Utility of a New Spanish RQC and PSC in Screening with CBCL Validation

Caregiver-reported emotional-behavioral symptoms in Spanish youth during the COVID-19 pandemic: a longitudinal study

BACKGROUND

COVID-19 pandemic stressors affected youth's mental health. This longitudinal study aims to explore these effects while considering predictive factors such as age and sex.

METHODS

An initial sample of 1502 caregivers answered a longitudinal survey evaluating their youths' (4-17 years of age) emotional/behavioral symptoms using the Pediatric Symptom Checklist (PSC) screening tool. First assessment in May-July 2020 included the prior year's retrospective (TR) and since-lockdown-start (T0) PSC, followed by monthly evaluations until February 2021.

RESULTS

A positive screening PSC (PSC+) was reported in 13.09% of cases at TR and 35.01% at T0, but the likelihood of PSC+ quickly decreased over time. At T0, a more pronounced impact was found on children (39.7%) compared to adolescents (25.4%); male children exhibited higher risk for a PSC+ at T0 and longitudinally than females. Adolescents presented a weaker effect of time-improvement. PSC+ at TR, experienced stressors, and caregiver's stress/depressive symptoms positively predicted PSC+ at T0 and longitudinally; adolescents' unproductive coping style predicted PSC+ at T0. CONCLUSION: The study shows a caregiver-reported increase in emotional/behavioral symptoms in youths during the COVID-19 pandemic, affecting predominantly younger children in the early stages and showing gradual improvement over time, albeit possibly slower in adolescents.

IMPACT

The results show the anticipated surge in emotional and behavioral symptoms during the COVID-19 lockdown in youth reported by caregivers, followed by subsequent amelioration. Of greater significance, the study reveals a heightened impact on young children initially, yet it suggests a slower improvement trajectory in adolescents. The study also identifies risk factors linked to emotional and behavioral symptoms within each age group. Alongside the longitudinal approach, the authors underscore the remarkable inclusion of a significant representation of young children, an unusual feature in such surveys.

Screening for post-traumatic stress disorder among Latinx immigrant children

ABSTRACT

Latinx children face psychosocial, linguistic, and economic challenges that put them at an increased risk of developing mental health conditions. Primary care providers should be equipped to recognize the complex mental health needs of this growing population. This article explores some of the barriers to mental health screenings in Latinx children and presents culturally sensitive, validated screening tools for primary care providers.

Bringing Inclusion Into Pediatric Primary Health Care: A Systematic Review of the Behavioral Health Treatment of Racial and Ethnic Minority Youth

INTRODUCTION

Currently, pediatric behavioral health care accounts for one of the fastest growing health care expenditures. Children representing racial and ethnic minority groups are still found to experience significant behavioral health needs. Primary health care represents the first level of contact with the health care system.

METHOD

The purpose of this systematic review was to synthesize articles discussing the behavioral health needs and treatment of racial and ethnic minority in primary care settings.

RESULTS

Results yielded 40 articles meeting the inclusion criteria. Themes included: provider screening, provider selected treatments, prevalence and need, and stigma and patient-provider communication.

CONCLUSIONS

Themes were discussed through the Ecological Systems Theory lens. Study limitations included its exclusion of intellectual disabilities like Autism Spectrum Disorder, lack of literature utilizing large minority samples, and lack of attention to the intersection between race and/or ethnicity alongside other demographics of concern like gender, age, social class, and geographical location.

Father involvement in infancy predicts behavior and response to chronic stress in middle childhood in a low-income Latinx sample

Fathers' involvement in early childhood is important for children's physical, emotional, and cognitive development, particularly in low-income families. However, little is known about the longitudinal relations between early father involvement and children's later physiological responses to chronic stress and behaviors impacted by stress in the context of poverty. These issues are particularly important among Latinx immigrant families who face significant psychosocial and poverty-related risk. In the current study, we examined the relationship between father involvement in infancy and physiological chronic stress in the middle childhood period, as measured through hair cortisol concentration (HCC), and several behavioral measures (attention problems, working memory) in a Latinx immigrant sample with low income. Father involvement in infancy predicted children's later HCC, and working memory in second to third grade. Father involvement also moderated the effect of HCC on working memory, such that increased HCC predicted better working memory when fathers were not involved. These findings suggest that the fathers' involvement in infancy has lasting impacts on health and behavior and that associations between physiological and behavioral measures of stress may be moderated by differences in early father involvement.

