背景:疲倦,浓度差,睡眠不安和食欲不振都可能是由抑郁症引起的,这是一种常见的精神障碍,也是全球残疾的主要原因。这项研究旨在评估重度抑郁症的患病率,自杀意念,苏丹军队冲突期间苏丹儿童和青少年的风险因素。
方法:对冲突开始时居住在苏丹的11至17岁的苏丹儿童进行了一项基于社区的描述性横断面研究,方法是在父母的指导下使用自编问卷,如有必要。根据诊断和统计手册第5版(DSM-5),该问卷改编自患者健康问卷-9(PHQ-9)清单,用于评估主要抑郁症状。问卷由两名专家翻译翻译成阿拉伯文,并证实了其有效性和可靠性。使用社会科学25版软件的统计软件包进行数据分析,进行描述性分析和任何适当的统计检验.
结果:在963名参与者中,平均年龄为15.18±2.1岁,65.5%是女性,67.7%有重度抑郁症。MDD评分之间存在显著关系,年龄,性别,目前的居住状态,和创伤性事件暴露,所有变量的P值小于0.001。
结论:本研究纳入的苏丹儿童和青少年中重度抑郁障碍非常普遍。此外,自杀意念,这需要立即干预,据报道是非常高的。这些发现将有助于政府为受影响的人提供适当的心理健康干预措施。
BACKGROUND: Tiredness, poor concentration, disturbed sleep and poor appetite can all be caused by depression, which is a common mental disorder and a leading cause of disability worldwide. This
study aimed to assess the prevalence of major depressive disorder, suicidal ideation, and risk factors in Sudanese children and adolescents during the Sudanese army
conflict.
METHODS: A descriptive cross-sectional community-based
study was carried out among Sudanese children between 11 and 17 years old who living in Sudan at the start of the
conflict by using a self-administered questionnaire under the guidance of parents, if necessary. The questionnaire was adapted from the Patients Health Questionnaire-9 (PHQ-9) checklist for the assessment of major depression disorder symptoms according to the Diagnostic and Statistical Manual Edition 5th Edition (DSM-5). The questionnaire was translated into Arabic by two expert translators, and its validity and reliability were confirmed. Data analysis was performed using Statistical Package for the Social Sciences version 25 software, and descriptive analysis and any appropriate statistical tests were performed.
RESULTS: Among the 963 participants, the mean age was 15.18 ± 2.1 years, 65.5% were female, and 67.7% had major depressive disorder. There was a significant relationship between MDD score, age, sex, current residency status, and traumatic event exposure, with P values less than 0.001 for all variables.
CONCLUSIONS: Major depressive disorder was highly prevalent among Sudanese children and adolescents included in the present
study. Additionally, suicidal ideation, which requires immediate intervention, was reported to be very high. The findings will help the government to provide proper mental health interventions for affected people.