Abstract
Psychosomatic health of adolescent girls at crossroads of childhood and mature adulthood, may lead to various health problems in future. To measure the prevalence and identify factors associated with psychiatric morbidity & psychosomatic symptoms among adolescent secondary school girls in Khartoum. This ‘Study’ was conducted, in three secondary schools of Khartoum North. The Simple Random Sampling Technique was applied to select three schools from the spot map of Khartoum North for this study, and 491 girl students in the adolescent age group were selected from the completed updated list of students from the enrollment registers in these schools. according to the cut-off point (≥ 24 in the G.H.Q -28) findings showed that the prevalence of psychiatric morbidity (severe depression and anxiety) was 60.89% among the adolescent secondary school girls while the psychosomatic disorder was 34.62%. The psychosomatic disorder was found to be significant (P<0.05) with the following three factors: a) late (18-19 yrs.) adolescent age, (61.30%), chi- square= 18.611, df=1, O.R=0.435617 ,CI95%=(0.276629, 0.685981) ; b) physicals abuse (39%) chi- square= 22.34, df =1, O.R=0.281,CI95%=(0.172871, 0.458281) and c) verbal abuse (72%) chi- square= 21.86, df=1, O.R=0.433,CI95%=(0.27331, 0.688). A borderline significant was seen with the family moderate (40%) and low income (40%), chi- square= 5.09, df=2, O.R=(0.839, 0.799),CI95%=((0.508247, 0.503899),( 1.755645 , 1.426668)). However, no significance was there in relation to marital status (married 83.5%), chi- square= 2.324,df=1, O.R=1.06 ,CI95%=(0.586947, 2.197218),mother education (elementary 61.76%) chi square=1.692,df=2,O.R=(1,0.951),CI95%=((0.385528,0.554214),(2.674766, 1.626457)) and further education (high level 73 %) chi- square= 3.17, df=2, O.R=(1.282, 1.024),CI95%=((0.354603, 0.55087,)( 4.49567, 1.903074)). Despite the fact that there is no significant (P>0.05) relation between the fathers' level of education and the occurrence of psychosomatic however, the odds ratio of disease is 28% higher among the girls whose fathers were illiterate in comparison to the girls whose fathers were of high level of education. among adolescent school girls.
Highlights
In the era of psychiatric morbidity and psychosomatic disorder, much attention has been paid to migratory laborers and bridge population, because of their overt risky behavior, little attention has been paid to other parts of the population .psychiatric morbidity and psychosomatic disorder are increasing at a faster rate globally in the early adult population
Research from several countries indicates that psychosomatic disorder tend to co-exist rather than occur singularly and could impose limitations on daily living and participation in school life.(Colette Kelly2010)reported the need for better understanding of the nature, extend, and possible causes of frequent psychosomatic symptoms among school children in Ireland, Social environment and behavioral factors need further consideration
GHQ-28, and Pre-tested questionnaire were structured to be used for the student including all study variables which is completed anonymously. collectors attended all schools on the selected days, they reviewed the lists of the students who were recorded to attend this study in order to find those who were included in the sample by matching the lists with those provided by field supervisor, so that they could meet them, get their agreement to participate in the study, and fill the questionnaire In brief,pre–test was done to verify the technique of the questionnaire in three secondary schools to determine the duration needed to fill questionnaire, acceptance of questions, in order to respect their time and work
Summary
In the era of psychiatric morbidity and psychosomatic disorder, much attention has been paid to migratory laborers and bridge population, because of their overt risky behavior, little attention has been paid to other parts of the population .psychiatric morbidity and psychosomatic disorder are increasing at a faster rate globally in the early adult population. As they are at the crossroad of childhood and mature adulthood, many diversions come in the way of their rational thinking. Exploring time trends in psychosomatic symptoms by gender is worth pursuing in light of the recent economic, societal, and educational changes in Ireland
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