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Mental Health in Relation to Parental Absence: A Systematic Review
Mohammed Barry1, Abdulaziz Alyahyawi2, Heba Jafar Sabbagh1
1Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Orphaned children show higher rates of depression, anxiety, and aggression. Despite these challenges, they also demonstrate resilience and self-efficacy, though findings require cautious interpretation due to study limitations.
Area of Science:
- Child Psychology
- Mental Health Research
- Systematic Review
Background:
- Parental absence significantly impacts child development and mental well-being.
- Orphaned children face unique challenges affecting their psychological state.
- Understanding these impacts is crucial for effective childcare and support systems.
Purpose of the Study:
- To systematically review and evaluate existing literature on the mental health of orphaned children compared to non-orphaned children.
- To identify specific mental health outcomes associated with parental absence in children.
- To synthesize findings on psychological well-being, behavioral issues, and protective factors in orphaned children.
Main Methods:
- A systematic literature search was conducted across PubMed, MEDLINE, and Science Direct.
- Six studies met the inclusion criteria after screening 1017 studies.
- Quality assessment used the Newcastle-Ottawa scale (NOS), followed by meta-analysis where feasible.
Main Results:
- Orphaned children exhibited higher levels of aggression, depression, PTSD symptoms, and anxiety.
- Poorer psychological well-being, increased somatic symptoms, and social dysfunction were noted in orphans.
- No significant differences were found in resilience, self-efficacy, or internalizing/externalizing problems; meta-analysis showed increased anxiety (SMD=0.68, p=0.02) but not depression (SMD=0.77, p=0.10).
Conclusions:
- Orphaned children may experience elevated mental health issues like depression and anxiety.
- Internal strengths such as resilience and self-efficacy are present in orphaned children.
- Findings necessitate cautious interpretation due to limited studies and significant heterogeneity across diverse cultural contexts.
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