Leiner MA, Puertas H, Caratachea R, Pérez H, Jiménez P

Language: English
References: 60
Page: 560-567
PDF size: 81.62 Kb.

ABSTRACT

Written questionnaires have been developed to assess children’s risks of psychosocial problems based on parents’ responses. However, the effectiveness of these questionnaires is limited in populations with low literacy rates, which are also among the most in need of improved mental health screening and care. The present study compared the sensitivity and specificity of a version of the Pediatric Symptom Checklist (PSC) –which contained pictorial descriptions in addition to written text– against the “gold standard” Child Behavior Checklist. We retrospectively analyzed 240 sets of questionnaires completed by the mothers or stepmothers of children who visited clinics in a Community Center in Ciudad Juarez, Mexico, between May and December 2007, under the Seguro Popular insurance program provided to Mexicans with the lowest socioeconomic status. Over 95% of the parental participants had less than a high school level of education. The pictorial PSC was a useful tool for screening for psychosocial impairment, with improved sensitivity and specificity in comparison to previous assessments of the written PSC in similar populations within the U.S. Optimal sensitivity and specificity were achieved when the threshold for clinical follow-up was lowered from 28 to 22 points. Questionnaires that include pictorial descriptions may be valuable for improvements of health screening in communities with low education levels.

REFERENCES

1. Children’s Mental Health Facts. In: Children and Adolescents with Mental, Emotional, and Behavioral Disorders: SAMHSA Health Information Network, 2006.

2. Orozco R. Traumatic life events and posttraumatic stress disorder among Mexican adolescents: results from a survey. Salud Púb Méx 2008; 50(1).

3. Patel V. Mental health in low- and middle-income countries. British Med Bull 2007; 81(82): 81-96.

4. Thomas CR, Holzer CE, 3rd. The continuing shortage of child and adolescent psychiatrists. J American Academy of Child and Adolescent Psychiatry 2006; 45(9): 1023-31.

5. Yearwood EL, Crawford S, Kelly M, Moreno N. Immigrant youth at risk for disorders of mood: recognizing complex dynamics. Archives of psychiatric nursing 2007; 21(3): 162-71.

6. Hitchen L. Address poverty to reduce mental health problems among children, says BMA. BMJ 2006; 332(7556): 1471.

7. Koenen KC, Moffitt TE, Poulton R, Martin J, Caspi A. Early childhood factors associated with the development of posttraumatic stress disorder: results from a longitudinal birth cohort. Psychological medicine 2007; 37(2): 181-92.

8. Benjet C, Borges G, Medina-Mora ME, Zambrano J, Aguilar- Gaxiola S. Youth mental health in a populous city of the developing world: results from the Mexican Adolescent Mental Health Survey. J Child Psychol Psychiatry 2009; 50(4): 386-95.

9. Borges G, Benjet C, Medina-Mora ME, Orozco R, Familiar I, Nock MK, et al. Service use among Mexico City adolescents with suicidality. J Affective Disorders 2010; 120(2010): 32-9.

10. Razzouk D. Scarcity and inequity of mental health research resources in low-and-middle income countries: A global survey. Health Policy 2009; 2009.

11. Leslie LK, Gordon JN, Lambros K, Premji K, Peoples J, Gist K. Addressing the developmental and mental health needs of young children in foster care. J Dev Behav Pediatr 2005; 26(2): 140-51.

12. Houtzager BA, Grootenhuis MA, Caron HN, Last BF. Sibling self-report, parental proxies, and quality of life: the importance of multiple informants for siblings of a critically ill child. Pediatr Hematol Oncol 2005; 22(1): 25-40.

13. Dogra N, Vostanis P, Frake C. Child mental health services: cultural diversity training and its impact on practice. Clin Child Psychol Psychiatry 2007; 12(1): 137-42.

14. Jones L. Responding to the needs of children in crisis. Int Rev Psychiatry 2008; 20(3): 291-303.

15. Pescosolido BA, Perry BL, Martin JK, McLeod JD, Jensen PS. Stigmatizing attitudes and beliefs about treatment and psychiatric medications for children with mental illness. Psychiatr Serv 2007; 58(5): 613-8.

16. Janson H, Squires J. Parent-completed developmental screening in a Norwegian population sample: a comparison with US normative data. Act Paediatr 2004; 93(11): 1525-9.

17. Thorndike E. Reading as reasoning: A study of mistakes in paragraph reading. J Educational Psychology 1917; 8: 323-32.

