Articles

Psychological Problems in Iranian Adolescents: Application of the Self Report Form of Strengths and Difficulties Questionnaire

Abstract

Objective: The aim of the present study was to investigate the epidemiology of psychological problems in adolescents in five provinces of Tehran, Khorasan Razavi, Isfahan, East Azerbaijan and Fars in Iran.
Methods: In the present cross-sectional and descriptive – analytical study, 5171 adolescents aged 12 to 17 years were selected through multistage cluster sampling method from Tehran, Isfahan, Fars, Khorasan Razavi and East Azarbaijan provinces. The self-report form of Strengths and Difficulties Questionnaire (SDQ) was used to obtain the demographic data of each adolescent. Descriptive analysis and 95% confidence interval were used to investigate the relationship between scores of the SDQ questionnaire and demographic factors.
Result:
Based on the results, the highest prevalence of psychological problems in the five provinces was related to conduct problems (24%), and the lowest prevalence was related to social problems (5.76%). Also, comparison of 95% confidence interval of prevalence of psychological probl ms between the two genders suggested a significant difference only in emotional problems of the self-report version of the SDQ between the two genders. The result revealed no significant difference in the psychological problems of the self-report version of the SDQ between the two age’s groups and between the middle and high school graduates (p≤0.05). Among the 5 provinces, Fars allocated the highest rates of conduct problems (28.4), hyperactivity problems (21.5%) and overall criterion problems (17.3%); Esfahan had the highest rates of emotional problems (9.1%) and problems with peers (8.1%); and Khorasan Razavi had the highest rates of social problems (7.6%).
Conclusion:
In this study, the highest prevalence of psychological problems in the five provinces was related to conduct problems, and the lowest prevalence was related to social problems. It was determined that girls have more emotional problems than boys. Also, no significant difference was found in the psychological problems of 12 to 14 and 15 to 17  ear old adolescents or between middle and high school graduates. In the current study, the prevalence of psychological problems in adolescents in the urban population in Fars province was higher than expected.

Mezzich JE, Üstun TB. Quantitative and experimental methods in psychiatry. In: Sadock BJ, Sadock VA, eds. Comprehensive Textbook of Psychiatry. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2005.

Mohammadi MR, Davidian H, Noorbala AA. An epidemiological survey of psychiatric disorders in Iran. Clinical Practice and Epidemiology in Mental Health 2005; 1: 16.

Mohammadi MR, Rahgozar M, BagherYazdi A. [Epidemiology of psychiatric disorders in Tehran (Persian)]. Thought and Behavior in Clinical Psychology 2003; 9: 4-12.

Tehrani-Doost M, Shahrivar Z, Pakbaz B, Rezaie A, Ahmadi F. Normative data and psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire (SDQ) in an Iranian community sample. J Res Med Sci 2009; 14: 69-77.

Mahmoudi-gharaei J, Mousavi SS, Bina M, Golampoor E, Eisar S. Comorbidity of depressive and generalized anxiety symptoms in adolescent survivors of Bam earthquake (2003) with posttraumatic stress disorder: A case control-study. Iranian Journal of Psychiatry 2006; 1: 117-122.

Hebrani P, Abdolahian E, Behdani F, Vosoogh I, Javanbakht A. The prevalence of attention deficit hyperactivity disorder in preschool-age children in Mashhad, north-East of Iran. Arch Iran Med 2007; 10: 147-151.

Hemmaty N, Danesh Amooz B, Panaghi L. The prevalence of suicidal ideation in high school students in the city Abdanan (Ilam). Advances in Cognitive Science 2004; 6: 79-86.

Mohammadi MR, Rezayiyan H. [Investigation of mental and behavioral disorders among schoolchildren in Tehran (Persian)]. Journal of Teb and Tazkieh 2000; 39: 59-63.

Tavakkolizadeh J, Bolhari J, Mehryar A, Dezhkam M. [Epidemiology of attention deficit and disruptive behaviour disorders in elementary school children of Gonabad town, north east Iran (Persian)]. IJPCP 1997; 3: 40-52.