Improving the Measurement of Children’s Mental Health Problems in Colombia with Item Response Theory

The present study examines the psychometric properties of the mental health scale for children used in the 2015 Colombian Mental Health Survey. To do so, a nationally representative sample of 2,727 children is used Mage=8.99; range=7-11, with reports from their main caregivers regarding 26 mental health problem symptoms taken from the Reporting Questionnaire for Children (RQC), Child Behavior Checklist (CBCL), and the Brief Screening and Diagnostic Questionnaire (CBTD). Classical test theory and factor analysis were conducted to analyze the classical location and information of each item, along with the dimensionality, reliability, and convergent validity of the scale. Item Response Theory (IRT) was used in order to estimate theoretically invariant item parameters for location and information. Findings reveal that the mental health scale for children has adequate psychometric properties for its use in Colombia. Furthermore, irt analyses reveals a set of items that maximize information and that may be used in future administrations when more efficiency is warranted.

Exposure to community violence and Children's mental Health: A quasi-experimental examination

RATIONALE

Community violence and mental health problems are global health concerns. Yet, assessing the causal links between community violent crime and mental health is challenging due to problems of selection bias.

OBJECTIVE

This study examines the link between community violent crime and children's mental health problems, as well as the moderating role of parents' mental health.

METHOD

The study employs a representative sample of 404 children (M_age=8.99, range=7-11) from Bogotá, Colombia, as well as longitudinal geocoded data on violent crimes from the national police. To account for problems of selection bias, the empirical strategy exploits naturalistic exogenous variation in the timing and location of an incident of violent crime relative to assessment of children's mental health problems, combined with matching techniques.

RESULTS

Findings suggest an incident of violent crime in close proximity to children's homes is associated, on average, with increases in children's mental health problems by 0.28-0.38 SD; having parents with worse mental health exacerbates children's problems. Results from sensitivity checks and falsification tests further support the internal validity of the findings.

CONCLUSIONS

Collectively, the results from the present study and those of previous research suggest that community violent crime has the potential to affect local residents negatively beyond direct victims, placing a heavy burden on individuals and society.

Household Food Insecurity and Psychosocial Dysfunction in Ecuadorian Elementary Schoolchildren

Household food insecurity (HFI) is a major global public health and pediatric concern due to its reported association with adverse child nutrition, growth, and health outcomes. Psychosocial dysfunction is a major cause of childhood disability. US and Canadian studies have linked HFI to poorer overall psychosocial dysfunction and specific dysfunction types in school-aged children, i.e., internalizing, externalizing, and attention behaviors. However, it is uncertain whether prior findings are generalizable to low- and middle-income country (LMIC) settings. We conducted a cross-sectional study to explore the association of HFI with psychosocial dysfunction in 6-12-year-old public elementary schoolchildren (n=279) residing in low-income neighborhoods in Quito, Ecuador. Maternal caregivers were interviewed to obtain data on child psychosocial dysfunction (Pediatric Symptom Checklist, PSC), food security (Household Food Security Survey Module), and maternal mental health (SF-36 Mental Composite Summary). Capillary blood samples were obtained from child participants to measure hemoglobin levels. The data were analyzed using general linear models with adjustment for covariates. The results revealed that HFI was associated with significantly higher overall average PSC scores (p=0.002) and with internalizing (p=0.001) and externalizing (p=0.03) but not attention subscale scores. However, anemia was independently associated with PSC attention subscale scores (p=0.015). This is the first study to report on the relationship between HFI and psychosocial dysfunction in school-aged children in a LMIC setting. It highlights the importance of improving policies and programs protecting vulnerable households from HFI. In addition to improving health and nutrition, such improvements could potentially reduce the burden of child psychosocial dysfunction.