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Psychosocial issues in a child and adolescent psychiatric clinic population in Nigeria

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Abstract

Background

Psychosocial issues and interventions play a very important role in the aetiology, course and prognosis of several child psychiatric disorders. Psychosocial problems in a child and adolescent psychiatric clinic population in Nigeria were documented as a preliminary step towards the planning and development of this new facility.

Methods

A standardised assessment procedure was integrated into the routine at the clinic when services commenced. Psychosocial stressors and life events were measured using the interview method so that in–depth information could be obtained.

Results

Over the 3-year period of study, 79 (62.2%) of the 127 new referrals to the clinic had significant psychosocial stressors in the year preceding presentation. Problems with primary support, such as separation from parents to live with relatives, disruption of the family, abandonment by mother, psychiatric illness in a parent and sexual/physical abuse, occurred in 50 (39.4%) of the subjects. Problems with social environment occurred in 11 (8.7 %), 39 (30.7 %) had educational problems, 5 (3.9%) had economic problems and 15 (11.8%) of the children had ‘other’ psychosocial stressors. Significantly more children and adolescents with disruptive behaviour disorders and disorders like enuresis, separation anxiety and suicidal behaviour had psychosocial stressors when compared to children with psychotic conditions, autistic disorder and epilepsy (χ2 = 9.6; p = 0.048).

Conclusions

The importance of the psychosocial diagnostic dimension in routine practice is illustrated in this study. Some psychosocial factors identified are cultural practices. The effects of these practices on child mental health require further study.

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References

  1. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision (DSM-IV-TR). American Psychiatric Association Washington, D.C.

  2. Ateah CA, Parkin CM (2002) Childhood experiences with, and current attitudes toward corporal punishment. Can J Commun Ment Health 21:35–46

    PubMed  Google Scholar 

  3. Barkley RA (1991) Attention-Deficit Hyperactivity Disorder: A clinical workbook. New York: The Guilford Press, London

    Google Scholar 

  4. Bennett KJ, Offord DR (2001) Conduct disorder: can it be prevented. Curr Opin Psychiatry 14:333–337

    Article  Google Scholar 

  5. Berden GF, Althaus M, Verhulst FC (1990) Major life events and changes in the behavioural functioning of children. J Child Psychol Psychiatry 31:949–959

    CAS  PubMed  Google Scholar 

  6. Biederman J, Milberger S, Faranoe SV (1995) Family environment risk factors for ADHD. Arch Gen Psychiatry 52:464–470

    CAS  PubMed  Google Scholar 

  7. Bryson SE, Rogers SJ, Fombonne E (2003) Autism spectrum disorders: early detection, intervention, education and psychopharmacology. Can J Psychiatry 48:506–516

    PubMed  Google Scholar 

  8. Curran V (1984) Nigerian Children: Developmental perspectives. Routledge & Kegan Paul, London

    Google Scholar 

  9. De Silva M, Nikapota A Vidyasagara NW (1988) Advocacy and opportunity – planning for child mental health in Sri Lanka. Health Policy Plan 3:302–307

    Google Scholar 

  10. Ebigbo PO (1993) Child abuse and neglect in Nigeria – a situation analysis. Niger Pop 10:4

    Google Scholar 

  11. Federal Ministry of Health (1996) Health in Nigeria: 1994/95 Health Management Information System, Federal Ministry of Health. Abuja

    Google Scholar 

  12. Goodyer IM, Kolvin I, Gatzanis S (1985) Recent undesirable events and psychiatric disorders in childhood and adolescence. Br J Psychiatry 147:517–523

    CAS  PubMed  Google Scholar 

  13. Goodyer IM, Kolvin I, Gatzanis S (1987) The impact of recent undesirable events on psychiatric disorders in childhood and adolescence. Br J Psychiatry 151:179–184

    CAS  PubMed  Google Scholar 

  14. Graham P, Turk J, Verhulst F (2001) Child Psychiatry: A Developmental Approach 3rd Edition. Oxford University Press, London

    Google Scholar 

  15. Hake JM (1972) Child rearing practices in Northern Nigeria.: Ibadan University Press. Ibadan

  16. Lau JT, Chan KK, Lam PK, Choi PY, Lai KY (2003) Psychological correlates of physical abuse in Hong Kong Chinese adolescents. Child Abuse Negl 27:63–75