Ghafari Nejad A. Prevalence of Social phobia disorder and related factors among high school students in Kerman. Scientific Journal of Hamadan University of Medical Sciences & Health Services 1998; 8: 1-9 .

Alavi A, Mohammadi MR, Joshaghani N, Mahmoudi-Gharaei J. Frequency of Psychological Disorders amongst Children in Urban Areas of Tehran. Iranian Journal of Psychiatry 2010; 5: 55-59.

Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 2000; 177: 534-39.

Goodman R, Scott S. Comparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: is small beautiful. Journal of Abnormal Child Psychology 1999; 27: 17-24.

Goodman R, Ford T, Corbin T, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) multi-informant algorithm to screen looked-after children for psychiatric disorders. European Child and Adolescent Psychiatry 2004; 13: 25-31.

Goodman R. The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry 1997; 38: 581-586.

Ghanizadeh A, Izadpanah A, Abdollahi G. Scale Validation of the Strengths and Difficulties Questionnaire in Iranian Children. Iran J Psychiatry 2007; 2: 65-71 .

Rah Khodroo. Tehran: Institute of Communication and data transmission industries; 1998 .

Abou-Saleh MT, Ghubash R, Daradkeh TK. A1 Ain Community Psychiatric Survey. I. Prevalence and socio-demographic correlates. Soc Psychiatry Psychiatr Epidemiol 2001; 36: 20-28.

Samad L, Hollis C, Prince M, Goodman R. Child and adolescent psychopathology in a developing country: testing the validity of the strengths and difficulties questionnaire (Urdu version). Int J Methods Psychiatr Res 2005; 14: 158-166 .

Mojtabai R. Serious emotional and behavioral problems and mental health contacts in American and British children and adolescents. J Am Acad Child Adolesc Psychiatry 2006; 45: 1215-1223.

Kashala E, Elgen I, Sommerfelt K, Tylleskar T. Teacher ratings of mental health among school children in Kinshasa, Democratic Republic of Congo. Eur Child Adolesc Psychiatry 2005; 14: 208-215.

Muris P, Meesters C, Van Den Berg F. The Strengths and Difficulties Questionnaire (SDQ)--further evidence for its reliability and validity in a community sample of Dutch children and adolescents. Eur Child Adolesc Psychiatry 2003; 12: 1-8.

Hawes DJ, Dadds MR. Australian data and psychometric properties of the Strengths and Difficulties Questionnaire. Aust N Z J Psychiatry 2004; 38: 644-651.

Thabet AA, Stretch D, Vostanis P. Child mental health problems in Arab children: application of the strengths and difficulties questionnaire. Int J Soc Psychiatry 2000; 46: 266-280.

Alyahri A, Goodman R. Validation of the Arabic Strengths and Difficulties Questionnaire and the Development and Well-Being Assessment. East Mediterr Health J 2006; 12: 138-146 .

Bourdon KH, Goodman R, Rae DS, Simpson G, Koretz DS. The Strengths and Difficulties Questionnaire: U.S. normative data and psychometric properties. J Am Acad Child Adolesc Psychiatry 2005; 44: 557-564.

Bettge S, Ravens-Sieberer U, Wietzker A, Hölling H. Methodological coomparison between the Child Behavior Checklist and the Strengths and Difficulties Questionnaires. Gesundheitswesen 2002; 64: 119-24.

Smedje H, Broman JE, Hetta J, Von knorring AL. Psychometric properties of a Swedish version of the "Strength and Difficulties Questionnaire". Eur Child Adolesc Psychiatry 1999; 8: 63-70.

Heiervang E, Stormark KM, Ludervold AJ, Heiman M, Goodman R, Posserud M, Ullebo AK, Plessen KJ, Bjelland I, Lie SA, Gillberg C. Psychiatric disorders in Norwegian 8- to 10-year-olds; an epidemiological survey of prevalence, risk factors, and service use. J Am Acad Child Adolesc Psychiatry 2007; 46: 438-447.

Rønning JA, Handegaard BH, Sourander A, Mørch WT. The Strengths and Difficulties Self-Report Questionnaire as a screening instrument in Norwegian community samples. Eur Child Adolesc Psychiatry 2004; 13: 73-82.

