Psychological well-being of orphans in Dar El Salaam, Tanzania

Makame, V; Ani, Cornelius; Grantham‐McGregor, Sally

doi:10.1080/080352502317371724

Cited by 103 publications

(71 citation statements)

References 12 publications

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“…Findings indicate that compared to children orphaned due to other causes, children orphaned as a result of HIV/AIDS are more likely to experience anxiety (Atwine, et al, 2005; Pelton & Forehand, 2005), depression, sadness, hopelessness and loneliness (Bhargava, 2005; Ssengendo & Nambi, 1997), posttraumatic stress and suicidal feelings (Cluver, Gardener & Operario, 2007). Studies also indicate that AIDS-orphaned children suffer from peer problems (Makame, Ani & McGregor, 2002), conduct problems (Atwine et al, 2005) and higher levels of internalizing problems and delinquency (Cluver, Gardener & Operario, 2007). …”

Section: The Impact Of Parental Loss On Childrenmentioning

confidence: 99%

The Effects of parental loss on the psychosocial wellbeing of AIDS-orphaned children living in AIDS-impacted communities: Does gender matter?

Nabunya

Ssewamala

2014

Children and Youth Services Review

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Section: The Impact Of Parental Loss On Childrenmentioning

confidence: 99%

The Effects of parental loss on the psychosocial wellbeing of AIDS-orphaned children living in AIDS-impacted communities: Does gender matter?

Nabunya

Ssewamala

2014

Children and Youth Services Review

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“…Research in many countries indicates that children with HIV-positive caregivers are at increased risk for a range of mental health problems including conduct problems due to disrupted parent-child relationships, fear, and misinformation [19], [20], [21], family conflict, stigma, economic insecurity, lower education achievement, and caregiver depression and physical impairment [22], [23], [24]. Although the overall HIV prevalence rate in Rwanda has been declining and is currently estimated to be 3% [25], this trend masks the high rates of HIV among adults of caregiving age (7.9% of females between 35–39), and that one-in-six children in Rwanda is classified as vulnerable due to HIV and AIDS [26], [27].…”

Section: Introductionmentioning

confidence: 99%

Developing and Validating the Youth Conduct Problems Scale-Rwanda: A Mixed Methods Approach

Ng¹,

Kanyanganzi

Munyanah

et al. 2014

PLoS ONE

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This study developed and validated the Youth Conduct Problems Scale-Rwanda (YCPS-R). Qualitative free listing (n = 74) and key informant interviews (n = 47) identified local conduct problems, which were compared to existing standardized conduct problem scales and used to develop the YCPS-R. The YCPS-R was cognitive tested by 12 youth and caregiver participants, and assessed for test-retest and inter-rater reliability in a sample of 64 youth. Finally, a purposive sample of 389 youth and their caregivers were enrolled in a validity study. Validity was assessed by comparing YCPS-R scores to conduct disorder, which was diagnosed with the Mini International Neuropsychiatric Interview for Children, and functional impairment scores on the World Health Organization Disability Assessment Schedule Child Version. ROC analyses assessed the YCPS-R's ability to discriminate between youth with and without conduct disorder. Qualitative data identified a local presentation of youth conduct problems that did not match previously standardized measures. Therefore, the YCPS-R was developed solely from local conduct problems. Cognitive testing indicated that the YCPS-R was understandable and required little modification. The YCPS-R demonstrated good reliability, construct, criterion, and discriminant validity, and fair classification accuracy. The YCPS-R is a locally-derived measure of Rwandan youth conduct problems that demonstrated good psychometric properties and could be used for further research.

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“…They also experience potentially traumatic events beyond the death of the parent, including family violence and abuse, and compared to non-orphans, may experience greater subsequent negative psychological impact with trauma exposure (Whetten et al, 2011a). Compared with non-orphaned youth, orphans have higher rates of childhood maladaptive or complicated grief, posttraumatic stress symptoms (PTS), depression, suicidal thoughts, and anxiety (Cluver et al, 2009; Cluver and Gardner, 2006; Cluver and Gardner 2007; Makame et al, 2002). …”

mentioning

confidence: 99%

A Qualitative Study of Mental Health Problems Among Orphaned Children and Adolescents in Tanzania

Dorsey¹,

Lucid²,

Murray³

et al. 2015

Journal of Nervous &Amp; Mental Disease

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Low- and middle-income countries (LMIC) have a high number of orphans, many of whom have unmet mental health needs. Effective mental health interventions are needed; however, it is necessary to understand how mental health symptoms and needs are perceived locally in order to tailor interventions and refine measurement of intervention effects. We used an existing rapid ethnographic assessment approach to identify mental health problems from the perspective of orphans and guardians to inform a subsequent randomized controlled trial of a Western-developed, evidence-based psychosocial intervention, Trauma-focused Cognitive Behavioral Therapy (TF-CBT). Local, Kiswahili-speaking interviewers conducted 73 free list interviews and 34 key informant interviews. Results identified both common cross-cultural experiences and symptoms as well as uniquely described symptoms (e.g., lacking peace, being discriminated against) not typically targeted by the intervention or included on standardized measures of intervention effects. We discuss implications for adapting mental health interventions in LMIC and assessing effectiveness.

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Psychological well-being of orphans in Dar El Salaam, Tanzania

Cited by 103 publications

References 12 publications

The Effects of parental loss on the psychosocial wellbeing of AIDS-orphaned children living in AIDS-impacted communities: Does gender matter?

The Effects of parental loss on the psychosocial wellbeing of AIDS-orphaned children living in AIDS-impacted communities: Does gender matter?

Developing and Validating the Youth Conduct Problems Scale-Rwanda: A Mixed Methods Approach

A Qualitative Study of Mental Health Problems Among Orphaned Children and Adolescents in Tanzania

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