Teacher ratings of mental health among school children in Kinshasa, Democratic Republic of Congo.
OBJECTIVE
In Africa, little is known about child mental health. This study piloted the Strengths and Difficulties Questionnaire (SDQ) in Kinshasa, investigated mental health problems and the association between these problems and school performance, demographic factors, illness and nutrition.


METHODS
An epidemiological survey was conducted with 1,187 children, 7-9 years old, recruited from randomly selected schools. Mental health problems were assessed with the SDQ (a behavioural screening tool) administered to teachers. Stability of the factor structure was examined using principal component factor analysis of the SDQ items. The reliability was evaluated using measures of internal consistency of the SDQ scales.


RESULTS
Factor analysis yielded five factors, similar to the published SDQ scales. The internal consistency was satisfactory on all of the SDQ scales. Using the 90th percentile, the cut-off scores were somewhat higher than the published cut-off scores in this younger sample. Poor nutrition, low socioeconomic status and illness were found to increase the risk for mental health problems and low school performance.


CONCLUSIONS
SDQ may be considered useful to describe mental health problems among urban African children in Kinshasa. An association between mental health, school performance, demographic factors, illness and nutrition was found.
Department of Neurology, Kinshasa University Hospital, Kinshasa, DR Congo. esperance_Kashala@yahoo.com
Espérance
E
Kashala
Irene
I
Elgen
Kristian
K
Sommerfelt
Thorkild
T
Tylleskar
D002648:Child; D002664:Child Nutritional Physiological Phenomena; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D004522:Educational Status; D005163:Factor Analysis, Statistical; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D015999:Multivariate Analysis; D010865:Pilot Projects; D012307:Risk Factors