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The association of personal, parental, school and community factors with depressive symptoms among a sample of Colombian students of ages 9 to 12 years

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Abstract

Few studies have examined how the personal characteristics of students, together with factors from their local social environments and communities, affect students living in generally high levels of social disruption. We examined the influence that personal characteristics as well as factors from the local social environments and communities may have on Colombian students’ levels of depressive symptoms shortly after the end of the of armed conflict. Data were collected from 710 students attending the fifth grade in a random sample of elementary schools in the province of Sucre in Colombia. Information was gathered on the students’ ages and gender as well as characteristics of their parents, school factors, and community factors. A five-level hierarchical regression model was used to determine the extent to which all these variables predicted depression scores, as measured by the Adolescent Depression Rating Scale. While personal, parental, school and community factors were all found to predict depression scores, the category, parental factors had the most impact. That was followed by school factors, community factors and finally personal characteristics. Multiple social and environmental factors were associated with the level of depression experienced by Colombian students.

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To examine the psychometric properties of the Adolescent Depression Rating Scale (ADRS), a new measure was specifically designed to evaluate adolescent depression. The 11-item clinician-report and 44-item self-report versions of the ADRS were developed from a qualitative phase involving interviews of experts and adolescents. These two instruments were then administered to 402 French speaking adolescents with and without depressive disorders. Item distribution, internal consistency, convergent validity, discriminant validity and factorial structure were assessed. After reduction procedures, a 10-item clinician version and a 10-item self-report version were obtained. The ADRS demonstrated good internal consistency (alpha Cronbach coefficient >.70). It also discriminated better between adolescents with and without depression than the Hamilton Depressive Rating Scale and the Beck Depression Inventory (BDI-13). The ADRS is a useful, short, clinician-report and self-report scale to evaluate adolescent depression. Further studies to replicate our findings and evaluate ADRS sensitivity to effects of treatment and psychometric properties in populations of adolescents with several psychiatric disorders are warranted.
Article
Against the background of a lack of screening instruments for measuring depressive symptoms in Colombian adolescents and preadolescents, this study aims to establish the internal consistency reliability, component structure and the concurrent and discriminant validity of the Kutcher Adolescent Depression Six-Item Scale (KADS-6) among preadolescent school students in Sincelejo, Colombia. Participated 710 youth (10.8 years of age ± .75 years) divided into two groups to cross-validate analyses that were undertaken to determine the internal consistency reliability, as well as the concurrent and discriminant validity, of the KADS-6 among preadolescents. Results show that over 95% of the sample did not report problems understanding any of the items on the KADS-6. The KADS-6 had acceptable levels of internal consistency reliability, concurrent and discriminant validity and was unidimensional. In conclusion, The KADS-6 is well understood by Colombian preadolescents and has adequate psychometric properties in adolescents, rendering it acceptable for use with Colombian preadolescents.
Article
Background: While much literature has focused on examining associations between neighbourhood characteristics and antisocial behaviour, little is known about the effect of perceptions of neighborhood disorder on emotions, mental health, and criminal justice contact. Aims: Our aim was to examine whether depressive symptoms mediate relations between perceived neighbourhood disorder, future criminal justice contact, and suicidal ideation. Methods: We grounded this research in the primary arguments of General Strain Theory. Data from structured self-reports by over 2,000 now adult participants in the Children of the National Longitudinal Survey of Youth (CNLSY), offspring born to the women from the National Longitudinal Survey of Youth 1979 (NLSY79) were analyzed. Information on neighbourhood disorder and depressive symptoms were drawn from the 2012 wave of data collection and on offending and suicidal ideation from the next wave in 2014. Structured equation models were estimated to examine direct and indirect paths between neighbourhood disorder, depression, justice contact, and suicidal ideation. Results: Depressive symptoms were found to partially mediate the total direct effect of perceived neighbourhood disorder on future criminal justice contact, with the strength of this pathway varying across race and ethnicity. The association between perceived neighbourhood disorder and suicidal ideation was fully mediated by depressive symptoms. Conclusions and implications: Findings are consistent with an ecological stress framework for understanding the relationship between stressful living conditions, crime, and mental illness. Results suggest that in addition to neighbourhood improvements, ready access to mental health care within disordered communities may help to identify, as well as treat those suffering from suicidal ideation.
Article
Course grades, as an indicator of academic performance, are a primary academic concern at the secondary school level and have been associated with various aspects of mental health status. The purpose of this study is to simultaneously assess whether symptoms of mental illness (depression and anxiety) and mental well-being (psychosocial well-being) are associated with self-reported grades (in their primary language [English or French] and math courses) and education behaviors (school days missed due to health, truancy, and frequency of incomplete homework) in a sample of secondary school students across Canada ( n = 57,394). Multivariate imputation by chained equations and multilevel proportional odds logistic regressions were used to assess associations between mental health scores, academic performance and education behaviors. Lower depression and higher psychosocial well-being scores were associated with better grade levels in both math and language courses, as well as better education behaviors. In turn, better education behaviors were associated with higher course grades. Depression scores and psychosocial well-being scores remained associated with higher grades after controlling for education behaviors, however the magnitude of association was diminished. Results indicate that the effects of mental health factors were partially attenuated by education behaviors, suggesting while reduced class attendance and poor homework adherence were associated with both academic outcomes and mental health, they do not account entirely for the association between lower grades and worse mental health.
