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Published in: Social Psychiatry and Psychiatric Epidemiology 3/2013

01-03-2013 | Original Paper

Exposure to violence in relation to depressive symptoms among male and female adolescent students in Cambodia

Authors: Siyan Yi, Krishna C. Poudel, Junko Yasuoka, Songky Yi, Paula H. Palmer, Masamine Jimba

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 3/2013

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Abstract

Purpose

In spite of the apparent increases in family and community violence, research into its effects on adolescent mental health has received limited attention in Cambodia. This study examines the association between exposure to violence and depressive symptoms among adolescents controlling for the effects of several factors in family and school domains.

Methods

We randomly selected 993 male and 950 female students proportionally from 11 junior high schools and high schools in Battembang provincial city. Students were questioned about the violence to which they were subjected and which they witnessed in their family and community. The Asian Adolescent Depression Scale was used to measure depressive symptoms.

Results

In this study, 27.9 % of male students and 21.5 % of female students had been victimized in at least one case of family violence, while 18.0 % of male and 5.8 % of female students had been victimized in at least one case of community violence. After adjustment, increased levels of depressive symptoms were significantly associated with being the victim of or witnessing family or community violence among both male and female students. However, the positive association between the levels of depressive symptoms and being a witness to community violence was found only in female students.

Conclusions

Efforts to prevent depression in adolescent students should focus on reducing family and community violence; such efforts should also consider gender differences.
Literature
1.
go back to reference Kinzie JD, Boehnlein J, Sack WH (1998) The effects of massive trauma on Cambodian parents and children. In: Danieli EY (ed) International handbook of multigeneration legacies of trauma. Plenum Press, New York Kinzie JD, Boehnlein J, Sack WH (1998) The effects of massive trauma on Cambodian parents and children. In: Danieli EY (ed) International handbook of multigeneration legacies of trauma. Plenum Press, New York
2.
go back to reference Margolin G, Gordis EB (2000) The effects of family and community violence on children. Annu Rev Psychol 51:445–479PubMedCrossRef Margolin G, Gordis EB (2000) The effects of family and community violence on children. Annu Rev Psychol 51:445–479PubMedCrossRef
3.
go back to reference Hoven CW, Duarte CS, Lucas CP, Wu P, Mandell DJ, Goodwin RD, Cohen M, Balaban V, Woodruff BA, Bin F, Musa GJ, Mei L, Cantor PA, Aber JL, Cohen P, Susser E (2005) Psychopathology among New York City public school children 6 months after September 11. Arch Gen Psychiatry 62:545–552PubMedCrossRef Hoven CW, Duarte CS, Lucas CP, Wu P, Mandell DJ, Goodwin RD, Cohen M, Balaban V, Woodruff BA, Bin F, Musa GJ, Mei L, Cantor PA, Aber JL, Cohen P, Susser E (2005) Psychopathology among New York City public school children 6 months after September 11. Arch Gen Psychiatry 62:545–552PubMedCrossRef
4.
go back to reference Howard DE, Feigelman S, Li X, Cross S, Rachuba L (2002) The relationship among violence victimization, witnessing violence, and youth distress. J Adolesc Health 31:455–462PubMedCrossRef Howard DE, Feigelman S, Li X, Cross S, Rachuba L (2002) The relationship among violence victimization, witnessing violence, and youth distress. J Adolesc Health 31:455–462PubMedCrossRef
5.
