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 behavioral disorders and their socio-demographic correlates in children, a study was conducted in Butajira, Southern Ethiopia, using the Amharic version of the Diagnostic Instrument for Children and Adolescents (D[CA). A total of [477 children were assessed; 3.5 % of the study subjects had at least one or more mental or behavioral disorders. The most frequent diagnoses were anxiety disorder(1.6%), Attention Deficit Hyperactivity Disorder (ADHD) ( [ .5%); and disruptive behavioral disorder (1.5%). Mood disorders ( [ %) and elimination disorders (0.8%) were re lative ly less common. Residence 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 chronically 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 behavioral disorders were significantly associated with increasing age, parents not living together, severe financial problem and with the presence of chronically 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. Living in a house with more than one room was also significantly but inversely, associated with anxiety disorder: OR(95%CI)=0.39 (0.16,0.95). Mood disorders were associated with the presence of parents not living together, financial problem and chronically sick family member: OR (95 % CI ) = 4.44 ( 1.00, [8 .57),5.57 ( 1.82,17.20), and 12. [2(3.89,38.84), respectively. Enuresis was found to have no statistically significant association with any of the variables mentioned. Specific mental and behavioral disorders in children were found significant public health problems.[n order to explore the magnitude of specific mental and behavioral disorders and their socio-demographic correlates in children, a study was conducted in Butajira, Southern Ethiopia, using the Amharic version of the Diagnostic Instrument for Children and Adolescents (D[CA). A total of [477 children were assessed; 3.5 % of the study subjects had at least one or more mental or behavioral disorders. The most frequent diagnoses were anxiety disorder ( 1.6%), Attention Deficit Hyperactivity Disorder (ADHD) ( [ .5%); and disruptive behavioral disorder (1.5%). Mood disorders ( [ %) and elimination disorders (0.8%) were re lative ly less common. Residence 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 chronically 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 behavioral disorders were significantly associated with increasing age, parents not living together, severe financial problem and with the presence of chronically 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. Living in a house with more than one room was also significantly but inversely, associated with anxiety disorder: OR(95%CI)=0.39 (0.16,0.95). Mood disorders were associated with the presence of parents not living together, financial problem and chronically sick family member: OR (95 % CI ) = 4.44 ( 1.00, [8 .57),5.57 ( 1.82,17.20), and 12. [2(3.89,38.84), respectively. Enuresis was found to have no statistically significant association with any of the variables mentioned. Specific mental and behavioral disorders in children were found significant public health problems.

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