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Emotional and behavioural problems in migrant adolescents in Belgium

European Child & Adolescent Psychiatry volume 17, pages 54–62 (2008)Cite this article

Abstract

Refugee and migrant adolsescents may be at increased risk for the development of emotional and behavioural problems. Since studies on this topic are rather scarce and results inconsistent, this large-scale screening study aims at investigating the prevalence of emotional and behavioural problems in recently arrived migrant adolescents in Belgium, compared to Belgian peers. About 1,249 migrant adolescents and 602 Belgian adolescents filled in four self-report questionnaires on the prevalence of emotional and behavioural problems, traumatic experiences and symptoms of post-traumatic stress. Migrant adolescents experienced more traumatic events than their Belgian peers, and show higher levels of peer problems and avoidance symptoms. On the contrary, non-migrant adolescents reveal more symptoms of anxiety, externalising problems and hyperactivity. Factors influencing the prevalence of emotional and behavioural problems are the number of traumatic events experienced, gender and the living situation. Although migrant and non-migrant adolescents don’t differ much in the prevalence of emotional and behavioural symptoms, attention should be given to the screening and support of risk groups within the population of migrant adolescents, such as girls, those who experienced a lot of traumatic events and unaccompanied refugee children and adolescents.

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References

  1. Allwood MA, Bell-Dolan D, Husain SA (2002) Children’s trauma and adjustment reactions to violent and nonviolent war experiences. J Am Acad Child Adolesc Psychiatry 41:450–457

    Article  PubMed  Google Scholar 

  2. Barrett PM, Moore AF, Sonderegger R (2000) The FRIENDS program for young former-yugoslavian refugees in Australia: a pilot study. Behav Change 17:124–133

    Article  Google Scholar 

  3. Bean T, Derluyn I, Eurelings-Bontekoe E, Broekaert E, Spinhoven PH (2007a) Comparing psychological distress, traumatic stress reactions and experiences of unaccompanied refugee minors with experiences of adolescents accompanied by parents. J Nerv Ment Dis 195:288–297

    Google Scholar 

  4. Bean T, Derluyn I, Eurelings-Bontekoe E, Broekaert E, Spinhoven PH (2007b) Validation of the multiple language versions of the Hopkins symptom checklist-37 for refugee adolescents. Adolescence 42:51–71

    Google Scholar 

  5. Bean T, Eurelings-Bontekoe EHM, Derluyn I, Spinhoven PH (2004b) Stressful life events (SLE). User’s manual, Stichting Centrum ’45, Oegstgeest

  6. Bean T, Eurelings-Bontekoe EHM, Derluyn I, Spinhoven PH (2004c) Reactions of Adolescents to traumatic stress questionnaire (RATS). User’s manual, Stichting Centrum ’45, Oegstgeest

  7. Bean T, Derluyn I, Eurelings-Bontekoe EHM, Spinhoven PH, Broekaert E (2006) Validation of the multiple language versions of the reactions of adolescents to traumatic stress questionnaire. J Trauma Stress 19:241–255

    Article  PubMed  Google Scholar 

  8. Bengi-Arslan L, Verhulst FC, van der Ende J, Erol N (1997) Understanding childhood (problem) behaviors from a cultural perspective: comparison of problem behaviors and competencies in Turkish immigrant, Turkish and Dutch children. Soc Psychiatry Psychiatr Epidemiol 32:477–484

    PubMed  CAS  Google Scholar 

  9. Berman H (2001) Children and war: current understandings and future directions. Public Health Nurs 18:243–252

    Article  PubMed  CAS  Google Scholar 

  10. Bracken PJ, Giller JE, Summerfield D (1995) Psychological responses to war and atrocity: the limitations of current concepts. Soc Sci Med 40:1073–1082

    Article  PubMed  CAS  Google Scholar 

  11. Browne MW, Cudeck R (1993) Alternative ways of assessing model fit. In: Bollen KA, Long JS (eds) Testing structural equation models. Sage, Newbury Park, pp 136–162

