Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-14T21:19:26.480Z Has data issue: false hasContentIssue false

School-based survey of psychiatric disorders among Pakistani children: a feasibility study

Published online by Cambridge University Press:  02 January 2018

Sajida Abdul Hussein
Affiliation:
University of Leicester, Greenwood Institute of Child Health, Leicester, UK, email sa27@leicester.ac.uk
John Bankart
Affiliation:
Department of Primary Care and Health Sciences, Keele University, UK
Panos Vostanis
Affiliation:
University of Leicester, Greenwood Institute of Child Health, Leicester, UK
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A cross-sectional survey of children aged 5–11 years attending 22 primary schools was carried out in Karachi, Pakistan. In the first (screening) phase, broad morbidity rates were measured using the Strengths and Difficulties Questionnaire (SDQ). A total of 968 parents and 793 teachers participated. In the second phase, 100 children were selected for a diagnostic interview using the Kiddie Schedule of Affective Disorders & Schizophrenia for School-Age Children. A weighted rate of 17% (95% CI 6.2–28.3%) was found for common child psychiatric disorders, with a preponderance of behavioural disorders, followed by anxiety and mood disorders. The feasibility study established methods and preliminary rates of child psychiatric disorders, which appear higher than in other countries. School surveys could be an important source of data in low-income countries and form the basis for interventions in the absence of specialist services.

Type
Research Paper
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Royal College of Psychiatrists 2013

References

Ambrosini, P. & Dixon, J. (1996) Schedule for Affective Disorders and Schizophrenia for School-Age Children – Version IVR (K-SADS-IVR). Medical College of Pennsylvania, Eastern Pennsylvania Psychiatric Institute.Google Scholar
Goodman, R. (2001) Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 13371345.CrossRefGoogle ScholarPubMed
Green, H., Mc Ginnity, A., Meltzer, H., et al (2005) Mental Health of Children and Young People in Great Britain. Office for National Statistics.Google Scholar
Hussein, S. A. & Vostanis, P. (2008) Urdu translation and cultural adaptation of the Schedule for Affective Disorders & Schizophrenia for School Age Children (6–18 yrs) K-SADS-IV R. Journal of Pakistan Psychiatric Society, 5, 8185.Google Scholar
Javad, A. M., Kundi, M. Z. & Khan, A. P. (1992) Emotional and behavioural problems among school children in Pakistan. Journal of Pakistan Medical Association, 42, 181184.Google Scholar
Jawaid, A. & Rehman, T. (2007) Paediatric mental health in Pakistan: a neglected avenue. Journal of Pakistan Medical Association, 57, 5051.Google Scholar
Mirza, I. & Jenkins, R. (2004) Risk factors, prevalence, and treatment of anxiety and depressive disorders in Pakistan: systematic review. BMJ, 328, 794.CrossRefGoogle ScholarPubMed
Samad, L., Hollis, C., Prince, M., et al (2005) Child and adolescent psychopathology in a developing country: testing the validity of the Strengths and Difficulties Questionnaire (Urdu version). International Journal of Methods in Psychiatric Research, 14, 158166.Google Scholar
Shaffer, D., Gould, M. S., Brasic, J., et al (1983) Children's Global Assessment Scale (CGAS). Archives of General Psychiatry, 40, 12281231.CrossRefGoogle ScholarPubMed
Srinath, S., Kandasamy, P. & Golhar, T. S. (2010) Epidemiology of child and adolescent mental health disorders in Asia. Current Opinion in Psychiatry, 23, 330336.Google Scholar
Syed, E. U., Hussein, S. A. & Yousafzai, W. (2007) Developing services with limited resources: establishing a CAMHS in Pakistan. Child and Adolescent Mental Health, 12, 121124.Google Scholar
Tareen, A., Mirza, I., Minhas, A., et al (2009) Developing child and adolescent mental health services in a low-income country: a global partnership model. Psychiatric Bulletin, 33, 181183.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.