umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Epidemiology of child psychiatric disorders in Addis Ababa, Ethiopia
Umeå University, Faculty of Medicine, Clinical Sciences, Child and Adolescence Psychiatry.
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Although mental disorders are common among children all over the world, information on the extent and types of child psychiatric disorders in Ethiopia is extremely limited. A study was conducted in an urban setting of Ethiopia to look at the prevalence of child psychiatric disorders and their correlates. A two-phase survey was performed. In the first phase, parents of 5000 children in Addis Ababa, the capital city of Ethiopia, were interviewed using the Reporting Questionnaire for Children (RQC). In the second phase, parents of all screen-positive children (n=864) and parents of 1537 screen-negative children were interviewed using the revised parent version of the Diagnostic Interview for Children and Adolescents (DICA-R), a semi-structured diagnostic instrument that is based on the third revised edition of the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-III-R). This thesis discusses the results of that study in comparison with other child mental health studies in Ethiopia and elsewhere.

At the recommended cut-off score of 1, the sensitivity, specificity, predictive values and likelihood ratios of the RQC to DICA-R diagnoses were acceptable. The RQC had high accuracy with a misclassification rate of 17%.

The weighted prevalence for any DSM-III-R diagnosis was 17%. The most prevalent condition was enuresis (12.1%) followed by simple phobia (5.5%). The prevalence rates of all other identified conditions were below 1%. Children's age, severe economic problems, and single parenthood were found to be risk factors for any DSM-III-R diagnosis in children. Male sex, younger age, and lower achieved educational grade of the child were all independently associated with childhood enuresis. The odds of having enuresis were significantly higher for children in families with extreme poverty and in children from single-parent homes. The risk of having enuresis was significantly higher in children who had anxiety disorders (AD) and disruptive behaviour disorders (DBD). Sex was significantly associated with disruptive behaviour disorders while grade level, age, family size, ethnicity, poverty, and single parenthood were not. Anxiety disorders were significantly associated with sex, ethnicity, and extreme poverty but not with the other socio-demographic variables. The absence of mood disorders and somatoform disorders, of which symptoms are often encountered in both children and adults at clinical settings and the low prevalence rates of most identified conditions, were probably related to the lack of awareness or alternative explanations at the community level regarding the understanding of behaviour changes. Campaigns of public mental health education with the aim of providing scientific information to society are highly recommended. While Ethiopia works towards mainstreaming mental health into its health care system, training health care workers in applying simple screening tools like the RQC is recommended.

Place, publisher, year, edition, pages
Umeå: Barn- och ungdomspsykiatri , 2008. , 59 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1155
Keyword [en]
Children, Developing country, Psychopathology, Correlates
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-1585ISBN: 978-91-7264-511-0 (print)OAI: oai:DiVA.org:umu-1585DiVA: diva2:141453
Public defence
2008-04-04, Sal B, 1D, 9 tr, Tandläkarhögskolan, Umeå, 13:00 (English)
Opponent
Supervisors
Available from: 2008-03-17 Created: 2008-03-17 Last updated: 2010-01-18Bibliographically approved
List of papers
1. The Reporting Questionnaire for Children (RQC) as a valid and simple child mental health screening instrument in Ethiopia
Open this publication in new window or tab >>The Reporting Questionnaire for Children (RQC) as a valid and simple child mental health screening instrument in Ethiopia
Show others...
(English)Manuscript (preprint) (Other academic)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-3020 (URN)
Available from: 2008-03-17 Created: 2008-03-17 Last updated: 2017-03-24Bibliographically approved
2. Psychiatric disorders in urban children in Ethiopia: a population based cross sectional survey
Open this publication in new window or tab >>Psychiatric disorders in urban children in Ethiopia: a population based cross sectional survey
(English)In: Social psychiatry and psychiatric epidemiologyArticle in journal (Refereed) Submitted
Identifiers
urn:nbn:se:umu:diva-3021 (URN)
Available from: 2008-03-17 Created: 2008-03-17 Last updated: 2011-03-18Bibliographically approved
3. Socio-demographic and psychopathologic correlates of enuresis in urban Ethiopian children.
Open this publication in new window or tab >>Socio-demographic and psychopathologic correlates of enuresis in urban Ethiopian children.
2007 (English)In: Acta Paediatr, ISSN 0803-5253, Vol. 96, no 4, 556-560 p.Article in journal (Refereed) Published
Keyword
Adolescent, Age Factors, Child, Enuresis/*etiology/*psychology, Ethiopia, Female, Health Surveys, Humans, Male, Mental Disorders/*complications, Risk Factors, Sex Factors, Socioeconomic Factors, Urban Health
Identifiers
urn:nbn:se:umu:diva-13903 (URN)17306004 (PubMedID)
Available from: 2007-05-16 Created: 2007-05-16 Last updated: 2010-05-28Bibliographically approved
4. Demographic and social factors associated with disruptive behaviour disorders and anxiety disorders in children in an urban community in Ethiopia
Open this publication in new window or tab >>Demographic and social factors associated with disruptive behaviour disorders and anxiety disorders in children in an urban community in Ethiopia
Show others...
(English)In: Nordic journal of psychiatryArticle in journal (Refereed) Submitted
Identifiers
urn:nbn:se:umu:diva-3023 (URN)
Available from: 2008-03-17 Created: 2008-03-17 Last updated: 2011-03-18Bibliographically approved

Open Access in DiVA

fulltext(267 kB)2704 downloads
File information
File name FULLTEXT01.pdfFile size 267 kBChecksum SHA-1
098aa2323449b039c7f331633a83fc63602cfafbc100a8e5ec33dc4b8d5d763a96eda299
Type fulltextMimetype application/pdf

By organisation
Child and Adolescence Psychiatry
Psychiatry

Search outside of DiVA

GoogleGoogle Scholar
Total: 2704 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 1287 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf