but the people suffering from it are prone towards other mental disorders as
well (Baxter et al., 2003). They have less interest towards the joys and happiness of life and
are more indulged to sadness and other negative aspects of life. According to a survey, the
trend of depression and anxiety will further increase in next upcoming years (Alonso et al.,
2004).

1.2. Problem Statement:

What is the effect of teenage depression on their health and how it is accerelated by negative
environment.

1.3. Hypothesis:
2. There is a positive relationship between teenage depression and negative home
environment.
3. There is appositive relationship between parental abuse and teenage depression
4. Female are more likely to go teenage depression as compared to male
CHAPTER 2

REVIEW OF LITERATURE

2.1. Depression Symptoms and Causes

According to WHO, depression is increasing the burden of diseases on the world and
it is equally affecting all the people in world. It is now affecting almost 350 million people
round the globe and it is a massive number of patients suffering only from depression and
anxiety (Marcus et al., 2012). The world mental health survey reported that 1 in 20 people
had the depression attack once in a year in 2011 (Marcus et al., 2012). Depression has no
specific age limit to affect but it is a common observation to see the people at young age
affected from it.

The depression decreases the functional capability of a person and sometimes it

causes the loss of functioning. In the view of these reviews, it is an alarming situation for the
world and the burden of disabilities is increasing due to disabilities (American Psychiatric
Association, 2006). It is often associated with the depressed mood, emotionless behavior,
down in feelings, least feelings of pleasure and sadness. The young people are more prone
towards it because of the sensitive nature and growing age. It often disturbs the appetite and
sleep cycle of people and can even worsen the situation if left unnoticed. The worst outcomes
of the depression can be suicide as observed commonly in many of the regions of world
(Casey et al., 2013).
2.2. Depression in female
In 2008, it was reported that the ratio of depression in female is 50% more in female
as compared to male and it became the highest cause of deaths due to disabilities in the world
(Fava et al., 2008). Depression tends to occur in episodes and these episodes are categorized
mild, moderate or severe according to the severity and duration of depressive feelings. The
mild attack can disturb the person and refrain him from doing his daily life activities but the
severe episode can cause loss of functioning as the affected person cannot complete his
official responsibilities and domestic tasks (Thirumalaisamyet al., 2018).

The postnatal depression is more common in women but it can affect men as well. In
some of the patients, the self harm is seen as the outcome of depression and the patients feel
no guilt or fear by torturing themselves. It usually occurs in depression episodes when they
turn the shape of moderate-severe (Wigneret al., 2018). The risk of isolation is also
associated with the symptoms of depression and anxiety according to the possible
circumstances. The causes and symptoms are not the same in all patients (Khalsa,et al.,
2018).

The eating disorders are commonly associated with the female. The physical
health problems like long term illness and family history of depression can also be the major
causes of depression. The irregular pattern of diet, monotonous routine, lack of sleep and rest
can be the causes of depression. In some of the people, the lack of recreation opportunities is
associated with depression(Horowitzet al.,2012). The excess use of alcohol and smoking can
also be either the causes or the outcomes of depression. The risk of depression starts from the
young age and it continuous till the death. The self-care and self-control are the ultimate
solution of early depression (Jormet al., 2006).

2.3. Psychological Support in depression

According to WHO mhGAP intervention guide, the symptoms of the patients may
vary and psychological support is the ultimate treatment. The anti-depressants along with
behavioral therapies are recommended according to the condition of the patients. Anti-
depressants are referred to the patients having moderate to severe depression episodes and in
the beginning, psychological therapies can give the better results. The economic analysis also
showed that depression and its treatment can be a big burden on the global economy and it
demands the treatment to be cost effective, affordable and accessible to affected regions of
the world (Marcus et al., 2012).

(Kumar et al., 2012) stated some of the symptoms of the depression and associated it
with feeling of sadness and unpleasure, frustration and feelings of irritation on minor reasons,
lack of interest in daily life activities, loss of responsibility sense in assigned tasks, lack of
sexual thrust. The affected persons may show the symptoms of excessive sleeping or
sometimes they suffer from insomnia. The appetite patterns can be changed as well, the
depression is usually linked with the loss of weight and lack of appetite but it varies. In some
of people, the depression can increase the hunger episodes and leads to weight gain.

