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Haune M, Nissen A, Christiansen Ø, Myrvold TM, Ruud T, Heiervang ER. Comprehensive Health Assessment for Children in Out-of-Home Care: An Exploratory Study of Service Needs and Mental Health in a Norwegian Population. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01619-5. [PMID: 37828418 DOI: 10.1007/s10578-023-01619-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/03/2023] [Indexed: 10/14/2023]
Abstract
A comprehensive model for routine multi-disciplinary health assessment for children in out-of-home care was piloted in a Norwegian region. This paper reports on identified service needs and mental disorders among 196 children (0-17 years) receiving the assessment. Cross-sectional data was extracted from assessment reports. Results show needs across a range of services, with a mean of 2.8 recommended services for children aged 0-6 and 3.3 for children aged 7-17. Mental disorders were identified in 50% of younger children, and 70% of older children. For all children, overall service need was associated with mental disorders, in addition to male gender among younger children. Need for specialized mental health services was associated with mental disorders among younger children and increasing age among older children. The high frequency of service needs and mental disorders illustrate the importance of offering comprehensive health assessments routinely to this high-risk child population and necessitates coordinated service delivery.
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Affiliation(s)
- Monica Haune
- Institute of Clinical Medicine, University of Oslo, Blindern, P.O box 1171, Oslo, 0318, Norway.
| | - Alexander Nissen
- Division for Forced Migration and Refugee Health, Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway
| | - Øivin Christiansen
- Regional Centre for Child and Youth Mental Health and Child Welfare, NORCE Norwegian Research Centre, Bergen, Norway
| | - Trine M Myrvold
- Norwegian Institute for Urban and Regional Research, Oslo Metropolitan University, Oslo, Norway
| | - Torleif Ruud
- Institute of Clinical Medicine, University of Oslo, Blindern, P.O box 1171, Oslo, 0318, Norway
- Mental Health Services, Akershus University Hospital, Lørenskog, Norway
| | - Einar R Heiervang
- Institute of Clinical Medicine, University of Oslo, Blindern, P.O box 1171, Oslo, 0318, Norway
- Oslo University Hospital, Oslo, Norway
- Innlandet Hospital Trust, Innlandet, Norway
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Karimy M, Fakhri A, Vali E, Vali F, Veiga FH, Stein LAR, Araban M. Disruptive behavior scale for adolescents (DISBA): development and psychometric properties. Child Adolesc Psychiatry Ment Health 2018; 12:17. [PMID: 29545829 PMCID: PMC5846229 DOI: 10.1186/s13034-018-0221-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Accepted: 02/20/2018] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Growing evidence indicates that if disruptive behavior is left unidentified and untreated, a significant proportion of these problems will persist and may develop into problems linked with delinquency, substance abuse, and violence. Research is needed to develop valid and reliable measures of disruptive behavior to assist recognition and impact of treatments on disruptive behavior. The aim of this study was to develop and evaluate the psychometric properties of a scale for disruptive behavior in adolescents. METHODS Six hundred high school students (50% girls), ages ranged 15-18 years old, selected through multi stage random sampling. Psychometrics of the disruptive behavior scale for adolescents (DISBA) (Persian version) was assessed through content validity, explanatory factor analysis (EFA) using Varimax rotation and confirmatory factor analysis (CFA). The reliability of this scale was assessed via internal consistency and test-retest reliability. RESULTS EFA revealed four factors accounting for 59% of observed variance. The final 29-item scale contained four factors: (1) aggressive school behavior, (2) classroom defiant behavior, (3) unimportance of school, and (4) defiance to school authorities. Furthermore, CFA produced a sufficient Goodness of Fit Index > 0.90. Test-retest and internal consistency reliabilities were acceptable at 0.85 and 0.89, respectively. CONCLUSIONS The findings from this study suggest that the Iranian version of DISBA questionnaire has content validity. Further studies are needed to evaluate stronger psychometric properties for DISBA.
