Factors associated with depressive symptoms in Nigerian adolescents

Factors associated with depressive symptoms in Nigerian adolescents
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DOI:
10.1016/j.jadohealth.2005.08.016
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发表时间:
2006-07-01
影响因子:
7.6
通讯作者:
Ologun, Yemisi A.
Ologun, Yemisi A.
中科院分区:
医学2区
文献类型:
--
作者:
Adewuya, Abiodun O.;Ologun, Yemisi A.

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目的:为了评估与抑郁症状的尼日利亚13-18岁的青少年参加高中schools.Method:青少年年龄在13至18岁(n = 1095)参加高中完成贝克抑郁量表(BDI)作为衡量他们的抑郁症状的样本相关的因素。青少年和他们的父母也完成了各种问卷调查有关的人口学,心理社会和家庭factors.Results:有99(9.0%)的青少年有临床显着的抑郁症状。与青少年抑郁症状显著相关的因素包括父母的抑郁症状(比值比[OR] 5.21,95%可信区间[CI] 3.48-7.81),青少年对家庭功能的感知较差(OR 6.79,95%CI 3.46-12.23),青少年与同伴的问题(OR 4.69,95%CI 3.06-7.19),青少年低自尊(OR 6.63,95%CI 2.59-16.96),青少年饮酒(OR 3.98,95%CI 2.37-6.69),女性(OR 1.74,95% CI 1.11-2.72)和大家族规模(OR 2.83,95% CI 1.15-7.74)。儿童和青少年健康政策制定者在规划医疗保健服务或制定低血糖青少年抑郁症预测模型时应考虑这些因素。收入国家。临床评估应侧重于识别这些变量,非药物干预可能与解决一些相关因素有关。(c)2006年,为青少年医学会。All rights reserved.
Purpose: To evaluate the factors associated with depressive symptoms in a sample of Nigerian 13-18-year-olds attending senior secondary schools.Method: Adolescents aged 13 to 18 years (n = 1095) attending senior secondary schools completed the Beck Depressive Inventory (BDI) as a measure of their depressive symptoms. The adolescents and their parents also completed various questionnaires regarding related demographic, psychosocial and family factors.Results: There were 99 (9.0%) adolescents with clinically significant depressive symptoms. The factors significantly associated with adolescents' depressive symptoms include parental depressive symptoms (odds ratio [OR] 5.21, 95% confidence interval [CI] 3.48-7.81), adolescents' perception of family functioning as poor (OR 6.79, 95% CI 3.46-12.23), adolescents' problems with peers (OR 4.69, 95% CI 3.06-7.19), adolescents' low self-esteem (OR 6.63, 95% CI 2.59-16.96), adolescents' drinking (OR 3.98, 95% CI 2.37-6.69), female gender (OR 1.74, 95% CI 1.11-2.72), and large family size (OR 2.83, 95% CI 1.15-7.74).Conclusions: Child and adolescent health policy-makers should consider these factors when planning healthcare services or formulating a predictive model for adolescents' depression in low-income countries. Clinical assessment should focus on identification of these variables and nonpharmacological interventions may be of relevance in addressing some of the associated factors. (c) 2006 Society for Adolescent Medicine. All rights reserved.