The conditions like agitation and restlessness also comes in the heading of depression,
the affected people may show irritability while sitting at a place. The affected person is not
active mentally so the thinking process may become slow that may affect the other daily
activities as well. It has been seen in some of the patients that they start crying for long
periods during the depression episodes and the functioning capability to fulfil the daily life
activities become reduced. the symptoms of depression are associated with the frequent
thinking about suicide and they have fear about certain thing or situation. There are several
other symptoms of depression that varies case to case and patient to patient (Guo et al.,
2013).

The depression can be categorized into different classes and each of these has
particular features. The seasonal depression occurs at a particular time of a year or in a
specific season. If the person is suffering from mild depression episodes from two years then
it is termed as dysthymia and it may turn into chronic depression (Bschor, 2010). The women
are seen to become depressed during pregnancy and this is termed as prenatal depression and
it vanishes as soon as the pregnancy ends. Postnatal depression is also found in number of
patients where the people feel the burden of responsibilities and financial pressure for weeks
or months after having a child (Sagudet al., 2013).

The life events and child hood experiences can be the major causes of depression.
The people in depression usually have bitter memories stored with them that continue to
disturb them in their future life (Bonnet, 2003). They remain unable to shed such memory
from the mind and become anxious at times. The childhood memories may include child
abuse, enforced sexual attempt, inferior complex endorsed by family or relatives and unstable
family financial or social status. The death of any closed one can also become the cause of
depression. The mental health issues like anxiety and eating disorders including bulimia and
anorexia can lead to the severe depression in some of the patients (Wijeratne & Sachdev,
2008).

2.4. Pathophysiology of depression

Many researches and studies have been done and still many of these are being in
process to know the pathophysiology of depression. The efforts are not fruitful yet and the
results are elusive. It is the reason that the drugs are not yet introduced by medical institutes
to properly treat the depression (Fikaduet al., 2017). The slow development in knowing the
exact pathway of arousal of depression leads to slow drug therapies. Different theories and
hypothesis have been presented to understand the pathophysiology of depression. These
theories are based on different bio markers and post mortem studies and neuro imaging
techniques (Fikaduet al., 2017).

Different functional structural studies revealed that there are some abnormal brain
functions that leads to the depression. These abnormalities are found in the areas responsible
for the hunger, thirst, mood regulations and daily activities (Al Harbi, 2012). The studies
have shown that the morphological changes in the neurological activities can also be the
cause of depression in general. The reduction in grey matter area of brain also got
significance on the matter of depression. The reduced hippocampus activity that has direct
impact on the activity of other glands is found to play active role in causing depression
(Minard et al., 2013).

The ventral tegmental area and nucleus accumbens present in mesolimbic dopamine
system are also suggested to contribute in massive depression disorder. The unusual behavior
of pleasure stimuli towards sex, food, anger and other factors also show that there is
something unusual in the activity of brain (Anderson et al., 2012). The depression has a
strong link with the activity of brain and abnormalities found in different regions of brain.

The hyperactivity and stressed state of hypothalamic pituitary adrenal axis is found as
a causative factor for the depression. In some of the studies, it has been declared as the most
probable factor for causing the recurring episodes of depression in majority of patients
(WHO, 2012). Some of the patients had passed through documentation process and the
documented areas of brain showed the higher levels of corticosteroids. Amygdala is the part
of brain involved in processing the moods and emotions, it seems to be affected in certain
ways that cause the depression (APA, 2013).
 Hippocampus has shown to be decreased in size due to elevated levels of
corticosteroids in depressive patients. These hypothesis and theories have been presented by a
number of scientists but still the exact cause and accurate pathway of pathophysiology is not
known yet. It is to be discovered that what are the actual factors to cause the depression
(WHO, 2012).

The studies have revealed that the genetic make up, family history and environment of
people affect a lot and play positive role in stimulating the depressive signals in brain. The
genes alone are not responsible for causing the depression but the genetic environment
becomes stressful and increase the risks of becoming depressed due to stressed environment
(Fikaduet al., 2017).

The concept of genetic polymorphism is an interesting topic for years. it is actually

the allelic variation in the promoter region of the gene specific for serotonin (5-HTT). The
polymorphism in the serotonin causes the short/long variant of the allele. The short length
serotonin has down activity and is down regulated. The down regulation of the gene has
shown to contribute in the depression episodes (Anackeret al., 2014).