    Google Scholar 

  12. Davies LC, McKelvey RS (1998) Emotional and behavioural problems and competencies among immigrant and non-immigrant adolescents. Aust N Z J Psychiatry 32:658–665

    Article  PubMed  CAS  Google Scholar 

  13. Derluyn I, Broekaert E, Schuyten G, De Temmerman E (2004) Post-traumatic stress in former Ugandan child soldiers. Lancet 363:861–863

    Article  PubMed  Google Scholar 

  14. Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L (1974) The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behav Sci 19:1–15

    Article  PubMed  CAS  Google Scholar 

  15. Diler RS, Avci A, Seydaoglu G (2003) Emotional and behavioural problems in migrant children. Swiss Med Wkly 133:16–21

    PubMed  CAS  Google Scholar 

  16. Dyregrov A, Gjestad R, Raundalen M (2002) Children exposed to warfare: a longitudinal study. J Trauma Stress 15:59–68

    Article  PubMed  Google Scholar 

  17. Goldstein RD, Wampler NS, Wise PH (1997) War experiences and distress symptoms of Bosnian children. Pediatrics 100:873–878

    Article  PubMed  CAS  Google Scholar 

  18. Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38:581–586

    Article  PubMed  CAS  Google Scholar 

  19. Goodman R (1999) The extended version of the strengths and difficulties questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry 40:791–799

    Article  PubMed  CAS  Google Scholar 

  20. Goodman R (2001) Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry 40:1337–1345

    Article  PubMed  CAS  Google Scholar 

  21. Goodman R, Ford T, Simmons H, Gatward R, Meltzer H (2000) Using the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539

    Article  PubMed  CAS  Google Scholar 

  22. Goodman R, Meltzer H, Bailey V (1998) The strengths and difficulties questionnaire: a pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry 7:125–130

    Article  PubMed  CAS  Google Scholar 

  23. Kleijn WC, Hovens JE, Rodenburg JJ (2001) Posttraumatic stress symptoms in refugees: assessments with the Harvard trauma questionnaire and the Hopkins symptom checklist-25 in different languages. Psychol Rep 88:527–532

    Article  PubMed  CAS  Google Scholar 

  24. Klimidis S, Stuart G, Minas IH, Ata AW (1994) Immigrant status and gender effects on psychopathology and self-concept in adolescents: a test of the migration-morbidity hypothesis. Compr Psychiatry 35:393–404

    Article  PubMed  CAS  Google Scholar 

  25. Lavik NJ, Hauff E, Skrondal A, Solberg O (1996) Mental disorder among refugees and the impact of persecution and exile: some findings from an out-patient population. Br J Psychiatry 169:726–732

    Article  PubMed  CAS  Google Scholar 

  26. Lavik NJ, Laake P, Hauff E, Solberg O (1999) The use of self-reports in psychiatric studies of traumatized refugees: validation and analysis of HSCL-25. Nord J Psychiatry 53:17–20

    Article  Google Scholar 

  27. Mullick MSI, Goodman R (2001) Questionnaire screening for mental health problems in Bangladeshi children: a preliminary study. Soc Psychiatry Psychiatr Epidemiol 36:94–99

    Article  PubMed  CAS  Google Scholar 

  28. Munroe-Blum H, Boyle MH, Offord D, Kates N (1989) Immigrant children: psychiatric disorder, school performance and service utilization. Am J Orthopsychiatry 59:510–519

    Article  PubMed  CAS  Google Scholar 

  29. Murad SD, Joung IMA, van Lenthe FJ, Bengi-Arslan L, Crijnen AAM (2003) Predictors of self-reported problem behaviours in Turkish immigrant and Dutch adolescents in the Netherlands. J Child Psychol Psychiatry Allied Discip 44:412–423

