Author:
Oladeji Bibilola D.,Makanjuola Victor A.,Gureje Oye
Abstract
BackgroundAdverse childhood experiences have been associated with a variety of
mental health problems in adult life.AimsTo examine whether this reported link between childhood experiences and
mental health disorders in adult life applies in a Sub-Saharan African
setting where cultural and family attributes may be different.MethodA multistage random sampling was used in the Nigerian Survey of Mental
Health and Well-Being (NSMHW) to select respondents for face-to-face
interviews. Assessments of family-related adverse childhood experiences
and lifetime mental health disorders were conducted with the Composite
International Diagnostic Interview (CIDI 3.0).ResultsAlmost half of the respondents had experienced an adverse childhood
experience within the context of the family before they were 16 years of
age. Associations between adverse childhood experiences and adult mental
health disorders were few and were attenuated when clustering of adverse
childhood experience and disorder comorbidities were accounted for. There
was an elevated likelihood of adult substance use disorders among
individuals who had experienced family violence and neglect or abuse.
Parental psychopathology was associated with a significantly increased
risk for developing mood disorders.ConclusionsAdverse childhood experiences reflecting violence in the family, parental
criminality and parental mental illness and substance misuse were more
likely to have significant mental health consequences in adulthood.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
65 articles.
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