Another theory known biogenenic monoamine theory has been presented and it refers
that the depression has increased and come into being after using the anti-depressant drugs
that were not for the depression. These anti-depressants were introduced by medical experts
to treat the other medical conditions (Fikaduet al., 2017). There are certain changes observed
in the brain regions of the depressed people. the specific drugs have been introducing to alter
the monoamine activity in the brain. They are used to enhance the monoamine
neurotransmitters and inhibit the activity of enzyme degrading the monoamine in the brain
cells (Anackeret al., 2014).

The serotonin hypothesis has also gained the significance in revealing the
pathophysiology of depression. Serotonin is an important neurotransmitter of the brain and it
is found in whole central nervous system (Anismanet al., 2008). It has been found to control
the anger, joyous sensations, food and hunger and mood alternations. If the level of serotonin
is normal, the person is at least chance of developing the depression. If there is any
dysfunction in serotonergic system, it leads to alternations in mood and increases the anxiety
level (Araya Caliset al., 2012).

The concept of interaction of inflammation and depression is getting famous these

days. The pro inflammatory markers are seen to be at high levels in the patients of
depression. Due to which, they show severe mood swings and they are not able to explain
their condition (Argawet al., 2012). They are often not able to express their feelings. There is
a proper mechanism in the body and especially CNS due to which the depression appears in
the people (Aznar et al., 2010). The pro inflammatory markers include Tumor necrosis
factor, C-reactive protein, interlukin 6 and II and these are found to be aggressive in the
depressive patients (Arnold et al., 2012).

It is seen that TNF alpha has been introduced to animal models often, to induce the
depression. So, it is an important factor to cause the anxiety and depression. The cases of
depression are increasing with each passing year and it is expected that it will be increased in
developing and developed countries (Anackeret al., 2014). The exact cause of depression is
unknown, so it seems to be impossible to treat properly. The treatment depends on the will
power and determination of patient. If the patients want to remain in depression, they will not
show the will power to beat the disease (Atanasovaet al., 2008).

Major Depressive episodes are getting increased in North America and it is observed
that the anti-depressants are showing effectiveness than ancient drugs and the response rate is
more than 50%. Patients are now using the complementary and alternatives medicines and
therapies to treat the depression. It is estimated that 40% of the patients use complementary
and alternative medicines and do not inform the family. It is recommended that physicians
should ask the permission from the family and peer groups before initiating the
complementary and alternatives therapies to treat the depression. A lot of research has been
done on the topic and several drugs have been found effective against the treatment of
depression (Turner et al., 2008).
CHAPTER 3

METHODLOGY
In this chapter, the materials and methods are to be discussed by which the researcher has
covered the whole research study. The research methodology defines the method through
which the researcher has to complete the research project.

3.1. Research Design:

There are various research designs and each research design has its own characteristics. The
researcher has to choose the research design by himself according to the available
circumstances. for the current research study, the descriptive research study has been used.
The descriptive research study implements the survey technique for the completion of
research project. The research design should be always be chosen by the feasible
circumstances.

3.2. Targeted population:

The young adults including the university going students, medical students or the ones who
are young and doing job are considered as targeted population. the targeted population is
taken to evaluate the results of depression on teen agers.
3.3. Sampling Technique:
The different sampling techniques are used for the research studies. In the current study,
random sampling is done to get the result. 50 participants from the age of 13-19 years were
selected and their responses were recorded. The sample is the representative unit of the
targeted population.

3.4. Research Tool:

The online survey is used to evaluate the results of research study. 10 open ended questions
were chosen for the research study and qualitative study will be used. Though the licker scale
was employed to get the results but the participants were asked to explain the reason and give
open responses for the questions. The participants were asked to fill the questionnaire and to
submit it in the time.

3.5. Ethical Approval:

The topic was approved by the supervisor and the ethical aspects were considered. The
participants were asked the consent before taking their data. The agreement was made that
the privacy of participants will be kept private and conserved.

3.6. Data Analysis:

The data analysis has been done through the descriptive statistical tools. The graphs and
charts are used to evaluate the data and to analyze the results.

3.7. Timeline:
The estimated time for the completion of research study is eight weeks.
CHAPTER 4

RESULTS and DISCUSSION

4.1. Questionnaire with detailed responses:

 The family support is necessary to overcome the depression?
 The depression affects the mental health more than the physical health?
 21st century is giving more depression to young ones more than the older ones?
 The digital technology enhances the depression?
 Are anti-depressants overcome the depression for long term?
 The disturbance in sleep wake cycle accelerate the depression?
 Smoking is a popular choice to overcome depression in teenagers?
 Teenagers have more issues of depression because of the extra marital relationships?
 The studies are one of the great sources of depression?
 The negative environment around creates depression in teenagers?
4.2. Results:
1. The family support is necessary to overcome the depression?

