Mental health and psychological well-being of Kenyan adolescents from Nairobi and the Coast regions in the context of COVID-19 DOI Creative Commons
Gideon Mbithi, Adam Mabrouk, Ahmed M. Sarki

et al.

Child and Adolescent Psychiatry and Mental Health, Journal Year: 2023, Volume and Issue: 17(1)

Published: May 19, 2023

Abstract Background Despite the high burden of mental health problems during adolescence and its associated negative consequences, it has remained neglected especially in sub-Saharan Africa. The 2019 novel Coronavirus disease (COVID-19) pandemic placed additional stress on adolescent health. However, there are few studies documenting even fewer services region. In relation to limited body knowledge, present study aims determine psychological well-being adolescents assess risks factors among context COVID-19 Kenya. Methods We conducted a cross-sectional survey 2022 aged 13–19 years living Nairobi, Coast region utilized standardized assessment tools including Patient Health Questionnaire, Generalized Anxiety Scale, Strengths Difficulties World Organization- Five Well-Being Index Pandemic evaluate wellbeing adolescents. A linear regression model was used correlates with quality life, anxiety, emotional behavioural Subsequently, logistic depression general anxiety disorders. Variables p-value < 0.25 univariate were included multivariable model. Results results based 797 participants who met inclusion criteria. found prevalence be relatively higher out-of-school at 36.0% compared school-going 20.6%. Furthermore, had significantly scores when their counterparts (27.7% vs 19.1%) respectively. In-school better life scores, lower behavioral counterparts. Key risk include; being (OR = 1.96 (95% CI 1.33- 2.88) 0.001), loneliness 10.68 4.49–22.86) an unsafe neighborhood 2.24 1.52–3.29) 0.001). An older age 1.16 1.03–1.30) 0.015), 1.81 1.19–2.77) 0.006), 2.01 1.33–3.04) 0.001 key anxiety. positively correlated socioeconomic status ( ß (Std.Err) 0.58 (0.14) 0.001, talking friends often 2.32 (0.53) close parents 1.37 (0.62) 0.026. Conclusion Our findings imply that support targeting country should prioritized, for those out-of-school.

Language: Английский

Types and effectiveness of mental health promotion programmes for young people in sub-Saharan Africa: A systematic review DOI Creative Commons
Tholene Sodi,

Katlego Rantho,

Frans Koketso Matlakala

et al.

Cambridge Prisms Global Mental Health, Journal Year: 2025, Volume and Issue: 12

Published: Jan. 1, 2025

Studies show that mental health promotion is an effective strategy can reduce the burden of disorders and improve overall well-being in both children adults. In addition to promoting high levels preventing onset illness, these programmes, including illness prevention interventions, help increase literacy community members. While there evidence showing effectiveness promotion, much what known about this field informed by studies conducted high-income countries. There a need gather such interventions low- middle-income countries (LMICs) where services are often inadequate. systematic review, we synthesised available published primary from sub-Saharan Africa (SSA) on types programmes for young people. We performed search selected global databases (PubMed, PsycINFO, ScienceDirect Google Scholar) regional (Sabinet African Journals). included observational, mixed methods, trials, pilots quantitative original papers 2013 2023. used Mixed Methods Appraisal Tool (MMAT) evaluate quality methods studies, Preferred Reporting Items Systematic Reviews Meta-Analyses statement (PRISMA-2020) reporting gathered. identified 15 youth interventions. Among those identified, found school-based enhanced literacy, health-seeking behaviours self-assurance confidence among Family-based also showed potential relationships between people their caregivers. Future should explore how further strengthen school- family-based promote

Language: Английский

Citations

1
Developing and Testing Tele-Support Psychotherapy through Mobile Phones for Youth (15–30 Years) with Depression in Uganda DOI Creative Commons
Etheldreda Nakimuli‐Mpungu,

Jeremiah Mutinye Kwesiga,

John Mark Bwanika

et al.

IntechOpen eBooks, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 13, 2025

In response to the rise in mental health problems among youth during COVID-19 pandemic, we conducted a qualitative study March 2022, using user-centered design approach guided by ecological theories, adapt group support psychotherapy into tele-support (TSP) via mobile phones. The development of call platform, informed unified theory acceptance and use technology, was integrated Medical Concierge Group’s (TMCG) telehealth services under Rocket Health Africa. This platform included dedicated toll-free line for psychotherapy, connecting users with lay counselors. An open-label randomized controlled trial (PACTR202201684613316) assess feasibility, acceptability, effectiveness TSP combination standard (n = 154) compared alone 146) mild moderate major depression Kampala. Participants commonly equated illness reported significant challenges, including financial stress, substance abuse, family dysfunction. Although digital interventions were largely accepted, some participants preferred in-person services. adapted maintained gender sensitivity used folk tales, stories, riddles, creative visualizations facilitate emotional expression, acquisition coping strategies, income-generating skills, addressing both socio-economic needs.

