Department of Public Health and Biomedical Sciences

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Browsing Department of Public Health and Biomedical Sciences by Subject "Adolescents"

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    Child Maltreatment Increases the Risk of Self-esteem Impairment
    (East African Journal of Health and Science, 2023) Eunice, Ndyareeba; Herbert E., Ainamani; Grace, Ankunda; Agnes, Amanya
    Child maltreatment exposes children to developmental risks pertaining to internalizing problems both in early and later life. However, research on this phenomenon in low- and middle-income countries is scanty. Our study aimed at examining the association between different forms of child maltreatment and self-esteem among children and adolescents in Uganda. The present investigation involved conducting interviews with a cohort of 232 school going children and adolescents. The Maltreatment and Abuse Chronology Exposure Pediatric-Version (MACE) questionnaire was employed to evaluate the various forms of maltreatment that the participants may have encountered. Furthermore, the Rosenberg Self-esteem Scale (RSE) was utilized to gauge their self-esteem. To explore the association between diverse maltreatment categories and self-esteem levels, descriptive statistics were employed, and linear regression analysis was conducted using SPSS. Our results showed that the majority 162 (70%) of the children had low self-esteem and high levels of childhood maltreatment (M = 28.7, SD = 2.16). The study found a statistically significant inverse relationship between child maltreatment and self-esteem (b -0.012, p=-.0.0025). It was also found that the regression model was statistically significant and therefore the data fits the model (F = 5.82, E = .017). The regression equation indicated that for every unit increase in child maltreatment, self-esteem decreases by 1.3%. It was concluded that maltreatment has a negative detrimental impact on the self-esteem of children and adolescents. The study contributes to the existing knowledge base and its implications for intervention, support, and prevention efforts in the context of child maltreatment.
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    Post-traumatic stress disorder, depression and the associated factors among children and adolescents with a history of maltreatment in Uganda
    (EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 2022) Herbert, E. Ainamani; Roland, Weierstall-Pust; Ronald, Bahati; Anne, Otwine; Sam, Tumwesigire; Godfrey, Z. Rukundo
    Worldwide, children who grow up under adverse conditions risk the development of mental health problems. However, reliable data on the estimated magnitude of mental disorders of PTSD, depression and their associated factors among maltreated children and adolescents in low- and middle-income-countries (LMICs) is still lacking. This study estimated the magnitude of PTSD, depression and the associated factors among the children and adolescents with ahistory of maltreatment in Southwestern Uganda. Methods: In this cross-sectional study, we assessed 232 children and adolescents on the prevalence of PTSD using Child PTSD Symptoms Scale for DSM-5 – Self-Report (CPSS-VSR) and Depression using the Center for Epidemiological Studies Depression Scale for Children (CES-DC). Predictor variables were taken from the Maltreatment and Abuse Chronology of Exposure- Paediatric Version (Pedi MACE). Logistic regressions analyses were selected for statistical modelling while odds-ratios were calculated to assess the strength of associations between the predictor and outcome variables. Results: In total, 140 (60%) participants fulfiled diagnostic criteria for PTSD and 91 (39%) for depression respectively. Predictor variables of PTSD were witnessing intimate partner violence (OR = 1.48, 95% CI: 1.19–1.83, p = <0.001), having lived in more than two homes (OR = 2.69, 95%CI: 1.34–5.41, p = .005), and being cared for by non-relatives (OR = 2.25; 95%CI: 2.26–223.9, p = .008). Variables predicting depression were witnessing intimate partner violence (OR = 1.30; 95%CI: 108–1.57, p = .006); being cared for by non-relatives (OR = 5.62, 95%CI: 1.36–23.1, p = .001) and being female (OR = .054, 95% CI: 0.30–1.00, p = .005). Conclusion: Children living under adverse conditions are at a higher risk of developing PTSD and depression. We recommend interventions that aim at reducing adverse psychosocial stressors so as to improve or restore the children’s mental health. Abbreviations: PTSD: Post traumatic stress disorder; LMICs: Low- and middle-income coun tries; IPV: Intimate partner violence; OVC: Orphans and vulnerable children