ABSTRACT
AIMS: Because no epidemiological study has been conducted of children's mental health problems in Kosova, which experienced a traumatic war in 1998-99, we conducted the first national epidemiological survey of children's mental health ever undertaken in Kosova. METHODS: Participants were 1374 Kosovar children ages 6-18 recruited through schools (60% from urban areas). Parent-reported behavioural and emotional problems were assessed using the Child Behaviour Checklist (CBCL/6-18). Kosovar findings were compared with findings from five other Central and Eastern European societies (Poland, Romania, Lithuania, Serbia and Croatia), plus the US. RESULTS: Confirmatory factor analysis (CFA) indicated that the CBCL 8-syndrome model manifested good fit to the Kosovar data. Mean item ratings and Cronbach's alphas were very similar to those of the other six societies. Kosova's mean Total Problems score fell in the middle of the range of the seven societies compared. CBCL scores were higher for adolescents (12-18), urban children, and those whose parents had limited education compared with younger (6-11), rural, and more socially advantaged children. CONCLUSIONS: Strong consistency was found between Kosovar findings and those for neighbouring countries with respect to CFA results, mean item ratings, alphas and problem score levels. Results of this epidemiological survey highlight the utility of the CBCL for identifying Kosovar Albanian children with mental health service needs.
ABSTRACT
This study set out to investigate some psychometric properties of the Lithuanian version of CBCL for providing the preliminary data on the emotional and behavioural problems in Lithuanian children taking factors such as gender, age, SES and family composition into account. The CBCL was completed by parents of 7- to 11- and 12- to 14-year-old school children (N = 1296) drawn from the urban and suburban population. Younger boys scored higher than girls on externalizing problems and total problems scores, and older girls scored higher on internalizing problems. Younger children scored higher than the older children on total problems and externalizing problems scores. The comparisons with the US sample indicated that the levels of problem behaviour in 7- to 14-year-old children are similar to those found in the US. Lithuanian children had higher total problem scores; however, the effect sizes for other scales, except the attention problems scale and the somatic complaints scale, were very small. Similar to other studies, we found significant SES effects on total problem scores. Problem scores were highest for the lowest SES children. In general, this study supports previous findings concerning CBCL: similarities in emotional and behavioural problems outweigh differences in cross-cultural studies based on CBCL.
