School-based screening for psychiatric disorders in Moroccan-Dutch youth

作者: Marcia Adriaanse , Lieke van Domburgh , Barbara Zwirs , Theo Doreleijers , Wim Veling

DOI: 10.1186/S13034-015-0045-8

关键词:

摘要: Background: While ethnic diversity is increasing in many Western countries, access to youth mental health care generally lower among minority compared majority youth. It unlikely that this explained by a prevalence of psychiatric disorders children. Effective screening methods detect are important offer timely interventions. Methods: School-based was carried out at primary and secondary schools the Netherlands with Strengths Difficulties Questionnaire (SDQ) self report teacher report. Additionally, internalizing psychotic symptoms were assessed depressive, somatic anxiety scales Social Health Assessment (SAHA) items derived from Kiddie-Schedule for Affective Disorders Schizophrenia (K-SADS). Of 361 Moroccan-Dutch youths (ages 9 16 years) complete data, 152 children diagnostically using K-SADS. The ability screen any disorder, specific externalizing or estimated SDQ, as well SAHA K-SADS scales. Results: Twenty cases disorder identified (13.2 %), thirteen which (8.6 %) seven (4.6 diagnoses. SDQ predicted good degree accuracy, especially when combined (AUC = 0.86, 95 % CI 0.77-0.94). improved identification disorders. Psychotic experiences significantly disorders, but did not have additional discriminatory power instruments measuring non-psychotic symptoms. Conclusions: effective We suggest routine schools, supplemented symptoms, offering accessible non-stigmatizing interventions school scoring high on questionnaires. Further research should estimate (subgroup-specific) norms optimal cut-offs points larger groups use school-based methods.

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