SCREANING STUDY FOR THE PREVALENCE OF EMOTIONAL AND BEHAVIORAL PROBLEMS AMONG SCHOOL CHILDREN IN IRAQ

Authors

  • Ibrahim Safaa kareem M.B.Ch. B F.A.B.H.S. Psych (Fellow of Arab Board of Health Specializations of Psychiatry) Alimam Alhussein Teaching Hospital/Nasiriya-Iraq

Abstract

BACKGROUND Child& adolescent psychiatric disorders are common and treatable, but oftenly go undetected therefore, remain untreated. Epidemiological information about prevalence of child mental health problems is essential to inform policy and public health practice. There have been few such studies in Arab countries and few in Iraq. PATIENTS &METHODS A sample size of 300 students 150 male & 150 female were chosen randomly at ages between 15-17 years and were asked to complete the strengths & difficulties questionnaire. The parents were asked to complete other version of strength and difficulty questionnaire. The study was carried out in the centre of Baghdad city in AL-Karrada sector in secondary schools. By using the multi informant method for strengths and difficulties questionnaire, Using 2 tools -Strengths & difficulties questionnaire (SDQ) in 2 versions one for students & one for their parents (informant). -Iraq trauma questionnaire presents only for students. RESULTS Total difficulty score in student's report was (16%), while in parent's report was (26.33%). Emotional problems in females were the highest (30.66%), prosocial problems were the lowest (4%).  In male, conduct problems were (12%) which is the highest one, while the peer problems were the lowest (3.33%). From all students (63.66%) were exposed to traumatic events. From these, (44%) of them witnessed car explosion, (47.33%) has 1-2 traumatic events in the past 11 years. Hundred percent of female who exposed to 5& more events has emotional & behavioral problems. Hundred percent of male who exposed to 7& more events has emotional & behavioral problems CONCLUSIONS The emotional problems in females and conduct problems in males the highest & needs more attention& management. Increasing number of traumatic events will increase the emotional& behavioral problems in children.

References

- AbouNazel MW, Fahmy SI, Younnis IA.et al (1991) A study of depression among Alexandria preparatory school adolescents. J Egypt Public Health Assoc 66:649–674.

- Cummins C, McMaster C (2006) Child Mental & Emotional Health: A Review of Evidence. Health service executive.

- Eapen V, al-Gazali L, Bin-Othman S. et al (1998) Mental health problems among schoolchildren in United Arab Emirates: prevalence and risk factors. J Am Acad Child Adolesc Psychiatry 37(8):880–886.

- Goodman R, Renfrew D, Mullick MSI (2000) Predicting type of psychiatric disorder from strengths and difficulties questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 9:129–134.

- Mathai J, Anderson P, Bourne A (2004) Comparing psychiatric diagnoses generated by the strengths and difficulties questionnaire with diagnoses made by clinicians. Aust NZ J Psychiatry 38:639–643.

- Meltzer H, Gatward R, Goodman R. et al (2000) Mental health of children& adolescents in Great Britain. The Stationary Office, London.

- Mullick MS, Goodman R (2005) The prevalence of psychiatric disorders among 5–10 year olds in rural, urban, slum areas in Bangladesh: an exploratory study. Soc Psychiatry PsychiatrEpidemiol 40(8):663–671.

- Okasha A (2004) Focus on psychiatry in Egypt. British Journal of Psychiatry 185:266–272.

- Okasha A, Bishri Z, Seif el Dawla A et al (1999) Anxiety symptoms in an Egyptian sample: children and adolescents. Curr Psychiatry 6:356–368.

- Patel V, Flisher AJ, Hetrik S. et al (2007) mental health of young people: a global public-health challenge. Lancet 369:1302–1313.

- Rahim SIA, Cederblad M (1986) Effects of rapid urbanization on child behaviour and health in a part of Khartoum, Sudan— II. Psycho-social influences on behaviour. SocSci Med 22:723–730.

- Samad L, Hollis C, Goodman R. et al (2005) Child and adolescent psychopathology in a developing country: testing the validity of the strengths and difficulties questionnaire (urdu version). Int J Methods Psychiatr Res 14(3):158–166.

- Thabet AA, Stretch D, Vostanis P (2000) Child mental health problems in Arab children: application of the strengths and difficulties questionnaire. Int J Soc Psychiatry 46(4):266–280.

- Fombonne E. (1994) The Chartres studies: I. Prevalence of psychiatric disorders among French school-aged children. British Journal of Psychiatry, 164, 69-79.

- AbdElhamid A, Howe A, Reading R (2008) prevalence of emotional & behavioral problems among 6-12 yr old children in Egypt.soc psych psychepidemiology DOI 10.1007/s00127-008-0394-1.

- Arman S, Keypour M, Maracy MR. et al (2012) Epidemiological study of youth mental using strengths & difficulties questionnaire (SDQ). short psych commun 14(6):371-75.

- Imran N, Sattar A, Amjad N. et al (2009) Psychological problems in children of parents with mental illness: A comparative study from Lahore, Pakistan. Pak J Med Sci;25(6):895-900.

- Abdel-Fattah MM, Asal AA, AL-Asmary SM, et-al (2004) Emotional and Behavioral Problems Among Male Saudi Schoolchildren and Adolescents Prevalence and Risk Factors. German Journal of Psychiatry. ISSN 1433-1055

- Pastor PN, Reuben CA, Duran CR (2012) Identifying Emotional and Behavioral Problems in Children Aged 4–17 Years: United States, 2001–2007.national health statistics reports no.48.

- Alyahri A, Goodman R (2006) Validation of th Arabic strengths and difficulties questionnaire and the development and wellbeing assessment. East Mediterr Health J 12(Suppl 2): S138– S146.

- Greally P, Kelleher I, Murphy J. et al (2010) Assessment of the mental health of Irish adolescents in the community. Royal College of Surgeons in Ireland Student Medical Journal; 3: 33-35.

- Cury CR, Golfeto JH. (2003) Strengths and difficulties questionnaire (SDQ): a study of school children in RibeirãoPreto. US national library of medicine 25(3)139-45.

- Goodman R, Ford T, Simmons H. et al (2000) Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry.177:534-9.

- Majeed, J (2011). The impact of war and violence on mental health of a sample of adolescent students in baghdad, a thesis submitted to the council of Psychiatry-Iraq commission of medical specializations and scientific research supervised by Dr. Numan S. Ali. Page (23-26) unpublished thesis.

- . Abdul Aziz, B. (2010). Anxiety & depression among adolescent students in Baghdad A thesis submitted to the council of Psychiatry-Iraq commission of medical specializations and scientific research supervised by Dr. Numan S. Ali. Page (15-16) unpublished thesis.

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2020-10-08

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