Depression and academic performance among youths in armed conflict areas in North Wollo, Ethiopia: Structural equation modeling.

IF 2.5 4区医学 Q2 PSYCHIATRY

International Journal of Social Psychiatry Pub Date : 2025-03-16 DOI:10.1177/00207640251323350

Minale Tareke, Biksegn Asrat Yirdaw, Tilahun Belete Mossie, Abebaw Gebeyehu, Bizu Gelaye, Telake Azale

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引用次数: 0

Abstract

Background: Adolescents living in war-affected areas are more likely to suffer from depression than adolescents living outside war-affected areas. However, there is limited evidence from Northern Ethiopia that was affected by armed conflicts. This study was conducted to assess the magnitude of depression and to identify inter-related factors with depression and academic performance in armed conflict-affected areas of North Wollo Zone, Ethiopia.

Methods: A school-based cross-sectional study was conducted among high school students in North Wollo Zone, Ethiopia. A multistage sampling method was used, and the study participants were selected using simple random sampling. The Structural Equation Model was used to verify the hypothesized relationship between various internal and external or mediating factors. The effect size was provided using standardized beta coefficients, 95% CI, and statistical significance defined as a p-value <.05.

Results: Out of 3,400 study participants, 48.1% (95% CI [46.5%, 49.8%]) endorsed depressive symptoms. Being female (β = .05, 95% CI [0.011, 0.087]), far from family because of education (β = .10, 95% CI [0.060, 0.134]), anxiety (β = .95, 95% CI [0.893, 1.011]), and alcohol use (β = .14, 95% CI [0.108, 0.180]) had a significant and positive association with a total direct effect on depression. Conversely, academic performance (β = -.04, 95% CI [-0.061, -0.011]) had a significant and negative association with a total direct effect on depression.

Conclusion: This study found a much higher magnitude of depression among students in conflict-affected areas compared to non-affected areas. High school students, particularly girls in conflict-affected areas, need social support and special protection. Additional efforts are needed to ensure safety and security in high schools and establish student support systems such as student counseling and guidance services.

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埃塞俄比亚北沃罗武装冲突地区青少年的抑郁和学业表现：结构方程模型。

背景：生活在受战争影响地区的青少年比生活在受战争影响地区以外的青少年更容易患抑郁症。然而，来自受武装冲突影响的埃塞俄比亚北部的证据有限。本研究旨在评估埃塞俄比亚北沃罗地区受武装冲突影响地区的抑郁程度，并确定抑郁与学业成绩之间的相互关联因素。方法：对埃塞俄比亚北沃罗地区高中生进行校本横断面研究。本研究采用多阶段抽样方法，选取研究对象采用简单随机抽样。采用结构方程模型对各种内外部因素或中介因素之间的假设关系进行验证。效应量使用标准化β系数、95% CI和p值定义的统计显著性提供。结果：在3400名研究参与者中，48.1% （95% CI[46.5%, 49.8%]）认可抑郁症状。作为女性(β =。0.05, 95% CI[0.011, 0.087])，远离家庭是因为教育(β =。10, 95% CI[0.060, 0.134])，焦虑(β =。95年,95% CI[0.893, 1.011]),和酒精使用(β=。14, 95% CI[0.108, 0.180])与抑郁症的总直接影响有显著正相关。相反，学习成绩(β = -。4.04, 95% CI[-0.061, -0.011])与抑郁症的总直接影响呈显著负相关。结论：本研究发现，受冲突影响地区的学生抑郁程度远高于未受冲突影响地区的学生。高中学生，特别是受冲突影响地区的女孩，需要社会支持和特殊保护。为了确保高中的安全，建立学生咨询和指导服务等学生支援系统，需要做出更多的努力。

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

International Journal of Social Psychiatry PSYCHIATRY-

CiteScore

12.30

自引率

1.30%

发文量

120

期刊介绍： The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.