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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 1/2017

01-01-2017 | Original Paper

Epidemiological patterns and correlates of mental disorders among orphans and vulnerable children under institutional care

Authors: Victoria N. Mutiso, Christine W. Musyimi, Albert Tele, David M. Ndetei

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 1/2017

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Abstract

Purpose

The objective of the study was to estimate the prevalence, comorbidity and socio-demographic correlates of common mental disorders among orphan and vulnerable children (OVCs) in residential care.

Methods

The Youth Self Report (YSR) instrument was adapted for use and administered to 630 OVCs aged 10–18 years in four institutions operating within the Eastern province of Kenya. We estimated the prevalence of YSR syndromes and used logistic regression analyses to examine socio-demographic factors associated with each disorder.

Results

The prevalence of any mental disorder according to YSR syndrome scale was 30.8% (95% CI 27.1–34.6). Female gender and older children were less likely to be associated with risk of scoring in the clinical range of the mental disorders. The presence of multiple mental problems was seen among 16.7% of the children. Of the 16.7%, 5.6% had one comorbid mental disorder and 11.1% had three to eight mental disorders.

Conclusion

We found a high prevalence of mental disorders and co-occurring disorders among the OVCs in residential institutions in Kenya. There is need for an alternative approach that can reach out to critical numbers of children for screening and public health, rather than purely clinical approach. The capacity for these institutions should also be regulated and more efforts focusing on improving the quality of care in the facilities taken into account at all times.
Literature
1.
Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O et al (2011) Child and adolescent mental health worldwide: evidence for action. Lancet 378(9801):1515–1525CrossRefPubMed
2.
Gore F, Bloem P, Patton G, Ferguson J, Joseph V, Coffey C et al (2011) Global burden of disease in young people aged 10–24 years: a systematic analysis. Lancet 377(9783):2093–2102CrossRefPubMed
3.
Arap-Mengech H (1983) Psychiatric illness in Kenyan children with mental handicup. East Afr Med J 60(12):827–832PubMed
4.
Ndetei DM, Mutiso V, Musyimi C, Mokaya AG, Anderson KK, McKenzie K et al (2016) The prevalence of mental disorders among upper primary school children in Kenya. Soc Psychiatry Psychiatr Epidemiol [Internet] 51(1):63–71CrossRef
5.
6.
Benjet C (2010) Childhood adversities of populations living in low-income countries: prevalence, characteristics, and mental health consequences. Curr Opin Psychiatry 23:356–362CrossRefPubMed
7.
Porta M (2008) A Dictionary of Epidemiology. In: Greenland S, Hernan M, Silva I dos Santos, Last JM (eds) International Epidemiological Association, 6th edn. Oxford University Press, New York
8.
Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms and profiles. University of Vermont, Research Center for Children, Youth and Families, Burlington
9.
Achenbach TM (1991) Integrative guide for the 1991 CBCL/4-18, YSR and TRF profiles. University of Vermont, Department of Psychiatry, Burlington
10.
Achenbach TM, Dumenci L, Rescorla LA (2003) DSM-oriented and empirically based approaches to constructing scales from the same item pools. J Clin Child Adolesc Psychol [Internet] 32(3):328–340CrossRef
11.
Achenbach TM, Rescorla L (2001) Manual for the ASEBA school-age forms and profiles: an integrated system of multi-informant assessment. ASEBA, Burlington
12.
Achenbach TM (2000) Manual for the assessment data manager program (ADM) for CBCL/4-18, YSR, TRF, YASR, RABCL, CBCL/2-3, CBCL/2-5 and C-TRF
13.
Akay PA, Miral S, Baykara B, Yemez B (2006) Socio-demographic features and emotional-behavioral problems in a girl’s orphanage in Turkey. J Am Acad Child Adolesc Psychiatry 45(1):39–45
14.
Ibrahim A, El-Bilsha MA, El-Gilany AH, Khater M (2012) Prevalence and predictors of depression among orphans in Dakahlia’s orphanages, Egypt. Int J Collab Res Intern Med Public Health 4(12):2036–2043
15.
Ndetei D, Mutiso V, Musyimi C, Mokaya A, Anderson K, McKenzie K et al (2016) The prevalence of mental disorders among upper primary school children in Kenya. Soc Psychiatry Psychiatr Epidemiol 51(1):63–71CrossRefPubMed
16.
McMillen JC, Zima BT, Scott LD, Auslander WF, Munson MR, Ollie MT et al (2005) Prevalence of psychiatric disorders among older youths in the foster care system. J Am Acad Child Adolesc Psychiatry [Internet] 44(1):88–95CrossRef