    Article  Google Scholar 

  30. Parloff MB, Kelman HC, Frank JD (1954) Comfort effectiveness, and self-awareness as criteria for improvement in psychotherapy. Am J Psychiatry 3:343–351

    Google Scholar 

  31. Rousseau C, Drapeau A (1998) Parent-child agreement on refugee children’s psychiatric symptoms: a transcultural perspective. J Am Acad Child Adolesc Psychiatry 37:629–636

    Article  PubMed  CAS  Google Scholar 

  32. Roza SJ, Hofstra MB, van der Ende J, Verhulst FC (2003) Stable prediction of mood and anxiety disorders based on behavioral and emotional problems in childhood: a 14-year follow-up during childhood, adolescence, and young adulthood. Am J Psychiatry 160:2216–2121

    Article  Google Scholar 

  33. Sam DL (1994) The psychological adjustment of young immigrants in Norway. Scand J Psychol 35:240–253

    PubMed  CAS  Google Scholar 

  34. Seedat S, Nyamai C, Njenga F, Vythilingum B, Stein DJ (2004) Trauma exposure and post-traumatic stress symptoms in urban African school. Survey in Cape Town and Nairobi. Br J Psychiatry 184:169–175

    Article  PubMed  CAS  Google Scholar 

  35. Servan-Schreiber D, Le Lin B, Birmaher B (1998) Prevalence of posttraumatic stress disorder and major depressive disorder in Tibetan refugee children. J Am Acad Child Adolesc Psychiatry 37:874–879

    Article  PubMed  CAS  Google Scholar 

  36. Sourander A (1998) Behavior problems and traumatic events of unaccompanied refugee minors. Child Abuse Negl 22:719–727

    Article  PubMed  CAS  Google Scholar 

  37. Stevens G, Pels T, Bengi-Arslan L, Verhulst FC, Vollebergh WAM, Crijnen AAM (2003) Parent, teacher and self-reported problem behavior in The Netherlands—Comparing Moroccan immigrant with Dutch and with Turkish immigrant children and adolescents. Soc Psychiatry Psychiatr Epidemiol 38:576–585

    Article  PubMed  Google Scholar 

  38. Verhulst FC, Achenbach TM, van der Ende J, Erol N, Lambert MC, Leung PWL, Silva MA, Zilber N, Zubrick SR (2003) Comparison of problems reported by youths from seven countries. Am J Psychiatry 160:1479–1485

    Article  PubMed  Google Scholar 

  39. Weine SM, Becker DF, McGlashan TH, Laub D, Lazrove S, Vojvoda D, Hyman L (1995) Psychiatric consequences of “ethnic cleansing”—clinical assessments and trauma testimonies of newly resettled Bosnian refugees. Am J Psychiatry 152:536–542

    PubMed  CAS  Google Scholar 

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Acknowledgements

We thank all participating adolescents and schools. This study was supported by a PhD Bursary of the Special Research Fund of Ghent University.

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Authors and Affiliations

  1. Department of Orthopedagogics, Ghent University, H. Dunantlaan 2, 9000, Gent, Belgium

    Ilse Derluyn PhD & Eric Broekaert PhD

  2. Department of Data Analysis, Ghent University, H. Dunantlaan 2, 9000, Gent, Belgium

    Gilberte Schuyten PhD

Authors
  1. Ilse Derluyn PhD
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  2. Eric Broekaert PhD
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  3. Gilberte Schuyten PhD
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Correspondence to Ilse Derluyn PhD.

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Derluyn, I., Broekaert, E. & Schuyten, G. Emotional and behavioural problems in migrant adolescents in Belgium. Eur Child Adolesc Psychiatry 17, 54–62 (2008). https://doi.org/10.1007/s00787-007-0636-x

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  • DOI: https://doi.org/10.1007/s00787-007-0636-x

Keywords

  • refugee adolescents
  • migrant adolescents
  • emotional problems
  • prevalence study