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Authors:
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Abstract: Background to the Study Despite the fact that road traffic
accidents are notorious for causing marked psychiatric morbidity among most
affected persons, most studies focus on its psychological impact in adults.
There is a dearth of data concerning the psychological consequences of road
traffic accidents in adolescents. Objective:
To
determine the prevalence and correlates of emotional distress among secondary
school pupils after the experience of a road traffic accident close to the
school premises, which resulted in the death of some pupils, and severe
injuries in others.
Methods: This was a
cross-sectional study of 107 adolescents who had heard about or witnessed the
road traffic accident, and were selected using total sampling of those who met
the inclusion criteria at a secondary school in Lagos, Nigeria. Questionnaires
used were, The Rosenberg Self-Esteem Questionnaire, Strengths and Difficulties
Questionnaire (Emotional Sub-Scale), and a Socio-Demographic
Questionnaire.
Results The prevalence of emotional distress
among the secondary school pupils was 20%. Correlates of emotional distress
were; age (OR=0.8, CI=0.63-0.84), junior secondary class (OR=0.1, CI=0.01-0.49),
female gender (OR=3.6, CI=1.2-7.9), and poor self-rated health perception
(OR=0.1, CI=0.02-0.4).
Conclusion
For most people, emotional distress is
quite common secondary to exposure to a road traffic accident, children and
adolescents have a greater vulnerability to this. Early identification and
psychosocial management of emotional problems in youths exposed to such
accidents may help prevent the development of enduring mental health problems. |
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