Psychosocial issues in a child and adolescent psychiatric clinic population in Nigeria
Psychosocial issues in a child and adolescent psychiatric clinic population in Nigeria
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DOI：
10.1007/s00127-004-0793-x
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发表时间：
2004-08-01
影响因子：
4.4
通讯作者：
Omigbodun, OO
中科院分区：
文献类型：
--
作者：
Omigbodun, OO
背景。心理社会问题和干预措施在几种儿童精神疾病的病因、病程和预后中发挥着非常重要的作用。尼日利亚儿童和青少年精神病诊所人群的心理社会问题被记录下来，作为规划和开发这一新设施的初步步骤。方法。当服务开始时，标准化评估程序就被纳入诊所的日常工作中。采用访谈法测量社会心理压力源和生活事件，以获得深入的信息。结果。在为期 3 年的研究期间，在 127 名新转诊到诊所的患者中，有 79 名 (62.2%) 在就诊前一年有显着的社会心理压力源。 50 名受试者 (39.4%) 出现了主要支持方面的问题，例如与父母分离、与亲戚住在一起、家庭破裂、被母亲遗弃、父母患有精神疾病以及性/身体虐待。 11 名（8.7%）儿童存在社会环境问题，39 名儿童（30.7%）存在教育问题，5 名儿童（3.9%）存在经济问题，15 名儿童（11.8%）存在“其他”社会心理压力源。与患有精神病、自闭症和癫痫的儿童相比，患有破坏性行为障碍以及遗尿、分离焦虑和自杀行为等疾病的儿童和青少年明显有更多的社会心理压力源（chi(2) = 9.6；p = 0.048）。结论。本研究说明了心理社会诊断维度在常规实践中的重要性。确定的一些社会心理因素是文化习俗。这些做法对儿童心理健康的影响需要进一步研究。
Background. Psychosocial issues and interventions play a very important role in the aetiology, course and prognosis of several child psychiatric disorders. Psychosocial problems in a child and adolescent psychiatric clinic population in Nigeria were documented as a preliminary step towards the planning and development of this new facility. Methods. A standardised assessment procedure was integrated into the routine at the clinic when services commenced. Psychosocial stressors and life events were measured using the interview method so that in-depth information could be obtained. Results. Over the 3-year period of study, 79 (62.2%) of the 127 new referrals to the clinic had significant psychosocial stressors in the year preceding presentation. Problems with primary support, such as separation from parents to live with relatives, disruption of the family, abandonment by mother, psychiatric illness in a parent and sexual/physical abuse, occurred in 50 (39.4%) of the subjects. Problems with social environment occurred in 11 (8.7 %), 39 (30.7 %) had educational problems, 5 (3.9%) had economic problems and 15 (11.8%) of the children had 'other' psychosocial stressors. Significantly more children and adolescents with disruptive behaviour disorders and disorders like enuresis, separation anxiety and suicidal behaviour had psychosocial stressors when compared to children with psychotic conditions, autistic disorder and epilepsy (chi(2) = 9.6; p = 0.048). Conclusions. The importance of the psychosocial diagnostic dimension in routine practice is illustrated in this study. Some psychosocial factors identified are cultural practices. The effects of these practices on child mental health require further study.