Social determinants of psychological distress in Sierra Leone.
Fragile setting
Mental health
Psychological distress
Sierra Leone
Social determinants
Journal
Social psychiatry and psychiatric epidemiology
ISSN: 1433-9285
Titre abrégé: Soc Psychiatry Psychiatr Epidemiol
Pays: Germany
ID NLM: 8804358
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
06
07
2021
accepted:
31
03
2022
pubmed:
21
4
2022
medline:
17
8
2022
entrez:
20
4
2022
Statut:
ppublish
Résumé
Growing evidence demonstrates that daily stressors such as family violence, unemployment, and living conditions play an important part in causing psychological distress. This paper investigates the impact of distressing events and day-to-day living conditions on psychological distress in the fragile context of Sierra Leone. A cross-sectional survey was conducted with 904 adults (454 men, 450 women) in 5 districts of Sierra Leone. The survey questionnaire comprised the Sierra Leone Psychological Distress scale and measures of demographic variables and personal characteristics, current life circumstances and potentially distressing events. Multiple regression results identified three factors to be the greatest contributors to psychological distress: family conflict (β = 0.185, p < 0.001) and inability to afford basic needs (β = 0.175, p < 0.001). Gender differences were evident: factors predicting men's psychological distress included severe sickness or injury (β = 0.203, p < 0.001) and being unable to afford basic needs (β = 0.190, p < 0.001); for women, predicting factors were family conflict (β = 0.212, p < 0.001), perceived poor health (β = 0.192, p < 0.001) and inability to afford basic needs (β = 0.190, p < 0.001). Initiatives to promote good mental health and psychosocial wellbeing in Sierra Leone should focus on enhancing income-generating and employment opportunities, promoting access to education, and strengthening family relationships.
Identifiants
pubmed: 35441330
doi: 10.1007/s00127-022-02278-y
pii: 10.1007/s00127-022-02278-y
pmc: PMC9375741
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1781-1793Subventions
Organisme : national institute for health research
ID : 16/136/100
Informations de copyright
© 2022. The Author(s).
Références
Br J Psychiatry. 2012 Oct;201(4):276-81
pubmed: 22844022
Soc Sci Med. 2019 Jan;220:411-420
pubmed: 30530234
Soc Sci Med. 2017 Mar;177:110-117
pubmed: 28167339
J Clin Child Adolesc Psychol. 2002 Jun;31(2):206-18
pubmed: 12056104
Confl Health. 2019 Jun 11;13:25
pubmed: 31198437
Multivariate Behav Res. 2001 Oct 1;36(4):611-37
pubmed: 26822184
Soc Psychiatry Psychiatr Epidemiol. 2012 Nov;47(11):1707-15
pubmed: 22327406
Confl Health. 2014 Aug 04;8:12
pubmed: 25104971
Br J Psychiatry. 2015 Feb;206(2):116-21
pubmed: 25497299
Transcult Psychiatry. 2008 Dec;45(4):611-38
pubmed: 19091728
Glob Health Action. 2016 Jan - Dec;10(sup2):1270816
pubmed: 28219254
Confl Health. 2021 Jan 7;15(1):3
pubmed: 33413546
Lancet Psychiatry. 2018 Apr;5(4):357-369
pubmed: 29580610
Epidemiol Psychiatr Sci. 2017 Apr;26(2):139-141
pubmed: 27641739
Glob Ment Health (Camb). 2018 Mar 07;5:e10
pubmed: 29632682
Lancet. 2018 Oct 27;392(10157):1553-1598
pubmed: 30314863
Violence Against Women. 2018 Mar;24(3):286-306
pubmed: 29332516
BJPsych Int. 2020 Feb;17(1):14-16
pubmed: 34287429
Lancet. 2011 Oct 22;378(9801):1502-14
pubmed: 22008425
Perm J. 2018 Mar 2;22:17-095
pubmed: 29616905
Fam Syst Health. 2018 Jun;36(2):182-197
pubmed: 29902035
BMC Psychol. 2021 Jul 21;9(1):108
pubmed: 34289908
Transcult Psychiatry. 2013 Feb;50(1):108-39
pubmed: 23427259
Int J Ment Health Syst. 2021 Jun 11;15(1):58
pubmed: 34116686
Int J Ment Health Syst. 2016 Apr 11;10:30
pubmed: 27069506
Soc Sci Med. 2010 Aug;71(3):517-528
pubmed: 20621748
Br J Psychiatry. 2012 Oct;201(4):268-75
pubmed: 22878131
Health Care Women Int. 2014;35(7-9):789-807
pubmed: 24660941
Confl Health. 2020 Jul 10;14:45
pubmed: 32665785
BMJ. 2019 Jan 28;364:l295
pubmed: 30692081