THE IMPACT OF CHILD HOOD TRAUMA ON MENTAL HEALTH DISORDER AMONGST YOUTH IN NAMATALA SLUMS MBALE CITY.

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2024-08-31

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ABSTRACT The understanding of childhood trauma as a precursor to mental health disorders has evolved significantly over the past century. Globally, the landmark Adverse Childhood Experiences (ACEs) study by Felitti et al. (1998) highlighted the profound impact of early trauma on mental health, demonstrating a strong correlation between childhood adversity and the development of disorders such as depression, anxiety, and PTSD in adulthood. This study has been instrumental in shaping global awareness and policy regarding childhood trauma. Subsequent research across different regions has reinforced these findings, indicating that childhood trauma is a universal risk factor for mental health issues. For instance, Kessler et al. (2010) conducted a global survey that found a consistent association between childhood adversities and the onset of mental disorders in over 20 countries, further emphasizing the global scale of this issue. In Africa, the historical context of childhood trauma and its impact on mental health is deeply intertwined with the continent's socio-economic and political history. Studies have shown that colonialism, wars, and socio-political instability have left a legacy of trauma that has had long-lasting effects on the mental health of African populations. For example, a study by Williams et al. (2007) in South 2 Africa highlighted the intergenerational transmission of trauma resulting from apartheid, contributing to widespread mental health disorders among the youth. Similarly, Atwoli et al. (2013) conducted a study in Kenya that found a high prevalence of childhood trauma, such as physical abuse and parental loss, which was strongly linked to mental health disorders like depression and substance abuse. These findings reflect a broader continental pattern where childhood trauma is compounded by ongoing challenges such as poverty, conflict, and disease, exacerbating mental health issues among the youth. In Uganda, and specifically within the Namatala slums of Mbale City, the impact of childhood trauma on youth mental health is a pressing concern. Research in this region, such as that by Nalugya-Sserunjogi et al. (2016), has documented high rates of trauma exposure among children, including domestic violence, poverty-related stress, and loss of caregivers due to HIV/AIDS. These traumas are closely linked to the emergence of mental health disorders such as depression, anxiety, and behavioral problems among the youth. Additionally, a study by Kinyanda et al. (2019) in Uganda found that the prevalence of PTSD among children who have experienced trauma in urban slums is alarmingly high, with limited access to mental health services exacerbating the situation. The Namatala slums, characterized by extreme poverty and overcrowding, provide a fertile ground for such adversities, making childhood trauma a critical determinant of mental health outcomes for the youth in this area.

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