Emotional and Behavioral Problems of Refugee Children During COVID-19 Pandemic and the Reliability Study of Arabic Version of YSR-11/18
PDF
Cite
Share
Request
Original Article
P: 76-83
March 2024

Emotional and Behavioral Problems of Refugee Children During COVID-19 Pandemic and the Reliability Study of Arabic Version of YSR-11/18

Turk J Child Adolesc Ment Health 2024;31(1):76-83
1. Şişli Etfal Hamidiye Eğitim ve Araştırma Hastanesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kliniği, İstanbul, Türkiye
2. Rumeli Üniversitesi, Psikoloji Bölümü, İstanbul, Türkiye
3. Koç Üniversitesi Hastanesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kliniği, İstanbul, Türkiye
No information available.
No information available
Received Date: 10.06.2022
Accepted Date: 17.11.2022
Publish Date: 27.03.2024
PDF
Cite
Share
Request

ABSTRACT

Objectives:

The aim of this study is to analyze the reliability of the Arabic version of Youth Self Report 11-18 Years Old (YSR-11/18), the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) based six subscales model and its two sub-scale models and also to identify adolescents with clinical and subclinical symptoms in terms of psychosomatic problems, oppositional defiant (OD) problems, behavior problems, attention deficit hyperactivity (ADH) problems, internalizing problems, externalizing problems, and total problems.

Materials and Methods:

This study was conducted with 333 Syrian refugee adolescents who can read Arabic between March 2 and April 29, 2021. A sociodemographic data form and (YSR-11/18) were applied to the participants. The reliability of the scale was determined by Omega and Cronbach alpha analysis. The differences between the genders were compared with the t-test.

Results:

Omega value of YSR-11/18’s subscales of DSM-5 based depression problems, anxiety problems, psychosomatic problems, OD problems, conduct problems, ADH problems was found 0.859, 0.786, 0.771, 0.703, 0.935 and 0.759 respectively; the Omega value of internalization, externalization and total problems subscale was found 0.901, 0.954, 0.968 respectively. Considering the frequency of psychiatric problems at clinical and subclinical level in the study, depressive problems were found 18.4%, anxiety problems 22.6%, psychosomatic problems 5.9%, OD problems 4.7%, conduct problems 8.0%, ADH problems 2.5%; The frequency of internalization, externalization and total problems were found to be 20.4%, 10.5% and 17.1%, respectively.

Conclusion:

The Arabic version of YSR-11/18 has been shown to be reliable in six DSM-5-based subscales and two subscales in Syrian refugee adolescents. It has been shown that Syrian refugee adolescents are at high risk for all psychiatric problems during the pandemic period.