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Affiliation(s)
- Mahmood Karimy
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Ahmad Fakhri
- 0000 0000 9296 6873grid.411230.5Department of Psychiatry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Esmaeel Vali
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Farzaneh Vali
- Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran
| | - Feliciano H. Veiga
- 0000 0001 2181 4263grid.9983.bInstitute of Education, University of Lisbon, Lisbon, Portugal
| | - L. A. R. Stein
- 0000 0004 0416 2242grid.20431.34Psychology Dept., University of RI, Kingston, RI USA ,0000 0004 1936 9094grid.40263.33Behavioral & Social Sciences Dept., Brown University School of Public Health, Providence, RI USA ,RI Training School, Cranston, RI USA
| | - Marzieh Araban
- 0000 0000 9296 6873grid.411230.5Social Determinants of Health Research Center, Department of Health Education and Promotion, Public Health School, Ahvaz Jundishapur University of Medical Sciences Campus, Golestan BLVD, Ahvaz, 61375-15751 Iran ,0000 0000 9296 6873grid.411230.5Department of Health Education and Promotion, Public Health School, Ahvaz Jundishapur University of Medical Sciences Campus, Golestan BLVD, Ahvaz, 61375-15751 Iran
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Huang LY, Wahlqvist ML, Lee MS, Chiang PH. Dietary quality linkage to overall competence at school and emotional disturbance in representative Taiwanese young adolescents: dependence on gender, parental characteristics and personal behaviors. Nutr J 2018; 17:29. [PMID: 29471835 PMCID: PMC5822521 DOI: 10.1186/s12937-018-0333-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 01/24/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Child school performance during puberty may be at increased risk through emotional disturbance. It is hypothesized that this may be mitigated by dietary quality. METHODS In a nationally representative sample (Nutrition and Health Survey in Taiwan, NAHSIT), 1371 Taiwanese aged 11-16 years, overall competence at school, (OCS) and emotional status have been assessed by teachers with the SAED (Scale for Assessing Emotional Disturbance). Parents provided family socio-demographics and students completed a behavioral and dietary questionnaire (Youth Healthy Eating Index - Taiwan, YHEI-TW). Associations between emotional disturbance (ED), OCS and dietary quality (YHEI-TW) were assessed in multiple linear regression models with adjustments for covariates including parental characteristics, personal behaviors, body fatness and puberty. RESULTS Boys or girls with ED had a less favorable OCS (p < 0.001), minimally dependent on YHEI-TW. On multivariable analysis there was a more positive association between OCS and YHEI-TW among boys (β = 0.05, p < 0.01) and girls (β = 0.07, p < 0.001). Poor dietary quality was associated with ED, especially in girls (β = - 0.06, p < 0.001). Additionally, parental characteristics, body fatness, and personal behaviors are associated with OCS. Puberty is associated with ED and may be indirectly linked to OCS. CONCLUSIONS Unsatisfactory food intake is associated with the link between emotional disturbance and impaired school performance, as assessed by OCS, especially among girls. For both genders, socio-economic and behavioral factors including parenteral income, reading, screen viewing and smoking are modulators of this association. Puberty was a modifying factor in girls. Dietary quality is a relevant factor for health (ED) as well as education (OCS) during early adolescence.
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Affiliation(s)
- Lin-Yuan Huang
- Division of Preventive Medicine and Health Services Research, Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County, 350, Taiwan, Republic of China
| | - Mark L Wahlqvist
- Division of Preventive Medicine and Health Services Research, Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County, 350, Taiwan, Republic of China.,School of Public Health, National Defense Medical Center, No.161, Sec. 6, Minchuan East Road, Taipei, 114, Taiwan, Republic of China.,Monash Asia Institute, Monash University, 5th Floor, H Building, 900 Dandenong Road, Caulfield East, Melbourne, VIC, 3145, Australia.,College of Public Health, China Medical University, Taichung, Taiwan, Republic of China
| | - Meei-Shyuan Lee
- School of Public Health, National Defense Medical Center, No.161, Sec. 6, Minchuan East Road, Taipei, 114, Taiwan, Republic of China
| | - Po-Huang Chiang
- Division of Preventive Medicine and Health Services Research, Institute of Population Health Sciences, National Health Research Institutes, 35 Keyan Road, Zhunan Town, Miaoli County, 350, Taiwan, Republic of China. .,College of Public Health, China Medical University, Taichung, Taiwan, Republic of China.
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