Mental health of internally displaced preschool children: a cross-sectional study conducted in Bogotá, Colombia

Ilse J E Flink, María H Restrepo, Diana P Blanco, Mónica M Ortegon, Carolina L Enriquez, Tinneke M J Beirens, Hein Raat

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

PURPOSE: Ongoing armed conflicts, like the one in Colombia, have forcibly displaced millions of people including many young children. This study aimed to assess the mental health of internally displaced preschoolers in Bogotá Colombia and to identify correlates of mental health in these children.

METHODS: Cross-sectional study conducted among 279 children attending four kindergartens in a deprived neighbourhood in Bogotá. Child mental health was assessed with the Child Behaviour Checklist (CBCL) 1.5-5 years, a parent-report. Univariate analyses and multivariate logistic regressions were performed to assess the association between displacement and child mental health and to identify correlates of mental health in displaced children.

RESULTS: Displaced children (n = 90) more often met borderline cut-off scores for the CBCL scales than non-displaced children (n = 189) (e.g. total problems 46.7 vs. 22.8 %; p < 0.001). The association between displacement and presence of CBCL total problems remained after adjustment for socio-demographic factors (Adjusted OR 3.3, 95 % CI 1.5; 6.9). Caretaker's mental health partly explained the association. In displaced children, caretaker's mental health (p < 0.01) and family functioning (p < 0.01) were independently associated with child mental health. Exposure to traumatic events and social support was also associated with child mental health; however, associations were not independent.

CONCLUSION: In this deprived neighbourhood in Bogotá, preschool children registered as internally displaced presented worse mental health than non-displaced peers. Family functioning and caretaker's mental health were strongly and independently associated with displaced children's mental health.

Original languageEnglish (US)
Pages (from-to)917-26
Number of pages10
JournalSocial Psychiatry
Volume48
Issue number6
DOIs
StatePublished - Jun 2013

Fingerprint

Colombia
Preschool Children
preschool child
cross-sectional study
Mental Health
Cross-Sectional Studies
mental health
Child Behavior
Checklist
Social Support
demographic factors
Multivariate Analysis
kindergarten
Logistic Models
Demography
Child Health

Cite this

Flink, Ilse J E ; Restrepo, María H ; Blanco, Diana P ; Ortegon, Mónica M ; Enriquez, Carolina L ; Beirens, Tinneke M J ; Raat, Hein. / Mental health of internally displaced preschool children : a cross-sectional study conducted in Bogotá, Colombia. In: Social Psychiatry. 2013 ; Vol. 48, No. 6. pp. 917-26.
@article{c7b3da8b376d4e2db32e5912b35b8fe0,
title = "Mental health of internally displaced preschool children: a cross-sectional study conducted in Bogot{\'a}, Colombia",
abstract = "PURPOSE: Ongoing armed conflicts, like the one in Colombia, have forcibly displaced millions of people including many young children. This study aimed to assess the mental health of internally displaced preschoolers in Bogot{\'a} Colombia and to identify correlates of mental health in these children.METHODS: Cross-sectional study conducted among 279 children attending four kindergartens in a deprived neighbourhood in Bogot{\'a}. Child mental health was assessed with the Child Behaviour Checklist (CBCL) 1.5-5 years, a parent-report. Univariate analyses and multivariate logistic regressions were performed to assess the association between displacement and child mental health and to identify correlates of mental health in displaced children.RESULTS: Displaced children (n = 90) more often met borderline cut-off scores for the CBCL scales than non-displaced children (n = 189) (e.g. total problems 46.7 vs. 22.8 {\%}; p < 0.001). The association between displacement and presence of CBCL total problems remained after adjustment for socio-demographic factors (Adjusted OR 3.3, 95 {\%} CI 1.5; 6.9). Caretaker's mental health partly explained the association. In displaced children, caretaker's mental health (p < 0.01) and family functioning (p < 0.01) were independently associated with child mental health. Exposure to traumatic events and social support was also associated with child mental health; however, associations were not independent.CONCLUSION: In this deprived neighbourhood in Bogot{\'a}, preschool children registered as internally displaced presented worse mental health than non-displaced peers. Family functioning and caretaker's mental health were strongly and independently associated with displaced children's mental health.",
author = "Flink, {Ilse J E} and Restrepo, {Mar{\'i}a H} and Blanco, {Diana P} and Ortegon, {M{\'o}nica M} and Enriquez, {Carolina L} and Beirens, {Tinneke M J} and Hein Raat",
year = "2013",
month = "6",
doi = "10.1007/s00127-012-0611-9",
language = "English (US)",
volume = "48",
pages = "917--26",
journal = "Social Psychiatry",
issn = "0037-7813",
publisher = "D. Steinkopff-Verlag",
number = "6",

