Psychiatric morbidity among children and adolescents living in orphanages around Kota Bharu, Kelantan
Background: Child psychiatric morbidity are common and treatable, but often go undetected and therefore remain untreated. Children living in orphanage are more likely to have problems. Objective: To characterize the psychiatric morbidity and associated factors among children and adolescents at r...
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| Format: | Thesis |
| Language: | English |
| Published: |
2006
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| Subjects: | |
| Online Access: | http://eprints.usm.my/47620/1/DR.%20ZUNAIDAH%20BT.%20YA%20%40ZAKARIA-24%20pages.pdf http://eprints.usm.my/47620/ |
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| Summary: | Background: Child psychiatric morbidity are common and treatable, but often go
undetected and therefore remain untreated. Children living in orphanage are more likely
to have problems.
Objective: To characterize the psychiatric morbidity and associated factors among
children and adolescents at risk living in orphanages around Kota Bharu.
Method: This study involving two-stage study design. First, screening of all the
children and adolescents living in orphanages were done using the Malay version of
Strengths and Difficulties Questionnaire. Both of self-rating and teacher-rating were used
in this study. In the second stage, all the children and adolescents who were identified as
high-risk group (extreme 10 % of population) and selected cases from the low risk group
(90% of population) were interviewed for diagnoses using lCD I 0.
Results: Based on the SDQ scoring in the screening phase, for the self-rating data,
27 (12%) of children and adolescents scored in the high risk group and 193 (88%) scored
in the low risk group, Teacher rating data of SDQ reported that 25 ( 11 %) children and
adolescents scored in the high risk group and 195 (88%) scored in the low risk group. In
the second stage, for the self rating data 24 (1 0.9%) of respondents had a psychiatric
diagnosis and for the teacher rating data, 18 (8.2%) had a psychiatric diagnosis.
Conclusions: Psychiatric morbidity were relatively frequent among children and
adolescents living in orphanage. This results indicate that increased focus on prevention
and early recognition of children and adolescents in need of treatment seems crucial. The
screening programmes was found to be useful for the detection of child psychiatric
morbidity, thereby improving access to effective treatment. |
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