scholarly journals The association of depression and child maltreatments among Indonesian adolescents

2020 ◽  
Author(s):  
Meita Dhamayanti ◽  
Anindita Noviandhari ◽  
Nina Masdiani ◽  
Veranita Pandia ◽  
Nanan Sekarwana

Abstract Background Depression is one of the most prevalent emotional mental health problem among adolescents. Mental health problem might be contributed by child maltreatment. Prevalence of mental health problem and maltreatment among adolescent in Indonesia are increasing. This study aims at determining association between depression and history of maltreatment among adolescent Methods The analytic cross-sectional study was conducted to 786 junior high school students of Bandung City, West Java, Indonesia. Subject was selected by using two stage clustered method. The questionnaire of Children’s Depression Inventory (CDI) and ISPCAN Child Abuse Screening Tool (ICAST) were used to assess depression and history of maltreatment respectively. Depression confirmation was diagnosed by psychiatry based on scored positive in CDI. Data were analyzed using chi-square and multiple regression test. Results History of child maltreatment is associated with depressive disorders in adolescents (p = 0.03). All dimension of child maltreatment had significant association with depression (p <0.05). Psychological violence was the highest risk factor for the occurrence of depressive disorders (PR = 6.51), followed by violence exposure and physical violence. Sexual violence was not a common dimension of child maltreatment experienced by students. The history of psychological violence has the strongest association with depression, which three times more likely to have depression (POR = 3.302, p = 0.004) Conclusion The study showed association between a history of child maltreatment and depression in adolescents.

2020 ◽  
Author(s):  
Meita Dhamayanti ◽  
Anindita Noviandhari ◽  
Nina Masdiani ◽  
Veranita Pandia ◽  
Nanan Sekarwana

Abstract Background: Depression is one of the most prevalent emotional mental health problem among adolescents. Mental health problem might be the result of child maltreatment considering their prevalence are increasing simultaneously in Indonesia. The aim of this study is determining the association between depression and history of maltreatment among adolescents. Methods: An analytic cross-sectional study was conducted to 786 junior high school students of Bandung City, West Java, Indonesia. Subject was selected using two stage cluster sampling. The questionnaire of Children’s Depression Inventory (CDI) and ISPCAN Child Abuse Screening Tool (ICAST) were applied to assess depression and history of maltreatment respectively. Depression confirmation was diagnosed by psychiatry based on scored positive in CDI. Data were analyzed using chi-square and multiple regression test. Results: History of child maltreatment was associated with depressive disorder in adolescents (p = 0.03). All dimension of child maltreatment had significant association with depression (p <0.05). Psychological violence had the highest risk factor for the occurrence of depressive disorders (PR = 6.51), followed by violence exposure and physical violence. Sexual violence was not a common dimension of child maltreatment among students. The history of psychological violence had the strongest association with depression, which three times more likely to develop depression (POR = 3.302, p = 0.004)Conclusion: Psychological violence was proven as a strong risk factor in developing depression symptom for adolescents student. Early intervention to prevent maltreatment and its consequences is critical, as well.


2017 ◽  
Vol 4 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Shree Shyam Giri ◽  
Jitendra Kumar Singh ◽  
Radheshyam Giri ◽  
Lalan Kumar Jha ◽  
Sushil K Yadav

Background and Objectives: The South East Asian Region has one of the highest incidences of gender based violence in the world which deprives women from the use of their right and liberty. This study was under taken to explore the causes and consequences of domestic violence against women in Meghanath Gorhanna VDC in Mahottari district of Nepal.Material and Methods: : An explorative quantitative and qualitative research design based study was conducted from September to December 2014 in married female of ward, No. 1, 2 and 4 of Meghanath Gorhanna VDC which is located in Mahottari district of Nepal suffering from domestic violence. Sample size consisted of 20 in each ward and sum of total was 60. In-depth interviews, focused group discussion and observation were tools used for data collection.Results: The result of this study reveals that 40% of victims were between age group 20 to 29 years. Domestic violence was higher among illiterate 20(33%). 12(20%) of the women were victimized due to alcoholism of their husband followed by male honor and patriarchal social values. Similarly, majority of the respondents 47(78.3%) suffered from psychological abuse followed by physical assault. 20(33.3%) women were suffered from physical violence. 10% women were suffered from sexual abuse and harassment. The findings also suggest 23(35%) had mental health problem and 14(23 %) women were suffered from reproductive health problem.Conclusion: The study highlights that various factors such as excessive intake of alcohol, patriarchal system of the society, polygamy, sexual dissatisfaction and dowry contributes for the domestic violence in women. The adverse effects of the violence on women are physical health problem, mental health problem, reproductive health problem, chronic conditions and negative health behavior.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4(1): 46-52


