Mental Health Problems of Iranian Female Adolescents and Its Association with Pubertal Development: A Nationwide Study
-
Ali Rabbani
,
Javad Mahmoudi-Gharaei
,
Mohammad Reza Mohammadi
,
Mohammad Esmaeil Motlagh
,
Kazem Mohammad
,
Gelayol Ardalan
,
Farzaneh Maftoon
,
Safiyeh Shahryari
,
Shahnaz Khodaei
,
Aria Sotoudeh
,
Hassan Ziaaldini
,
Kobra Kamali
,
Molouk Motaghian
Abstract
Mental health problems including emotional and behavioral problems during puberty may be under influence of different risk factors including cultures, living in urban or rural areas and ethnic factors which may vary between different countries. The main aim of this study is to investigate the profile of emotional and behavioral problems and the role of factors such as age, stage of puberty, ethnicity, rurality and living in urban area, as risk factors in Iranian girls. As a part of a large national study we evaluated the emotional and behavioral problems in different stages of puberty in a community sample of Iranian adolescent girls from public schools that were selected by clustered random sampling method. In all subjects, demographic characteristics, and pubertal stages were measured. Emotional and behavioral problems were evaluated using Strength and Difficulties Questionnaire (SDQ). The associations of age, pubertal development indices, socioeconomic and demographic factors with the behavioral problems were assessed. A total number of 4576 students enrolled the study and responded to the questions. The mean age of participants was 13.83±2.19 years. The mean total score of difficulties in participants was 14.34±5.81. According to these results 813 (17.8%) adolescents had total problem scores higher than Goodman's cutoff points and the most frequent problem domain was conduct problems (20.5%). According to the results the most related variable with the total difficulty score of SDQ were ethnicity, residency in urban areas and development of menstrual cycle respectively. The results of this study showed that the most correlated factors with mental health problems in Iranian girls during puberty are ethnicity, urbanity and development of menstrual cycle.
Walker EF, Sabuwalla Z, Huot R. Pubertal neuromaturation, stress sensitivity, and psychopathology. Dev Psychopathol 2004;16(4):807-24.
Ravens-Sieberer U, Erhart M, Gosch A, Wille N; European KIDSCREEN Group. Mental health of children and adolescents in 12 European countries-results from the European KIDSCREEN study. Clin Psychol Psychother 2008;15(3):154-63.
Capron C, Thérond C, Duyme M. Brief report: effect of menarcheal status and family structure on depressive symptoms and emotional/behavioural problems in young adolescent girls. J Adolesc 2007;30(1):175-9.
Kaltiala-Heino R, Marttunen M, Rantanen P, Rimpelä M. Early puberty is associated with mental health problems in middle adolescence. Soc Sci Med 2003;57(6):1055-64.
Michaud PA, Suris JC, Deppen A. Gender-related psychological and behavioural correlates of pubertal timing in a national sample of Swiss adolescents. Mol Cell Endocrinol 2006;254-255:172-8.
Short MB, Rosenthal SL. Psychosocial development and puberty. Ann N Y Acad Sci 2008;1135:36-42.
Kaltiala-Heino R, Kosunen E, Rimpelä M. Pubertal timing, sexual behaviour and self-reported depression in middle adolescence. J Adolesc 2003;26(5):531-45.
Goodman R, Meltzer H, Bailey V. The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version. Int Rev Psychiatry 2003;15(1-2):173-7.
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;177:534-9.
Goodman A, Goodman R. Strengths and difficulties questionnaire as a dimensional measure of child mental health. J Am Acad Child Adolesc Psychiatry 2009;48(4):400-3. Erratum in: J Am Acad Child Adolesc Psychiatry 2009;48(4):581.
Shahrivar Z, Tehrani-Doost M, 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(2):69-77.
Mohammadi MR, Alavi A, Mahmoudi-Gharaei J, Tehranidoost M, Shahrivar Z, Saadat S. Prevalence of psychiatric disorders amongst adolescents in Tehran. Iran J Psychiatry 2008;3:100-4.
Wille N, Bettge S, Wittchen HU, Ravens-Sieberer U; BELLA study group. How impaired are children and adolescents by mental health problems? Results of the BELLA study. Eur Child Adolesc Psychiatry 2008;17 Suppl 1:42-51.
Hayward C, Gotlib IH, Schraedley PK, Litt IF. Ethnic differences in the association between pubertal status and symptoms of depression in adolescent girls. J Adolesc Health 1999;25(2):143-9.
Fagg J, Curtis S, Stansfeld S, Congdon P. Psychological distress among adolescents, and its relationship to individual, family and area characteristics in East London. Soc Sci Med 2006;63:636-48.
| Files | ||
| Issue | Vol 50, No 3 (2012) | |
| Section | Original Article(s) | |
| Keywords | ||
| Mental health Adolescents Puberty Girls Behavioral problems | ||
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