Keywords: Refugee, emotional problem, behavioural problem, YSR, reliability

References

1
Coronavirus Disease (COVID-19) Situation Reports. Accessed June 1, 2022. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
2
Cowan K. Survey results: Understanding people’s concerns about the mental health impacts of the COVID-19 pandemic. Report for MQ: Transforming Mental Health and the Academy of Medical Sciences, London 2020 [http://www.acmedsci.ac.uk/COVIDmentalhealthsurveys, 01.05.2022’de erişilmiştir].
3
Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, Agha M, Agha R. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. Int J Surg. 2020;78:185-193.
4
Sarı T, Nayır F. Pandemi Dönemi Eğitim: Sorunlar ve Fırsatlar. Turkish Stud. 2020;15:959-975.
5
Brickhill-Atkinson M, Hauck FR. Impact of COVID-19 on Resettled Refugees. Prim Care. 2021;48:57.
6
Özensoy AU. Education Experiences of Syrian Refugee Students in Mus during the COVID-19. Int J Curric Instr. 2021;13:274-290.
7
Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc Psychiatry Ment Heal. 2020;14:1-11.
8
Brickhill-Atkinson M, Hauck FR. Impact of COVID-19 on Resettled Refugees. Prim Care. 2021;48:57.
9
Türkiye’deki Suriyeli Sayısı 2022 - Mülteciler ve Sığınmacılar Yardımlaşma ve Dayanışma Derneği. https://multeciler.org.tr/turkiyedeki-suriyeli-sayisi-haziran-2022/.
10
Cantekin D, Gençöz T. Mental Health of Syrian Asylum Seekers in Turkey: The Role of Pre-Migration and Post-Migration Risk Factors. 2017;36:835-859
11
www.unicef.org/turkey/en/humanitarian-action-children-hac.
12
https://hbogm.meb.gov.tr/meb_iys_dosyalar/2022_01/26165737_goc2022sunu.pdf
13
Sirin SR, Rogers-Sirin L. The Educational and Mental Health Needs of Syrian Refugee Children. Accessed: 03.06.2022. https://www.migrationpolicy.org/research/educational-and-mental-health-needs-syrian-refugee-children
14
Zehra KÖ. The problems that Syrian refugee children, class teachers and Turkish children face in the school environment from the standpoint of trainee teachers. Educ Res Rev. 2020;15:554-563.
15
Belhadj Kouider E, Koglin U, Petermann F. Emotional and behavioral problems in migrant children and adolescents in Europe: a systematic review. Eur Child Adolesc Psychiatry. 2014;23:373-391.
16
Yektaş Ç, Erman H, Tufan AE. Traumatic experiences of conditional refugee children and adolescents and predictors of post-traumatic stress disorder: data from Turkey. Nord J Psychiatry. 2021;75:420-426.
17
Kien C, Sommer I, Faustmann A, Gibson L, Schneider M, Krczal E, Jank R, Klerings I, Szelag M, Kerschner B, Brattström P, Gartlehner G. Prevalence of mental disorders in young refugees and asylum seekers in European Countries: a systematic review. Eur Child Adolesc Psychiatry. 2019;28:1295-1310.
18
Ziaian T, de Anstiss H, Antoniou G, Baghurst P, Sawyer M. Emotional and Behavioural Problems Among Refugee Children and Adolescents Living in South Australia. Aust Psychol. 2013;48:139-148.
19
Tousignant M, Habimana E, Biron C, Malo C, Sidoli-LeBlanc E, Bendris N. The Quebec Adolescent Refugee Project: psychopathology and family variables in a sample from 35 nations. J Am Acad Child Adolesc Psychiatry. 1999;38:1426-1432.
20
Kira IA, Alpay EH, Turkeli A, Shuwiekh HAM, Ashby JS, Alhuwailah A. The Effects of COVID-19 Traumatic Stress on Executive Functions: The Case of Syrian Refugees in Turkey. J Loss Trauma. 2021;26:666-687.
21
Guglielmi S, Seager J, Mitu K, Baird S, Jones N. Exploring the impacts of COVID-19 on Rohingya adolescents in Cox’s Bazar: A mixed-methods study. J Migr Heal. 2020;1-2:100031.
22
Kluge HHP, Jakab Z, Bartovic J, D’Anna V, Severoni S. Refugee and migrant health in the COVID-19 response. Lancet 2020;395:1237-1239.
23
Brose A, Blanke ES, Schmiedek F, Kramer AC, Schmidt A, Neubauer AB. Change in mental health symptoms during the COVID-19 pandemic: The role of appraisals and daily life experiences. J Pers. 2021;89:468-482.
24
Jones N, Baird S, Abu Hamad B, Bhutta ZA, Oakley E, Shah M, Sajdi J, Yount KM. Compounding inequalities: Adolescent psychosocial wellbeing and resilience among refugee and host communities in Jordan during the COVID-19 pandemic. PLoS One. 2022;2;17:e0261773.
25
Erol E, Seçinti DD. Examination of PTSD and Depression Levels and Demographic Data of Syrian Refugee Children during the Pandemic. Psych. 2022;4:215-225.
26
Garmezy N, Masten AS. Chronic adversities. Blackwell Scientific Publications. 1994:191-208.
27
Ünver H, Perdahlı Fiş N. An Analysis of Admissions to a Refugee Child Mental Health Unit in the Context of the COVID-19 Pandemic. Clin Child Psychol Psychiatry. 2022;27:136-144.
28
Eruyar S, Maltby J, Vostanis P. Mental health problems of Syrian refugee children: the role of parental factors. Eur Child Adolesc Psychiatry. 2018;27:401-409.
29
Akgül S, Hüsnü Ş, Derman O, Özmert E, Bideci A, Hasanoğlu E. Mental health of Syrian refugee adolescents: how far have we come? Turk J Pediatr. 2019;61:839-845.
