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 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.

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.


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.


Author(s):  
David C. Reardon ◽  
Christopher Craver

Pregnancy loss, natural or induced, is linked to higher rates of mental health problems, but little is known about its effects during the postpartum period. This study identifies the percentages of women receiving at least one postpartum psychiatric treatment (PPT), defined as any psychiatric treatment (ICD-9 290-316) within six months of their first live birth, relative to their history of pregnancy loss, history of prior mental health treatments, age, and race. The population consists of young women eligible for Medicaid in states that covered all reproductive services between 1999–2012. Of 1,939,078 Medicaid beneficiaries with a first live birth, 207,654 (10.7%) experienced at least one PPT, and 216,828 (11.2%) had at least one prior pregnancy loss. A history of prior mental health treatments (MHTs) was the strongest predictor of PPT, but a history of pregnancy loss is also another important risk factor. Overall, women with a prior pregnancy loss were 35% more likely to require a PPT. When the interactions of prior mental health and prior pregnancy loss are examined in greater detail, important effects of these combinations were revealed. About 58% of those whose first MHT was after a pregnancy loss required PPT. In addition, over 99% of women with a history of MHT one year prior to their first pregnancy loss required PPT after their first live births. These findings reveal that pregnancy loss (natural or induced) is a risk factor for PPT, and that the timing of events and the time span for considering prior mental health in research on pregnancy loss can significantly change observed effects. Clinicians should screen for a convergence of a history of MHT and prior pregnancy loss when evaluating pregnant women, in order to make appropriate referrals for counseling.


Psychiatry ◽  
2004 ◽  
Vol 67 (2) ◽  
pp. 153-157 ◽  
Author(s):  
Simon Wessely

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