Article
Suicide in young people is a significant health concern, with numerous community- and school-based interventions promising to prevent suicide currently being applied across Canada. Before widespread application of any one of these, it is essential to determine its effectiveness and safety. We systematically reviewed the global literature on one of the most common community suicide prevention interventions in Canada and summarized data on 2 commonly applied school-based suicide prevention programmes. None of these has demonstrated effectiveness in preventing youth suicide or safety in application. Concurrently with their widespread distribution in Canada, the suicide rate in young women has increased—the first time in over 3 decades. Policy and regulatory implications of these findings are discussed.
Article
This study aimed at determining the relationship between various levels of direct and indirect exposure to violence, and victimization, emotional (anxiety and depression), and behavioral (aggression and delinquency) effects in 1362 children and youngsters (56,8% males, 43,2% females), aged 7-8 (14,53%), 9- 10(64,96%), 11-12 (38,10%) and 13-14(7,19%), studying 2nd - 5th primary grade and 1St year of secondary and from three socioeconomic levels (38% high, 26,1% medium and 36% low) from Cali, Colombia. Significant differences were found between levels of total exposure to violence, direct exposure to violence and higher scores en anxiety, depression, PTSD, aggression and delinquency. These effects were significantly higher in low than in medium or high socioeconomic strata. Unlike general exposure, direct exposure to violence showed a greater relation to delinquency, according to reports by mothers. Limitations and caveats of the present study are discussed, as well as implications for future research and for designing prevention programs.
Article
Background: Depression symptom screening scales are often used to determine a clinical diagnosis of major depressive disorder (MDD) in prevention research. The aim of this review is to systematically examine the reliability, validity and diagnostic utility of commonly used screening scales in depression prevention research among children and adolescents. Methods: We conducted a systematic review of the electronic databases PsycINFO, PsycEXTRA and Medline examining the reliability, validity and diagnostic utility of four commonly used depression symptom rating scales among children and adolescents: the Children׳s Depression Inventory (CDI), Beck Depression Inventory (BDI), Center for Epidemiologic Studies - Depression Scale (CES-D) and the Reynolds Adolescent Depression Scale (RADS). We used univariate and bivariate random effects models to pool data and conducted metaregression to identify and explain causes of heterogeneity. Results: We identified 54 studies (66 data points, 34,542 participants). Across the four scales, internal reliability was 'good' (pooled estimate: 0.89, 95% Confidence Interval (CI): 0.86-0.92). Sensitivity and specificity were 'moderate' (sensitivity: 0.80, 95% CI: 0.76-0.84; specificity: 0.78, 95% CI: 0.74-0.83). For studies that used a diagnostic interview to determine a diagnosis of MDD, positive predictive power for identifying true cases was mostly poor. Psychometric properties did not differ on the basis of study quality, sample type (clinical vs. nonclinical) or sample age (child vs. adolescent). Limitations: Some analyses may have been underpowered to identify conditions in which test performance may vary, due to low numbers of studies with adequate data. Conclusions: Commonly used depression symptom rating scales are reliable measures of depressive symptoms among adolescents; however, using cutoff scores to indicate clinical levels of depression may result in many false positives.
Article
The neighborhood characteristics questionnaire (Simcha-Fagan and Schwartz, 1986) was modified to be relevant to families with young children living in urban areas, to be sufficiently brief to be included in needs assessment evaluations, and to be useful with families from a range of ethnic backgrounds. The modified form has four scales created conceptually and confirmed by factor analysis. They describe residents' perceptions of street crime and life quality, social relationships and networks among neighbors, attachment to the neighborhood, and neighborhood disorder. Reliability was established by internal consistency and validity by relationships with other psychosocial factors, and comparison with observations of the neighborhood. Internal consistency of all four scales of the neighborhood characteristics questionnaire was high. Agreement between observers and interview respondents was clearest for scales representing social disorganization. The use of the questionnaire in the evaluation of community intervention programs is discussed. © 1997 John Wiley & Sons, Inc.