    Article  PubMed  Google Scholar 

  17. Lawlor M, James D (2000) Prevalence of psychological problems in Irish school going adolescents. Ir J Psych Med 17:117–122

    Google Scholar 

  18. Lustig SL, Maldonado JR (1999) Diagnoses of children and adolescents on initial presentation to a Nigerian outpatient psychiatry clinic. Int J Soc Psychiatry 45:190–197

    CAS  PubMed  Google Scholar 

  19. MacMillan HL, Munn C (2001) The sequelae of child maltreatment. Curr Opin Psychiatry 14:325–331

    Article  Google Scholar 

  20. Ohaeri JU, Fido AA (2001) The opinion of caregivers on aspects of schizophrenia and major affective disorders in a Nigerian setting. Soc Psychiatry Psychiatr Epidemiol 36:493–499

    Article  CAS  PubMed  Google Scholar 

  21. Olatawura MO, Odejide AO (1976) Child psychiatric disorders in Ibadan, Nigeria. Niger J Paediatr 3:9–14

    Google Scholar 

  22. Oyewumi LK (1989) Inpatient adolescent psychiatry in a teaching hospital in Nigeria. Acta Psychiatr Scand 80:639–643

    CAS  PubMed  Google Scholar 

  23. Rey JM, Walter G, Plapp JM, Denstire E (2000) Family environment in attention deficit hyperactivity, oppositional defiant and conduct disorders. Aust N Z J Psychiatry 34:453–445

    Article  CAS  PubMed  Google Scholar 

  24. Rubia S, Smith A (2001) Attention deficit hyperactivity disorder: current findings and treatment. Curr Opin Psychiatry 14:309–316

    Article  Google Scholar 

  25. Sandberg S, Rutter M, Giles S, Owen A, Champion L, Nicholls J, Prior V, McGuinness D, Drinnan D (1993) Assessment of psychosocial experiences in childhood: methodological issues and some illustrative findings. J Child Psychol Psychiatry 34:879–897

    CAS  PubMed  Google Scholar 

  26. Shaw DS, Vondra JI, Hommerding KD, Keenan K, Dunn M (1994) Chronic family adversity and early child behaviour problems: a longitudinal study of low income families. J Child Psychol Psychiatry 35:1109–1122

    CAS  PubMed  Google Scholar 

  27. Sheerin D, Maguire R, Robinson J (1999) A 15 month follow-up study of children admitted to a child psychiatric inpatient unit. Ir J Psych Med 16:97–103

    Google Scholar 

  28. Smith DE, Mosby G (2003) Jamaican child-rearing practices: the role of corporal punishment. Adolescence 38:369–381

    PubMed  Google Scholar 

  29. Tirosh E, Offer Shechter S, Cohen A, Jaffe M (2003) Attitudes towards corporal punishment and reporting of abuse. Child Abuse Negl 27:929–937

    PubMed  Google Scholar 

  30. Unicef B Zone (1996) Situation analysis of children in especially difficult circumstances (CEDC) in Nigeria. UNICEF B Zone, Ibadan, Nigeria

  31. Van Goor-Lambo G, Orley J, Poustka F, Rutter M (1990) Classifications of abnormal psychosocial situations: preliminary report of a revision of a WHO scheme. J Child Psychol Psychiatry 31:229–241

    CAS  PubMed  Google Scholar 

  32. Zalsman G, Horesh N, Arzi R, Edelist D, Even DH, Tyano S, Poustka F, Apter A (2001) Psychosocial diagnosis in psychiatrically hospitalised adolescents. Compr Psychiatry 42:223–227

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Dept. of Psychiatry, University College Hospital, 5116, Ibadan, Nigeria

    O. O. Omigbodun M.B.B.S., MPH, FMCPsych

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  1. O. O. Omigbodun M.B.B.S., MPH, FMCPsych
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Correspondence to O. O. Omigbodun M.B.B.S., MPH, FMCPsych.

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Omigbodun, O.O. Psychosocial issues in a child and adolescent psychiatric clinic population in Nigeria. Soc Psychiatry Psychiatr Epidemiol 39, 667–672 (2004). https://doi.org/10.1007/s00127-004-0793-x

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  • DOI: https://doi.org/10.1007/s00127-004-0793-x

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