PREVALENCE OF DEPRESSION AMONG ORPHANED ADOLESCENTS IN SELECTED CHILDREN’S HOMES IN GITHURAI DIVISION, NAIROBI COUNTY

Purity Gitahi Wambui, Michael Njeru, Jared Menecha

Abstract


The death of a parent can leave children helpless and at risk of both psychological and physical problems, the difficulties become compounded when they live in an orphanage. The number of orphans in Kenya will most likely grow in future due to the HIV/AIDS pandemic, which is a primary cause of death in adults in Kenya. Children residing in orphanages are among the most vulnerable group in the society as they live with fear of abuse and neglect. Despite the high levels of depression and other mental illnesses in Kenya, it is difficult to plan for effective interventions for mental illnesses due to large gaps in data, which is not aggregated by age. The data that is used is an estimate from the developed world whose context is different from the Kenyan context. This implies that systematic data on depression among the orphaned adolescents in Kenya, especially those living in children’s homes, is insufficient. It is for this reason that this study sought to explore the prevalence of depression among orphaned adolescents in the selected children’s homes in Githurai Division, Nairobi County. The study population comprised orphaned adolescents (13-19 years old) in the ten selected children’s homes in Githurai Division. A sample of 81 orphaned adolescents was selected through purposive sampling. Data collection was done using questionnaires and in-depth interview and analysed using Statistical Package for Social Sciences (SPSS) version 23. The data was presented in form of statistical tables, charts, and graphs. The study established that 23.5% of all the orphaned adolescents aged between 13 and 19  in the selected children’s homes met the criteria for major depressive disorder (MDD). The study recommended that community awareness programs should be conducted. Further, orphaned adolescents in children’s homes should be trained on important life skills like interpersonal skills, social skills, problem solving skills, leadership skills, and communication skills.

Key Words: Depression, Orphaned Adolescents, Children’s Homes


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References


African Population and Health Research Centre (APHRC). (2019). Adolescent mental health in Kenya. Retrieved from https://aphrc.org/blogarticle/adolescent-mental-health-in-kenya-where-is-the-data/.

Ando, M., Sakauchi, Y., Shiihara, Y., & Izuhara, K. (2014).Universality of bereavement life review for spirituality for depression in bereaved families. American Journal of Hospice & Palliative Medicine, 31(3) 327-330. doi: 10.1177/1049909113488928.

Asfawesen, G., & Deribessa, S., Bisirat, T., Berhanu, G. & Mebratu, B. (2013). Outcome in a paediatric cohort receiving ART in Addis Abeba, Ethiopia. Acta paediatrica, 100, 1164-7.

Babbie, E.R. (2017). The basics of social research. Boston: Cengage Learning.

Bano, Z., Fatim, S., & Naz, I. (2019). Stigma as a predictor of psychological issues among orphan residing in orphanages. Pak Armed Forces Med Journal, 69(3)631-37.

Bansal, V., Goyal, S. & Srivastava, K. (2009) Study of Prevalence of Depression in Adolescent Students of a Public School. Industrial Psychiatry Journal, 18, 43-46.

Berg, L., Rostila, M., & Hjern, A. (2016). Parental death during childhood and depression in young adults- a national cohort study. Journal of Child Psychology and Psychiatry, 57(9), 1092-1098. doi:10.1111/jcpp.12560.

Bergman, A. S., Axberg, U., & Hanson, E. (2017). When a parent dies: A systematic review of the effects of support programs for parentally bereaved children and caregivers. BMC Palliative Care, 16(39), 1-15. doi: 10.1186/s12904-017-0223-y.

Bhat, A., Rahman, S., & Bhat, N. (2015). Mental health issues in institutionalized adolescent orphans. The International Journal of Indian Psychology, 3(1), 2349-3429.

Bowlby, J. (1979). The Making and Breaking of Affectional Bonds. Tavistok Publication.

Bowlby, J. (1990). Attachment: Attachment and Loss. Bookstore Martins Fontes.

Cassidy, J., Jones, J., & Shaver, P. (2013). Contributions of attachment theory and research: A framework for future research, translation, and policy. Development and Psychopathology, 25(2013), 1415-1434.

Collishaw, S., Gardener, F., Aber, L. J., Cluver, L. (2016). Predictors of mental health resilience in children who have been parentally bereaved by aids in urban South Africa. Abnormal Child Psychology, 44(1), 719-730. doi:10.1007/s10802-015-0068-x

Demoze, M., Angaw, D., & Mulat, H. (2018). Prevalence and associated factors of depression among orphan adolescence in Addis Ababa. Psychiatry Journal, 6(1), 90-121.

Durualp, E., & Cicekoglu, P. (2013). A study on loneliness levels of adolescents who live in an orphanage and those who live with their families. International Journal of Academic Research, 5(4), 231-236. doi:10.7813/2075-4124.2013/5-4/B.35.

Eagle, M. (2013). Attachment and psychoanalysis. Theory, research and clinical implications. New York, NY: The Guilford Press.

Erol, N., Simsek, Z., & Munir, K. (2008). Mental health of adolescents reared in institutional care in Turkey: Challenges and hope in the twenty-first century. Europe Child Adolescence Psychiatry, 19(2010), 113–124. doi:10.1007/s00787-009-0047-2.

