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AIDS and Behavior

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01.06.2014 | Original Paper

First Evaluation of a Population-Based Screen to Detect Emotional-Behavior Disorders in Orphaned Children in Sub-Saharan Africa

verfasst von: Carla Sharp, Amanda Venta, Lochner Marais, Donald Skinner, Molefi Lenka, Joe Serekoane

Erschienen in: AIDS and Behavior | Ausgabe 6/2014

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Abstract

Due to the HIV/AIDS pandemic which has left 12 million children orphaned in Sub-Saharan Africa, children are at increased risk for mental health problems. Currently, no validity data exist for any screening measure of emotional-behavior disorders in pre-adolescent children in Sub-Saharan Africa. The aims of the current study were to evaluate the construct validity of the caregiver-, teacher-, and self-report versions of the one-page Strengths and Difficulties Questionnaire (SDQ) in 466 orphans in South Africa between the ages of 7 and 11 (M _age = 9.23 years, SD = 1.33, 51.93 % female) and to provide, for the first time, clinical cut-offs for this population. Findings demonstrated support for the caregiver SDQ, but not the teacher and self-report versions. We provide clinical cut-offs, but caution their use before further research is conducted. There remains a critical need for further psychometric studies of the SDQ in the developing world.

UNAIDS. Report on global AIDS epidemic. Geneva: UN; 2010.

Dorrington R, Johnson L, Bradshaw D, Daniel T. The demographic impact of HIV/AIDS in South Africa. National and provincial indicators for 2006. Cape Town: Centre for Actuarial Research, South African Medical Research Council and Actuarial Society of South Africa; 2005.

Johnson L, Dorrington R. Impact of orphanhood in South Africa: a qualitative analysis. Cape Town: Centre for Actuarial Research; 2001.

Phiri S, Webb D. The impact of HIV/AIDS on orphans and programme and policy responses. In: Cornia G, editor. AIDS, public policy and child well-being. http://hivaidsclearinghouse.unesco.org (2005).

Cluver L. Children of the AIDS pandemic. Nature. 2011;474(7349):27–9.PubMedCrossRef

Cluver L, Gardner F. The mental health of children orphaned by AIDS: a review of international and southern African research. J Child Adolesc Mental Health. 2007;19(1):1–17.CrossRef

Foster G, Levine C, Williamson J. A generation at risk: the global impact of HIV/AIDS on orphans and vulnerable children. New York: Cambridge University Press; 2005.CrossRef

Wild L. The psychological adjustment of children orphaned by AIDS. South Afr J Child Adolesc Mental Health. 2001;13(1):3–22.CrossRef

Cluver L, Gardner F. Risk and protective factors for psychological well-being of children orphaned by AIDS in Cape Town: a qualitative study of children and caregivers’ perspectives. AIDS Care. 2007;19(3):318–25.PubMedCrossRef

10.

Cluver L, Gardner F, Operario D. Psychological distress amongst AIDS-orphaned children in urban South Africa. J Child Psychol Psychiatry. 2007;48(8):755–63.PubMedCrossRef

11.

Bhargava A. AIDS epidemic and the psychological well-being and school participation of Ethiopian orphans. Psychol Health Med. 2005;10(3):263–75.CrossRef

12.

Fang X, Li X, Stanton B, Hong Y, Zhang L, Lin D, et al. Parental HIV/AIDS and psychosocial adjustment among rural Chinese children. J Pediatr Psychol. 2009;34(10):1053–62.PubMedCentralPubMedCrossRef

13.

Gong J, Li X, Fang X, Zhao G, Lv Y, Stanton B, et al. Sibling separation and psychological problems of double AIDS orphans in rural China: a comparison analysis. Child Care Health Dev. 2009;35(4):534–41.PubMedCrossRef

14.

Li X, Barnett D, Fang X, Lin X, Zhao G, Stanton B, et al. Lifetime incidences of traumatic events and mental health among children affected by HIV/AIDS in rural China. J Clin Child Adolesc Psychol. 2009;38(5):731–44.PubMedCrossRef

15.

Makame V, Ani C, Grantham-McGregor S. Psychological well-being of orphans in Dar Es Salaam, Tanzania. Acta Paediatr. 2007;91(4):459–65.CrossRef

16.

Nyamukapa C, Gregson S, Lopman B, Saito S, Watts H, Jukes M, et al. HIV-associated orphanhood and children’s psychosocial distress: theoretical framework tested with data from Zimbabwe. Am J Public Health. 2008;98(1):133–41.PubMedCentralPubMedCrossRef

17.

Cluver L, Orkin M, Gardner F, Boyes M. Persisting mental health problems among AIDS orphaned children in South Africa. J Child Psychol Psychiatry. 2012;53(4):363–70.PubMedCrossRef

18.

Koot H. Longitudinal studies of general population and community samples. In: Verhulst F, Koot H, editors. The epidemiology of child and adolescent psychopathology. New York: Oxford University Press; 1995.

19.