go back to reference O’Donnell DA, Roberts WC, Schwab-Stone ME (2011) Community violence exposure and post-traumatic stress reactions among Gambian youth: the moderating role of positive school climate. Soc Psychiatry Psychiatr Epidemiol 46:59–67PubMedCrossRef O’Donnell DA, Roberts WC, Schwab-Stone ME (2011) Community violence exposure and post-traumatic stress reactions among Gambian youth: the moderating role of positive school climate. Soc Psychiatry Psychiatr Epidemiol 46:59–67PubMedCrossRef
6.
go back to reference Slopen N, Fitzmaurice GM, Williams DR, Gilman SE (2012) Common patterns of violence experiences and depression and anxiety among adolescents. Soc Psychiatry Psychiatr Epidemiol [Epub ahead of print] Slopen N, Fitzmaurice GM, Williams DR, Gilman SE (2012) Common patterns of violence experiences and depression and anxiety among adolescents. Soc Psychiatry Psychiatr Epidemiol [Epub ahead of print]
7.
go back to reference Gorman-Smith D, Henry DB, Tolan PH (2004) Exposure to community violence and violence perpetration: the protective effects of family functioning. J Clin Child Adolesc Psychol 33:339–349 Gorman-Smith D, Henry DB, Tolan PH (2004) Exposure to community violence and violence perpetration: the protective effects of family functioning. J Clin Child Adolesc Psychol 33:339–349
8.
go back to reference Herrenkohl TI, Kosterman R, Hawkins JD, Mason WA (2009) Effects of growth in family conflict in adolescence on adult depressive symptoms: mediating and moderating effects of stress and school bonding. J Adolesc Health 44:146–152PubMedCrossRef Herrenkohl TI, Kosterman R, Hawkins JD, Mason WA (2009) Effects of growth in family conflict in adolescence on adult depressive symptoms: mediating and moderating effects of stress and school bonding. J Adolesc Health 44:146–152PubMedCrossRef
9.
go back to reference Bolger K, Patterson CJ (2003) Sequelae of child maltreatment: vulnerability and resilience. In: Luthar S (ed) Resilience and vulnerability: adaptation in the context of childhood adversities. Cambridge University Press, New York Bolger K, Patterson CJ (2003) Sequelae of child maltreatment: vulnerability and resilience. In: Luthar S (ed) Resilience and vulnerability: adaptation in the context of childhood adversities. Cambridge University Press, New York
10.
go back to reference English DJ, Marshall DB, Steward AJ (2003) Effects of family violence on child behavior and health during early childhood. J Fam Violence 18:43–57CrossRef English DJ, Marshall DB, Steward AJ (2003) Effects of family violence on child behavior and health during early childhood. J Fam Violence 18:43–57CrossRef
11.
go back to reference Kennedy AC, Bybee D, Sullivan CM, Greeson M (2009) Effects of community and family violence exposure on anxiety trajectories during middle childhood: the role of family social support as a moderator. J Clin Child Adolesc Psychol 38:365–379PubMedCrossRef Kennedy AC, Bybee D, Sullivan CM, Greeson M (2009) Effects of community and family violence exposure on anxiety trajectories during middle childhood: the role of family social support as a moderator. J Clin Child Adolesc Psychol 38:365–379PubMedCrossRef
12.
go back to reference Sternberg KJ, Lamb ME, Guterman E, Abbott CB (2006) Effects of early and later family violence on children’s behavior problems and depression: a longitudinal, multi-informant perspective. Child Abuse Negl 30:283–306PubMedCrossRef Sternberg KJ, Lamb ME, Guterman E, Abbott CB (2006) Effects of early and later family violence on children’s behavior problems and depression: a longitudinal, multi-informant perspective. Child Abuse Negl 30:283–306PubMedCrossRef
13.
go back to reference Jirapramukpitak T, Harpham T, Prince M (2011) Family violence and its ‘adversity package’: a community survey of family violence and adverse mental outcomes among young people. Soc Psychiatry Psychiatr Epidemiol 46:825–831PubMedCrossRef Jirapramukpitak T, Harpham T, Prince M (2011) Family violence and its ‘adversity package’: a community survey of family violence and adverse mental outcomes among young people. Soc Psychiatry Psychiatr Epidemiol 46:825–831PubMedCrossRef
