Associations between family environment resources and mental health problems in children

Dilleggi, Eduarda Souza; Santos, Patricia Leila dos; Scorsolini-Comin, Fabio

doi:10.1590/0047-2085000000359

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Original Article • J. bras. psiquiatr. 71 (1) • Jan-Mar 2022 • https://doi.org/10.1590/0047-2085000000359 copy

Associations between family environment resources and mental health problems in children

Associações entre recursos do ambiente familiar e problemas de saúde mental em crianças

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

The relationship between mental health and contextual factors has been increasingly investigated in the scientific literature to identify elements that may configure themselves as protective. The present study aimed to identify what resources (activities, family outings, toys, material elements, and learning) were offered in the daily lives of children with mental disorders, and from this, verify whether the offer of such resources in the family was associated with areas of greatest damage relative to mental health problems.

Methods:

Thirty-three caregivers of/people responsible for children between 6 and 12 years of age with most frequent diagnoses in attention-deficit hyperactivity disorder and autism spectrum disorder seen at a general hospital participated. We used the Strengths and Difficulties Questionnaire (SDQ – parents version) and Family Environment Resources Inventory (RAF).

Results:

From a descriptive and correlational analysis, it was revealed that the more the mental health problems were present in children, the lower the family resources offer.

Conclusions:

The environmental resources offer proved to be protective for child development. Such findings are relevant to aid in outlining strategies for promoting mental health among children.

KEYWORDS
Family environment; children; mental disorders; protective factors

Dimension		Cronbach Alpha
SDQ
	Emotional symptoms	0.37
	Conduct problems	0.45
	Hyperactivity	0.42
	Relationship with peers	0.50
	Prosocial behavior	0.69
RAF
	Recreational activities at home/neighborhood	0.73
	Family outings	0.73
	Scheduled and regular activities	0.75
	Joint activities with parents at home	0.72
	Toys	0.72
	Newspapers and magazines	0.74
	Books	0.73
	School support and supervision	0.75
	Organization of schedules	0.72
	Family gathered for routine activities	0.74

	Nothing/little		A lot		More than a lot
	f	%	f	%	f	%
At home	17	51.5	11	33.3	5	15.2
Friendships	17	51.5	9	27.3	7	21.2
Learning	9	27.3	12	36.4	12	36.4
Leisure	21	63.6	9	27.3	3	9.1

	Minimum	Maximum	Mean (±sd)
Emotional symptoms	0	10	4.9 (±2.49)
Conduct problems	0	10	4.3 (±2.38)
Hyperactivity	6	10	8.9 (±1.33)
Relationship problems with peers	0	10	4.2 (±2.71)
Prosocial	0	10	8.8 (±3.22)
Total	19	39	29.2 (±4.82)
Impact supplement	0	9	3.4 (±2.77)

	Minimum	Maximum	Mean (±sd)
Recreational activities at home/neighborhood	1.4	10.0	5.1 (±2.13)
Family outings	0.5	6.8	3.5 (±1.82)
Scheduled and regular activities	0	4.4	0.8 (±1.11)
Joint activities with parents at home	0.9	9.0	6.0 (±2.15)
Toys	2.6	10.0	6.9 (±2.00)
Newspapers and magazines	0.9	8.1	2.7 (±1.68)
Books	1	8	4.2 (±1.84)
School support and supervision	0	8.8	5.6 (±1.64)
Organization of schedules	0	10	5.9 (±2.52)
Family gathered for routine activities	0	10	6.6 (±2.29)
Total RAF	16.9	72.3	47.6 (±12.55)

Resources	Subscales referring to difficulties and strengths Correlation coefficient (r)
Resources	ES	CP	H	R	PS	Total	IS
Recreational activities at home/neighborhood	-0.013	-0.589 ^ p <0.01.	-0.533 ^ p <0.01.	-0.657 ^ p <0.01.	0.503 ^ p <0.01.	-0.487 ^ p <0.01.	-0.695 ^ p <0.01.
Family outings	-0.295	-0.341	-0.414 ^* * p<0.05;	-0.462 ^ p <0.01.	0.419 ^* * p<0.05;	-0.452 ^ p <0.01.	-0.594 ^ p <0.01.
Scheduled and regular activities	-0.233	-0.105	-0.033	-0.356 ^* * p<0.05;	0.223	-0.333	-0.389 ^* * p<0.05;
Joint activities with parents at home	-0.095	-0.304	-0.432 ^* * p<0.05;	-0.186	0.346 ^* * p<0.05;	-0.245	-0.441 ^* * p<0.05;
Toys	-0.270	-0.633 ^ p <0.01.	-0.517 ^ p <0.01.	-0.266	0.318	-0.625 ^ p <0.01.	-0.474 ^ p <0.01.
Newspapers and magazines	-0.406 ^* * p<0.05;	-0.188	-0.054	-0.020	0.096	-0.252	-0.144
Books	-0.445 ^ p <0.01.	-0.392 ^* * p<0.05;	-0.392 ^* * p<0.05;	-0.230	0.347 ^* * p<0.05;	-0.557 ^ p <0.01.	-0.451 ^ p <0.01.
School support and supervision	-0.061	-0.201	-0.340	-0.319	0.292	-0.234	-0.454 ^ p <0.01.
Organization of schedules	-0.265	0.059	-0.232	0.020	0.162	-0.093	-0.269
Family gathered for routine activities	-0.154	0.235	-0.033	-0.025	0.023	0.074	-0.073
Total RAF	-0.332	-0.400 ^* * p<0.05;	-0.527 ^ p <0.01.	-0.364 ^* * p<0.05;	0.439 ^* * p<0.05;	-0.502 ^ p <0.01.	-0.618 ^ p <0.01.

Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro Av. Venceslau Brás, 71 Fundos, 22295-140 Rio de Janeiro - RJ Brasil, Tel./Fax: (55 21) 3873-5510 - Rio de Janeiro - RJ - Brazil
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[1] Address for correspondence: Eduarda Souza Dilleggi. Rua Tenente Catão Roxo, 2.650, sala 32 – 14051-140 – Ribeirão Preto, SP, Brasil. Telefone: 55+ (16) 3315-4608 . E-mail: eduardadilleggi@gmail.com