Clinical Medicine Insights: Pediatrics

Background: Due, in part, to family constraints in dealing with the economical burden of raising a family, a wave of street children is sweeping the developing world. Such children are prone to both somatic and mental illnesses. This is the first ever study that has been conducted to explore the psychopathology among street children in the Duhok Governorate.

Methods: The study was conducted between March 2004 and May 2005 in Duhok City among street children who attended the Zewa Center—the only center for street children in the region at the time of the study. Among a total of 107 eligible children, 100 agreed to participate (93% response rate). A modified family map (genogram) was used to obtain demographic data from the children and their caregivers through semi-structured interviews. In addition, the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) structured interviews were conducted with the children.

Results: The study found that 98% of children worked on the street because of the economic need and pressure on their families. There was high rate of parental illiteracy (90% of fathers and 95% of mothers), and 61% of respondents were shown to have at least one psychiatric disorder. A high percentage (57%) of these children suffered from anxiety disorders including posttraumatic stress disorders (29%). Ten percent had depression, and 5% had attention deficit hyperactivity disorder.

Conclusion: Street children in Duhok seem to be working children due to their families' needs.