Fawzy, N. & Fouad, A. (2010). Psychosocial and developmental status of orphanage children: Epidemiological study. Current Psychiatry, 17(2), 61-89.

Gieger, A.W., & Davis, L. (2019). A growing number of American teenagers-particularly girls- are facing depression. Retrieved from https://www.pewresearch.org/fact-tank/2019/07/12/a-growing-number-of-american-teenagers-particularly-girls-are-facing-depression/

Gladstone, T. & Beardslee, W. (2009). The prevention of depression in children and adolescents: A review. The Canadian Journal of Psychiatry, 54(4) 212-221.

Gladstone, T., Beardslee, W., & O’Connor, E. (2010. The prevention of adolescent depression. Psychiatric Clinics of North America, 34(2011)35-52.

Hermenau, K., Hecker, T., Ruf, M., Schauer, E., Elbert, T., & Schauer, M. (2011). Childhood adversity, mental ill-health and aggressive behavior in an African orphanage: Changes in response to trauma-focused therapy and the implementation of a new instructional system. Child and Adolescent Psychiatry and Mental Health, 5(1), 1-9.

Karayel, A., & Humeyra, K. (2019). The effects of parental death on child. Florence, Italy: Humanitarian and Social Research Centre.

Khasakhala, L. I., Ndetei, D. M, Mutiso, V., Mbwayo, A. W., Mathai, M. (2012). The prevalence of depressive symptoms among adolescents in Nairobi secondary schools. Association with Perceived Maladaptive Parental Behavior, 15(106), 113-119.

Konishi, C., & Hymel, S. (2014). An attachment perspective on anger among adolescents. Michigan, USA: Wayne State University Press.

Lee, V., Muriithi, P., Nandra, U., Kim, A., Schmitz, M., Odek, J., Mokaya, R., & Galbraith, J. S. (2014). Orphans and vulnerable children in Kenya: Results from a nationally representative population-based survey. Journal of Acquired Immune Deficiency Syndromes, 66(1), 89-97.

Melhem, N., Porta, G., Shamsedden, W., Payne, M., & Brent, D. (2011). Grief in children and adolescents bereaved by sudden parental death. Arch Gen Psychiatry, 68(9), 911-919.

Mikulincer, M., Shaver, P., Pereg, D. (2003). Attachment theory and affect regulation: The dynamics, development, and cognitive consequences of attachment-related strategies. New York, NY: Plenum Publishing Corporation.

Mohammadzadeh, M., Awang, H., Shahar, H., & Isamail, S. (2016). Emotional health and self-esteem among adolescents in Malaysian orphanages. Community Mental Health Journal, 54(2), 117–125. doi: 10.1007/s10597-017-0128-5.

Nyarieka, B., Cantor-Graae., & Bajunirwe, F. (2020). Psychological distress among AIDS orphans in rural Uganda. Social Science & Medicine, 61(2005), 555–564. doi:10.1016/j.socscimed.2004.12.018.

Rahman, A., Gross, D. & Creed, F. (2012). Outcome of prenatal depression and risk factors associated with persistence in the first postnatal year: prospective study from Rawalpindi, Pakistan. Journal of Affective Disorders, 100(1-3), 115-21.

Shiferaw, G., Bacha, L., & Tsegaye, E. (2018). Prevalence of depression and its associated factors among orphan children in orphanages in Ilu Abba Bor zone, South West Ethiopia. Retrieved from https://doi.org/10.1155/2018/ 6865085

Singh, A. & Suvidha. (2016). Well-being of orphans: A review on their mental health status. International Journal of Scientific Research in Science and Technology, 2(5), 180-184.

Thapar, A., Collishaw, S., Pine, D., & Thapar, A. (2012). Depression in adolescence. Lancet, 379(1), 1056-1067. doi:10.1016/S0140-6736(11)60871-4

Thurman, R., Nice, J., Taylor, T., & Luckett, B. (2017). Mitigating depression among orphaned and vulnerable Adolescents: A randomized controlled trial of interpersonal psychotherapy for groups in South Africa. Child and Adolescent Mental Health, 22(4) 224-231.

United Nations Children’s Fund (UNICEF). (2014). Guidelines for the alternative family care of children in Kenya. New York, NY: UNICEF.

Unterhitzenberger, J., & Rosner, R. (2014). Lessons from writing sessions: a school-based randomized trial with adolescent orphans in Rwanda. European Journal of Psychotraumatology, 5(24917), 1-11. doi: 10.3402/ejpt.v5.24917.

Wild, L., Flisher, A., & Robertson, B. (2011). Risk and resilience in orphaned adolescents living in a community affected by AIDS. Youth & Society, 45(1) 140-162. doi: 10.1177/0044118X11409256.

World Health Organization (2012). Adolescent health in the South-East Asia Region. Retrieved from https://www.who.int

Yousuf, S., Khan, A. W., Rashid, R., & Mir, A. R. (2019). Prevalence and attributes of suicidal ideation and PTSD like symptoms in children living in orphanages in Kashmir Valley. Journal of Dental and Medical Sciences, 18(8) 2279-0861


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