Language: Английский

Citations

1
The impact of extreme weather events on mental health in Africa: A scoping review of the evidence DOI

Michaela Deglon,

Mohamed Aqiel Dalvie, Amber Abrams

et al.

The Science of The Total Environment, Journal Year: 2023, Volume and Issue: 881, P. 163420 - 163420

Published: April 11, 2023

Language: Английский

Citations

21
Post-COVID-19 conditions and health effects in Africa: a scoping review DOI Creative Commons
Edward Wilson Ansah, Promise Kwame Salu,

Martin Sumani Daanko

et al.

BMJ Open, Journal Year: 2025, Volume and Issue: 15(1), P. e088983 - e088983

Published: Jan. 1, 2025

Introduction The SARS-CoV-2 pandemic has caused global devastations in social, economic and health systems of every nation, but disproportionately nations Africa. In addition to its grave effects on the systems, there is continuation or development new symptoms among individuals who have contracted virus, with potential further stress continent. Therefore, aim this scoping review was collate summarise existing research evidence prevalence post–COVID-19 conditions Methods analysis Five main databases were thoroughly searched from 1 September 2023 10 May 2024 for eligible articles based pre-established inclusion exclusion criteria. These included PubMed, Central, Scopus, Dimensions AI JSTOR. A total 17 papers review. protocol already published BMJ Open; doi:10.1136/bmjopen-2023-082519. Results Africa ranged 2% as high 94.7%. Fatigue, dyspnoea brain fog commonly reported conditions. Reduced functional status well physical psychosocial disorders by studies reviewed, no study yet Conclusions There an African setting. However, limited patients Ethics dissemination This involved secondary data; therefore, ethical approval needed. Dissemination result being done through international journals may also be presented at available conferences.

Language: Английский

Citations

0
Adolescent Mental Health and School Belonging in KwaZulu-Natal, South Africa: Impact of the COVID-19 Pandemic and Subsequent Government Lockdowns DOI Creative Commons
Roisin E. Drysdale,

Sanele Mvelase,

Jeremy C. Kane

et al.

Journal of Adolescent Health, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

We hypothesized that extended exposure to the COVID-19 pandemic and government lockdown was associated with increased depression anxiety symptoms among South African adolescents a sense of school belonging mediated these relationships. also poor mental health or impacted alcohol consumption. Embedded in Asenze Cohort Study, data were collected from between 2019 2021. The Patient Health Questionnaire, General Anxiety Disorder questionnaire Psychological Sense School Membership scale used measure depression, anxiety, belonging, respectively. Alcohol consumption cumulative score total number days consumed previous 30 days. Lockdown months participants exposed conditions. Structural equation modeling assess relationship outcome variables. Among 866 included analysis, approximately 20% met symptom criteria for moderate severe anxiety. mean high (23; SD = 5.79) low. not directly indirectly symptoms. A greater reduced both This study contradicts studies suggests this cohort adolescents. despite closures lower Research around how it can be promoted better support isolated students is recommended.

Language: Английский

Citations

0
Exploring adolescents' mental health in Kampala, Uganda in the context of COVID-19: a mixed methods study DOI Creative Commons
Gideon Mbithi, Ahmed M. Sarki, Adam Mabrouk

et al.

Frontiers in Child and Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: 4

Published: Feb. 24, 2025

Urban areas, particularly in developing nations like Uganda, face heightened risks due to poverty, unemployment, and environmental challenges, intensifying the vulnerability of urban youth poor mental health. This study aims determine psychological well-being adolescents assess associated factors health problems among context COVID-19 pandemic Kampala City, Uganda. We conducted a cross-sectional survey 500 aged 13-19 years residing within five divisions utilized standardized assessment tools including Patient Health Questionnaire, Generalized Anxiety Scale, severity depression anxiety levels adolescents. A logistic regression model was used evaluate correlates with generalized disorders. Variables p-value <0.25 univariate were included multivariable model. Subsequently, we qualitative using semi-structured interview guides through focused group discussions, key informant interviews teachers, parents, representatives civil society organizations, religious leaders. Qualitative data analyzed thematic analysis approach. The prevalence relatively higher out-of-school at 21.5% compared school-going 14.0%. Furthermore, had significantly scores when their counterparts (17.5% vs. 10.3%) respectively. Key identified include loneliness, being out school, COVID-19, familial conflicts. highlights impact on Kampala, reported anxiety, adolescents, underscores urgent need for targeted interventions this vulnerable population. Investing Ugandan is paramount fostering resilience ensuring long-term success, especially marginalized settings.

