Anxiety, depression, and stress in caregivers of children and adolescents with mental disorders in Ghana and implications for medication adherence.

Journal: Ghana medical journal

Volume: 55

Issue: 3

Year of Publication: 2022

Affiliated Institutions:  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. Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Legon, Ghana. Department of Mathematics, KU Leuven, Leuven-Belgium.

Abstract summary 

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.A cross-sectional study.The study was conducted at the outpatient departments of the three main public psychiatric hospitals in Ghana.Two hundred and ten non-paid family caregivers of children and adolescents with mental disorders were recruited for this study.The study assessed symptoms of anxiety, depression and stress among the caregivers and estimated caregiver-reported medication adherence.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.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.None indicated.

Authors & Co-authors:  Ocansey Patience Me PM Kretchy Irene A IA Aryeetey Genevieve C GC Agyabeng Kofi K Nonvignon Justice J

Study Outcome 

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Statistics
Citations :  Reiner RC, Jr, Olsen HE, Ikeda CT, et al. Diseases, Injuries, and Risk Factors in Child and Adolescent Health, 1990 to 2017: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2017 Study. JAMA pediatrics. 2019;173:e190337.
Authors :  5
Identifiers
Doi : 10.4314/gmj.v55i3.1
SSN : 2616-163X
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Anxiety;depression;medication adherence;psychological burden;stress
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ghana
Publication Country
Ghana