Sharp C, Croudace T, Goodyer I, Amtmann D. The strength and difficulties questionnaire: predictive validity of parent and teacher ratings for help-seeking behaviour over one year. Educ Child Psychol. 2005;22(3):28–44.

20.

Canino G, Alegría M. Psychiatric diagnosis—is it universal or relative to culture? J Child Psychol Psychiatry. 2008;49(3):237–50.PubMedCentralPubMedCrossRef

21.

Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med. 1978;88(2):251–8.PubMedCrossRef

22.

Goodman R. The Strengths and Difficulties Questionnaire: a research note. Child Psychol Psychiatry Allied Discipl. 1997;38(5):581–6.CrossRef

23.

Goodman R. Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40(11):1337–45.PubMedCrossRef

24.

Goodman R, Ford T, Corbin T, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) multi-informant algorithm to screen looked-after children for psychiatric disorders. Eur Child Adolesc Psychiatry. 2004;13(Suppl2):II25–31.PubMed

25.

Mathai J, Anderson P, Bourne A. Use of the Strengths and Difficulties Questionnaire as an outcome measure in a child and adolescent mental health service. Australas Psychiatry. 2003;11(3):334–7.CrossRef

26.

Obel C, Heiervang E, Rodriguez A, Heyerdahl S, Smedje H, Olsen J, et al. The Strengths and Difficulties Questionnaire in the Nordic countries. Eur Child Adolesc Psychiatry. 2004;13(Suppl2):II32–9.PubMed

27.

Goodman R, Renfrew D, Mullick M. 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. 2000;9(2):129–34.PubMedCrossRef

28.

Marzocchi G, Capron C, Di Pietro M, Tauleria E, Duyme M, Thérond C, et al. The use of the Strengths and Difficulties Questionnaire (SDQ) in Southern European countries. Eur Child Adolesc Psychiatry. 2004;13(Suppl2):II40–6.PubMed

29.

van Widenfelt B, Goedhart A, Treffers P, Goodman R. Dutch version of the Strengths and Difficulties Questionnaire (SDQ). Eur Child Adolesc Psychiatry. 2003;12(6):281–9.PubMedCrossRef

30.

Woerner W, Becker A, Friedrich C, Klasen H, Goodman R, Rothenberger A. Normal values and evaluation of the German parents’ version of Strengths and Difficulties Questionnaire (SDQ): results of a representative field study. Z Kinder Jugendpsychiatr Psychother. 2002;30(2):105–12.PubMedCrossRef

31.

Achenbach TM. Manual for the child behavior checklist and 1991 profile. Burlington: Department of Psychiatry, University of Vermont; 1991.

32.

Ward C, Flisher A, Zissis C, Muller M, Lombard C. Exposure to violence and its relationship to psychopathology in adolescents. Injury Prev. 2001;7:297–301.CrossRef

33.

Caradas A, Lambert E, Charlton K. An ethnic comparison of eating attitudes and associated body image concerns in adolescent South African schoolgirls. J Hum Nutr Diet. 2001;14(2):111–20.PubMedCrossRef

34.

Seedat S, Nyamai C, Njenga F, Vythilingum B, Stein D. Trauma exposure and post-traumatic stress symptoms in urban African schools. Br J Psychiatry. 2004;184(2):169–75.PubMedCrossRef

35.

American Psychiatric Association. Standards for educational and psychological testing. Washington, DC: American Educational Research Association; 1999.

36.

Shisana O, Simbayi L. Nelson Mandela/HSRC study of HIV/AIDS. South Africa National HIV prevalence behaviour risks and mass media household survey. Pretoria: Human Sciences and Research Council; 2002.

37.

The Motheo District Municipality. The integrated development plan for the Motheo district; 2008.

38.

Shaffer D, Fisher P, Lucas C, Dulcan M, Schwab-Stone M. NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry. 2000;39(1):28–38.PubMedCrossRef

39.

Sharp C, Skinner D, Serekoane M, Ross M. A qualitative study of the cultural appropriateness of the diagnostic interview schedule for children (DISC-IV) in South Africa. Soc Psychiatry Psychiatr Epidemiol. 2011;46(8):743–51.PubMedCentralPubMedCrossRef

40.

Chisholm D, Flisher A, Lund C, Patel V, Saxena S, Thornicroft G, Tomlinson M. Scale up services for mental disorders: a call for action. Lancet. 2007;370(9594):1241–52.PubMedCrossRef

41.

Hosegood V, Timaeus I. Levels and causes of adult mortality in rural South Africa: the impact of AIDS. Aids. 2004;18(4):663–71.PubMedCrossRef

42.

Gjersing L, Caplehorn J, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol. 2010;10:10–3.CrossRef

43.

Hambleton R. The next generation of the ITC test translation and adaptation guidelines. Eur J Psychol Assess. 2001;17(3):164–72.CrossRef

44.

Hambleton R, Merenda P, Spielberger C. Adapting educational and psychological tests for cross-cultural assessment. Mahwah: Lawrence Erlbaum, Inc.; 2005.