1.      The family support is necessary to

overcome the depression?
Strongly Disagree; 1.      The family
support is necessary to overcome the
depression?; 5; 10%
Disagree; 1.      The family
support is necessary to Strongly Agree;
overcome the depression?; 1.      The family
10; 20% support is neces-
sary to overcome
the depression?;
25; 50%

Agree; 1.      The family

support is necessary to
overcome the depression?;
10; 20%

Strongly Agree Agree Disagree Strongly Disagree

2. The depression affects the mental health more than the physical health?

2. The depression affects the mental health more

than the physical health?
Disagree; 2. The
Strongly
depression Disagree; 2. The
affects
depression
the mental affects the men-
health Strongly Agree; 2.
moretalthan
health
the more than the The depression af -
physical
physical health?; 1.2; 3%
health?; fects the mental Strongly Agree
10; 24% health more than
the physical Agree
health?; 20; 49% Disagree
Strongly Disagree

Agree; 2. The de-

pression affects the
mental health
more than the
physical health?;
10; 24%
3. The digital technology enhances the depression?

3.      The digital technology enhances the depression?

Strongly Disagree; 3.      The digital

technology enhances the depres- Strongly Agree; 3.     
sion?; 1.2; 3% The digital technology
Disagree; 3.      The dig- enhances the depres-
ital technology en- sion?; 15; 32%
hances the
depression?; 10; 22%

Agree; 3.      The digital technology

enhances the depression?; 20; 43%

Strongly Agree Agree Disagree Strongly Disagree

4. Are anti-depressants overcome the depression for long term?

4. Are anti-depressants overcome the depression for long

term?
Strongly Disagree; 4. Are Strongly Agree; 4. Are anti-de-
anti-depressants over- pressants overcome the depres-
come the depression for sion for long term?; 5; 11%
long term?; 10; 22% Agree; 4. Are anti-de-
pressants overcome the
depression for long
term?; 10; 22%

Disagree; 4. Are anti-depressants

overcome the depression for long
term?; 20; 44%

Strongly Agree Agree Disagree Strongly Disagree

5. The disturbance in sleep wake cycle accelerate the depression?

5. The disturbance in sleep wake cycle accelerate the

depression?
Strongly Agree; 5. The
Strongly Disagree; 5. The distur- disturbance in sleep
Disagree;
bance5.in The
sleepdis-
wake cycle accelerate wake cycle accelerate
turbance inthe
sleep wake
depression?; 1.2; 3% the depression?; 10;
cycle accelerate the 24%
depression?; 10; 24%

Agree; 5. The disturbance in sleep

wake cycle accelerate the depres-
sion?; 20; 49%

Strongly Agree Agree Disagree Strongly Disagree

6. Smoking is a popular choice to overcome depression in teenagers?

6.      Smoking is a popular choice to

overcomeStrong
depression in teenagers?
Strong
Dis-ly Dis- ly
agree;agree;
Agree;
6.     6.      6.     
Smok-
Agree;
Smok-
ing Smok-
ing is a is aing is a
6.     
popu-
Smok-
popu- Strongly Agree
popu-
inglar
lar is a lar Agree
choicechoice
popu- Disagree
to lar to choice
over- to Strongly Disagree
choice over-
over-
come come
to come
over-
de- de-
pres- de-
come
pres- pres-
sion
sion de-
in in
teenag sion in
pres- teenag
teenag
ers?;
sion in ers?;
ers?;
3; 6%
teenag
7; 14% 15;
ers?; 30%
25;
50%
 7. 21st century is giving more depression to young ones more than the older
ones?

7. 21st century is giving more depression to

young ones more than the older ones?

Strongly
Disagree;
Disagree; 7. 7.
21st cen- cen-Strongly
21st
Strongly Agree
tury istury
giv-is giv-
Agree; 7.
ing ing more21st cen-
more Agree
Agree; 7.
depression tury is giv- Disagree
depression
21st to
cen-
to young younging more
turyones
is giv-more Strongly Disagree
ones depression
ing more
more
than theto young
than the
depression
older older ones more
to young
ones?;
ones?;
ones more10; 1.2; than the
24% 3% older
than the ones?; 20;
older 49%
ones?; 10;
24%

8. Teenagers have more issues of depression because of the extra marital

relationships?