2011 ◽  
Vol 26 (S2) ◽  
pp. 580-580
Author(s):  
I. Sibitz ◽  
R. Lakeman ◽  
M. Parkinson ◽  
J. Walsh ◽  
P. Mc Gowan ◽  
...  

BackgroundThe aim of the study was to assess the experiences of discrimination as reported by people with mental health problems and to explore the impact of hospitalisation.Methods306 people with mental health problems provided sociodemographic data and data on discrimination using the discrimination and stigma scale version 12 (DISC-12) with the domains negative experienced discrimination, anticipated discrimination, overcoming stigma and discrimination, and positive experienced discrimination. Logistic regression analysis was used to test the impact of hospitalisation on discrimination, controlled for age, gender, education, employment, diagnosis and having been prescribed medication.ResultsHospitalisation had a major impact on negative discrimination: People were more likely to be treated unfairly in making or keeping friends, in marriage or divorce, by people in their neighbourhood, in social life, by mental health staff and in terms of privacy, if they had been hospitalised. They were also more likely to be avoided or shunned by people who knew about the mental health problem. People with a history of hospitalisation also reported more anticipated discrimination: They had stopped themselves more often from having a close personal relationship and concealed their mental health problem from others more often than those without a history of hospitalisation. However, people who had been hospitalised also experienced more positive discrimination in terms of being treated more positively in getting welfare benefits or disability pensions and in housing.ConclusionFindings suggest that treatment in hospital contributed to a higher extent to experienced discrimination than treatment in the community.


2021 ◽  
Vol 4 (1) ◽  
pp. 4-8
Author(s):  
Baishali Dass ◽  
Binita Kandangwa ◽  
Rita Pokharel

Background: Adolescents are prone to develop various psychosocial problems with a long-standing impact. We aimed to investigate the mental health status among adolescents from high schools in Dharan sub-metropolitan city. Methods: In this descriptive cross-sectional study, we enrolled 150 adolescents from two different schools of Dharan, using a stratified random sampling technique. The Pediatric Symptoms Checklist for Youth was used to assess their mental health status. A score of 30 or more was considered as a mental health problem. Poverty, family dispute, punishment, and personal and family history of a psychiatric condition were considered as potential predictors of mental health problem. The chi-square test was applied to identify the predictors of mental health problem. Results: The final analysis included 141 samples. More than 60% of the students belonged to the age group 13-15 years, and 52.5% were females. About 59.6% were Janajatis, and 61% were Hindus. The majority (63.8%) were living below the poverty line. The majority (83.7%) had no dispute in the family. All the students had received punishment, and 51.1% had received it at home. One-third of the students had mental health problem. The presence of mental health problem was significantly associated with nuclear family status (p = 0.04), and history of a family dispute (p = 0.04). Conclusion: Mental health problem was common among adolescents, and it was associated with the nuclear family structure and the presence of family dispute.


2020 ◽  
pp. 103985622097005
Author(s):  
Oliver Smith ◽  
Jessica Bergmann ◽  
Ulrich Schall

Objective: General practitioners (GPs) are key health professionals for referrals to mental health specialists. Youth mental health issues are particularly challenging, requiring a competent assessment and understanding of appropriate referral pathways. We surveyed local GPs about their understanding of youth mental health problems and needs to competently look after young patients. Methods: GPs working in the Hunter region were contacted via email, fax and post over a 6-month period in 2019. Results: Seventy-five GPs participated. They reported 577 of 1698 (34%) of young people seen 2 weeks prior to being surveyed presented with a mental health problem. Predominantly, referrals were to private practice psychologists and Headspace. Almost a third (31%) reported having limited understanding of ‘at-risk mental state’ and are ‘not always comfortable’ when facing a young person with a mental health problem. Nearly all (95%) expressed interest in attending specialised training. GPs identified treatment costs, scarce access to psychiatrists and limited patient engagement as the main obstacles to help young people. Conclusions: Effective treatment of a mental health problem relies on early identification. GPs are seeing young people on a regular basis but don’t feel well equipped for this task and are keen to up-skill, which needs to be addressed by targeted training.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joviana Quintes Avanci ◽  
Fernanda Serpeloni ◽  
Thiago Pires de Oliveira ◽  
Simone Gonçalves de Assis

