Multidimensional and intergenerational impact of Severe Mental Disorders.
Intergenerational impact
LMICs
Multidimensional
Severe Mental Disorders
Journal
EClinicalMedicine
ISSN: 2589-5370
Titre abrégé: EClinicalMedicine
Pays: England
ID NLM: 101733727
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
15
07
2021
revised:
03
09
2021
accepted:
15
09
2021
entrez:
11
10
2021
pubmed:
12
10
2021
medline:
12
10
2021
Statut:
epublish
Résumé
Severe Mental Disorders (SMDs) affect multiple generations although this is poorly studied. The aim of this study was to investigate the intergenerational and multidimensional impacts of SMD in rural Ethiopia. This comparative study was nested within an existing population-based cohort study. We collected data from a total 5762 family members of 532 households (266 households with at least one family member with SMD and 266 sex and age matched mentally well controls from the neighborhood) in 2019. The main outcomes were multidimensional poverty, mortality, food insecurity, and family satisfaction. Multidimensional poverty Index was higher in the households of persons with SMD (74·44%) than the comparison households (38·35%). School attendance was lower in children of people with SMD (63·28%) than children of the comparisons (78·08%). The median years of schooling was also lower among children of people with SMD than the controls. This lower attendance was also true among siblings of people with SMD (35·52%) than the comparisons (49·33%). Over the course of 20 years, family members who have a person with SMD in their household had 23% increased risk of death compared to family members who did not have a person with SMD in their household. Severe food insecurity was also higher in the SMD households (20·68%) than the comparison (13·53%) while family satisfaction was lower. Families of people with SMD experience pervasive multidimensional and intergenerational impacts. Interventions should consider the broader family social and healthcare needs of the broader family.
Sections du résumé
BACKGROUND
BACKGROUND
Severe Mental Disorders (SMDs) affect multiple generations although this is poorly studied. The aim of this study was to investigate the intergenerational and multidimensional impacts of SMD in rural Ethiopia.
METHODS
METHODS
This comparative study was nested within an existing population-based cohort study. We collected data from a total 5762 family members of 532 households (266 households with at least one family member with SMD and 266 sex and age matched mentally well controls from the neighborhood) in 2019. The main outcomes were multidimensional poverty, mortality, food insecurity, and family satisfaction.
FINDINGS
RESULTS
Multidimensional poverty Index was higher in the households of persons with SMD (74·44%) than the comparison households (38·35%). School attendance was lower in children of people with SMD (63·28%) than children of the comparisons (78·08%). The median years of schooling was also lower among children of people with SMD than the controls. This lower attendance was also true among siblings of people with SMD (35·52%) than the comparisons (49·33%). Over the course of 20 years, family members who have a person with SMD in their household had 23% increased risk of death compared to family members who did not have a person with SMD in their household. Severe food insecurity was also higher in the SMD households (20·68%) than the comparison (13·53%) while family satisfaction was lower.
INTERPRETATION
CONCLUSIONS
Families of people with SMD experience pervasive multidimensional and intergenerational impacts. Interventions should consider the broader family social and healthcare needs of the broader family.
Identifiants
pubmed: 34632353
doi: 10.1016/j.eclinm.2021.101151
pii: S2589-5370(21)00431-4
pmc: PMC8488481
doi:
Types de publication
Journal Article
Langues
eng
Pagination
101151Subventions
Organisme : Medical Research Council
ID : MR/M025470/1
Pays : United Kingdom
Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
All authors have nothing to disclose
Références
J Affect Disord. 2004 Sep;81(3):211-22
pubmed: 15337325
BMC Public Health. 2019 Jul 11;19(1):930
pubmed: 31296207
Ethiop Med J. 2012 Apr;50(2):125-33
pubmed: 22924281
Int J Soc Psychiatry. 2012 Mar;58(2):131-7
pubmed: 21088034
Epidemiol Psychiatr Sci. 2019 Aug;28(4):397-407
pubmed: 29143723
Arch Gen Psychiatry. 2005 Jan;62(1):29-36
pubmed: 15630070
BMJ Open. 2019 Dec 30;9(12):e032391
pubmed: 31892656
Psychiatry Res. 2009 Aug 30;169(1):62-9
pubmed: 19625087
Bipolar Disord. 2005 Dec;7(6):617-22
pubmed: 16403187
Community Ment Health J. 2005 Jun;41(3):327-38
pubmed: 16131010
Acta Psychiatr Scand. 1990 Jul;82(1):77-81
pubmed: 2399824
J Intellect Disabil Res. 2011 Dec;55(12):1098-114
pubmed: 21883596
Schizophr Res. 2004 Aug 1;69(2-3):125-32
pubmed: 15469185
Psychol Med. 2018 Sep;48(12):1993-2000
pubmed: 29239287
BMC Med Res Methodol. 2012 Aug 28;12:130
pubmed: 22928712
BMC Psychiatry. 2019 Oct 29;19(1):325
pubmed: 31664977
Eur Arch Psychiatry Clin Neurosci. 2007 Jun;257(4):230-6
pubmed: 17401732
Schizophr Bull. 2009 May;35(3):646-54
pubmed: 18448478
J Clin Nurs. 2012 Sep;21(17-18):2410-8
pubmed: 22889442
Soc Psychiatry Psychiatr Epidemiol. 2003 Jan;38(1):27-34
pubmed: 12563556
Soc Psychiatry Psychiatr Epidemiol. 2020 Dec;55(12):1571-1580
pubmed: 32200431
BMJ Open. 2015 Feb 23;5(2):e006355
pubmed: 25712818
Br J Psychiatry Suppl. 2001 Apr;40:s84-90
pubmed: 11315232
Soc Sci Med. 1996 Jun;42(12):1691-701
pubmed: 8783431
Public Health Nutr. 2015 Apr;18(5):877-92
pubmed: 24963759