}

Mental health of internally displaced preschool children : a cross-sectional study conducted in Bogotá, Colombia. / Flink, Ilse J E; Restrepo, María H; Blanco, Diana P; Ortegon, Mónica M; Enriquez, Carolina L; Beirens, Tinneke M J; Raat, Hein.

In: Social Psychiatry, Vol. 48, No. 6, 06.2013, p. 917-26.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Mental health of internally displaced preschool children

T2 - a cross-sectional study conducted in Bogotá, Colombia

AU - Flink, Ilse J E

AU - Restrepo, María H

AU - Blanco, Diana P

AU - Ortegon, Mónica M

AU - Enriquez, Carolina L

AU - Beirens, Tinneke M J

AU - Raat, Hein

PY - 2013/6

Y1 - 2013/6

N2 - PURPOSE: Ongoing armed conflicts, like the one in Colombia, have forcibly displaced millions of people including many young children. This study aimed to assess the mental health of internally displaced preschoolers in Bogotá Colombia and to identify correlates of mental health in these children.METHODS: Cross-sectional study conducted among 279 children attending four kindergartens in a deprived neighbourhood in Bogotá. Child mental health was assessed with the Child Behaviour Checklist (CBCL) 1.5-5 years, a parent-report. Univariate analyses and multivariate logistic regressions were performed to assess the association between displacement and child mental health and to identify correlates of mental health in displaced children.RESULTS: Displaced children (n = 90) more often met borderline cut-off scores for the CBCL scales than non-displaced children (n = 189) (e.g. total problems 46.7 vs. 22.8 %; p < 0.001). The association between displacement and presence of CBCL total problems remained after adjustment for socio-demographic factors (Adjusted OR 3.3, 95 % CI 1.5; 6.9). Caretaker's mental health partly explained the association. In displaced children, caretaker's mental health (p < 0.01) and family functioning (p < 0.01) were independently associated with child mental health. Exposure to traumatic events and social support was also associated with child mental health; however, associations were not independent.CONCLUSION: In this deprived neighbourhood in Bogotá, preschool children registered as internally displaced presented worse mental health than non-displaced peers. Family functioning and caretaker's mental health were strongly and independently associated with displaced children's mental health.

AB - PURPOSE: Ongoing armed conflicts, like the one in Colombia, have forcibly displaced millions of people including many young children. This study aimed to assess the mental health of internally displaced preschoolers in Bogotá Colombia and to identify correlates of mental health in these children.METHODS: Cross-sectional study conducted among 279 children attending four kindergartens in a deprived neighbourhood in Bogotá. Child mental health was assessed with the Child Behaviour Checklist (CBCL) 1.5-5 years, a parent-report. Univariate analyses and multivariate logistic regressions were performed to assess the association between displacement and child mental health and to identify correlates of mental health in displaced children.RESULTS: Displaced children (n = 90) more often met borderline cut-off scores for the CBCL scales than non-displaced children (n = 189) (e.g. total problems 46.7 vs. 22.8 %; p < 0.001). The association between displacement and presence of CBCL total problems remained after adjustment for socio-demographic factors (Adjusted OR 3.3, 95 % CI 1.5; 6.9). Caretaker's mental health partly explained the association. In displaced children, caretaker's mental health (p < 0.01) and family functioning (p < 0.01) were independently associated with child mental health. Exposure to traumatic events and social support was also associated with child mental health; however, associations were not independent.CONCLUSION: In this deprived neighbourhood in Bogotá, preschool children registered as internally displaced presented worse mental health than non-displaced peers. Family functioning and caretaker's mental health were strongly and independently associated with displaced children's mental health.

U2 - 10.1007/s00127-012-0611-9

DO - 10.1007/s00127-012-0611-9

M3 - Article

C2 - 23124480

VL - 48

SP - 917

EP - 926

JO - Social Psychiatry

JF - Social Psychiatry

SN - 0037-7813

IS - 6

ER -