Magnitude of Mental and Behavioral Disorders in Children and Adolescents in Butajira, Southern Ethiopia

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1998-12

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Addis Ababa University

Abstract

In order to explore the magnitude of specific mental and behavioural disorders and their socio-demographic corre lates in children, a study was cond ucted in Butajira, Southern Ethiopia, using the Amharic vers ion of the Diagnostic In strument for Children and Ado[escents (D[CA). A total of [477 children were assessed; 3.5 % of the study subjects had at least one or more mental or behav ioura l disorders. The most frequent diagnoses were anx iety disorder ( 1.6%), Attention Deficit Hyperactiv ity Disorder (ADHD) ( [ .5%); and disruptive behav ioura l disorder (1.5%). Mood d isorders ( [ %) and elim ination disorders (0.8%) were re lative ly less common. Res idence in urban area was associated with ADHD:OR(95 % CI) = 3.03 (1.11-8.04).ADHD was also associated with increasing age, having a s ingle parent, or a chronica ll y s ick family member: OR (95 % CI) = 3.32 ( 1. 15-10.33), 4.63( 1.25-1 7.3 1), 5.5 6(2. [6-14. [6), respectively. Disruptive behavioural disorders were sign ificantly associated with increasing age, parents not living together, severe financial problem and with the presence of chrunically sick family member OR (95 % C[) =4.4 1 ( 1.40- 15.45),4.63( 1.05- 17.3 1 ),2.77( 1.05,7. 12), and 8.15 (3.23 ,20.56), respectively. Livi ng in a house with more than one room was a lso sign ificant ly but inversely, associated with anxiety disorder: OR(95%CI)=0.39 (0.16,0.95). Mood disorders were assoc iated with the presence of parents not li ving together, fi nancial problem and chronically sick fami ly member: OR (95 % CI ) = 4.44 ( 1.00, [8 .57),5.57 ( 1.82,17.20), and 12. [2(3.89,38.84), respective ly. Enuresis was found to have no stat istically signi ficant association with any of the variables mentioned. Specific mental and behav ioura l disorders in chil dren were fo und s igni fica nt public health problems.[n order to explore the magnitude of specific mental and behavioural disorders and their socio-demographic corre lates in children, a study was cond ucted in Butajira, Southern Ethiopia, using the Amharic vers ion of the Diagnostic In strument for Children and Ado[escents (D[CA). A total of [477 children were assessed; 3.5 % of the study subjects had at least one or more mental or behav ioura l disorders. The most frequent diagnoses were anx iety disorder ( 1.6%), Attention Deficit Hyperactiv ity Disorder (ADHD) ( [ .5%); and disruptive behav ioura l disorder (1.5%). Mood d isorders ( [ %) and elim ination disorders (0.8%) were re lative ly less common. Res idence in urban area was associated with ADHD:OR(95 % CI) = 3.03 (1.11-8.04).ADHD was also associated with increasing age, having a s ingle parent, or a chronica ll y s ick family member: OR (95 % CI) = 3.32 ( 1. 15-10.33), 4.63( 1.25-1 7.3 1), 5.5 6(2. [6-14. [6), respectively. Disruptive behavioural disorders were sign ificantly associated with increasing age, parents not living together, severe financial problem and with the presence of chrunically sick family member OR (95 % C[) =4.4 1 ( 1.40- 15.45),4.63( 1.05- 17.3 1 ),2.77( 1.05,7. 12), and 8.15 (3.23 ,20.56), respectively. Livi ng in a house with more than one room was a lso sign ificant ly but inversely, associated with anxiety disorder: OR(95%CI)=0.39 (0.16,0.95). Mood disorders were assoc iated with the presence of parents not li ving together, fi nancial problem and chronically sick fami ly member: OR (95 % CI ) = 4.44 ( 1.00, [8 .57),5.57 ( 1.82,17.20), and 12. [2(3.89,38.84), respective ly. Enuresis was found to have no stat istically signi ficant association with any of the variables mentioned. Specific mental and behav ioura l disorders in chil dren were fo und s igni fica nt public health problems.

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