8.      Teenager s have mor e is s ues of

depr es s ion because of the extr a
mar ital r elati ons hips ?
Strongly Agree Agree Disagree Strongly Disagree
Strongly Disagree; 8.      Teenagers
have more issues of depression Strongly Agree; 8.      Teenagers have
because of the extra marital rela- more issues of depression because of
tionships?; 1.2; 3% the extra marital relationships?; 10;
Disagree; 8.      Teenagers have more 24%
issues of depression because of the
extra marital relationships?; 15; 36%

Agree; 8.      Teenagers have more is-

sues of depression because of the ex-
tra marital relationships?; 15; 36%

9. The studies are one of the great sources of depression?

 9.      The studies are one of the great sources of
depression?
Strongly Disagree; Strongly Agree; 9.      The
9.      The studies studies are one of the great
are one of the Agree; 9.     
sources of depression?; 5; The
great sources of 11%studies are one of
depression?; 15; Strongly Agree
the great sources
33% of depression?; 10; Agree
22% Disagree
Strongly Disagree

Disagree; 9.      The studies

are one of the great sources
of depression?; 15; 33%

10. The negative environment around creates depression in teenagers?

10.      The negative environment around

creates depression in teenagers?
Strongl
Dis-y Dis-
agree;
agree;
10.     
10.     
TheThe Strongl
nega-nega- y
Agree;tivetive Agree;
envi-
10.      envi- 10.     
Theron-ron- The
ment
nega- ment nega-
around
tive en- around tive en-
creates
viron- creates viron-
ment de- de- ment
aroundpres-pres- around
sion
creates in
sion in creates
teenag
depres- teenag depres-
ers?;
sion 6;
in ers?; sion in
teenag13%1.2; 3% teenag
ers?; ers?;
15; 32% 25; 53%

Strongly Agree Agree Disagree Strongly Disagree

 The graph shows that 53% of the participants are strongly agreed to the above statement,
32% of the participants are agreed to the statement. 13% of the participants are disagreed
to the above statement and 3% are strongly disagreed to the above statement.

4.3. DISCUSSION:
The first hypothesis is found to be have positive results because the negative home
environment and teen agers depression are correlated positively. The parental abuse and the
likelihood of female to be suffered from depression also cover in it.The results and findings
have shown that the young teen agers are severely affected from the depression and it is
creating the negative environment in the lives of these people. The young people are taking
stress for different things; the studies and the relationships are the prominent ones. According
to the results of survey, it has been shown that the family plays an important role to overcome
the depression. The major cause of depression in the young teen agers is the behavior and
attitude of family. The family should be supportive and cooperative enough to deal with the
depression of young teen agers. The participants were from the age of 13-19 years and it was
observed that smoking is a popular choice to overcome the depression among them. It is also
seen that they have been involved in extra marital relationships and the emotional attachment
with the partner give them depression most often. After the results have been achieved, it is
said that the family and friends should play the cooperative role and should pay attention
towards the health of teen agers. They should be communicated and their problems should be
discussed in detail. All these steps can help to overcome these problems.

CHAPTER 5

CONCLUSION

The first hypothesis is found to be have positive results because the negative home
environment and teen agers depression are correlated positively. The parental abuse and the
likelihood of female to be suffered from depression also cover in it. It is recommended to
follow the traditional diet plans. Depression is a disorder where the patients suffer from
spoiled dietary habits. The patients either do not take sufficient food or they take excessive
food turning into different eating disorders. the depression can be controlled by taking the
regular meal plans. It may have beneficial effects on brain and helps to reduce depression to
some extent. The traditional diet plans may help to gain the positive mental health. All the six
food groups should be included in diet. the fruits and vegetables intake should be increased.
The diary intake should also be considered. The fruits and vegetables are nutrient dense and
are full of energy. They have beneficial fats and devoid of trans unsaturated fatty acids. The
3-4 servings of fruits and 4-5 servings of vegetables are required for healthy lifestyle. These
are full of energy and are needed to calm the mental health system. The fruits are full of
vitamins and boost the immune system. The depression is disorder that needs to be treated by
different therapies. The proper eating habits and meal patterns play significant roles in
maintain the good physical and mental health. The proper functioning of internal system is
important in depressive disorders.

CHAPTER 6

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