Psychological Distress Among Adolescents in Laos, Mongolia, Nepal, and Sri Lanka

2.50
Hdl Handle:
http://hdl.handle.net/10755/621997
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Psychological Distress Among Adolescents in Laos, Mongolia, Nepal, and Sri Lanka
Other Titles:
Adolescent Health
Author(s):
Lee, Heeyoung; Lee, Eun Young
Lead Author STTI Affiliation:
Eta
Author Details:
Heeyoung Lee, PhD, APRN- BC, Professional Experience: Expert in Psychiatric Mental Health. My research involves working with mentally ill patients and their families. Mainly, my research focuses on mental health outcomes including psychiatric symptoms, psychosocial functioning, and family functioning in adolescents with schizophrenia and their family. Author Summary: Heeyoung Lee is a nurse researcher and practicing psychiatric mental health nurse practitioner whose research interest is implementing behavioral intervention programs based on strategies aimed at improving physical and mental health outcomes for individuals with serious mental illness (SMI).
Abstract:

Purpose:

Adolescence is a critical period for the emergence of a broad range of psychiatric disorders, which negatively impact psychosocial functioning and social cost. Global health projects primarily have addressed communicable disease—not mental health; moreover, limited research and resources are available to meet the needs of adolescents with mental health problems—particularly in low- and middle-income countries. The purpose of this study was to explore psychological distress and examine the relationship between distress and individual, family, and school factors among adolescents in Laos, Mongolia, Nepal, and Sri Lanka.

Methods:

A total of 4,098 adolescents in Laos, Mongolia, Nepal, and Sri Lanka were surveyed as part of the Healthy School Development Project. The project was designed to develop school capacity for improving health among all school members and the school environment through tailored school health programs in the four countries. A self-report questionnaire was used to assess psychological distress (i.e., stress, loneliness, anxiety, sadness, suicidal thoughts, suicidal plans, and suicidal attempts), family factors (i.e., parent understanding and monitoring, and parent smoking and alcohol use), and school factors (i.e., having close friends, not bullied, school attendance, health education) among the participants. Data were collected from September to November in 2012 and 2013. Descriptive statistics, chi-squared testing, and logistic regression were used to analyze data collected in 2012.

Results:

Over half of the participants were female (56.8%) and below 15 years of age (57.7%). Approximately 44% of the students reported good health status, and 33% reported the presence of psychosocial distress. Forty-four percent and 60% of the students reported that their parents understood them and monitor their activities, respectively. Most students (94%) had one or more close friends, and 20% were bullied. School attendance and providing health education were reported by 81% and 74% of respondents, respectively, as causing distress. Overall, older students were more vulnerable to psychosocial distress (OR=1.78; 95% CI 1.53-2.08), and factors associated with psychological distress comprised food insecurity (OR 1.51; 95% CI 1.05-2.17), family factors (i.e., parent understanding, parent monitoring, and parent smoking) (p < .05), and school factors (i.e., being bullied, school absence, and health education) (p < .001).

Conclusion:

Approximately one-third of the adolescents reported psychological distress. Parent involvement and school environments can function as either protective factors or risk factors of psychological distress among adolescents in Laos, Mongolia, Nepal, and Sri Lanka. Interventions that (1) empower the family to ameliorate psychological distress (2) reduce the likelihood of bullying by peers at school and (3) provide effective health education programs are recommended for these four countries. Additionally, subsequent inquiry into adolescent mental health research and resources in low- and middle-income countries would contribute to reducing psychological distress among adolescents in these contexts.

Keywords:
Adolescents; Low- and Middle-income Country; Psychological Distress
Repository Posting Date:
20-Jul-2017
Date of Publication:
20-Jul-2017
Other Identifiers:
INRC17A11
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titlePsychological Distress Among Adolescents in Laos, Mongolia, Nepal, and Sri Lankaen_US
dc.title.alternativeAdolescent Healthen
dc.contributor.authorLee, Heeyoungen
dc.contributor.authorLee, Eun Youngen
dc.contributor.departmentEtaen
dc.author.detailsHeeyoung Lee, PhD, APRN- BC, Professional Experience: Expert in Psychiatric Mental Health. My research involves working with mentally ill patients and their families. Mainly, my research focuses on mental health outcomes including psychiatric symptoms, psychosocial functioning, and family functioning in adolescents with schizophrenia and their family. Author Summary: Heeyoung Lee is a nurse researcher and practicing psychiatric mental health nurse practitioner whose research interest is implementing behavioral intervention programs based on strategies aimed at improving physical and mental health outcomes for individuals with serious mental illness (SMI).en
dc.identifier.urihttp://hdl.handle.net/10755/621997-
dc.description.abstract<p><strong>Purpose:</strong></p> <p>Adolescence is a critical period for the emergence of a broad range of psychiatric disorders, which negatively impact psychosocial functioning and social cost. Global health projects primarily have addressed communicable disease—not mental health; moreover, limited research and resources are available to meet the needs of adolescents with mental health problems—particularly in low- and middle-income countries. The purpose of this study was to explore psychological distress and examine the relationship between distress and individual, family, and school factors among adolescents in Laos, Mongolia, Nepal, and Sri Lanka.</p> <p><strong>Methods:</strong></p> <p>A total of 4,098 adolescents in Laos, Mongolia, Nepal, and Sri Lanka were surveyed as part of the Healthy School Development Project. The project was designed to develop school capacity for improving health among all school members and the school environment through tailored school health programs in the four countries. A self-report questionnaire was used to assess psychological distress (i.e., stress, loneliness, anxiety, sadness, suicidal thoughts, suicidal plans, and suicidal attempts), family factors (i.e., parent understanding and monitoring, and parent smoking and alcohol use), and school factors (i.e., having close friends, not bullied, school attendance, health education) among the participants. Data were collected from September to November in 2012 and 2013. Descriptive statistics, chi-squared testing, and logistic regression were used to analyze data collected in 2012.</p> <p><strong>Results:</strong></p> <p>Over half of the participants were female (56.8%) and below 15 years of age (57.7%). Approximately 44% of the students reported good health status, and 33% reported the presence of psychosocial distress. Forty-four percent and 60% of the students reported that their parents understood them and monitor their activities, respectively. Most students (94%) had one or more close friends, and 20% were bullied. School attendance and providing health education were reported by 81% and 74% of respondents, respectively, as causing distress. Overall, older students were more vulnerable to psychosocial distress (OR=1.78; 95% CI 1.53-2.08), and factors associated with psychological distress comprised food insecurity (OR 1.51; 95% CI 1.05-2.17), family factors (i.e., parent understanding, parent monitoring, and parent smoking) (<em>p</em> < .05), and school factors (i.e., being bullied, school absence, and health education) (<em>p</em> < .001).</p> <p><strong>Conclusion:</strong></p> <p>Approximately one-third of the adolescents reported psychological distress. Parent involvement and school environments can function as either protective factors or risk factors of psychological distress among adolescents in Laos, Mongolia, Nepal, and Sri Lanka. Interventions that (1) empower the family to ameliorate psychological distress (2) reduce the likelihood of bullying by peers at school and (3) provide effective health education programs are recommended for these four countries. Additionally, subsequent inquiry into adolescent mental health research and resources in low- and middle-income countries would contribute to reducing psychological distress among adolescents in these contexts.</p>en
dc.subjectAdolescentsen
dc.subjectLow- and Middle-income Countryen
dc.subjectPsychological Distressen
dc.date.available2017-07-20T19:35:19Z-
dc.date.issued2017-07-20-
dc.date.accessioned2017-07-20T19:35:19Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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