Abstract
The current study examines the prevalence of depression, anxiety, suicide risk, and PTSD in Ugandan youth (13-25 years) attending vocational training programs. Youth from five urban (n=224 females, 81 males) and four rural (n=153 females only) vocational training centers operated by a non-governmental organization completed demographic and mental health questionnaires. Nearly half of the youth reported moderate or severe depression and/or anxiety. More than half reported anxiety and depression-related impairment. Nearly a quarter of youth had considered or attempted suicide. More than half screened positive on the PC-PTSD screen. Rural female youth reported the most food insecurity (56.9%), trafficking (37.9%), severe depression (35.9%), depression-related impairment (56.9%), severe anxiety (26.1%), and anxiety-related impairment (55.6%). Results from this study suggest that Ugandan youth have exceedingly high rates of depression, anxiety, suicide risk, and probable PTSD. Rural female youth may be especially at risk. Relevant treatment interventions are needed that can be adapted to youth in vocational training centers.
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References
World Health Organization. Suicide in the World. 2019.
World Health Organization. Depression and other common mental disorders. 2017.
World Health Organization. Health for the World’s Adolescents. 2014.
Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, Viner RM. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036):2423–78. https://doi.org/10.1016/S0140-6736(16)00579-1.
The World Bank Group. Poverty Assessment Report 2016. 2016. https://doi.org/10.1016/0032-5910(93)80007-W.
Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, Rahman A. Child and adolescent mental health worldwide: Evidence for action. Lancet Elsevier. 2011. https://doi.org/10.1016/S0140-6736(11)60827-1.
Prins A, Ouimette P, Kimerling R, Camerond RP, Hugelshofer DS, Shaw-Hegwer J, Sheikh JI. The primary care PTSD screen (PC–PTSD): development and operating characteristics. Prim Care Psychiatry. 2004;9(1):9–14. https://doi.org/10.1185/135525703125002360.
Yatham S, Sivathasan S, Yoon R, da Silva TL, Ravindran AV. Depression, anxiety, and post-traumatic stress disorder among youth in low and middle income countries: A review of prevalence and treatment interventions. Asian J Psychiatry. 2018;38:78–91. https://doi.org/10.1016/j.ajp.2017.10.029.
Mutumba M, Bauermeister JA, Harper GW, Musiime V, Lepkowski J, Resnicow K, Snow RC. Psychological distress among Ugandan adolescents living with HIV : Examining stressors and the buffering role of general and religious coping strategies, 1692. 2017. https://doi.org/10.1080/17441692.2016.1170871.
World Health Organisation. WHO | Suicide data. 2016.
Devries KM, Knight L, Child JC, Kyegombe N, Hossain M, Lees S, Naker D. Witnessing intimate partner violence and child maltreatment in Ugandan children: a cross-sectional survey. BMJ Open. 2017;7(2):e013583. https://doi.org/10.1136/bmjopen-2016-013583.
Swahn MH, Culbreth RE, Staton CA, Self-Brown SR, Kasirye R. Alcohol-related physical abuse of children in the slums of Kampala, Uganda. Int J Environ Res Public Health. 2017;14(10). https://doi.org/10.3390/ijerph14101124.
Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet. 2012;379(9820):1056–67. https://doi.org/10.1016/S0140-6736(11)60871-4.
Atwine B, Cantor-Graae E, Bajunirwe F. Psychological distress among AIDS orphans in rural Uganda. Soc Sci Med. 2005;61(3):555–64. https://doi.org/10.1016/j.socscimed.2004.12.018.
Clarke K, Patalay P, Allen E, Knight L, Naker D, Devries K. Patterns and predictors of violence against children in Uganda: A latent class analysis. BMJ Open. 2016;6(5):1–9. https://doi.org/10.1136/bmjopen-2015-010443.
Swahn MH, Culbreth R, Salazar LF, Kasirye R, Seeley J. Prevalence of HIV and associated risks of sex work among youth in the slums of Kampala. AIDS Res Treat. 2016;2016:5360180. https://doi.org/10.1155/2016/5360180.
Swahn MH, Culbreth R, Tumwesigye NM, Topalli V, Wright E, Kasirye R. Problem drinking, alcohol-related violence, and homelessness among youth living in the slums of Kampala, Uganda. Int J Environ Res Public Health. 2018;15(6). https://doi.org/10.3390/ijerph15061061.
Uganda Bureau of Statistics. 2017 Statistical Abstract. 2017.
Kessler RC, Sampson NA, Berglund P, Gruber MJ, Al-Hamzawi A, Andrade L, Wilcox MA. Anxious and non-anxious major depressive disorder in the World Health Organization World Mental Health Surveys. Epidemiol Psychiatric Sci. 2015;24(03):210–26. https://doi.org/10.1017/S2045796015000189.