14.
go back to reference Yi S, Poudel KC, Yasuoka J, Palmer PH, Yi S, Jimba M (2010) Roles of risk and protective factors in risky sexual behavior among high school students in Cambodia. BMC Public Health 10:477PubMedCrossRef Yi S, Poudel KC, Yasuoka J, Palmer PH, Yi S, Jimba M (2010) Roles of risk and protective factors in risky sexual behavior among high school students in Cambodia. BMC Public Health 10:477PubMedCrossRef
15.
go back to reference Yi S, Poudel KC, Yasuoka J, Palmer PH, Yi S, Jimba M (2011) Risk versus protective factors for substance use among adolescents in Cambodia. J Subst Use 16:14–26CrossRef Yi S, Poudel KC, Yasuoka J, Palmer PH, Yi S, Jimba M (2011) Risk versus protective factors for substance use among adolescents in Cambodia. J Subst Use 16:14–26CrossRef
16.
go back to reference Woo BS, Chang WC, Fung DS, Koh JB, Leong JS, Kee CH, Seah CK (2004) Development and validation of a depression scale for Asian adolescents. J Adolesc 27:677–689PubMedCrossRef Woo BS, Chang WC, Fung DS, Koh JB, Leong JS, Kee CH, Seah CK (2004) Development and validation of a depression scale for Asian adolescents. J Adolesc 27:677–689PubMedCrossRef
17.
go back to reference Bensley L, van Eenwyk J, Wynkoop Simmons K (2003) Childhood family violence history and women’s risk for intimate partner violence and poor health. Am J Prev Med 25:38–44PubMedCrossRef Bensley L, van Eenwyk J, Wynkoop Simmons K (2003) Childhood family violence history and women’s risk for intimate partner violence and poor health. Am J Prev Med 25:38–44PubMedCrossRef
18.
go back to reference Vermeiren R, Schwab-Stone M, Deboutte D, Leckman PE, Ruchkin V (2003) Violence exposure and substance use in adolescents: findings from three countries. Pediatrics 111:535–540PubMedCrossRef Vermeiren R, Schwab-Stone M, Deboutte D, Leckman PE, Ruchkin V (2003) Violence exposure and substance use in adolescents: findings from three countries. Pediatrics 111:535–540PubMedCrossRef
19.
go back to reference Hu G, Sun Z, Hu M, Xia Q, Yin X, Zheng L, Castillo RC (2007) Brief report: development of a brief scale to assess family support function among Chinese high school students. J Adolesc 30:879–883PubMedCrossRef Hu G, Sun Z, Hu M, Xia Q, Yin X, Zheng L, Castillo RC (2007) Brief report: development of a brief scale to assess family support function among Chinese high school students. J Adolesc 30:879–883PubMedCrossRef
20.
go back to reference Henry KL, Slater MD (2007) The contextual effect of school attachment on young adolescents’ alcohol use. J Sch Health 77:67–74PubMedCrossRef Henry KL, Slater MD (2007) The contextual effect of school attachment on young adolescents’ alcohol use. J Sch Health 77:67–74PubMedCrossRef
21.
go back to reference Fulkerson JA, Story M, Mellin A, Leffert N, Neumark-Sztainer D, French SA (2006) Family dinner meal frequency and adolescent development: relationships with development assets and high-risk behaviors. J Adolesc Health 39:337–345PubMedCrossRef Fulkerson JA, Story M, Mellin A, Leffert N, Neumark-Sztainer D, French SA (2006) Family dinner meal frequency and adolescent development: relationships with development assets and high-risk behaviors. J Adolesc Health 39:337–345PubMedCrossRef
22.
go back to reference DuRant RH, Altman D, Wolfson M, Barkin S, Kreiter S, Krowchuk D (2000) Exposure to violence and victimization, depression, substance use, and the use of violence by young adolescents. J Pediatr 137:707–713PubMedCrossRef DuRant RH, Altman D, Wolfson M, Barkin S, Kreiter S, Krowchuk D (2000) Exposure to violence and victimization, depression, substance use, and the use of violence by young adolescents. J Pediatr 137:707–713PubMedCrossRef
