Mumbere Vagheni Martial, Mutume Nzanzu Vivalya Bives, Kasereka Muyisa Louis, Kasereka Masuka Rock, Manzekele Bin Kitoko Germain
Department of Psychiatry, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
Department of Psychiatry, Kampala International University Western Campus Bushenyi, Uganda; Department of Internal Medicine, Masereka Referral General Hospital, North-Kivu, Democratic Republic of the Congo.
Psychiatry Res. 2022 Feb;308:114342. doi: 10.1016/j.psychres.2021.114342. Epub 2021 Dec 20.
This study aimed to determine the prevalence and predictors of relapse in adolescents with mental illness. To carry this cross-sectional study, we recruited participants from the patients who attended healthcare services at five mental healthcare units located in the eastern Democratic Republic of Congo. We enrolled patients aged between 10 and 17 years old, with a history of being readmitted at least once to a mental facility. Nearly one in 10 patients with mental illness is an adolescent, and seven in 10 adolescents with mental illness are readmissions. The majority of participants were males, aged 17 years old; lived in rural settings, were illiterate, and were single mothers/fathers. The predictors of relapse are low educational level, being a female or a single mother/father, having the age of 17 years, low self-esteem, perceived poor social support, living in rural areas, and the highly expression emotions. Being treated for bipolar and substance use disorder increases the risk of relapse in adolescents. Our results highlight the burden of mental illness in adolescents.
本研究旨在确定患有精神疾病的青少年复发的患病率及预测因素。为开展这项横断面研究，我们从刚果民主共和国东部五个精神卫生保健单位接受医疗服务的患者中招募参与者。我们纳入了年龄在10至17岁之间、有至少一次再次入住精神卫生机构病史的患者。近十分之一的精神疾病患者是青少年，十分之七的患有精神疾病的青少年会再次入院。大多数参与者为男性，17岁；生活在农村地区，文盲，且为单亲母亲/父亲。复发的预测因素包括教育水平低、为女性或单亲母亲/父亲、年龄为17岁、自尊心低、感知到的社会支持差、生活在农村地区以及情绪高度表达。接受双相情感障碍和物质使用障碍治疗会增加青少年复发的风险。我们的结果凸显了青少年精神疾病的负担。