Kilpatrick DG, Ruggiero KJ, Acierno R, Saunders BE, Resnick HS, Best CL. Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the National Survey of Adolescents. Journal of Consulting and Clinical Psychology. Kilpatrick, Dean G.: National Crime Victims Research & Treatment Ctr, Dept of Psychiatry & Behavioral Sciences, Medical U of South Carolina, P.O. Box 250852, 165 Cannon Street, Charleston, SC, US, 29425, kilpatdg@musc.edu: American Psychological Association. 2003. https://doi.org/10.1037/0022-006X.71.4.692.
Amone-P’Olak K, Ovuga E. The influence of types of war experiences on conduct problems in war-affected youth in Northern Ugandan: Findings from the WAYS study. Psychiatry Res. 2017;251:14–9. https://doi.org/10.1016/j.psychres.2017.01.092.
Knizek BL, Mugisha J, Osafo J, Kinyanda E. Growing up HIV-positive in Uganda : psychological immunodeficiency? A qualitative study 2017;1–10. https://doi.org/10.1186/s40359-017-0199-7.
Mutumba M, Musiime V, Lepkwoski JM, Harper GW, Snow RC, Resnicow K, Bauermeister JA. Examining the relationship between psychological distress and adherence to anti-retroviral therapy among Ugandan adolescents living with HIV. AIDS Care Psychol Socio-Med Asp AIDS/HIV. 2016;28(7):807–15. https://doi.org/10.1080/09540121.2015.1131966.
Nalugya-Sserunjogi J, Rukundo GZ, Ovuga E, Kiwuwa SM, Musisi S, Nakimuli-Mpungu E. Prevalence and factors associated with depression symptoms among school-going adolescents in Central Uganda. Child Adolesc Psychiatry Ment Health. 2016;10(1):4–11. https://doi.org/10.1186/s13034-016-0133-4.
Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. Lancet Elsevier. 2007. https://doi.org/10.1016/S0140-6736(07)60368-7.
Amone-P’Olak K, Omech B. Coping with post-war mental health problems among survivors of violence in Northern Uganda: Findings from the WAYS study. J Health Psychol. 2018. https://doi.org/10.1177/1359105318775185.
Abbo C, Kinyanda E, Kizza RB, Levin J, Ndyanabangi S, Stein DJ. Prevalence, comorbidity and predictors of anxiety disorders in children and adolescents in rural north-eastern Uganda. Child Adolesc Psychiatry Ment Health. 2013;7(1):1–11. https://doi.org/10.1186/1753-2000-7-21.
Culbreth R, Swahn MH, Ndetei D, Ametewee L, Kasirye R. Suicidal ideation among youth living in the slums of Kampala, Uganda. Int J Environ Res Public Health. 2018;15(2):11–6. https://doi.org/10.3390/ijerph15020298.
Olak KA, Ovuga E, Jones PB. The effects of sexual violence on psychosocial outcomes in formerly abducted girls in Northern Uganda : the WAYS study. BMC Psychol. 2015;1–9. https://doi.org/10.1186/s40359-015-0103-2.
Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Ann Rev Public Health. 2013;34:119–38. https://doi.org/10.1146/annurev-publhealth-031912-114409.
Cooper-Vince CE, Arachy H, Kakuhikire B, Vořechovská D, Mushavi RC, Baguma C, Tsai AC. Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis. BMC Public Health. 2018;18(1):1143. https://doi.org/10.1186/s12889-018-6043-z.
Lotrakul M, Sumrithe S, Saipanish R. Reliability and validity of the Thai version of the PHQ-9. BMC Psychiatry. 2008;8:46.
Lowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W, Herzberg PY. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Med Care. 2008;46(3):266–74. https://doi.org/10.1097/MLR.0b013e318160d093.
Self-Brown S, Culbreth R, Wilson R, Armistead L, Kasirye R, Swahn MH. Individual and parental risk factors for sexual exploitation among high-risk youth in Uganda. J Interpers Violence. 2018. https://doi.org/10.1177/0886260518771685.
McKinnon B, Gariépy G, Sentenac M, Elgar FJ. Adolescent suicidal behaviours in 32 low-and middle-income countries. Bull World Health Organ. 2016;94(5):340.
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Center for HIV Identification, Prevention, and Treatment Services.” P30MH058107, National Institute of Mental Health.
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Badru, Rogers, & Miranda: developed the conceptualization of the study and supervised the operations. Kinobi & Lunkuse: developed materials and executed the study. Vargas: manuscript preparation. Legha: analysis and manuscript preparation. Tang: analysis
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The current study was approved by the UCLA and Ugandan National Council for Science and Technology Institutional Review Boards.
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Bukenya, B., Kasirye, R., Lunkuse, J. et al. Depression, Anxiety, and Suicide Risk among Ugandan Youth in Vocational Training. Psychiatr Q 93, 513–526 (2022). https://doi.org/10.1007/s11126-021-09959-y
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DOI: https://doi.org/10.1007/s11126-021-09959-y