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An Ecological–Transactional Model of Significant Risk Factors for Child Psychopathology in Outer Mongolia

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Abstract

The present study examined significant risk factors, including child maltreatment, for child psychopathology in a cross-cultural setting. Ninety-nine Mongolian boys, ages 3–10 years, were assessed. Primary caregivers (PCG) completed structured interviews including the Emory Combined Rating Scale (ECRS) and the Mood and Feelings Questionnaire (MFQ). Structural equation modeling identifies eight risk factors affecting child psychopathology: Three with direct effects (severity of physical punishment, PCG’s MFQ score, and PCG’s education), three with indirect effects (cultural acceptance of violence as discipline, presence of community violence, and contact with extended family), and two with direct and indirect effects (quality of marriage/presence of spousal abuse, and household size). Results support the ecological-transactional theory of developmental psychopathology in a cross-cultural setting. Structural equation modeling provides a useful technique to isolate specific sites for intervention, while maintaining a comprehensive perspective of risk factor interaction.

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Correspondence to Holbrook E. Kohrt.

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This study was supported by grants from Stanford University School of Medicine Traveling Scholars, Emory University Department of Anthropology Graduate Research Fund, and the Donald E. and Delia B. Baxter Foundation. The authors thank David Burns, Carol Worthman, G. Tsagankhuu, and Sunren Baigail of the Agency for the Protection and Prevention for Children from Abuse and Neglect. We acknowledge our research assistants in Mongolia, Battsetseg, Oyunerden, Otgo, and Nominerden. We are grateful to the children and families who made this study possible, and those in Mongolia working to improve the mental health of children.

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Kohrt, H.E., Kohrt, B.A., Waldman, I. et al. An Ecological–Transactional Model of Significant Risk Factors for Child Psychopathology in Outer Mongolia. Child Psychiatry Hum Dev 35, 163–181 (2004). https://doi.org/10.1007/s10578-004-1883-4

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  • DOI: https://doi.org/10.1007/s10578-004-1883-4

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