Predicting risk and protective factors of generalized anxiety disorder: a comparative study among adolescents in Ghana

In this study, we investigated psychosocial factors associated with Generalized Anxiety Disorder (GAD) among adolescents in two socioeconomically and ethnically different communities in Ghana. We examined two objectives; to test the predictors of GAD and to examine differences between the two groups on the predictors of GAD. We studied 300 adolescents aged between 13 and 19 years who responded to a six-scale questionnaire that measured GAD, parental perception, adolescent coping, adolescent religiosity, peer pressure, and self-esteem. We found a higher prevalence of GAD in Obuasi and consistent patterns of risks and protection in both communities. Non-productive coping and low parental involvement were found to be risk factors while self-esteem was found to be a protective factor against GAD. We discuss these findings in the context of socioeconomic and psychological differences among the adolescent population in Ghana.