Abstract Background The frequency of trauma and different types of violence exposure in urban areas and their effects on the mental health of adolescents in developing countries are poorly investigated. Most information about traumatized young people comes from war scenarios or disasters. This study aimed to determine the prevalence of PTSD in trauma-exposed students in a low-resource city of the state of Rio de Janeiro, Brazil. The effects of sociodemographic and individual and family factors in the development of PTSD were also investigated. Methods Through multi-stage cluster sampling, 862 adolescents (Mage = 15 years old, 65% female) from public and private schools in the city of São Gonçalo were selected for the study. Self-rating structured questionnaires were applied to assess sociodemographic profile, exposure to physical and psychological violence (family, school, community), sexual abuse, social support, social functional impairment, resilience, and posttraumatic stress disorder. The data were grouped in blocks regarding sociodemographic, individual, family, and community variables. For statistical analysis, chi-square, Fisher’s exact test, and logistic regression were performed. Results The PTSD prevalence was 7.8% among adolescents. Boys were exposed to significantly higher number of events of community violence, while girls to family violence. The adjusted odds ratio (OR) for PTSD were statistically significant for age (OR, 1.45, [95% CI, 1.043–2.007]), social functional impairment (OR, 4.82, [95% CI, 1.77–13.10]), severe maternal physical violence (OR, 2.79, [95% CI, 0.79–9.93]), psychological violence by significant people (OR, 3.96, [95% CI, 1.89–8.31]) and a high number of episodes of community violence (OR, 3.52, [95% CI, 1.47–8.40). Conclusions There was a high prevalence of PTSD within this population associated with exposure to violence. Not only physical, but also psychological violence contributed to PTSD. The results also raise awareness to the differences in life trajectories between boys and girls regarding violence. These differences need to be better understood in order to enable the development of effective preventative interventions. Treating and preventing mental health disorders presents a challenge for countries, especially those with a lower degree of social and economic development and high community violence.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E A Villegas Vázquez ◽  
J C Leyva Chipol ◽  
K C Cervantes Gómez ◽  
S I Valencia Almeida ◽  
F G Márquez Celedonio ◽  
...  

Abstract Introduction Within the current context in our Mexico, major states of violence for women have been manifested on a daily basis without having any more reason than being female. Veracruz is the first place in feminicides in Mexico with a rate of 3.44 per 100 thousand women. Research question: What is the intensity of the violence committed and victimization in the courtship of young students of the Upper Middle level in the Veracruz - Boca del Río area, according to their gender? Material and Methods A cross-sectional, prospective, observational and analytical study was carried out from December to February 2020. Middle-high school students from the Veracruz-Boca del Río region were included, who had a dating relationship and were excluded those who did not accept to participate. The variable “violence committed and victimization in courtship” was quantified with the CADRI instrument. The spss v22 software was used, Sudent's T was calculated for independent samples, with statistical significance p &lt; 0.05. Results 741 students were included. There was a prevalence of violence committed of 86.2% and victimization of 89.2%. Of the total number of students who suffered and committed violence, women occupy 66.3% and 66.7% respectively. There is a difference in the intensity of violence between women and men in verbal-emotional violence (4.5 ± 4.2 vs. 3.4 ± 3.4), physical violence (0.6 ± 1.3 vs. 0.36 ± 3.6) and violence in general (5.7 ± 5.7 vs 4.3 ± 4.8) (p &lt; 0.05), while victimization scores do not make a difference between both genders (p &gt; 0.05). The history of psychological and sexual violence in previous relationships, as well as sexual violence in daily life are more frequent in the female sex (p &lt; 0.05) Conclusions The violence generated is more intense in women, however, they also have a history of having suffered violence more frequently in previous relationships and in their daily lives. Key messages Women suffer more aggressions at different stages of their lives, which may increase the risk to tolerate aggressions or be more aggressive or suffer mental health problems. We must study if the violence generated by women is a response to a previous aggression from their boyfriend.


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