Psychotic-like experiences and adverse life events in young people. Does gender matter?

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2023-08-23 DOI:10.1111/camh.12674

Samuel Adjorlolo, Victoria Awortwe, Adote Anum, Keng-Yen Huang, Daniel Mamah

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引用次数: 0

Abstract

Background

Psychotic-like experiences (PLEs) and adverse life events (ALEs) are highly prevalent in sub-Saharan Africa where gendered practices are also common. There is, however, a paucity of data on how the relationship between PLEs and life adversities is influenced by gender. The current study addressed this gap.

Method

Data were collected from 1886 school-based young people (1174 females) in Ghana, West Africa using a cross-sectional survey methodology and analyzed using Chi-square, independent t-test, Pearson correlation, and multivariate regression.

Results

The results showed that victimization experiences, school stress and having a family member with mental illness were significantly associated with PLEs in both males and females. In contrast, substance misuse and experiences of head trauma correlated significantly with PLEs in females only.

Conclusion

Life adversities constitute major risk factors for PLEs among school-based young people in Ghana, who could benefit from gender neutral and gender-sensitive intervention programming to remediate the effects of life adversities on PLEs.

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年轻人的精神病样经历和不良生活事件。性别是否重要？

背景类精神病经历（PLEs）和生活逆境事件（ALEs）在撒哈拉以南非洲地区非常普遍，那里的性别习俗也很常见。然而，关于类精神病经历和生活逆境之间的关系如何受性别影响的数据却很少。本研究正是针对这一空白展开的。方法采用横断面调查法收集了西非加纳 1886 名在校青少年（1174 名女性）的数据，并使用卡方检验、独立 t 检验、皮尔逊相关和多元回归法进行了分析。结果表明，受害经历、学校压力和家庭成员患有精神疾病与男性和女性的 PLEs 都有显著关联。相比之下，只有女性滥用药物和头部创伤经历与 PLEs 显著相关。结论生活逆境是加纳在校青少年发生 PLEs 的主要风险因素，性别中立和对性别问题有敏感认识的干预计划可以弥补生活逆境对 PLEs 的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.