23.
go back to reference Brady SS (2006) Lifetime community violence exposure and health risk behavior among young adults in college. J Adolesc Health 39:610–613PubMedCrossRef Brady SS (2006) Lifetime community violence exposure and health risk behavior among young adults in college. J Adolesc Health 39:610–613PubMedCrossRef
24.
go back to reference Le TN, Kato T (2006) The role of peer, parent, and culture in risky sexual behavior for Cambodian and Lao/Mien adolescents. J Adolesc Health 38:288–296PubMedCrossRef Le TN, Kato T (2006) The role of peer, parent, and culture in risky sexual behavior for Cambodian and Lao/Mien adolescents. J Adolesc Health 38:288–296PubMedCrossRef
25.
go back to reference Rice F (1999) The adolescent: development, relationship, and culture. Allyn and Bacon, Boston Rice F (1999) The adolescent: development, relationship, and culture. Allyn and Bacon, Boston
26.
go back to reference Scales PC (1999) Reducing risks and building developmental assets: essential actions for promoting adolescent health. J Sch Health 69:113–119PubMedCrossRef Scales PC (1999) Reducing risks and building developmental assets: essential actions for promoting adolescent health. J Sch Health 69:113–119PubMedCrossRef
27.
go back to reference Markham CM, Lormand D, Gloppen KM, Peskin MF, Flores B, Low B, House LD (2010) Connectedness as a predictor of sexual and reproductive health outcomes for youth. J Adolesc Health 46:S23–S41PubMedCrossRef Markham CM, Lormand D, Gloppen KM, Peskin MF, Flores B, Low B, House LD (2010) Connectedness as a predictor of sexual and reproductive health outcomes for youth. J Adolesc Health 46:S23–S41PubMedCrossRef
28.
go back to reference Shochet IM, Homel R, Cockshaw WD, Montgomery DT (2008) How do school connectedness and attachment to parents interrelate in predicting adolescent depressive symptoms? J Clin Child Adolesc Psychol 37:376–381CrossRef Shochet IM, Homel R, Cockshaw WD, Montgomery DT (2008) How do school connectedness and attachment to parents interrelate in predicting adolescent depressive symptoms? J Clin Child Adolesc Psychol 37:376–381CrossRef
29.
go back to reference Ostaszewski K, Zimmerman MA (2006) The effects of cumulative risks and promotive factors on urban adolescent alcohol and other drug use: a longitudinal study of resiliency. Am J Community Psychol 38:237–249PubMedCrossRef Ostaszewski K, Zimmerman MA (2006) The effects of cumulative risks and promotive factors on urban adolescent alcohol and other drug use: a longitudinal study of resiliency. Am J Community Psychol 38:237–249PubMedCrossRef
30.
go back to reference Fröjd SA, Nissinen ES, Pelkonen MU, Marttunen MJ, Koivisto AM, Kaltiala-Heino R (2008) Depression and school performance in middle adolescent boys and girls. J Adolesc 31:485–498PubMedCrossRef Fröjd SA, Nissinen ES, Pelkonen MU, Marttunen MJ, Koivisto AM, Kaltiala-Heino R (2008) Depression and school performance in middle adolescent boys and girls. J Adolesc 31:485–498PubMedCrossRef
31.
go back to reference Kliewer W, Murrelle L (2007) Risk and protective factors for adolescent substance use: findings from a study in selected Central American countries. J Adolesc Health 40:448–455PubMedCrossRef Kliewer W, Murrelle L (2007) Risk and protective factors for adolescent substance use: findings from a study in selected Central American countries. J Adolesc Health 40:448–455PubMedCrossRef
Metadata
Title
Exposure to violence in relation to depressive symptoms among male and female adolescent students in Cambodia
Authors
Siyan Yi
Krishna C. Poudel
Junko Yasuoka
Songky Yi
Paula H. Palmer
Masamine Jimba
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 3/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0553-2

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