PREVALENCE AND DETERMINANTS OF BEHAVIORAL PROBLEMS AMONG ADOLESCENTS LIVING IN ORPHANAGE FACILITIES OF DISTRICT PESHAWAR, KHYBER PAKHTUNKHWA, PAKISTAN
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Abstract
ABSTRACT
OBJECTIVE: To determine the prevalence and determinants of behavioral problems among adolescents living in orphanage facilities of District Peshawar, Pakistan.
METHODS: This cross-sectional survey was conducted from February to July 2016 in the orphanages of District Peshawar, Pakistan registered with Social Welfare Department. Total of 360 adolescents of both genders of age group 10 to 19 years were included in the study. Data was collected using Strength and Difficulty Questionnaire (SDQ). Data was analyzed using SPSS V16.
RESULTS: Out of 360 adolescents 334 (92.8%) were males and 26 (7.2%) females. The prevalence of behavioral problem was 33.9%. Among the behavioral problems, conduct problem had the highest prevalence of 24.4% followed by emotional problem (18.6%), peer problem (18.1%), hyperactivity (8.3%) and pro-social behavior (2.8%). The results of cross comparative analysis showed that age, gender, type of orphanage and parent’s status were significantly associated with behavioral problems (p<0.05). However, time period of institutionalization and age at parents’ demise had insignificant (p>0.05) association with behavioral problems.
CONCLUSION: A high burden of behavioral problems was found among adolescents living in orphanages of District Peshawar. The determinants of behavioral problems found in this study, may be taken as target of intervention to reduce behavioral problems among adolescents living in orphanages.
KEY WORDS: Adolescents (MeSH), Adolescent Behavior (MeSH), Behavior (MeSH), Problem Behavior (MeSH), Strength and Difficulty Questionnaire (Non-MeSH)
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References
REFERENCES
Regional training seminar on Guidance and counseling Module 4. Behavior modification. UNESCO. February 2000:1-69. [Cited on: April 02, 2017]. Available from URL:
http://unesdoc.unesco.org/images/0013/001304/130426e.pdf
Nicolson D, Ayers H. Adolescent problems: A practical guide for parents and teachers. London: David Fulton Publishers Ltd; 1997.
Caspi A, Taylor A, Moffitt T, Plomin R. Neighborhood Deprivation Affects Children's Mental Health: Environmental Risks Identified in a Genetic Design. Psychol Sci 2000;11(4):338-42. DOI: 10.1111/1467-9280.00267
Worldwide Children Statistics. [Cited on: April 02, 2017]. Available from URL: http://www.sos-usa.org/our-impact/childrens-statistics
Koumi EL, Mohamed A, Ali YF, El Banna EA, Youssef UM, Raya YM, et al. Psychiatric morbidity among a sample of orphanage children in Cairo. Int J Pediatr 2012;2012:1-7.
Gertler P, Martinez S, Levine D, Bertozzi S. Losing the presence and presents of parent: How parental death affects children. Dev Psychol 2003;25:525-31.
Global Facts about Orphanages 2009. [Cited on: April 02, 2017]. Available from URL: http://www.handstohearts.org/wp-content/uploads/2011/04/Global-Fact-Sheet-on-Orphanages_BetterCareNetwork.pdf [Cited On: February 2, 2016]
Valley health.com. The Impact of Early Orphanage Live on Development – Valley Health System. [Cited on: April 02, 2017]. Available from URL: http://www.valleyhealth.com/adoptionaspx?Id=178
Hussein SA. Dual Informant Ratings of Emotional and Behavioral problems among Primary School Children. Pak J Psychol Res 2010;25(2):165-77.
Makame V, Ani C, Grantham-Mcgregor S. Psychological well-being of orphans in Dar El Salaam, Tanzania. Acta Paediatr 2002; 91(4):459-65.
Halfon N, Zepeda A, Inkelas M. Mental health services for children in foster care. Los Angeles: UCLA Center for Healthier Children, Families and Communities 2002.
