ArticleEClinicalMedicine2021
Multidimensional and intergenerational impact of Severe Mental Disorders.
Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Effects of community-based rehabilitation on caregivers of people with schizophrenia in Ethiopia in the RISE trial.BMC psychiatry · 2025Trial
- Risk and resilience from early to middle childhood in three-generation families: Grandmother coresidence stability matters.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026Article
- Territorial Socioeconomic Vulnerability and Clinical Outcomes in Pediatric Cancer at a Colombian Referral Center.Children (Basel, Switzerland) · 2026Article
- Social inclusion in global mental health contexts: how can we do more for what matters most?World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Distributed impact of severe mental health conditions in rural Ethiopia, a qualitative study.BMC psychiatry · 2024Article
- Studying the context of psychoses to improve outcomes in Ethiopia (SCOPE): Protocol paper.PloS one · 2024Article
- Impact of the COVID-19 pandemic on mental health care and people with mental health conditions in Ethiopia: the MASC mixed-methods study.International journal of mental health systems · 2023Article
- Delayed treatment seeking and its associated factors among people with schizophrenia spectrum disorders who are on follow-up at Dilla University Referral Hospital in the southern region of Ethiopia, 2022: a cross-sectional study.Frontiers in psychiatry · 2023Article
- Inhalation AromatherapyFrontiers in pharmacology · 2022Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundSevere 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.
methodsThis 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.
findingsMultidimensional 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.
interpretationFamilies of people with SMD experience pervasive multidimensional and intergenerational impacts. Interventions should consider the broader family social and healthcare needs of the broader family.
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