Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007

Introduction. South African children and adolescents face serious challenges. Over the past decades children have been exposed to rapid and stressful changes in their environment, including increased crime and violence. Aim of study. The aim of the study was to determine the profile of stress fact...

Full description

Bibliographic Details
Main Authors: H Heckler, C E Taute, G H J Krüger, D de Wet, F J W Calitz, L M van der Merwe, J E Raubenheimer
Format: Article
Language:English
Published: AOSIS 2012-05-01
Series:South African Journal of Psychiatry
Online Access:http://www.sajp.org.za/index.php/sajp/article/view/328
_version_ 1818200341942894592
author H Heckler
C E Taute
G H J Krüger
D de Wet
F J W Calitz
L M van der Merwe
J E Raubenheimer
author_facet H Heckler
C E Taute
G H J Krüger
D de Wet
F J W Calitz
L M van der Merwe
J E Raubenheimer
author_sort H Heckler
collection DOAJ
description Introduction. South African children and adolescents face serious challenges. Over the past decades children have been exposed to rapid and stressful changes in their environment, including increased crime and violence. Aim of study. The aim of the study was to determine the profile of stress factors leading to mental disorders in children and adolescents referred to the Child and Adolescent Unit at the Free State Psychiatric Complex, Bloemfontein, from January 2006 to December 2007. Methods. A total of 669 children (0 - 12 years) and adolescents (13 - 18 years) referred to the unit for evaluation and treatment were included in the study. Results. Thirty per cent were diagnosed with attention deficit and disruptive behaviour disorders, followed by major depressive disorders (22.7%), anxiety disorders (18.5%), conduct disorders (16.1%), mild mental retardation (15.7%), adjustment disorders (9.6%), elimination disorders (8.8%), developmental disorders (7.6%) and bereavement (7.0%). Social stressors were identified in 64.1% of participants, and psychological stressors in 19%. Conclusions. Stress plays an important role in the lives of children and adolescents, which could lead to emotional problems if not well managed. The functioning of children and adolescents should be monitored continuously. Schools are in a favourable position to identify stressors affecting children and adolescents. Educators therefore need training and opportunities to consult on mental health matters. Furthermore, religious organisations should be enlisted to identify stressors manifesting as spiritual dysfunction. School health services can play a role in the recognition of biological stressors such as epilepsy, pregnancy, enuresis, illness, speech problems and sensory dysfunction.
first_indexed 2024-12-12T02:36:08Z
format Article
id doaj.art-bd529ba27010454bbbade9212579e72e
institution Directory Open Access Journal
issn 1608-9685
2078-6786
language English
last_indexed 2024-12-12T02:36:08Z
publishDate 2012-05-01
publisher AOSIS
record_format Article
series South African Journal of Psychiatry
spelling doaj.art-bd529ba27010454bbbade9212579e72e2022-12-22T00:41:17ZengAOSISSouth African Journal of Psychiatry1608-96852078-67862012-05-0118210.4102/sajpsychiatry.v18i2.328103Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007H Heckler0C E Taute1G H J Krüger2D de Wet3F J W Calitz4L M van der Merwe5J E Raubenheimer6Faculty of Health Sciences, University of the Free State, BloemfonteinFaculty of Health Sciences, University of the Free State, BloemfonteinFaculty of Health Sciences, University of the Free State, BloemfonteinFaculty of Health Sciences, University of the Free State, BloemfonteinDepartment of Psychiatry, Faculty of Health Sciences, University of the Free State, BloemfonteinDepartment of Psychiatry, Faculty of Health Sciences, University of the Free State, BloemfonteinDepartment of Biostatistics, Faculty of Health Sciences, University of the Free State, BloemfonteinIntroduction. South African children and adolescents face serious challenges. Over the past decades children have been exposed to rapid and stressful changes in their environment, including increased crime and violence. Aim of study. The aim of the study was to determine the profile of stress factors leading to mental disorders in children and adolescents referred to the Child and Adolescent Unit at the Free State Psychiatric Complex, Bloemfontein, from January 2006 to December 2007. Methods. A total of 669 children (0 - 12 years) and adolescents (13 - 18 years) referred to the unit for evaluation and treatment were included in the study. Results. Thirty per cent were diagnosed with attention deficit and disruptive behaviour disorders, followed by major depressive disorders (22.7%), anxiety disorders (18.5%), conduct disorders (16.1%), mild mental retardation (15.7%), adjustment disorders (9.6%), elimination disorders (8.8%), developmental disorders (7.6%) and bereavement (7.0%). Social stressors were identified in 64.1% of participants, and psychological stressors in 19%. Conclusions. Stress plays an important role in the lives of children and adolescents, which could lead to emotional problems if not well managed. The functioning of children and adolescents should be monitored continuously. Schools are in a favourable position to identify stressors affecting children and adolescents. Educators therefore need training and opportunities to consult on mental health matters. Furthermore, religious organisations should be enlisted to identify stressors manifesting as spiritual dysfunction. School health services can play a role in the recognition of biological stressors such as epilepsy, pregnancy, enuresis, illness, speech problems and sensory dysfunction.http://www.sajp.org.za/index.php/sajp/article/view/328
spellingShingle H Heckler
C E Taute
G H J Krüger
D de Wet
F J W Calitz
L M van der Merwe
J E Raubenheimer
Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007
South African Journal of Psychiatry
title Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007
title_full Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007
title_fullStr Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007
title_full_unstemmed Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007
title_short Profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the Free State Psychiatric Complex, 2007
title_sort profile of stress factors associated with mental disorders in children and adolescents referred for evaluation and treatment to the free state psychiatric complex 2007
url http://www.sajp.org.za/index.php/sajp/article/view/328
work_keys_str_mv AT hheckler profileofstressfactorsassociatedwithmentaldisordersinchildrenandadolescentsreferredforevaluationandtreatmenttothefreestatepsychiatriccomplex2007
AT cetaute profileofstressfactorsassociatedwithmentaldisordersinchildrenandadolescentsreferredforevaluationandtreatmenttothefreestatepsychiatriccomplex2007
AT ghjkruger profileofstressfactorsassociatedwithmentaldisordersinchildrenandadolescentsreferredforevaluationandtreatmenttothefreestatepsychiatriccomplex2007
AT ddewet profileofstressfactorsassociatedwithmentaldisordersinchildrenandadolescentsreferredforevaluationandtreatmenttothefreestatepsychiatriccomplex2007
AT fjwcalitz profileofstressfactorsassociatedwithmentaldisordersinchildrenandadolescentsreferredforevaluationandtreatmenttothefreestatepsychiatriccomplex2007
AT lmvandermerwe profileofstressfactorsassociatedwithmentaldisordersinchildrenandadolescentsreferredforevaluationandtreatmenttothefreestatepsychiatriccomplex2007
AT jeraubenheimer profileofstressfactorsassociatedwithmentaldisordersinchildrenandadolescentsreferredforevaluationandtreatmenttothefreestatepsychiatriccomplex2007