A cross-sectional analysis of mental health disorders in a mental health services-seeking population of children, adolescents, and young adults in the context of ongoing violence and displacement in northern Cameroon.

Journal: Comprehensive psychiatry

Volume: 113

Issue: 

Year of Publication: 2022

Affiliated Institutions:  Univers Psy, B.P. , Yaoundé, Cameroon. Yale School of Medicine, Cedar St, New Haven, CT , United States. Electronic address: Olivia.herrington@yale.edu. Emory School of Medicine, Dowman Dr, Atlanta, GA , United States. Epicentre, Médecins Sans Frontières, BP , Bastos Après Elecam, Yaoundé, Cameroon.

Abstract summary 

Displacement and conflict exposure are known risk factors for mental health conditions. Here, we examine the mental health of youth in a conflict-affected region of Cameroon.Participants were recruited from among beneficiaries of a project conducted by Univers Psy and the United Nations Population Fund in Cameroon's Far North region. Community health workers conducted sensitization campaigns, following which they referred adolescents and young adults who self-identified as having mental health concerns to clinical psychologists. We ultimately conducted chart reviews of 948 of these youth. Univariate analyses using chi-squared tests were used to assess the relationships among demographics, displacement status, and mental health. Logistic regressions were then performed to determine the odds of having a psychiatric disorder based on displacement status.Sixty-eight percent of evaluated youth met criteria for a psychiatric disorder. Anxiety disorders were most prevalent at 24.3%, followed by trauma- and stressor-related disorders at 17.0%, and mood disorders at 8.0%. Refugees and IDPs had 0.11 (95% CI 0.06, 0.19) and 0.46 (95% CI 0.29, 0.74) odds, respectively, of any diagnosis compared to the host population. Females had 1.71 (95% CI 1.17, 2.50) odds of an anxiety disorder and 2.18 (95% CI 1.16, 4.10) odds of a mood disorder compared to males.In a youth sample in Cameroon self-identified as having mental health concerns, this study found high rates of psychiatric illness, particularly anxiety disorders. We found a higher prevalence among host population individuals than among displaced individuals and especially in the female population.

Authors & Co-authors:  Djatche Joël Miafo JM Herrington Olivia D OD Nzebou Daniel D Galusha Deron D Boum Yap Y Hassan Saria S

Study Outcome 

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Statistics
Citations : 
Authors :  6
Identifiers
Doi : 10.1016/j.comppsych.2021.152293
SSN : 1532-8384
Study Population
Female,Females
Mesh Terms
Adolescent
Other Terms
Adolescents;Anxiety;Children;Internally displaced persons;Refugees;Sub-Saharan Africa
Study Design
Cross Sectional Study
Study Approach
Country of Study
Cameroon
Publication Country
United States