Children emotional and behavioural problems and its association with maternal depression in Jimma town, southwest Ethiopia

作     者：Arefayne Alenko Shimelis Girma Mubarek Abera Abdulhalik Workicho Arefayne Alenko;Shimelis Girma;Mubarek Abera;Abdulhalik Workicho

作者机构：PsychiatryJimma University College of Public Health and Medical SciencesJimmaEthiopia EpidemiologyJimma University College of Public Health and Medical SciencesJimmaEthiopia 

出 版 物：《General Psychiatry》 (综合精神医学（英文）)

年 卷 期：2020年第33卷第4期

页      面：201-208页

核心收录：

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 10[医学] 100404[医学-儿少卫生与妇幼保健学] 1009[医学-特种医学] 

基　　金：This research work is funded by Jimma University Institute of Health(Ref No.IHRPGD 594/2019). 

主　　题：routine southwest behaviour 

摘      要：Background In sub-Saharan countries,one in five children and one in three women experiences emotional and behavioural problems(EBPs)and depression,respectively.While various factors were reported to affect the mental health of children,little is known about the impact of maternal depression on the offspring.Moreover,the magnitude of children’s EBPs is barely known in Ethiopia.Aim To determine the magnitude of child EBPs and its association with maternal depression in Jimma town,southwest Ethiopia.Methods A quantitative cross-sectional study was conducted among 734 mother-child pairs in Jimma town from January to June,2019.EBP was assessed by using the parent version of Strengths and Difficulties Questionnaire(SDQ)with cut-off score of14.Maternal depression was assessed using Patient Health Questionnaire-9 with a cut-off score of10.Data were entered into Epidata V.3.1 and exported to SPSS V.24 for analysis.Multivariable logistic regression was fitted to identify the strength of association between exposure and outcome variables.Results Of the 734 participants,146(19.9%,95%Cl:16.9%to 22.9%)met EBP criteria based on parent version of SDQ.Maternal depression had significant association with child EBP(adjusted 0R=2.38,95%Cl:1.55 to 3.66).In addition,children aged 7-10 years,family size categories of3 and 4-6,maternal intimate partner violence and maternal khat use had significant association with child EBP.Conclusions and recommendations A significant number of children suffer from EBP in Jimma town.Maternal depression is found to be a predictor of children s EBPs.Thus,there is a need to design and implement an integrated maternal and child mental health programme.The maternal and child health section at the national level should integrate and cascade routine maternal and child mental health screening and intervention modalities down to the family healthcare system.