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Verfasst von:Addy, Noella Dufie [VerfasserIn]   i
 Agbozo, Faith [VerfasserIn]   i
 Runge-Ranzinger, Silvia [VerfasserIn]   i
 Grys, Pauline [VerfasserIn]   i
Titel:Mental health difficulties, coping mechanisms and support systems among school-going adolescents in Ghana
Titelzusatz:a mixed-methods study
Verf.angabe:Noella Dufie Addy, Faith Agbozo, Silvia Runge-Ranzinger, Pauline Grys
E-Jahr:2021
Jahr:April 22, 2021
Umfang:19 S.
Teil:volume:16
 year:2021
 number:4
 elocationid:e0250424
 pages:1-19
 extent:19
Fussnoten:Gesehen am 07.07.2021
Titel Quelle:Enthalten in: PLOS ONE
Ort Quelle:San Francisco, California, US : PLOS, 2006
Jahr Quelle:2021
Band/Heft Quelle:16(2021), 4, Artikel-ID e0250424, Seite 1-19
ISSN Quelle:1932-6203
Abstract:Background Although adolescents are highly vulnerable to mental health challenges, they receive little attention, especially in developing countries. We investigated the mental health difficulties (MHDs) faced by adolescent students in four senior high schools in Ghana, their coping strategies and support systems. Methods In this convergent mixed-methods study, quantitative data was obtained using validated strengths and difficulties questionnaire to assess the mental health of 405 adolescents. Qualitative data was collected through in-depth interview with 18 teachers and seven focused group discussions with 35 students. Adjusted odds ratios (OR) for MHDs were estimated through ordinal logistic regression in Stata 14.2. Qualitative data was analyzed inductively and deductively using ATLAS.ti 7.1. Results Over half (58.5%) experienced peer (20.5%), emotional (16.3%), conduct (13.3%) and hyperactivity (3.0%) problems, whereas 5.4% exhibited prosocial behaviours. MHDs were associated with females (OR = 2.27, 95% CI: 1.47-3.50), bullying (OR = 1.72, CI: 1.07-2.75), domestic violence (OR = 1.87, CI: 1.10-3.17), substance abuse (OR = 8.14, CI: 1.41-46.8), academic pressure (OR = 2.40, CI: 1.30-4.42) and self-perceived poor school performance (OR = 7.36 CI: 2.83-19.16). Qualitatively, we identified financial challenges, spiritual influences, intimate relationships, bullying, and domestic violence as the main themes attributed to MHDs. Coping strategies included isolation, substance use and spiritual help. The main school-based support system was the guidance and counselling unit, but there were complaints of it been ineffective due to trust and confidentially issues, and non-engagement of qualified counsellors. Conclusions As many triggers of MHDs emanate in schools, we need mental health-friendly school environments where trained psychotherapists head counselling centres. We propose incorporating mental health education into school curricula and generating surveillance data on adolescent’s mental health.
DOI:doi:10.1371/journal.pone.0250424
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1371/journal.pone.0250424
 Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0250424
 DOI: https://doi.org/10.1371/journal.pone.0250424
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adolescents
 Domestic violence
 Education
 Emotions
 Mental health and psychiatry
 Schools
 Suicide
 Teachers
K10plus-PPN:1762319551
Verknüpfungen:→ Zeitschrift

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