Behavioral problems among children living in orphanage facilities of Karachi, Pakistan: comparison of children in an SOS Village with those in conventional orphanages

Lassi, Zohra S; Mahmud, Sadia; Syed, Ehsan Ullah; Janjua, Naveed Z.

doi:10.1007/s00127-010-0248-5

Cited by 46 publications

(62 citation statements)

References 28 publications

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“…The absence of randomised trials restricted any inferences we could draw because of issues related to potential selection bias of children to family-based placements. Although some studies suggested no differences in internalising domains on the basis of placement form, 28,29 most studies suggested greater internalising difficulties in children in institutional care. 30–34 All studies that examined externalising psychopathological symptoms showed more difficulties in those children in institutional care compared with children in foster care, 30–33 and one study showed only greater behavioural difficulties in girls in institutional care compared with girls in families.…”

Section: Figurementioning

confidence: 95%

“…30–34 All studies that examined externalising psychopathological symptoms showed more difficulties in those children in institutional care compared with children in foster care, 30–33 and one study showed only greater behavioural difficulties in girls in institutional care compared with girls in families. 29 Only one study examined inattention, and showed that boys placed in residential care had more symptoms than boys in foster care. 35 …”

Section: Figurementioning

confidence: 99%

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Effects of institutional rearing and foster care on psychopathology at age 12 years in Romania: follow-up of an open, randomised controlled trial

Humphreys

Gleason

Drury

et al. 2015

The Lancet Psychiatry

162

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Summary Background Early social deprivation can negatively affect domains of functioning. We examined psychopathology at age 12 years in a cohort of Romanian children who had been abandoned at birth and placed into institutional care, then assigned either to be placed in foster care or to care as usual. Methods We used follow-up data from the Bucharest Early Intervention Project (BEIP), a randomised controlled trial of abandoned children in all six institutions for young children in Bucharest, Romania. In the initial trial, 136 children, enrolled between ages 6–31 months, were randomly assigned to either care as usual or placement in foster care. In this study we followed up these children at age 12 years to assess psychiatric symptoms using the Diagnostic Interview Schedule for Children (4th edition; DISC-IV). We also recruited Romanian children who had never been placed in an institution from paediatric clinics and schools in Bucharest as a comparator group who had never been placed in an institution. The primary outcome measure was symptom counts assessed through DISC-IV scores for three domains of psychopathology: internalising symptoms, externalising symptoms, and attention-deficit hyperactivity disorder (ADHD). We compared mean DISC-IV scores between trial participants and comparators who had never been placed in an institution, and those assigned to care as usual or foster care. Analyses were done by modified intention to treat. This trial is registered with ClinicalTrials.gov, number NCT00747396. Findings We followed up 110 children from the BEIP trial between Jan 27, 2011, and April 11, 2014, and 49 children as comparators who had never been placed in an institution. The 110 children who had ever been placed in an institution had higher symptom counts for internalising disorders (mean 0.93 [SD 1.68] vs 0.45 [0.84], difference 0.48 [95% CI 0.14–0.82]; p=0.0127), externalising disorders (2.31 [2.86] vs 0.65 [1.33], difference 1.66 [1.06–2.25]; p<0.0001), and ADHD (4.00 [5.01] vs 0.71 [1.85], difference 3.29 [95% CI 2.39–4.18]; p<0.0001) than did children who had never been placed in an institution. Compared with 55 children randomly assigned to receive care as usual, the 55 children in the foster-care group had fewer externalising symptoms (mean 2.89 [SD 3.00] for care as usual vs 1.73 [2.61] for foster care, difference 1.16 [95% CI 0.11 to 2.22]; p=0.0255), but symptom counts for internalising disorders (mean 1.00 [1.59] for care as usual vs 0.85 [1.78] for foster care, difference 0.15 [−0.35 to 0.65]; p=0.5681) and ADHD (mean 3.76 [4.61] for care as usual vs 4.24 [5.41] for foster care, difference −0.47 [−2.15 to 1.20; p=0.5790) did not differ. In further analyses, symptom scores substantially differed by stability of foster-care placement. Interpretation Early foster care slightly reduced the risk of psychopathology in children who had been living in institutions, but long-term stability of foster-care placements is an important predictor of psychopathology in early adolescence. Funding Nation...

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Section: Figurementioning

confidence: 95%

Section: Figurementioning

confidence: 99%

Effects of institutional rearing and foster care on psychopathology at age 12 years in Romania: follow-up of an open, randomised controlled trial

Humphreys

Gleason

Drury

et al. 2015

The Lancet Psychiatry

162

View full text Add to dashboard Cite

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“…If we used those criteria for our data then the rate of behavior problems would be 41.53%. In another study of children living in orphanages the rate was 33% [56]. In our sample trauma had less pronounced effects on the broad psychopathology than on PTSD.…”

Section: Discussionmentioning

confidence: 91%

Psychological Morbidity in Children 18 months after Kashmir Earthquake of 2005

Ayub

Poongan

Masood

et al. 2011

Child Psychiatry Hum Dev

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A severe earthquake occurred in Kashmir in 2005. The epicentre was close to Muzzafarabad. We collected data on over 1,100 children 18 months after the earthquake to look at symptoms of PTSD and behavioural and emotional problems using well established questionnaires. We found that 64.8% of children had significant symptoms of PTSD. Girls were more likely to suffer from these symptoms. The proportion of children suffering from emotional and behaviour difficulties was 34.6%. This percentage was not different from other studies of children from Pakistan within areas which were not affected by the earthquake. The rate of emotional symptoms was higher in girls while hyperactivity was more frequent in boys. This pattern is similar to other studies from across the world.

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“…In addition, the other director's response cited providing care and love to children. As Lassie et al (2010) stated, the SOS Children's Villages' philosophy should be applied to other orphanages, because the notion of establishing a family for children who have lost their own biological ones has shown a positive influence on the children.…”

Section: Providing a Nurturing Environmentmentioning

confidence: 99%

“…In addition, the employees need to be passionate and satisfied. Furthermore, they noted the need to establish a family based CC, as advocated by Lassie et al (2010).…”

Section: The Constitution Of Effective Management Of CCmentioning

confidence: 99%