Woerner W, Fleitlich-Bilyk B, Martinussen R, Fletcher J, Cucchiaro G, Dalgalarrondo P, Lui M, Tannock R. The Strengths and Difficulties Questionnaire overseas: evaluations and applications of the SDQ beyond Europe. Eur Child Adolesc Psychiatry 2004; 13: 47-54.

Woerner W, Becker A, Rothenberger A. Normative data and scale properties of the German parent SDQ. Eur Child Adolesc Psychiatry 2004; 13: 3-10.

Obel C, Heiervang E, Rodriguez A, Heyerdahl S, Smedje H, Sourander A, Guethmundsson OO, Clench-Aas J, Christensen E, Heian F, Mathiesen KS, Magnússon P, Njarethvík U, Koskelainen M, Rønning JA, Stormark KM, Olsen J. The Strengths and Difficulties Questionnaire in the Nordic countries. Eur Child Adolesc Psychiatry 2004; 13: 32-39.

Marzocchi GM, Capron C, Di Pietro M, Duran Tauleria E, Duyme M, Frigerio A, Gaspar MF, Hamilton H, Pithon G, Simões A, Thérond C. The use of the Strengths and Difficulties Questionnaire (SDQ) in Southern European countries. Eur Child Adolesc Psychiatry 2004; 13: 40-46.

Rothenberger A, Woerner W. Strengths and Difficulties Questionnaire (SDQ) – Evaluation and applications. Eur Child Adolesc Psychiatry 2004; 13: 1-2.

Becker A, Hagenberg N, Roessner V, Woerner W, Rothenberger A. Evaluation of the self-reported SDQ in a clinical setting: Do self reports tell us more than ratings by adult informants? Eur Child Adolesc Psychiatry 2004; 13: 17-24.

Suzuki M, Morita H, Kamoshita S. Epidemiological survey of psychiatric disorders in Japanese school children. Part III: Prevalence of psychiatric disorders in junior high school children. Nippon Koshu Eisei Zasshi 1990; 37: 991-1000.

Lynch F, Mills C, Daly I, Fitzpatrick C. Challenging times: prevalence of psychiatric disorders and suicidal behaviours in Irish adolescents. J Adolesc 2006; 29: 555-573.

Eapen V, Al-Gazali L, Bin-Othman S, Abou-Saleh M. Mental health problems among schoolchildren in United Arab Emirates: prevalence and risk factors. J Am Acad Child Adolesc Psychiatry 1998; 37: 880-886.

Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 2003; 60: 837-844.

Angold A, Erkanli A, Farmer EM, Fairbank JA, Burns BJ, Keeler G, Costello EJ. Psychiatric disorder, impairment, and service use in rural African American and white youth. Arch Gen Psychiatry 2002; 59: 893-901.

Gau SS, Chong MY, Chen TH, Cheng AT. A 3-Year panel study of mental disorders among adolescents in Taiwan. Am J Psychiatry 2005; 162: 13- 44.

Gosden NP, Kramp P, Gabrielsen G, Sestoft D. Prevalence of mental disorders among 15-17-year-old male adolescent remand prisoners in Denmark. Acta Psychiatr Scand 2003; 107: 102-110.

Goodman R, Slobodskaya H, Knyazev G. Russian child mental health-a cross-sectional study of prevalence and risk factors. Eur Child Adolesc Psychiatry 2005; 14: 28-33.

Files
IssueVol 8 No 4 (2013) QRcode
SectionArticles
Keywords
Adolescents Emotional and behavioral problems Iran Strengths and Difficulties Questionnaire (SDQ)

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Mohammadi MR, Arman S, Khoshhal Dastjerdi J, Salmanian M, Ahmadi N, Ghanizadeh A, Alavi A, Malek A, Fathzadeh Gharibeh H, Moharreri F, Hebrani P, Motavallian A. Psychological Problems in Iranian Adolescents: Application of the Self Report Form of Strengths and Difficulties Questionnaire. Iran J Psychiatry. 1;8(4):152-9.