Assessment of Mental Health Problems of School Children Using Self Report Strengths and Difficulties Questionnaire
DOI:
https://doi.org/10.22502/jlmc.v9i1.392Keywords:
Emotion, Mental health, Peer problem, School children, Strength Difficulty QuestionnaireAbstract
Introduction: Psychological disorders among children and adolescents are the least discussed health problems in pediatrics. There is limited data on the prevalence of mental health problems among adolescents in low-income countries like Nepal. This study intended to find the prevalence of mental health problems among school children in a secondary school in western Nepal. Methods: In this descriptive cross-sectional study, students of grades six to eleven of two private schools of a district in Nepal were randomly selected. The self-rated version of Goodman’s Strength and Difficulty Questionnaire were used to assess mental health problem in these adolescents. Outcomes were measured in a scale of zero to 10 for each of emotional, conduct, hyperactivity, peer problem and pro-social behavior. Difficulty scale and its impact on life were also measured. Results: Out of 902 students, 5% (n=49) had significant and 14% (n=127) had probable mental health problem. Peer problems was the commonest (25%) followed by emotional (15%) and conduct problem (15%) and hyperactivity and pro-social problems were seen in 7% each. Boys had more mental health problem than girls except emotional problem. Mental health problem was more common in lower grade or younger age students. Its impact on life were 0-7.4%. Abnormal internalizing and externalizing problems were reported in 20% and 11% respectively. Conclusion: Mental health problem was prevalent (5 to 25%) in secondary school children. Screening school children for the same would be beneficial for early diagnosis.
Downloads
References
Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515-25. PMID: 22008427 DOI: https://doi.org/10.1016/s0140-6736(11)60827-1
World Health Organization. Adolescent mental health. Geneva: WHO; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
Chhabra GS, Sodhi MK. Impact of Family Conflict on the Psychosocial Behavior in Male Adolescents. Journal of Nepal Paediatric Society. 2012;32(2):124-131. DOI: https://doi.org/10.3126/jnps.v32i2.6147
Hamoda H, Ferrin M. International Association for Child and Adolescent Psychiatry and Allied Professions. IACAPAP Bulletin: Issue 57. Geneva; 2020. Available from: https://iacapap.org/content/uploads/Bulletin-Issue57.pdf
Palfrey JS, Tonniges TF, Green M, Richmond J. Introduction: Addressing the millennial morbidity — The context of community paediatrics. Pediatrics. 2005;115(Suppl 3):1121- 23. DOI: https://doi.org/10.1542/peds.2004-2825B
Sharma B, Rai MK, Sharma A, Karki S. Emotional and Behavioral Problems among Adolescents in Pokhara City in Nepal. J Nepal Health Res Counc. 2018;16(41):419-24. PMID: 30739933
Goodman R, Meltzer H, Bailey V. The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry. 1998;7(3):125-30. PMID: 9826298 DOI: https://doi.org/10.1007/s007870050057
Muris P, Meesters C, van den Berg F. The Strengths and Difficulties Questionnaire (SDQ)- -further evidence for its reliability and validity in a community sample of Dutch children and adolescents. Eur Child Adolesc Psychiatry. 2003;12(1):1-8. PMID: 12601558 DOI: https://doi.org/10.1007/s00787-003-0298-2
Goodman R, Scott S. Comparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: is small beautiful? J Abnorm Child Psychol. 1999;27(1):17-24. PMID: 10197403 DOI: https://doi.org/10.1023/a:1022658222914
Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40(11):1337-45. PMID: 11699809 DOI: https://doi.org/10.1097/00004583-200111000-00015
Banstola RS. Psychosocial Problem among School-going Adolescents in Pokhara, Western Nepal. Janapriya Journal of Interdisciplinary Studies, 2017;6(0):121-33. Available from: https://www.nepjol.info/index.php/JJIS/article/view/19314/15805
Khattri JB, Poudel BM, Thapa P, Godar ST, Tirkey S, Ramesh K, et al. An Epidemiological Study of Psychiatric Cases in a Rural Community of Nepal. Nepal Journal of Medical Sciences 2013;2(1):52-6. DOI: https://doi.org/10.3126/njms.v2i1.7654
K Bhola , Sathyanarayanan V, Rekha DP, Daniel S, Thomas T. Assessment of Self- Reported Emotional and Behavioral Difficulties Among Pre-University College Students in Bangalore, India. Indian J Community Med. 2016;41(2):146-50. PMID: 27051090 DOI: https://doi.org/10.4103/0970-0218.177536
