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

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dc.contributor.authorSimsek, Zeynep
dc.contributor.authorErol, Nese
dc.contributor.authorOeztop, Didem
dc.contributor.authorOezcan, Oezlem Oezer
dc.date.accessioned2024-08-04T20:58:40Z
dc.date.available2024-08-04T20:58:40Z
dc.date.issued2008
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: 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.en_US
dc.identifier.endpage246en_US
dc.identifier.issn1300-2163
dc.identifier.issue3en_US
dc.identifier.pmid18791876en_US
dc.identifier.startpage235en_US
dc.identifier.urihttps://hdl.handle.net/11616/103071
dc.identifier.volume19en_US
dc.identifier.wosWOS:000259993100003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTurkiye Sinir Ve Ruh Sagligi Dernegien_US
dc.relation.ispartofTurk Psikiyatri Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOrphanage careen_US
dc.subjectbehavioral problemsen_US
dc.subjectrisken_US
dc.subjectprotective factorsen_US
dc.titleEpidemiology of Emotional and Behavioral Problems in Children and Adolescents Reared in Orphanages: A National Comparative Studyen_US
dc.typeArticleen_US

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