Recognition of depression in children in general hospital-based paediatric units in Kenya practice and policy implications 英文参考文献.docVIP
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Recognition of depression in children in general hospital-based paediatric units in Kenya practice and policy implications 英文参考文献
Annals of General Psychiatry
BioMedCentral
Primary research
Open Access
Recognition of depression in children in general hospital-based
paediatric units in Kenya: practice and policy implications
David M Ndetei*, Lincoln I Khasakhala, Victoria N Mutiso and
Anne W Mbwayo
Address: Africa Mental Health Foundation (AMHF), Nairobi, Kenya
Email: David M Ndetei* - dmndetei@uonbi.ac.ke; Lincoln I Khasakhala - likhasakhala@; Victoria N Mutiso - vmutiso@;
Anne W Mbwayo - annembwayo@
* Corresponding author
Published: 28 October 2009
Received: 23 July 2009
Accepted: 28 October 2009
Annals of General Psychiatry 2009, 8:25
doi:10.1186/1744-859X-8-25
This article is available from: /content/8/1/25
? 2009 Ndetei et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Physical disorders are commonly comorbid with depression in children attending
general medical facilities. However, the depression component is rarely recognised.
Methods: A questionnaire on sociodemographics and history of presenting medical conditions
was administered together with the Childrens Depression Inventory (CDI) to all 11-year-old to
17-year-old children attending at nine medical facilities.
Results: In all, 408 children were recruited from 9 health facilities. Whereas the clinicians
diagnosed a mental disorder in only 2.5% of the sample studied, 41.3% had CDI scores that
suggested mild to moderate depression. The highest proportion of children with depressive
symptomatology was found at the Kenyatta National and Teaching Referral Hospital.
Conclusion: Although prevalence rate for depression among children is high, detection rates
remain low. This finding has clinical practice a
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