加纳儿童和青少年精神障碍照顾者的焦虑、抑郁和压力及其对药物依从性的影响。
Anxiety, depression, and stress in caregivers of children and adolescents with mental disorders in Ghana and implications for medication adherence.
机构信息
Department of Social and Behavioural Sciences, School of Public Health, University of Ghana, Legon, Ghana.
Department of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, University of Ghana, Legon, Ghana.
出版信息
Ghana Med J. 2021 Sep;55(3):173-182. doi: 10.4314/gmj.v55i3.1.
OBJECTIVE
This study assessed levels of anxiety, depression, and stress among family caregivers of children and adolescents with mental disorders in Ghana and the implication on medication adherence.
DESIGN
A cross-sectional study.
SETTING
The study was conducted at the outpatient departments of the three main public psychiatric hospitals in Ghana.
PARTICIPANTS
Two hundred and ten non-paid family caregivers of children and adolescents with mental disorders were recruited for this study.
MAIN OUTCOME MEASURE
The study assessed symptoms of anxiety, depression and stress among the caregivers and estimated caregiver-reported medication adherence.
RESULTS
About 56.2%, 66.2% and 78% of the caregivers experienced severe anxiety, severe depression and moderate to severe stress symptoms respectively. From the multiple logistic regression model, while anxiety was significantly affected by religion and education, depression was influenced by sex, age, marital status, proximity to facility, and employment status. Female caregivers had about four times higher odds of being depressed compared to male caregivers (aOR: 3.81, 95% CI: 1.66 - 8.75). The caregiver-reported medication adherence was 11.9%. Anxiety was significantly predictive of medication adherence.
CONCLUSION
Most family caregivers of children and adolescents with mental disorders experienced symptoms of anxiety, depression and stress with anxiety having implications for medication adherence. The study findings underscore the need to consider psychological characteristics of caregivers and the provision of mental health support for them, as part of the routine health care for children and adolescents with mental disorders.
FUNDING
None indicated.
目的
本研究评估了加纳儿童和青少年精神障碍患者家庭照顾者的焦虑、抑郁和压力水平，以及这些因素对药物依从性的影响。
设计
横断面研究。
地点
本研究在加纳三家主要公立精神病院的门诊部门进行。
参与者
本研究共招募了 210 名非付费的儿童和青少年精神障碍患者的家庭照顾者。
主要观察指标
研究评估了照顾者的焦虑、抑郁和压力症状，并估计了照顾者报告的药物依从性。
结果
约 56.2%、66.2%和 78%的照顾者分别出现严重焦虑、严重抑郁和中度至重度压力症状。从多元逻辑回归模型来看，焦虑受宗教和教育的影响，而抑郁则受性别、年龄、婚姻状况、与机构的距离和就业状况的影响。与男性照顾者相比，女性照顾者抑郁的可能性高出约四倍（调整优势比：3.81，95%可信区间：1.66 - 8.75）。照顾者报告的药物依从率为 11.9%。焦虑与药物依从性显著相关。
结论
大多数儿童和青少年精神障碍患者的家庭照顾者都经历了焦虑、抑郁和压力的症状，其中焦虑对药物依从性有影响。研究结果强调了需要考虑照顾者的心理特征，并为他们提供心理健康支持，作为儿童和青少年精神障碍常规医疗保健的一部分。
资助
无。
Zotero 插件