30
Karadag M, Ogutlu H. Prevalence of psychiatric symptoms among refugee adolescents in Turkey: a controlled study. Braz J Psychiatry. 2021;1;43:55-60.
31
Achenbach T, Rescorla L. Manual for the ASEBA School-Age Forms & Profiles : An Integrated System of Multi-Informant Assessment. ASEBA;2001.
32
https://aseba.org/wp-content/uploads/DSM-Oriented-Guide-for-the-ASEBA.pdf.
33
Ivanova MY, Achenbach TM, Rescorla LA, Dumenci L, Almqvist F, Bilenberg N, Bird H, Broberg AG, Dobrean A, Döpfner M, Erol N, Forns M, Hannesdottir H, Kanbayashi Y, Lambert MC, Leung P, Minaei A, Mulatu MS, Novik T, Oh KJ, Roussos A, Sawyer M, Simsek Z, Steinhausen HC, Weintraub S, Winkler Metzke C, Wolanczyk T, Zilber N, Zukauskiene R, Verhulst FC. The generalizability of the Youth Self-Report syndrome structure in 23 societies. J Consult Clin Psychol. 2007;75:729-738.
34
Tabachnick BG, Fidell LS. Using Multivariate Statistics (4th ed). Allyn and Bacon, Boston. 2001. Pearson.
35
Revelle W, Zinbarg RE. Coefficients Alpha, Beta, Omega, and the glb: Comments on Sijtsma. Psychom. 2009;74:145-154.
36
Nunnally, J. Psychometric Methods (2nd ed). McGraw-Hill, New York. 1978.
37
DeVellis RF. Scale Development: Theory and Applications. Sage Publications. 1991.
38
Blackmore R, Gray KM, Boyle JA, Fazel M, Ranasinha S, Fitzgerald G, Misso M, Gibson-Helm M. Systematic Review and Meta-analysis: The Prevalence of Mental Illness in Child and Adolescent Refugees and Asylum Seekers. J Am Acad Child Adolesc Psychiatry. 2020;59:705-714.
39
Ma L, Mazidi M, Li K, Li Y, Chen S, Kirwan R, Zhou H, Yan N, Rahman A, Wang W, Wang Y. Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021;1;293:78-89.
40
Muzi S, Sansò A, Pace CS. What’s Happened to Italian Adolescents During the COVID-19 Pandemic? A Preliminary Study on Symptoms, Problematic Social Media Usage, and Attachment: Relationships and Differences With Pre-pandemic Peers. Front Psychiatry. 2021;12:556.
41
Scherer N, Hameed S, Acarturk C, Deniz G, Sheikhani A, Volkan S, Örücü A, Pivato I, Akıncı İ, Patterson A, Polack S. Prevalence of common mental disorders among Syrian refugee children and adolescents in Sultanbeyli district, Istanbul: results of a population-based survey. Epidemiol Psychiatr Sci. 2020;10;29:e192.
42
Duren R, Yalçın Ö. Social capital and mental health problems among Syrian refugee adolescents: The mediating roles of perceived social support and post-traumatic symptoms. Int J Soc Psychiatry. 2021;67:243-250.
43
Ellis BH, MacDonald HZ, Lincoln AK, Cabral HJ. Mental health of Somali adolescent refugees: the role of trauma, stress, and perceived discrimination. J Consult Clin Psychol. 2008;76:184-193.
44
Heptinstall E, Sethna V, Taylor E. PTSD and depression in refugee children: associations with pre-migration trauma and post-migration stress. Eur Child Adolesc Psychiatry. 2004;13:373-380.
45
Özer S, Sirin SR, Oppedal B, Özer S, Sirin SR, Oppedal B. Bahçeşehir Study of Syrian Refugee Children in Turkey. İstanbul: Bahçeşehir Üniversitesi. 2016.
46
van Geelen SM, Rydelius PA, Hagquist C. Somatic symptoms and psychological concerns in a general adolescent population: Exploring the relevance of DSM-5 somatic symptom disorder. J Psychosom Res. 2015;79:251-258.
47
Polanczyk G V., Salum GA, Sugaya LS, Caye A, Rohde LA. Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry. 2015;56:345-365.
48
Orgilés M, Morales A, Delvecchio E, Mazzeschi C, Espada JP. Immediate Psychological Effects of the COVID-19 Quarantine in Youth From Italy and Spain. Front Psychol. 2020;11:2986.
49
Gadermann AM, Gagné Petteni M, Janus M, Puyat JH, Guhn M, Georgiades K. Prevalence of Mental Health Disorders Among Immigrant, Refugee, and Nonimmigrant Children and Youth in British Columbia, Canada. JAMA Netw Open. 2022;5:e2144934-e2144934.
50
Leadbeater BJ, Kuperminc GP, Blatt SJ, Hertzog C. A multivariate model of gender differences in adolescents’ internalizing and externalizing problems. Dev Psychol. 1999;35:1268-1282.
51
Rehna T, Hanif R, Um e Laila, Ali SZ. Life stress and somatic symptoms among adolescents: gender as moderator. J Pak Med Assoc. 2016;66:1448-1451.
52
Vulić-Prtorić A. Somatic complaints in adolescence: prevalence patterns across gender and age. Psihol teme. 2016;25,:75-105.
53
Vulić Prtorić A, Cifrek Kolarić M. Child and adolescent clinical psychology: Research review. In: LAP LAMBERT Academic Publishing. 2012.
54
Negriff S, Susman EJ. Pubertal timing, depression, and externalizing problems: A framework, review, and examination of gender differences. J Res Adolesc. 2011;21:717-746.
55
Ara E. Internalizing and externalizing problems in adolescents analyzing the gender difference. Int J Res Soc Sci. 2016;6:328-337.
56
Majumder P. Exploring stigma and its effect on access to mental health services in unaccompanied refugee children. BJPsych Bull. 2019;43:275-281.
2024 ©️ Galenos Publishing House