Epidemiology of Emotional and Behavioral Problems in Children and Adolescents Reared in Orphanages: A National Comparative Study

Küçük Resim Yok

Tarih

2008

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Turkiye Sinir Ve Ruh Sagligi Dernegi

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Objective: We examined the prevalence of emotional and behavioral problems, and associated factors in children and adolescents aged 6-18 years that were reared in orphanages. We aimed to compare these children and adolescents with a notionally representative age-matched sample that were raised by their own families and to identify mental health service needs in orphanages. Method: This cross-sectional study included 674 children and adolescents aged 6-18 years that were selected from orphanages using stratified and probability cluster sampling. A socio-demographic information form, and the Child Behavior Checklist (CBCL), Teacher's Report Form (TRF), and Youth Self-Report Form (YSR) were used for data collection. Results: According to the information provided by coregivers, teachers, and youths, the prevalence of problem behaviors ranged between 18.3% and 47% among those in institutional care versus between 9% and 11% among the notional sample. Among those in institutional care, the prevalence of externalizing problems (21.4%-41.9%) was significantly higher than the prevalence of internalizing problems (6.2%-40.1%). At the syndrome level, the prevalence of social problems (5.7%-11.7%), thought disorders (7.2%-18.4%), and attention problems (7.7%-31.4%) among the youths in institutional care was higher than among the national sample (1.6%-5.8%). Age at first admission, receiving institutional care because of neglect and abuse, moves 2 or more times between institutions, recurrent physical illness, receiving poor quality care, lack of regular contact with parents or relatives, lack of regular contact with teachers and the institutional staff poor problem-solving skills, fatalistic beliefs, tobacco and alcohol use, the feeling of stigmatization, and low-level competency were significantly associated with an increased risk of behavioral and emotional problems. In this representative study, only 2.4% of the children received any mental health care services. Conclusion: There is an urgent need to develop alternative core models and routine screening for mental health. The training of professionals and development of mental health services for children in institutional care should be a priority.

Açıklama

Anahtar Kelimeler

Orphanage care, behavioral problems, risk, protective factors

Kaynak

Turk Psikiyatri Dergisi

WoS Q Değeri

Q4

Scopus Q Değeri

Cilt

19

Sayı

3

Künye