18. Brito-Marques PR, Cabral-Filho JE. The role of education in mini-mental state examination: a study in Northeast Brazil. Arq Neuropsiquiatr 2004; 62(2A): 206-11.

19. Kulaksizoglu IB, Gurvit H, Polat A, Harmanci H, Cakir S, Hanagasi H, et al. Unrecognized depression in community-dwelling elderly persons in Istanbul. Int Psychogeriatr 2005; 17(2): 303-12.

20. Leiner MA, Balcazar H, Straus DC, Shirsat P, Handal G. Screening Mexicans for psychosocial and behavioral problems during pediatric consultation. Rev Invest Clin 2007; 59(2): 116-23.

21. Jutte DP, Burgos A, Mendoza F, Ford CB, Huffman LC. Use of the Pediatric Symptom Checklist in a low-income, Mexican American population. Arch Pediatr Adolesc Med 2003; 157(12): 1169-76.

22. Mayer R. When is an illustration worth ten thousand words? J Educational Psychology 1990; 82(4): 715-26.

23. Fuller R, Dudley N, Blacktop J. How informed is consent? Understanding of pictorial and verbal probability information by medical inpatients. Postgrad Med J 2002; 78(923): 543-4.

24. Pagano M, Murphy JM, Pedersen M, Mosbacher D, Crist-Whitzel J, Jordan P, et al. Screening for psychosocial problems in 4-5-year-olds during routine EPSDT examinations: validity and reliability in a Mexican-American sample. Clin Pediatr 1996; 35(3): 139-46.

25. Achenbach TM, Rescorla L. Manual for the ASEBA Preschool and School-Age forms and Profiles, University of Vermont, Department of Psychiatry: Burlington, VT, 2001.

26. King G, Gakidou E, Ravishankar N, Moore RT, Lakin J, Vargas M, et al. Politically robust’ experimental design for public policy evaluation, with application to the Mexican Universal Health Insurance Program. J Policy Analysis and Management 2007; 26(3): 479-506.

27. Achenbach TM, Edelbrock CS. Behavioral problems and competencies reported by parents of normal and disturbed children aged four through sixteen. Monogr Soc Res Child Dev 1981; 46(1): 1-82.

28. Leiner M, Rescorla L, Medina I, Blanc O, Ortiz M. The Pictorial Child Behavior Checklist: An Assessment Tool for Parents with Low Literacy Levels. Psychological Assessment 2010. In press.

29. Anderson DL, Spratt EG, Macias MM, Jellinek MS, Murphy JM, Pagano M, et al. Use of the pediatric symptom checklist in the pediatric neurology population. Pediatr Neurol 1999; 20(2): 116-20.

30. Reijneveld SA, Vogels AG, Hoekstra F, Crone MR. Use of the Pediatric Symptom Checklist for the detection of psychosocial problems in preventive child healthcare. BMC Public Health 2006; 6: 197.

31. Thun-Hohenstein L, Herzog S. The predictive value of the pediatric symptom checklist in 5-year-old Austrian children. Eur J Pediatr 2008; 167(3): 323-9.

32. Richardson LP, Rockhill C, Russo JE, Grossman DC, Richards J, McCarty C, et al. Evaluation of the PHQ-2 as a brief screen for detecting major depression among adolescents. Pediatrics; 125(5): e1097-e1103.

33. Martenyi F, Treuer T, Gau SS, Hong SD, Palaczky M, Suba J, et al. Attention-deficit/hyperactivity disorder diagnosis, co-morbidities, treatment patterns, and quality of life in a pediatric population in central and eastern Europe and Asia. J Child Adolesc Psychopharmacol 2009; 19(4): 363-76.

34. Walker WO, Jr., LaGrone RG, Atkinson AW. Psychosocial screening in pediatric practice: identifying high-risk children. J Dev Behav Pediatr 1989; 10(3): 134-8.

35. Children’s Mental Health Facts: Children and Adolescents with Mental, Emotional, and Behavioral Disorders. In: SAMHSA (Ed.), 2009.

36. Borowsky IW, Mozayeny S, Ireland M. Brief psychosocial screening at health supervision and acute care visits. Pediatrics 2003; 112(1 Pt 1): 129-33.

37. Simonian SJ, Tarnowski KJ. Utility of the Pediatric Symptom Checklist for behavioral screening of disadvantaged children. Child Psychiatry Hum Dev 2001; 31(4): 269-78.

