World Video | Defence | Foreign Affairs | Natural Events | Trade | NZ in World News | NZ National News Video | NZ Regional News | Search

 


Research on African Children Reveals Emotional Tendencies

Researchers Identify Children with Emotional Behavior Difficulties

Diagnostic Tool Easily Accessible and Administered by Lay People in South Africa

Houston, April 14, 2014 - Research on children orphaned by HIV/AIDS in South Africa may provide insight on how to identify and help children with emotional behavior issues in other areas of the world, which may have limited access to healthcare and further research that could lead to successful interventions.

A report on the global AIDS epidemic published by the United Nations mentions that due to the HIV/AIDS pandemic, which has left 12 million children orphaned in Sub-Saharan African, children are at an increased risk for mental health problems.

“There has been a big push to understand what we can do to help these kids, but also how to identify these children in the community,” said Carla Sharp, a native of South Africa and an associate professor of clinical psychology and director of the Developmental Psychopathology Lab at the University of Houston.

“Part of the challenge is that there are four psychologists per 100,000 people in South Africa and .03 psychiatrists per 100,000 people. Individuals that are typically trained to help with mental health needs in the community are not available, and the few people who are available are often not culturally aware.”

Sharp serves as principal investigator for a $951,147 grant funded by the National Institutes of Health (NIH), titled, “Emotional-behavior disorders in South African children affected by AIDS.” The goal of the research study is to develop a reliable and valid diagnostic tool for the early detection of psychiatric disorder as a first step toward successful intervention.

The three-year cross-sectional study adapted two measures for the South African context, a clinical diagnostic interview and questionnaire using multiple informants (caregiver, teacher and self-report), to collect 750 interviews from children, ages 7 to 11 years old, which included 250 children orphaned by AIDS, 250 orphaned by other means and 250 non-orphaned.

“We wanted to look at a few factors, such as accessibility and feasibility of using the diagnostic measure in an educational context, substance use among caregivers and poverty among the three (orphaned) groups to see if there’s anything special to being a child orphaned by AIDS – because they’re lots of things going on like desertion, or parents dying in accidents or violence, ” said Sharp.
Sharp notes the findings of the research study indicated poverty may wash out any of the effects between the children, “…so it almost doesn’t matter if the children are orphaned by AIDS, they are going to be at risk for emotional and behavioral problems anyway because they are so poor.”

What Sharp found through the study was the diagnostic tool to identify children with emotional behavior disorders that she thought would be used by teachers in schools for intervention was too complicated to work in the educational system.

“A more strategic point of intervention is to work with community-based organizations (CBO), often run by women in the community who themselves may be HIV-positive, poor, uneducated, mostly. But these organizations take these orphans in after school because of their problems at home, and they come and get a meal at the CBO,” said Sharp. “We discovered these CBOs are highly motivated to work with us for intervention purposes, but beyond giving them a meal they don’t know what to do with them.”

The follow-up study Sharp plans to conduct is an intervention to help CBO care workers develop skills to respond to the emotional and cognitive needs of the children.

“Now, there is a validated population-based screen and an interview-based measure that can be done to help identify children,” said Sharp. “What’s lacking is the translation into actually using the research findings. I think there will need to be further research to see what are the barriers stopping people from using these assessment tools in all these settings they work in,” said Sharp.

“The other problem that exists in South Africa, as well as here, is that once you’ve identified children with emotional behavior problems, then what do you do with them? That’s the next step. It’s all good and well if you are identifying them. That’s what we are looking at now, but I don’t think CBOs and church-based organizations always know how to intervene with kids if they were able to identify them.”

She is currently working on and researching interventions that can be adapted for community-based interventions and address the needs of identified children.

The research team included professor Lochner Marais, the Centre for Development Support at the University of Free State, in conjunction with Donald Skinner, director of the Research on Health and Society at the University of Stellenbosch. Marais and Molefi Lenka led a team of four fieldworkers in South Africa.

Sharp earned her Ph.D. from the University of Cambridge and has received early career awards, including a National Alliance for Research on Schizophrenia and Depression’s Young Investigator Award and the University of Houston Research Excellence Award. She has received research grants for her work on psychological disorders in children and adolescents from the National Institutes of Health and various agencies.

She is a prolific writer, having extensively published papers and book chapters. She is lead editor of “Social Cognition and Developmental Psychopathology” and co-author of “Midbrain Mutiny: The Picoeconomics and Neureconomics of Disordered Gambling” and the upcoming “Handbook of Borderline Personality Disorder in Children and Adolescents” (May 31, 2014).

She also serves as director of research for The Menninger Clinic’s Adolescent Treatment Program and principal investigator of The Menninger’s adolescent outcomes project.

To read the press release on the UH website, please visit http://www.uh.edu/news-events/stories/2014/April/41414CarlaSharp

ENDS

© Scoop Media

 
 
 
 
 
World Headlines

 


$1 Billion In Reparations For Iraq's Invasion Of Kuwait

UN Panel Pays Out Over $1 Billion in Reparations for Iraq's Invasion of Kuwait More>>

UN-Backed Tsunami Warning System Test

A view of the destruction caused by the Indian Ocean tsunami of 26 December 2004 in Point Pedro, a small fishing village in northern Sri Lanka. UN Photo/Evan Schneider More>>

Al Jazeera To Mark 300 Days Since Arrests Of Journalists

• 300 second montage to mark 300 days to be aired on Al Jazeera • Parents of Peter Greste say the past 300 days has been stressful Doha , 23 October, 2014 More>>

4 Months’ Jail For French Journos Should Be Enough

'We hope it will be a lesson for foreigners to not violate their visas in Indonesia.' More>>

Support Needed For Olive Farmers In Palestinian Territory

Olive trees in the Palestinian town of Ni'lin in 2008 were very close to expanding Israeli settlements. Photo: IRIN/Shabtai Gold More>>

ALSO:

Use Of Drones In Law Enforcement May Violate Human Rights

22 October 2014 – The increasing use of armed drones within domestic law enforcement risks depersonalizing the use of force and infringing upon the rights of individual citizens, a United Nations independent human rights expert warned today. More>>

Gaza: Pledges For Aid, Reconstruction Must Be Honoured

Secretary-General Ban Ki-moon (left) addresses the Security Council meeting on the situation in the Middle East, including the Palestinian question. Security Council President for the month of October, María Cristina Perceval of Argentina, is at ... More>>

Ebola: UN Prepares For Arrival Of Trial Vaccines

In early October 2014, with the help of the US Navy, a new mobile laboratory opened at Island Clinic, one of the WHO-supported Ebola Treatment Units (ETU) in Monrovia, Liberia. Photo: WHO/R. Sørenson More>>

Get More From Scoop

 
 
 
 
 
World
Search Scoop  
 
 
Powered by Vodafone
NZ independent news