Just how free is freedom? shared decision making approach in mental health
Location
Auditorium Pond Side
Start Date
26-2-2014 10:30 AM
Abstract
Background : Epidemiological research has revealed that mental health problems in children are common, persistent and hamper their home life and school performance. Few studies have examined the epidemiology of preschoolers’ psychosocial wellbeing especially in Pakistan. This study aims to determine the prevalence of emotional and/or behavioral problems among preschoolers and identifying their possible risk factors.
Method: A cross-sectional study was carried out in three districts of Sindh Province. Mothers were interviewed by using a structured questionnaire during house to house survey. Total 1566 children were assessed on Strength and Difficulty Questionnaire (SDQ). Mother was inquired about her mental health by using Aga Khan Anxiety and depression Scale (AKUADS). Frequency distribution and ordinal regression was calculated.
Results: About 23.3% children rated as abnormal and 23.5% as borderline by their parents. 21.5% mothers were found Depress on AKUADS. Maternal depression found highly significant association with childhood behavioral problems (OR=1.86, CI: 1.38-2.5).Among other factors Mental illness in the family (OR=1.3, CI: .87-2.04) was also high significantly.
Conclusion: Maternal depression found to be significant risk factor for childhood behavioral problems. There is a need to develop integrated culturally appropriate and evidence based maternal and child mental health counseling and parenting services.
Keywords: Preschooler, Strength and Difficulty Questionnaire, mother mental helath, 4Psychosocial wellbeing
Just how free is freedom? shared decision making approach in mental health
Auditorium Pond Side
Background : Epidemiological research has revealed that mental health problems in children are common, persistent and hamper their home life and school performance. Few studies have examined the epidemiology of preschoolers’ psychosocial wellbeing especially in Pakistan. This study aims to determine the prevalence of emotional and/or behavioral problems among preschoolers and identifying their possible risk factors.
Method: A cross-sectional study was carried out in three districts of Sindh Province. Mothers were interviewed by using a structured questionnaire during house to house survey. Total 1566 children were assessed on Strength and Difficulty Questionnaire (SDQ). Mother was inquired about her mental health by using Aga Khan Anxiety and depression Scale (AKUADS). Frequency distribution and ordinal regression was calculated.
Results: About 23.3% children rated as abnormal and 23.5% as borderline by their parents. 21.5% mothers were found Depress on AKUADS. Maternal depression found highly significant association with childhood behavioral problems (OR=1.86, CI: 1.38-2.5).Among other factors Mental illness in the family (OR=1.3, CI: .87-2.04) was also high significantly.
Conclusion: Maternal depression found to be significant risk factor for childhood behavioral problems. There is a need to develop integrated culturally appropriate and evidence based maternal and child mental health counseling and parenting services.
Keywords: Preschooler, Strength and Difficulty Questionnaire, mother mental helath, 4Psychosocial wellbeing