45.

van de Vijver F, Hambleton R. Translating tests: some practical guidelines. Eur Psychol. 1996;1(2):89–99.CrossRef

46.

Bourdon K, Goodman R, Rae D, Simpson G, Koretz D. The Strengths and Difficulties Questionnaire: U.S. normative data and psychometric properties. J Am Acad Child Adolesc Psychiatry. 2005;44(6):557–64.PubMedCrossRef

47.

Palmieri P, Smith G. Examining the structural validity of the Strengths and Difficulties Questionnaire (SDQ) in a U.S. sample of custodial grandmothers. Psychol Assess. 2007;19(2):189–98.PubMedCentralPubMedCrossRef

48.

Robins L, Helzer J, Croughan J, Ratcliff K. National Institute of Mental Health diagnostic interview schedule: its history, characteristics, and validity. Arch Gen Psychiatry. 1981;38(4):381–9.PubMedCrossRef

49.

World Health Organization. Atlas: mapping mental health resources in the world. Geneva: WHO; 2002.

50.

Lund C, Flisher A. Norms for mental health services in South Africa. Soc Psychiatry Psychiatr Epidemiol. 2006;41(7):587–94.PubMedCrossRef

51.

Shaw C, Brady L, Davey C. Guidelines for research with young children. London: National Children’s Bureau; 2011.

52.

Sharp C, Goodyer I, Croudace T. The Short Mood and Feelings Questionnaire (SMFQ): a unidimensional item response theory and categorical data factor analysis of self-report ratings from a community sample of 7-through 11-year-old children. J Abnorm Child Psychol. 2006;34(3):379–91.PubMed

53.

Swets J, Pickett R. Evaluation of diagnostic systems: methods from signal detection theory. Orlando: Academic Press; 1982.

54.

Rice M, Harris G. Comparing effect sizes in follow-up studies: ROC Area, Cohen’s d, and r. Law Hum Behav. 2005;29(5):615–20.PubMedCrossRef

55.

Cohen J. Statistical power analysis for the behavioral sciences. rev ed. Hillsdale: Lawrence Erlbaum Associates, Inc; 1977.

56.

Li X, Naar-King S, Barnett D, Stanton B, Fang X, Thurston C. A developmental psychopathology framework of the psychosocial needs of children orphaned by HIV. JANAC J Assoc Nurses AIDS Care. 2008;19(2):147–57.

57.

Reynolds C, Livingston R. Mastering modern psychological testing: theory and methods. Upper Saddle River: Pearson Education; 2012.

58.

Achenbach T, McConaughy S, Howell C. Child/adolescent behavioral and emotional problems: implications of cross-informant correlations for situational specificity. Psychol Bull. 1987;101(2):213–32.PubMedCrossRef

59.

Stone L, Otten R, Engels R, Vermulst A, Janssens J. Psychometric properties of the parent and teacher versions of the Strengths and Difficulties Questionnaire for 4- to 12-year-olds: a review. Clin Child Fam Psychol Rev. 2010;13(3):254–74.PubMedCentralPubMedCrossRef

60.

Muris P, Meesters C, van den Berg F. The Strengths and Difficulties Questionnaire (SDQ): further evidence for its reliability and validity in a community sample of Dutch children and adolescents. J Eur Child Adolesc Psychiatry. 2003;12:1–8.CrossRef

61.

Koskelainen M, Sourander A, Kaljonen A. The Strengths and Difficulties Questionnaire among Finnish school-age children and adolescents. J Eur Child Adolesc Psychiatry. 2000;9:277–84.CrossRef

62.

Marais L, Sharp C, Pappin M, et al. Community-based support for the mental health of orphans and vulnerable children in South Africa: a triangulation study. Vulnerable Child Youth Stud. (In press).

63.

Patel V, Flisher A, Nikapota A, Malhotra S. Promoting child and adolescent mental health in low and middle income countries. J Child Psychol Psychiatry. 2008;49(3):313–34.PubMedCrossRef

64.

Achenbach T, Rescorla L, Ivanova M. International epidemiology of child and adolescent psychopathology I: diagnoses, dimensions, and conceptual issues. J Am Acad Child Adolesc Psychiatry. 2012;51(12):1261–72.PubMedCrossRef

65.

Rescorla L, Ivanova M, Achenbach T, Begovac I, Chahed M, Zhang E, et al. International epidemiology of child and adolescent psychopathology II: integration and applications of dimensional findings from 44 societies. J Am Acad Child Adolesc Psychiatry. 2012;51(12):1273–83.PubMedCrossRef

66.

Statistics South Africa. http://www.statssa.gov.za/ (2007).

Titel: First Evaluation of a Population-Based Screen to Detect Emotional-Behavior Disorders in Orphaned Children in Sub-Saharan Africa
verfasst von: Carla Sharp
Amanda Venta
Lochner Marais
Donald Skinner
Molefi Lenka
Joe Serekoane
Publikationsdatum: 01.06.2014
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 6/2014
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-014-0739-6

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