17.
Flannery DJ, Singer MI, Wester K (2001) Violence exposure, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents. J Am Acad Child Adolesc Psychiatry 40(4):435–442CrossRefPubMed
18.
Merz EC (2008) Behavior problems in children adopted from socially-emotionally depriving orphanages. University of Pittsburgh, Pittsburgh
19.
Elebiary H, Behilak SG, Kabbash I (2010) Study of behavioral and emotional problems among institutionalized children. Med J Cairo Univ 78(1):293–299
20.
Ruiz-Casares M, Phommavong S (2016) Determinants and consequences of children living outside of parental care in Lao People’s Democratic Republic—views and experiences of adults and young people in family and residential care. Glob Soc Welf 3(125)
21.
El Koumi MA, Ali YF, El Banna EA, Youssef UM, Raya YM, Ismail AA (2012) Psychiatric morbidity among a sample of orphanage children in Cairo. Int J Pediatr 2012:141854
22.
Bongers IL, Koot HM, van der Ende J, Verhulst FC (2004) Developmental trajectories of externalizing behaviors in childhood and adolescence. Child Dev [Internet] 75(5):1523–1537
23.
Wichstrøm L, Berg-Nielsen TS, Angold A, Egger HL, Solheim E, Sveen TH (2012) Prevalence of psychiatric disorders in preschoolers. J Child Psychol Psychiatry Allied Discip 53(6):695–705CrossRef
24.
Petresco S, Anselmi L, Santos IS, Barros AJD, Fleitlich-Bilyk B, Barros FC et al (2014) Prevalence and comorbidity of psychiatric disorders among 6-year-old children: 2004 Pelotas Birth Cohort. Soc Psychiatry Psychiatr Epidemiol 49(6):975–983CrossRefPubMedPubMedCentral
25.
Reef J, Diamantopoulou S, van Meurs I, Verhulst FC, van der Ende J (2011) Developmental trajectories of child to adolescent externalizing behavior and adult DSM-IV disorder: results of a 24-year longitudinal study. Soc Psychiatry Psychiatr Epidemiol [Internet] 46(12):1233–1241
26.
Hofstra MB, van der Ende J, Verhulst FC (2002) Child and adolescent problems predict DSM-IV disorders in adulthood: a 14-year follow-up of a Dutch epidemiological sample. J Am Acad Child Adolesc Psychiatry [Internet] 41(2):182–189
27.
Copeland WE, Adair CE, Smetanin P, Stiff D, Briante C, Colman I et al (2013) Diagnostic transitions from childhood to adolescence to early adulthood. J Child Psychol Psychiatry [Internet] 54(7):791–799CrossRef
28.
29.
Thoburn J (2016) Residential care as a permanence option for young people needing longer-term care. Child Youth Serv Rev [Internet] 69:19–28CrossRef
30.
Janssens K, Oldehinkel A, Rosmalen J (2009) Parental overprotection predicts the development of functional somatic symptoms in young adolescents. J Paediatr 154(6):918–923CrossRef
31.
Allen AB, Finestone M, Eloff I, Sipsma H, Makin J, Triplett K et al (2014) The role of parenting in affecting the behavior and adaptive functioning of young children of HIV-infected mothers in South Africa. AIDS Behav 18(3):605–616CrossRefPubMedPubMedCentral
32.
Benson MJ, Buehler C, Gerard JM (2008) Interparental hostility and early adolescent problem behavior. J Early Adolesc 28(3):428–454CrossRef
33.
Davies P, Hentges R, Coe J, Martin M, Sturge-Apple M, Cummings E (2016) The multiple faces of interparental conflict: implications for cascades of children’s insecurity and externalizing problems. J Abnorm Psychol 125(5):664–678CrossRefPubMed
34.
35.
Abikoff HB, Jensen PS, Arnold LLE, Hoza B, Hechtman L, Pollack S et al (2002) Observed classroom behavior of children with ADHD: relationship to gender and comorbidity. J Abnorm Child Psychol 30(4):349–359CrossRefPubMed
36.
Jozefiak T, Kayed NS, Rimehaug T, Wormdal AK, Brubakk AM, Wichstrøm L (2016) Prevalence and comorbidity of mental disorders among adolescents living in residential youth care. Eur Child Adolesc Psychiatry 25(1):33–47CrossRefPubMed
37.
Pereira A (2016) Cash transfers improve the mental health and well-being of youth: evidence from the Kenyan cash transfer for orphans and vulnerable children [Internet], Italy, pp 1–2
38.
Kilburn K, Thirumurthy H, Halpern CT, Pettifor A, Handa S (2016) Effects of a large-scale unconditional cash transfer program on mental health outcomes of young people in Kenya: a cluster randomized trial. J Adolesc Health 58(2):223–229CrossRefPubMed
Metadata
Title
Epidemiological patterns and correlates of mental disorders among orphans and vulnerable children under institutional care
Authors
Victoria N. Mutiso
Christine W. Musyimi
Albert Tele
David M. Ndetei
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 1/2017
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-016-1291-7

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