Language: Английский

Citations

0
Implementation of a Mental Health Literacy e-Curriculum (MHLeC) in Malawi Universities: a feasibility cluster randomised trial protocol DOI Creative Commons
Gloria Chirwa, Beatrice Cynthia Chitalah, Joel Nyali

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: March 24, 2025

Abstract Background Mental health literacy (MHL) in Malawi is low. illness often attributed to substance abuse or spirit possession, resulting stigma, maltreatment, and discrimination towards people with mental problems. Inadequacies Malawi's services workforce increase limited treatment access, knowledge, negative attitudes, causing an epidemic of use suicides. MHL foundational for promotion, prevention illness, stigma reduction. Educational settings are ideal implementing promotion activities. We want deliver a e-curriculum (MHLeC) first year university students improve their MHL. The project aims assess the feasibility MHLeC four Malawian universities within cluster randomised trial. Methods In this pragmatic, trial, we will approach eight public private tertiary institutions about study participation. Clusters be participating allocated mandatory voluntary group using stratified randomisation on 1:1 ratio. University characteristics (e.g., private, number first-year enrolled, information technology (IT) infrastructure) used stratify randomisation. Specific objectives include 1) estimating likely participation rates 2) establishing potential attendance /retention during delivery 3) assessing acceptability through qualitative feedback after intervention 4) appropriateness chosen questionnaires measuring student outcomes. Data analysed descriptively. Outcomes from data collected inform future main trial including design recruitment strategies, sample size power calculations full-scale Discussion This give us insights how best conduct definitive can rolled out nationally tested similar cohorts across Africa if positive results obtained. More broadly, research has significantly awareness among young Malawi. Trial registration: This registered Pan African Clinical Trials Registry (PACTR) website https://pactr.samrc.ac.za/ (PACTR202308849574524). Registered 31st August 2023.

Language: Английский

Citations

0
The burden and associated social determinants of mental health among adolescent girls and young women in Sub-Saharan Africa DOI Creative Commons
Elsa Denise Perestrelo, Saikou Sanyang, Jinan Abi Jumaa

et al.

Deleted Journal, Journal Year: 2025, Volume and Issue: 22(1)

Published: April 30, 2025

Language: Английский

Citations

0
Examining the Association between Sports Participation and Mental Health of Adolescents DOI Open Access
Asaduzzaman Khan, Kazi Rumana Ahmed, Tarissa Hidajat

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(24), P. 17078 - 17078

Published: Dec. 19, 2022

Sports participation has been linked to various health outcomes; however, there is scant literature exploring this relationship in developing countries. We used a mixed method approach examine the association between sports and mental of Bangladeshi adolescents (n = 320; 13–17 years; 59% boys) explore preferences barriers across genders. A survey collected team non-team participation, depression, life satisfaction. Focus groups (16 boys, 16 girls) explored for, to, participation. Regression analysis showed that higher were associated with lower depressive symptoms boys (β −1.22, 95% CI:−2.55 −0.10; β −2.50, CI:−3.83 −1.16, respectively), while greater was less depression girls −2.44, CI:−4.63 −0.24). Participation positively satisfaction for girls. Boys reported playing football cricket, favored skipping running. Prolonged time on electronic devices as both Furthermore, household chores, family restrictions, unsafe environment by may provide benefits genders, be more beneficial than

Language: Английский

Citations

17
Behavioural interventions targeting the prevention and treatment of young children’s mental health problems in low- and middle-income countries: a scoping review DOI Creative Commons
Getachew Mullu Kassa, Zhiyuan Yu,

Fentahun Minwuyelet

et al.

Journal of Global Health, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 24, 2025

Globally, 10% of children and adolescents live with mental health problems often lack high-quality care. Over 80% people facing issues reside in low- middle-income countries (LMICs). Failing to address children's may prolong these challenges into adulthood, impeding their chances for a healthy life. This scoping review aims describe the types, implementation strategies, effectiveness, gaps existing interventions preventing treating early childhood (<10 years) LMICs. The study employed experimental studies published 2007-2023. Major databases including PubMed, Embase, Web Science, PsycINFO were searched using key terms related population (children), intervention (mental and/or behavioural programmes), outcome problems). Three authors independently conducted search strategy, article screening, data extraction, quality assessment. findings presented descriptive analysis narrative synthesis. Of 39 499 identified articles, 33 included study, covering 7629 between 2009-2022. Seventeen (51.5%) from upper-middle-income countries, 13 (39.4%) lower-middle-income, three (9.1%) low-income countries. Enrolment was community-based 23 health-facility based 10 studies; majority (79%) focused on aged 3-8 years old. Almost two-third (63.6%) urban settings. Programmes encompassed various such as parenting programmes (33.3%). A (57.5%) group therapy delivering programme, professionals (21.2%) acting primary providers. Interventions primarily received by (39.4%), followed mothers/caregivers Most explored disruptive disorders (20 studies), social (16 anxiety (12 studies). Statistically significant effects child outcomes reported 90% studies. Diverse that improve young are available effective delivered settings focus use care professionals. approaches, therapy, addressing among children.

Language: Английский

Citations

0