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Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study.

ABSTRACT: BACKGROUND:Orphans and vulnerable adolescents (OVAs) living in child care homes (CCHs) are vulnerable to depressive symptoms due to a poor environment and a lack of receiving good care and love from their parents. This study aimed to estimate the presence of depressive symptoms and determine factors associated with it among OVAs living in CCHs in Nepal. METHODS:A cross-sectional study was conducted to collect the information from OVAs aged 13-17?years living in 22 CCHs from five districts of Nepal. The CCHs were selected by a simple random method. A validated questionnaire and the Beck Depression Inventory-II (BDI-II) were used to assess depressive symptoms among the participants. Those with mild to severe BDI-II scores were defined as having clinically relevant depressive symptoms. Logistic regression was used to detect associations between variables at the significance level ??=?0.05. RESULTS:A total of 602 adolescents participated in the study; 51.0% were females, the average age was 14.7?years, and 32.2% were members of indigenous groups. The overall presence of clinically relevant depressive symptoms was 33.2%. After controlling for all potential confounding factors, five factors were found to be associated with depress among OVAs. Females were 1.96 times more likely to develop depressive symptoms than males (95% CI?=?1.36-2.83). Those adolescents who used alcohol were 3.42 times more likely to develop depressive symptoms than those who did not (95% CI?=?1.16-10.12). Those who had health problems were 2.00 times more likely to develop depressive symptoms than those who did not (95% CI?=?1.36-2.94). Those who had low social support were 1.81 times more likely to develop depressive symptoms than those who had high social support (95% CI?=?1.08-3.03), and those who had been bullied were 1.97 times more likely to develop depressive symptoms than those who were not bullied (95% CI?=?1.23-3.15). CONCLUSION:The magnitude of clinically relevant depressive symptoms in adolescents living in CCHs was found to be high in Nepal. There is an urgent need for effective intervention to curtail this problem among OVAs in CCHs in Nepal, with a focus on females, alcohol users, those with physical health problems and with less social support, and those who are bullied.

SUBMITTER: Bhatt KB

PROVIDER: S-EPMC7517808 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study.

Bhatt Kumari Bandana KB Apidechkul Tawatchai T Srichan Peeradone P Bhatt Navin N

BMC psychiatry 20200925 1

<h4>Background</h4>Orphans and vulnerable adolescents (OVAs) living in child care homes (CCHs) are vulnerable to depressive symptoms due to a poor environment and a lack of receiving good care and love from their parents. This study aimed to estimate the presence of depressive symptoms and determine factors associated with it among OVAs living in CCHs in Nepal.<h4>Methods</h4>A cross-sectional study was conducted to collect the information from OVAs aged 13-17 years living in 22 CCHs from five d ...[more]

PMID: 32977787

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Project description:BackgroundPhysical activity, sleep, and sedentary behaviors compose 24-h movement behaviors and have been independently associated with depressive symptoms. However, it is not clear whether it is the movement behavior itself or other contextual factors that are related to depressive symptoms. The objective of the present study was to examine the associations between self-reported and accelerometer-measured movement behaviors and depressive symptoms in adolescents.MethodsCross-sectional data from 610 adolescents (14-18 years old) were used. Adolescents answered questions from the Center for Epidemiological Studies Depression scale and reported time spent watching videos, playing videogames, using social media, time spent in various physical activities, and daytime sleepiness. Wrist-worn accelerometers were used to measure sleep duration, sleep efficiency, sedentary time, and physical activity. Mixed-effects logistic regressions were used.ResultsAlmost half of the adolescents (48%) were classified as being at high risk for depression (score ≥20). No significant associations were found between depressive symptoms and accelerometer-measured movement behaviors, self-reported non-sport physical activity, watching videos, and playing videogames. However, higher levels of self-reported total physical activity (odd ratio (OR) = 0.92, 95% confidence interval (95%CI): 0.86-0.98) and volume of sports (OR = 0.88, 95%CI: 0.79-0.97), in minutes, were associated with a lower risk of depression, while using social media for either 2.0-3.9 h/day (OR = 1.77, 95%CI: 1.58-2.70) or >3.9 h/day (OR = 1.67, 95%CI: 1.10-2.54), as well as higher levels of daytime sleepiness (OR = 1.17, 95%CI: 1.12-1.22), were associated with a higher risk of depression.ConclusionWhat adolescents do when they are active or sedentary may be more important than the time spent in the movement behaviors because it relates to depressive symptoms. Targeting daytime sleepiness, promoting sports, and limiting social media use may benefit adolescents.

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Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study.

Publications

Depressive symptoms among orphans and vulnerable adolescents in childcare homes in Nepal: a cross-sectional study.

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