Keyho K, Gujar NM, Ali A. Prevalence of mental health status in adolescent school children of Kohima District, Nagaland. Annals of Indian Psychiatry. 2019;3(1):39-42. Available from: https://www.anip.co.in/text.asp?2019/3/1/39/259094
George M, Chandak S, Wasnik M, Khekade S, Gahlod N, Shukla H. Assessment of child’s mental health problems using strengths and difficulties questionnaire. Journal of Oral Research and Review. 2019;11(1):7-11. Available from: https://www.jorr.org/text.asp?2019/11/1/7/253427
Banerjee M, Bhat AA, Chatterjee A. A comparative study of mental health problems among 11-17 year old Indian school children living in areas with persistent political violence and children of the same age group living under standard conditions using self rated Strength and Difficulty Questionnaire. Sri Lanka Journal of Child Health. 2015;44(2):88-91. Available from: https://sljch.sljol.info/articles/7990/galley/5923/download/
Chaulagain A, Kunwar A, Watts S, Guerrero APS, Skokauskas N. Child and adolescent mental health problems in Nepal: a scoping review. International Journal of Mental Health System. 2019;13(0):53. DOI: https://doi.org/10.1186/s13033-019-0310-y
Rimal HS, Pokharel A. Assessment of Mental Health Problems of School Children Aged 11-17 Years Using Self Report Strength and Difficulty Questionnaire (SDQ). Journal of Nepal Paediatric Society. 2013;33(3):172-76. DOI: https://doi.org/10.3126/jnps.v33i3.8752
Thapa B, Powell J, Yi J, McGee J, Landis J, Rein L, et al. Adolescent Health Risk and Behavior Survey: A School Based Survey in Central Nepal. Kathmandu Univ Med J (KUMJ). 2017;15(60):301-7. PMID: 30580346
Wolf RT, Jeppesen P, Gyrd-Hansen D, The CCC2000 Study Group, Oxholm AS. Evaluation of a screening algorithm using the strengths and difficulties questionnaire to identify children with mental health problems: A five-year register-based follow-up on school performance and healthcare use. PLoS ONE. 2019;14(10):0223314. DOI: https://doi.org/10.1371/journal.pone.0223314
Atilola O, Balhara YPS, Stevenovic D, Avicenna M, Kandemir H. Self-Reported Mental Health Problems Among Adolescents in Developing Countries: results from an international pilot sample. J Dev Behav Pediatr. 2013;34(2):129- 137. PMID: 23369959 DOI: https://doi.org/10.1097/dbp.0b013e31828123a6
Downloads
Published
Issue
Section
License
- The Journal of Lumbini Medical College (JLMC) publishes open access articles under the terms of the Creative Commons Attribution (CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- JLMC requires an exclusive licence to publish the article first in its journal in print and online.
- The corresponding author should read and agree to the following statement before submission of the manuscript for publication,
- License agreement
- In submitting an article to Journal of Lumbini Medical College (JLMC) I certify that:
- I am authorized by my co-authors to enter into these arrangements.
- I warrant, on behalf of myself and my co-authors, that:
- the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
- I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to JLMC are not in breach of any other obligation;
- the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
- I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
- I, and all co-authors, agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0. If the law requires that the article be published in the public domain, I/we will notify JLMC at the time of submission, and in such cases the article shall be released under the Creative Commons 1.0 Public Domain Dedication waiver. For the avoidance of doubt it is stated that sections 1 and 2 of this license agreement shall apply and prevail regardless of whether the article is published under Creative Commons Attribution License 4.0 or the Creative Commons 1.0 Public Domain Dedication waiver.
- I, and all co-authors, agree that, if the article is editorially accepted for publication in JLMC, data included in the article shall be made available under the Creative Commons 1.0 Public Domain Dedication waiver, unless otherwise stated. For the avoidance of doubt it is stated that sections 1, 2, and 3 of this license agreement shall apply and prevail.
Please visit Creative Commons web page for details of the terms.









