ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2023
The Relationship Between Family Cohesion and Depression Among School-Going Children With Elevated Symptoms of Behavioral Challenges in Southern Uganda.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed.
- Exploring Mediators of an Economic Empowerment Intervention (Suubi4Her) on Hopelessness and Depressive Symptoms Among Adolescent Girls in Uganda.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026Article
- Subthreshold depression prevalence and influencing factors among nursing students in vocational schools: A cross-sectional study.PloS one · 2026Article
- Impact of parenting style disparities on mental health of medical college students: an analysis of mediating effects of positive psychological qualities.Frontiers in public health · 2025Article
- Depressive symptoms and their influencing factors among older adults in China: a cross-sectional study.Frontiers in public health · 2024Article
- Prevalence of depression among Iranian children and adolescents: An updated systematic review and meta-analysis.Health science reports · 2023Article
- A study on prevalence and risk factors of depression among adolescent girls studying in government and private schools-A comparative study.Journal of family medicine and primary care · 2023Article
- Disparities in healthcare utilization and depression among young mothers: The role of family functioning.Women's health (London, England)Article
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Abstract
purposeDepression is among the leading causes of disability and contributes significantly to the overall disease burden affecting children. Family cohesion has been identified as a protective factor against depression. Examining this relationship is necessary in sub-Saharan Africa, specifically in Uganda-a country characterized by a high prevalence of HIV/AIDS, and high rates of chronic poverty, all of which stress family functioning and elevate child behavioral challenges. This study examined the relationship between family cohesion and depression among school-going children with elevated symptoms of behavioral challenges in southern Uganda.
methodsAt baseline, 2089 children were enrolled in the National Institutes of Health-funded Strengthening Mental Health and Research Training Africa study in Southwestern Uganda. This article analyzed data from 626 children aged 8-13 years with elevated behavioral challenges. We conducted multilevel mixed-effects Poisson regression to determine the association between family cohesion and depression. We controlled for sociodemographic and household characteristics.
resultsThe mean age was 10.3 years. The overall mean depression score was 3.2 (standard deviation = 2.7, range = 0-15). Family cohesion (β = -0.03, 95% confidence interval [CI]: -0.04, -0.02, p < .001) and owning essential items by the child (β = -0.13, 95% CI: -0.23, -0.04, p = .005) were protective against depression among children. Additionally, we observed being a single orphan (β = -0.44, 95% CI: -0.03, -0.86, p = .036) and having both parents (β = -0.43, 95% CI: -0.06, -0.81, p = .023) were associated with depression among children. DISCUSSION: Findings from this study reveal that family cohesion was protective against depression. Therefore, it is vital to strengthen family support systems by developing programs aimed at strengthening family relationships as a catalyst for addressing depression among children.
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