Factors Correlated with Depression among Adolescents in Foster Homes

Main Article Content

Prayoonsri Srijan
Phuangphet Kaesornsamut
Wareerat Thanoi

Abstract

          Purpose: To examine the prevalence of depression and the relationships of intelligence quotient, history of being abused, self-esteem and social support with depression among adolescents in foster homes.


          Design: Descriptive correlational study.


          Methods: The sample consisted of 100 adolescents with 10-19 years of age retrieved from 4 foster homes. Data were collected by using 4 instruments: the demographic questionnaire, the Children’s Depression Inventory, the revised version of the Rosenberg Self-Esteem Scale, and a revised Thai Multi-dimensional Scale of Perceived Social Support. Descriptive statistics, Pearson’s product moment correlation, point bi-serial correlation, and t-test were used for data analysis.


          Main findings: The findings revealed that the prevalence of depression in this sample was 48 percent. History of being abused was significantly and positively correlated with depression at a moderate level (r = .409, p < .01). Additionally, self-esteem and social-support were negatively correlated with depression at a moderate level and at a low level (r = - .639, p < .01; r = - .313, p < .01, respectively). However, intelligence quotient was not correlated with depression in adolescents in foster homes.


          Conclusion and recommendations: History of being abused, self-esteem and social support were significantly correlated with depression in adolescents in foster homes. Screening for depression among adolescents in foster homes is highly recommended, especially in adolescents with a history of being abused. Mental health promotion program should be emphasized on self-esteem and social support in order to enhance psychological well-being and reduce a prevalence rate of major depressive disorder among adolescents in foster homes.

Article Details

How to Cite
Srijan, P., Kaesornsamut, P., & Thanoi, W. (2020). Factors Correlated with Depression among Adolescents in Foster Homes. Nursing Science Journal of Thailand, 38(1), 86–98. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/237414
Section
Research Papers

References

World Health Organization. Depression [Internet]. Geneva, Switzerland: World Health Organization; 2016 [cited 2019 Jun 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/depression.

Substance Abuse and Mental Health Services Administration. Results from the 2013 national survey on drug use and health: mental health [Internet]. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2014 [cited 2019 Jun 30]. Available from: https://store.samhsa.gov/system/files/nsduhmhfr2013.pdf.

Department of Mental Health. World Health Day 2017, Depression: Let's talk [Internet]. Nonthaburi: Department of Mental Health; 2017 [cited 2019 Jun 30]. Available from: https://www.thaidepression.com/www/who_depress/km_depress.pdf. (in Thai).

Ministry of Social Development and Human Security. Child Protection Act, B.E. 2003 [Internet]. Bangkok: Ministry of Social Development and Human Security; 2016 [cited 2019 Aug 10]. Available from: https://law.m-society.go.th/law2016/law/view/19. (in Thai).

The Center for the Protection of Children's Rights Foundation. Impacts on abused children [Internet]. Bangkok: The Center for the Protection of Children's Rights Foundation; 2017 [cited 2019 Jun 30]. Available from: https://www.thaichildrights.org/wp-content/uploads/2018/03/effect_child_abuse1.pdf. (in Thai).

Ramagopal G, Narasimhan S, Devi LU. Prevalence of depression among children living in orphanage. Int J Contemp Pediatrics. 2016;3(4):1326-8. doi: 10.18203/2349-3291.ijcp20163670.

Priyanka, Parasar A, Dewangan RL. A comparative study of self-esteem and level of depression in adolescents living in orphanage home and those living with parents. Int J Humanit Soc Sci Res. 2018;4(2):51-3.

Kongpetch S, Suntibenjakul S. Prevalence of depression and conduct behaviors for adolescents (10-15 years old), at Rajvithi Home for Girls. Chulalongkorn Medical Journal. 2015;59(1):103-14. (in Thai).

Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 2013;196(4286):129-36. doi: 10.1126/science.847460.

Emerson E. Prevalence of psychiatric disorders in c

hildren and adolescents with and without intellectual disability. J Intellect Disabil Res. 2003;47(1):51-8. doi: 10.1046/j.1365-2788.2003.00464.x.

Hatton C, Emerson E, Robertson J, Baines S. The mental health of adolescents with and without mild/moderate intellectual disabilities in England: secondary analysis of a longitudinal cohort study. J Appl Res Intellect Disabil. 2018;31(5):768-77. doi: 10.1111/jar.12428.

Haenjohn J. Brain & emotions: a miracle connection. Ratchaphruek Journal. 2015;13(3):9-19. (in Thai).

Lotrakul M, Sukanich P. Ramathibodi essential psychiatry. 4th ed. Bangkok: Department of Psychiatry, Faculty of Medicine Ramathibodi Hospital, Mahidol University; 2015. 625 p. (in Thai).

Santrock JW. Adolescence. 15th ed. New York, NY: McGraw-Hill Education; 2014. 472 p.

Sangon S, Nintachan P, Kingkaew J. Factors influencing depression in Thai disadvantaged adolescents in a province in the central region. The Journal of Psychiatric Nursing and Mental Health. 2018;32(2):13-38. (in Thai).

Chanralaksana N, Thaweekoon T, Sangon S. Factors predicting depression in secondary school students. The Journal of Psychiatric Nursing and Mental Health. 2015;29(2):128-43. (in Thai).

Jayanthi P, Rajkumar R. Is low self-esteem a risk factor for depression among adolescents? An analytical study with international component. Int J Med Res Health Sci. 2014;3(3):627-33. doi: 10.5958/2319-5886.2014.00408.1.

Asif A. Self-esteem and depression among orphan and non-orphan children. Dubai, UAE: MedCrave Group LLC; 2017. 29 p.

Safdar S. Comparative analysis of childhood depression and self esteem among orphan girls and boys. Journal of Psychology and Clinical Psychiatry. 2018;9(1):22-6. doi: 10.15406/jpcpy.2018.09.00498.

Nyagwencha SK, Munene A, James N, Mewes R, Barke N. Prevalence of symptoms of post-traumatic stress, depression and anxiety among abused and neglected adolescents in charitable children’s institutions in Nairobi. American Journal of Applied Psychology. 2018;7(2):37-43. doi: 10.11648/j.ajap.20180702.12.

Demoze MB, Angaw DA, Mulat H. Prevalence and associated factors of depression among orphan adolescents in Addis Ababa, Ethiopia. Psychiatry J. 2018;2018:5025143. doi: 10.1155/2018/5025143.

Trangkasombut U, Likhanalikhitkul D. Depressive symptoms in children’s: study using children’s depression inventories. Journal of the Psychiatric Association of Thailand. 1996;41(4):221-34. (in Thai).

Wongpakaran T, Wongpakaran N. A comparison of reliability and construct validity between the original and the revised version of the Rosenberg Self-esteem Scale. Psychiatry Investig. 2012;9(1):54-8. doi: 10.4306/pi.2012.9.1.54.

Wongpakaran N, Wongpakaran T. A revised Thai multi-dimensional scale of perceived social support. Span J Psychol. 2012;15(3):1503-9.

Wiangchai P. Physiological response to stress [Internet]. Bangkok: The Institute for the Promotion of Teaching Science and Technology; 2015 [cited 2019 Jul 5]. Available from: https://biology.ipst.ac.th/?p=2767. (in Thai).