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Emotional and behavioural problems in subgroups of children with chronic illness: results from a large-scale population study
- Authors:
- HYSING M., et al
- Journal article citation:
- Child: Care, Health and Development, 35(4), July 2009, pp.527-533.
- Publisher:
- Wiley
Background Children with chronic illness are known to have an increased risk of emotional and behavioural problems. In the present population-based study children with asthma, neurological disorders and other chronic illnesses were compared with children without chronic illnesses to assess differences in psychological presentation across illness groups. A total of 537 children with parent-reported chronic illness in the Bergen Child Study were categorized into three groups: asthma, neurological disorders and other chronic illnesses. Emotional and behavioural problems were assessed by the Strengths and Difficulties Questionnaire. All three illness groups had an increased rate of emotional and behavioural problems, as well as increased probability of a psychiatric disorder compared with children without a chronic illness. Most children with asthma and other chronic illnesses did not have emotional and behavioural problems, and effect sizes were small in both groups. In children with neurological disorders the effect sizes ranged from moderate to large, with emotional problems, inattention hyperactivity and peer problems being the most frequent problems. The increased rate of emotional and behavioural problems in children with chronic illness, especially neurological disorders, emphasizes the importance of early detection of mental health problems in these children.
Social functioning and mental health among children who have been living in kinship and non-kinship foster care: results from an 8-year follow-up with a Norwegian sample
- Authors:
- VIS Svein Arild, et al
- Journal article citation:
- Child and Family Social Work, 21(4), 2016, pp.557-567.
- Publisher:
- Wiley
Studies have shown relatively high rates of emotional and behavioural problems among children living in out-of-home care. This study reports the prevalence of social problems at an 8-year follow-up for a group of children/young adults. Predictors for prevalence and change in emotional and behavioural problems at the follow-up are examined. A prospective cohort design with 233 children who had been living in foster care was used. Forty-eight per cent (n = 111) of those interviewed at baseline were located and interviewed at follow-up. Mean age was 17.4 (standard deviation = 2.9) years. Mental health symptomatology was measured with Child Behaviour Checklist and Adult Self-Report. Linear and generalized mixed model analyses were used. Changes in internalizing and externalizing problems from baseline to follow-up was associated with gender. Boys showed more problems at a young age, whereas girls developed more problems later. Predictors for social problems at follow-up were mental health at baseline, kinship care and care placement away from the local community. (Publisher abstract)
Why do children placed out-of-home because of parental substance abuse have less mental health problems than children placed for other reasons?
- Authors:
- HAVNEN Karen Skaale, et al
- Journal article citation:
- Children and Youth Services Review, 33(10), October 2011, pp.2010-2017.
- Publisher:
- Elsevier
Parental substance abuse (PSA) is a well-established risk factor for a variety of negative psychosocial outcomes for children. However, some studies have suggested that children placed out-of-home because of PSA may have less mental health problems than other placed children. The aim of this study was to compare children placed out-of-home because of PSA with children placed for other reasons (NPSA), and to explore the association between PSA and mental health problems. The study participants were 109 6-12 year old children placed in out-of-home care in Norway between September 1998 and December 1999. The data was collected from teachers, child welfare workers and parents shortly after the placement. Several group differences were found related to the children themselves, their families and the Child Welfare case. The PSA children had less total difficulties, conduct problems and emotional problems than the NPSA children. However, both groups had far more mental health problems than children in general. The most important variable explaining the group difference in all subgroups of mental health problems was the extent of prosocial behaviour in the children. Variables like gender, discipline problems and socioeconomic conditions did not have a significant effect. The conclusion is that prosocial behaviour may be an important protective factor against mental health problems.