The influence of caregiver depression on adolescent mental health outcomes: findings from refugee settlements in Uganda

Bibliographic Details
Title: The influence of caregiver depression on adolescent mental health outcomes: findings from refugee settlements in Uganda
Authors: Sarah R Meyer, Mara Steinhaus, Clare Bangirana, Patrick Onyango-Mangen, Lindsay Stark
Source: BMC Psychiatry, Vol 17, Iss 1, Pp 1-10 (2017)
Publisher Information: BMC, 2017.
Publication Year: 2017
Collection: LCC:Psychiatry
Subject Terms: Mental health, Depression, Anxiety, Violence, Refugees, Psychiatry, RC435-571
More Details: Abstract Background Family-level predictors, including caregiver depression, are considered important influences on adolescent mental health. Adolescent depression and anxiety in refugee settings is known to be a significant public health concern, yet there is very limited literature from humanitarian settings focusing on the relationship between caregiver mental health and adolescent mental health. In the context of a larger study on child protection outcomes in refugee settings, researchers explored the relationship between caregiver depression and adolescent mental health in two refugee settlements, Kiryandongo and Adjumani, in Uganda. Methods Adolescents between 13 and 17 and their caregivers participated in a household survey, which included measures of adolescent anxiety and depression, and caregiver depression. Analysis was conducted using multiple logistic regression models, and results were reported for the full sample and for each site separately. Results In Kiryandongo, a one-unit increase in a caregiver’s depression score tripled the odds that the adolescent would have high levels of anxiety symptoms (AOR: 3.0, 95% CI: 1.4, 6.1), while in Adjumani, caregiver depression did not remain significant in the final model. Caregiver depression, gender and exposure to violence were all associated with higher symptoms of adolescent depression in both sites and the full sample, for example, a one unit increase in caregiver depression more than tripled the odds of higher levels of symptoms of adolescent depression (AOR: 3.6, 95% CI: 2.0, 6.2). Caregiver depression is a consistently significantly associated with adverse mental health outcomes for adolescents in this study. Conclusions Adolescent well-being is significantly affected by caregiver mental health in this refugee context. Child protection interventions in humanitarian contexts do not adequately address the influence of caregivers’ mental health, and there are opportunities to integrate child protection programming with prevention and treatment of caregivers’ mental health symptoms.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-244X
Relation: http://link.springer.com/article/10.1186/s12888-017-1566-x; https://doaj.org/toc/1471-244X
DOI: 10.1186/s12888-017-1566-x
Access URL: https://doaj.org/article/bcf69eb50f624619955ecae9896f62ab
Accession Number: edsdoj.bcf69eb50f624619955ecae9896f62ab
Database: Directory of Open Access Journals
More Details
ISSN:1471244X
DOI:10.1186/s12888-017-1566-x
Published in:BMC Psychiatry
Language:English