38. Navon M, Nelson D, Pagano M, Murphy M. Use of the pediatric symptom checklist in strategies to improve preventive behavioral health care. Psychiatr Serv 2001; 52(6): 800-04.

39. Mayer R, Massa LJ. Three facets of visual and verbal learners: Cognitive ability, cognitive style, and learning preference. J Educational Psychology 2003; 95(4): 833-41.

40. Hadgu A. The discrepancy in discrepant analysis. Lancet 1996; 348(9027): 592-3.

41. Valenstein PN. Evaluating diagnostic tests with imperfect standards. Am J Clin Pathol 1990; 93(2): 252-8.

42. Vulliamy E. Life and death in Juarez, the world’s murder capital. The Observer 2009.

43. Frongillo EA, Jyoti DF, Jones SJ. Food Stamp Program participation is associated with better academic learning among school children. J Nutr 2006; 136(4): 1077-80.

44. Miranda ML, Kim D, Reiter J, Overstreet Galeano MA, Maxson P. Environmental contributors to the achievement gap. Neurotoxicology 2009.

45. Veenema TG. Children’s exposure to community violence. J Nurs Scholarsh 2001; 33(2): 167-73.

46. Clarke J, Stein MD, Sobota M, Marisi M, Hanna L. Victims as victimizers: physical aggression by persons with a history of childhood abuse. Arch Intern Med 1999; 159(16): 1920-4.

47. Malti T, Gummerum M, Buchmann M. Contemporaneous and 1-year longitudinal prediction of children’s prosocial behavior from sympathy and moral motivation. J Genet Psychol 2007; 168(3): 277-99.

48. Scarpa A, Hurley JD, Shumate HW, Haden SC. Lifetime prevalence and socioemotional effects of hearing about community violence. J Interpers Violence 2006; 21(1): 5-23.

49. Singer MI, Anglin TM, Song LY, Lunghofer L. Adolescents’ exposure to violence and associated symptoms of psychological trauma. JAMA 1995; 273(6): 477-82.

50. Song LY, Singer MI, Anglin TM. Violence exposure and emotional trauma as contributors to adolescents’ violent behaviors. Arch Pediatr Adolesc Med 1998; 152(6): 531-6.

51. Hurt H, Malmud E, Brodsky NL, Giannetta J. Exposure to violence: psychological and academic correlates in child witnesses. Arch Pediatr Adolesc Med 2001; 155(12): 1351-6.

52. Kilpatrick DG, Acierno R, Saunders B, Resnick HS, Best CL, Schnurr PP. Risk factors for adolescent substance abuse and dependence: data from a national sample. J Consult Clin Psychol 2000; 68(1): 19-30.

53. Voisin DR, Salazar LF, Crosby R, Diclemente RJ, Yarber WL, Staples-Horne M. Witnessing community violence and healthrisk behaviors among detained adolescents. Am J Orthopsychiatry 2007; 77(4): 506-13.

54. Wiersma JE, Hovens JG, van Oppen P, Giltay EJ, van Schaik DJ, Beekman AT, et al. The importance of childhood trauma and childhood life events for chronicity of depression in adults. J Clin Psychiatry 2009; 70(7): 983-9.

55. Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, Hawkins J, et al. Youth risk behavior surveillance-United States, 2007. MMWR Surveill Summ 2008; 57(4): 1-131.

56. Crosby R, Voisin D, Salazar LF, DiClemente RJ, Yarber WL, Caliendo AM. Family influences and biologically confirmed sexually transmitted infections among detained adolescents. Am J Orthopsychiatry 2006; 76(3): 389-94.

57. Benjet C, Borges G, Medina-Mora ME, Zambrano J, Cruz C, Mendez E. Descriptive epidemiology of chronic childhood adversity in Mexican adolescents. J Adolesc Health 2009; 45(5): 483-9.

58. Huston AC, McLoyd VC, Coll CG. Children and poverty: issues in contemporary research. Child Dev 1994; 65(2 Spec No): 275-82.

59. McLoyd VC. The impact of economic hardship on black families and children: psychological distress, parenting, and socioemotional development. Child Dev 1990; 61(2): 311-46.

60. Simons RL, Murry V, McLoyd V, Lin KH, Cutrona C, Conger RD. Discrimination, crime, ethnic identity, and parenting as correlates of depressive symptoms among African American children: a multilevel analysis. Dev Psychopathol 2002; 14(2): 371-93.