Article
OBJECTIVE: The present study examined mean level similarities and differences as well as correlations between mothers' and fathers' attributions regarding successes and failures in caregiving situations and progressive versus authoritarian attitudes. DESIGN: Interviews were conducted with both mothers and fathers in 108 Colombian families. RESULTS: Fathers reported higher uncontrollable success attributions and higher authoritarian attitudes than did mothers, whereas mothers reported higher modernity of attitudes than did fathers; only the gender differences related to parental attitudes remained significant after controlling for parents' age, education, and possible social desirability bias. Medium effect sizes were found for concordance between parents in the same family for attributions regarding uncontrollable success and progressive attitudes after controlling for parents' age, education, and possible social desirability bias. CONCLUSIONS: This work elucidates ways that parent gender relates to attributions regarding parents' success and failure in caregiving and to progressive versus authoritarian parenting attitudes in Colombia.
Article
School dissatisfaction is an important component of the subjective well-being of adolescents associated with “risky behavior” like drug use, unprotected sex, norm violations and illegal behavior. We extend the standard human capital model to joint human investment (education) and disinvestment (risky behavior). Based on this model, we develop a general dynamic framework to analyze the preference formation of children and behavioral change at school. Once an educational norm is set by adults, children can rationally deviate from this norm, while staying at school, after experiencing bad surprises like a school failure. The same type of dynamic equation can be used in a sequence to predict education, satisfaction with school, and a host of risky behavior. We test these assumptions with a unique panel data set on American adolescents attending middle or high school. School dissatisfaction is found to have a significant positive effect upon nine different types of risky behavior.
Article
The relation between family economic hardship and adolescent distress among secondary school students in a small Midwestern community was investigated. According to prior results, family hardship has both direct and indirect effects on adolescent distress. The indirect effects come about through stress-induced changes in parental nurturance and parental discipline. The findings of this study showed that hardship effects varied according to type of distress. For females as well as males, economic hardship had both direct and indirect effects on a depression-loneliness distress factor. The indirect effects occurred through less parental nurturance and more inconsistent discipline. No direct effect of economic hardship was found for either males or females on a distress factor composed of delinquency and drug use items. For both females and males, however, an indirect effect of family economic hardship on the delinquency-drug use factor was found with inconsistent parental discipline as the mediating variable.
Article
Unipolar depression only becomes more common in girls than boys after the age of 13, as a result of an increased incidence of depressive episodes in girls at that time. This article reviews evidence that links multiple dimensions of maturation in the hypothalamo-pituitary-gonadal axis with this phenomenon. Effects of developmental status and timing have been implicated, but few studies have deployed either the measurement strategies or the statistical power needed to provide a satisfactory answer to the question regarding which components of puberty are most responsible.
Article
Neighborhoods with poor-quality housing, few resources, and unsafe conditions impose stress, which can lead to depression. The stress imposed by adverse neighborhoods increases depression above and beyond the effects of the individual's own personal stressors, such as poverty and negative events within the family or work-place. Furthermore, adverse neighborhoods appear to intensify the harmful impact of personal stressors and interfere with the formation of bonds between people, again increasing risk for depression. Neighborhoods do not affect all people in the same way. People with different personality characteristics adjust in different ways to challenging neighborhoods. As a field, psychology should pay more attention to the impact of contextual factors such as neighborhoods. Neighborhood-level mental health problems should be addressed at the neighborhood level. Public housing policies that contribute to the concentration of poverty should be avoided and research should be conducted on the most effective ways to mobilize neighborhood residents to meet common goals and improve the context in which they live.
Colombia’s ex-FARC leaders admit kidnapping and other crimes
  • S Grattan
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Grattan, S. (2021). Colombia's ex-FARC leaders admit kidnapping and other crimes [Press release]. Retrieved from. https://www.aljazeera.com/news/2021/4/30/colombias-ex-farc-leaders-admit-kidnapping-andother-crimes#:∼:text=30_Apr_2021_Bogota%2C_Colombia_%E2%80%94_Eight_ex-commanders,humanity_in_a_transitional_justice_court_on_Friday
Perceptions of crime, feelings of safety, and experiences of victimization in saskatchewan jurisdictions policed by the royal Canadian mounted police. Centre for forensic behavioural science and justice studies
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Jewel, L. M. (2014). Perceptions of crime, feelings of safety, and experiences of victimization in saskatchewan jurisdictions policed by the royal Canadian mounted police. Centre for forensic behavioural science and justice studies. University of Saskatchewan. https://cfbsjs.usask.ca/documents/research/research_papers/ PerceptionOfCrime.pdf
Immobilisation, restricted spatial mobility and displacement in violent conflict: Humanitarian needs of confined communities in Colombia
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  • Rudolf M.
Rudolf, M. (2020). Immobilisation, restricted spatial mobility and displacement in violent conflict: Humanitarian needs of confined communities in Colombia. Social Science Open Access Repository. https:// nbn-resolving.org/urn:nbn:de:0168-ssoar-68081-7
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Statistics Canada (1994). National longitudinal survey of children and youth (NLSCY). https://www23.statcan. gc.ca.
Global economic prospects
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World Bank. (2020). Global economic prospects, June 2020. The World Bank. Author biographies
Organisation for economic co-operation and development-OECD the europa directory of international organizations 2021
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