ASSESSMENT ON THE EFFECT OF EXECUTIVE FUNCTIONING DISORDERS IN VULNERABILITY TO DEPRESSION AMONG ADOLESCENTS IN SECONDARY SCHOOLS IN MERU COUNTY, KENYA

Kenneth Gitiye Kiambarua, Peter Mwiti Mwiti, Esther Thuba
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Abstract

Purpose: Assessment on the effect of executive functioning disorders in vulnerability to depression among adolescents in secondary schools in Meru County, Kenya. Methodology: The study adopted descriptive research design to gather both qualitative and quantitative data. Secondary schools were sampled using proportionate stratified sampling method to obtain 27 secondary schools in Meru County. The principals/deputy principals and counseling teachers were interviewed. Mathematics and English teachers answered a questionnaire, while the students were assessed using depression tool. Pretesting of data collecting instruments was done in 3 schools in the neighboring Tharaka Nithi County; Ikuu girls’ secondary school, Chuka boys’ high school and Ndagani mixed day secondary school. Data was analyzed using descriptive statistics such as frequency, percentage and median. Additionally, inferential statistics such as linear regression and multiple regressions inclusive of regression coefficients were established. SPSS was used to analyze the data presented. The findings were presented using tables, explanations, and diagrams. Content analysis method was used for qualitative analysis purposes. Results: The questionnaires results indicated that majority, 128 (89%) of Mathematics and English teachers strongly agreed that the school was keen on ensuring that corporal punishment is not administered hence alternative ways so as to reduce mental effect such as cognitive deficits (mean of 5). Nevertheless, 68(47%) strongly disagreed and 38(26%) disagreed that there were systems in school for students to speak out when they are undergoing physical and mental torture (mean of 2). On the interview results, principals and counseling teachers indicated that students with executive functions disorder got bullied, had low self-esteem, indiscipline issues such as fighting the students laughing at their weaknesses, and got low grades. The intervention measures implemented by the school included observing and singling out cases. The R value was 0.943 and the R-square was 0.890. This meant that executive functioning disorder had an 89% influence on vulnerability to depression whereas 11% was as a result of other factors not addressed in the study. The significance value was 0.000 hence below 0.05. This made the study reject the null hypothesis that executive functioning deficits have no statistically significant effect on vulnerability to depression among adolescents in secondary school in Meru County, Kenya. Conclusion: Though there were awareness campaigns on mental issues as a result of drug and substance abuse, there still lacked awareness made on mental issues due to cognitive deficits making students unable to multitask, manage time and lack attention. This lack of awareness was caused due to unavailability of systems and communication channels that students suffering from cognitive deficits could speak up on to get help. Recommendations: The study recommends that on executive function disorder, the management of the school should beef up on creating awareness of how mental issues can lead to drug and substance abuse by the students. There should be provision of finances by the ministry of education to schools to be able to have print media such as posters, magazines, newsletters and pamphlets on what executive function disorders are, how can one tell they suffer from them and the various treatment methods in place.
肯尼亚梅鲁县中学青少年执行功能障碍对抑郁症易感性的影响评估
目的:评估执行功能障碍对肯尼亚梅鲁县中学青少年抑郁易感性的影响。研究方法:采用描述性研究设计,收集定性和定量数据。采用比例分层抽样的方法,选取Meru县的27所中学。对校长/副校长及辅导教师进行了访谈。数学和英语教师回答了一份问卷,而学生则使用抑郁工具进行评估。在邻近的Tharaka Nithi县的3所学校对数据收集工具进行了预测试;Ikuu女子中学,Chuka男子高中和Ndagani混合日中学。数据分析采用描述性统计,如频率、百分比和中位数。此外,还建立了线性回归和包含回归系数的多元回归等推理统计。采用SPSS软件对数据进行分析。研究结果以表格、解释和图表的形式呈现。定性分析采用内容分析法。结果:问卷调查结果显示,大多数128名(89%)数学和英语教师强烈同意,学校热衷于确保不实施体罚,因此有其他方法来减少认知缺陷等心理影响(平均值为5)。68人(47%)强烈不同意,38人(26%)不同意学校有制度让学生在遭受身体和精神折磨时直言(平均2人)。在访谈结果中,校长和辅导老师表示,有执行功能障碍的学生受到欺负,自尊心低,有不守纪律的问题,如与嘲笑他们弱点的学生打架,成绩低。学校采取的干预措施包括观察和挑出个案。R值为0.943,R平方为0.890。这意味着执行功能障碍对抑郁症的易感性有89%的影响,而11%是研究中未解决的其他因素造成的。显著性值为0.000,低于0.05。这使得该研究拒绝了原假设,即执行功能缺陷对肯尼亚梅鲁县中学青少年抑郁易感性没有统计上的显著影响。结论:虽然有针对毒品和药物滥用导致的心理问题的宣传活动,但由于认知缺陷导致学生无法进行多任务处理,管理时间和缺乏注意力,因此对心理问题的认识仍然不足。这种意识的缺乏是由于缺乏系统和沟通渠道,患有认知缺陷的学生可以通过这些系统和渠道获得帮助。建议:该研究建议,对于执行功能障碍,学校的管理应该加强对精神问题如何导致学生滥用药物和药物的认识。教育部应该向学校提供资金,以便能够拥有印刷媒体,如海报、杂志、通讯和小册子,介绍什么是执行功能障碍,如何判断他们患有这种疾病,以及各种治疗方法。
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