Garvin MC, Tarullo AR, Van Ryzin M, Gunnar MR. Post adoption parenting and socioemotional development in post institutionalized children. Dev Psychopathol 2012; 24(01):35-48.
Rahman W, Mullick MS, Pathan MA, Chowdhury NF, Shahidullah M, Ahmed H, et al. Prevalence of behavioral and emotional disorders among the orphans and factors associated with these disorders. Bangabandhu Sheikh Mujib Med Uni J 2012;5(1):29-34.
Simsek Z, Erol N, Öztop D, Münir K. Prevalence and predictors of emotional and behavioral problems reported by teachers among institutionally reared children and adolescents in Turkish orphanages compared with community controls. Children Youth Ser Rev 2007;29(7):883-99.
Behavior Problems. Mental Health Treatment. [Cited on: April 02, 2017]. Available from URL: http://mentalhealthtreatment.net/behavior-problems
Santos LM, Queirós FC, Barreto ML, Santos DN. Prevalence of behavior problems and associated factors in preschool children from the city of Salvador, state of Bahia, Brazil. Rev Bras Psiquiatr 2016;38(1):46-52. DOI: 10.1590/1516-4446-2014-1596
Elhamid AA, Howe A, Reading R. Prevalence of emotional and behavioral problems among 6–12year-old children in Egypt. Soc Psychiatry Psychiatr Epidemiol 2009;44(1):8-14. DOI: 10.1007/s00127-008-0394-1
Samarakkody D, Fernando D, Mcclure R, Perera H, De Silva H. Prevalence of externalizing behavior problems in Sri Lankan preschool children: birth, childhood, and sociodemographic risk factors. Soc Psychiatry Psychiatr Epidemiol 2011;47(5):757-62. DOI: 10.1007/s00127-011-0377-5
Ginige P, Tennakoon SU, Wijesinghe WH, Liyanage L, Herath PS, Bandara K. Prevalence of behavioral and emotional problems among seven to eleven-year-old children in selected schools in Kandy District, Sri Lanka. J Affect Disord 2014;167:167-70. DOI: 10.1016/j.jad.2014.05.062
Mullick MS, Goodman R. The prevalence of psychiatric disorders among 5–10 year olds in rural, urban and slum areas in Bangladesh: an exploratory study. Soc Psychiatry Psychiatr Epidemiol 2005;40(8):663-71. DOI: 10.1007/s00127-005-0939-5
Srinath S, Girimaji SC, Gururaj G, Seshadri S, Subbakrishna DK, Bhola P, et al. Epidemiological study of child and adolescent psychiatric disorders in urban and rural areas of Bangalore, India. Indian J Med Res 2005;122(1):67-79.
Javed MA, Kundi MZ, Khan PA. Emotional and behavioral problems among school children in Pakistan. J Pak Med Assoc 1992;42(8):181-3.
Syed EU, Hussein SA, Mahmud S. Screening for emotional and behavioral problems amongst 5–11-year-old school children in Karachi, Pakistan. Soc Psychiatry Psychiatr Epidemiol 2007;42(5):421-7.
Bandeali S, Jawad A, Azmatullah A, Liaqaut HB, Aqeel I, Afzal A, et al. Prevalence of behavioral and psychological problems in working children. J Pak Med Assoc 2008;58 (6):345-9.
Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 2000;177(6):534-9.
Lassi ZS, Mahmud S, Syed EU, Janjua NZ. Behavioral problems among children living in orphanage facilities of Karachi, Pakistan: Comparison of children in an SOS Village with those in conventional orphanages. Soc Psychiatry Psychiatr Epidemiol 2010;46(8):787-96. DOI: 10.1007/s00127-010-0248-5
Eapen V, Jakka ME, Abou-Saleh MT. Children with psychiatric disorders: The Al Ain community psychiatry survey. Can J Psychiatry 2003;48(6):402-7. DOI: 10.1177/070674370304800607
Freud A, Solint A, Goldstein H. Beyond the best interest of the child, London: Andre Deutsch; 1973.
Bowlby J. Maternal care and mental health. Geneva: World Health Organization; 1951 Mar.