{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T05:19:49Z","timestamp":1739251189016,"version":"3.37.0"},"reference-count":96,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Globally, 20% of adolescents exhibit behavioral problems. Behavioral problems are associated with individual and environmental factors. However, little is known about the contribution of the nuclear family to the development of behavioral problems in adolescents from sub-Saharan Africa. This study aimed to explore family-based correlates influencing behavioral problems among adolescents in Rwanda.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>With an institutional-based cross-sectional study design, a convenience sample of 158 participants {107 males and 51 females; Mean age (M) = 16.96, Standard Deviation (SD) = 1.86; age ranging from 13 to 23 years} was selected in secondary schools in the Nyarugenge district. Participants filled out Behavioral Problems Scale (BPS), Child and Adolescent Trauma Screen (CATS), University of California, Los Angeles Loneliness Scale (UCLA Loneliness Scale), Multidimensionality of Perceived Social Support Scale (MSPSS), Multidimensional Neglectful Behavior Scale (MNBS), and Paediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) to record pertinent scores. Socio-demographic information was also collected. SPSS version 24 was used for statistical analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Females exhibited more behavioral problems than males. Child and adolescent trauma (\u03b2 = 0.705, t = 8.21, p &lt; .001) and neglect (\u03b2 = 0.147 t = 2.15, p &lt; .05) were two significant family correlates in our sample. Poor quality of life enjoyment and satisfaction, loneliness, and poor parental perceived social support were not identified as family-based factors that influence behavioral problems in our sample.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Results highlighted the importance of implementing family and community-based interventions to sustain family well-being, change parenting behaviors, and help children and adolescents adopt positive behaviors.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0314507","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T18:22:22Z","timestamp":1739211742000},"page":"e0314507","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Family correlates of behavioral problems among adolescents in Rwanda"],"prefix":"10.1371","volume":"20","author":[{"given":"Eugene","family":"Harerimana","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5251-1484","authenticated-orcid":true,"given":"Jean d\u2019Amour","family":"Muziki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Nshimyumuremyi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thaoussi","family":"Uwera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augustin","family":"Nshimiyimana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean","family":"Mutabaruka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"pone.0314507.ref001","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1093\/pch\/8.9.577","article-title":"Age limits and adolescents","volume":"8","author":"D Sacks","year":"2003","journal-title":"Paediatr Child Health (Oxford)"},{"key":"pone.0314507.ref002","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/S2352-4642(18)30022-1","article-title":"The age of adolescence","volume":"2","author":"SM Sawyer","year":"2018","journal-title":"Lancet Child Adolesc Heal"},{"key":"pone.0314507.ref003","first-page":"1","article-title":"Stages of Adolescent Development","volume":"1","author":"S. Spano","year":"2004","journal-title":"Youth Upstate Cent Excell"},{"key":"pone.0314507.ref004","first-page":"232","article-title":"Prevalence of Emotional and Behavioral Problems among School-Going Adolescents: A Cross-Sectional Study","volume":"46","author":"U Harikrishnan","year":"2021","journal-title":"Indian J Community Med"},{"key":"pone.0314507.ref005","unstructured":"WHO. WHO\/Europe | Sustainable Development Goals \u2010 Fact sheet on the SDGs: Child and adolescent health (2017). World Heal Organ 2017:5\u20137."},{"key":"pone.0314507.ref006","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s00787-014-0575-2","article-title":"A prospective study of behavioral and emotional symptoms in preschoolers","volume":"24","author":"AM Klein","year":"2015","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"pone.0314507.ref007","volume":"6","author":"E. Ara","year":"2018","journal-title":"Behavioural Problems Scale (BPS): Construction and Validation"},{"key":"pone.0314507.ref008","first-page":"20","article-title":"Multiple Developmental Pathways to Conduct Disorder: Current Conceptualizations and Clinical Implications","volume":"22","author":"D Pardini","year":"2013","journal-title":"J Can Acad Child Adolesc Psychiatry"},{"key":"pone.0314507.ref009","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s10578-018-0783-y","article-title":"Emotional and Behavioral Problems in Children and Adolescents in Central Kenya","volume":"49","author":"D Magai","year":"2018","journal-title":"Child Psychiatry Hum Dev"},{"key":"pone.0314507.ref010","first-page":"474","article-title":"What\u2019s in a Disruptive Disorder? Temperamental Antecedents of Oppositional Defiant Disorder: Findings from the Avon Longitudinal Study","volume":"49","author":"A Stringaris","year":"2010","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"pone.0314507.ref011","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1097\/CHI.0b013e3181984f30","article-title":"Longitudinal outcome of youth oppositionality: Irritable, headstrong, and hurtful behaviors have distinctive predictions","volume":"48","author":"A Stringaris","year":"2009","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"pone.0314507.ref012","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/j.1469-7610.2008.01989.x","article-title":"Three dimensions of oppositionality in youth","volume":"50","author":"A Stringaris","year":"2009","journal-title":"J Child Psychol Psychiatry Allied Discip"},{"key":"pone.0314507.ref013","doi-asserted-by":"crossref","first-page":"005","DOI":"10.17352\/ojpch.000030","article-title":"Behavioural disorders in children and adolescents: Definition, clinical contexts, neurobiological profiles and clinical treatments","volume":"6","author":"P Giulio","year":"2021","journal-title":"Open J Pediatr Child Heal"},{"key":"pone.0314507.ref014","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1023\/A:1027305312204","article-title":"Stability and changes in problem behavior during adolescence: Latent growth analysis","volume":"33","author":"M Dekovi\u0107","year":"2004","journal-title":"J Youth Adolesc"},{"key":"pone.0314507.ref015","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5409\/wjcp.v7.i1.9","article-title":"Behavioural and emotional disorders in childhood: A brief overview for paediatricians","volume":"7","author":"MO Ogundele","year":"2018","journal-title":"World J Clin Pediatr"},{"key":"pone.0314507.ref016","unstructured":"WHO. World Health Report 2001. Mental health: new understanding, new hope. World Heal Rep 2001 Ment Heal New Understanding, New Hope 2001:xviii + 178-xviii + 178."},{"key":"pone.0314507.ref017","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1007\/s00127-018-1586-y","article-title":"Prevalence of emotional and behavioral problems and subthreshold psychiatric disorders in Austrian adolescents and the need for prevention","volume":"53","author":"J Philipp","year":"2018","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"pone.0314507.ref018","article-title":"Prevalence of Behavioral Problems in Adolescents in Social Vulnerability: Assessment from a Parental Perspective","volume":"30","author":"I Lemos Couto","year":"2020","journal-title":"Paid (Ribeir\u00e3o Preto)"},{"key":"pone.0314507.ref019","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-019-2069-8","article-title":"Prevalence of behavioral disorders and attention deficit\/hyperactive disorder among school going children in Southwestern Uganda","volume":"19","author":"A Kivumbi","year":"2019","journal-title":"BMC Psychiatry"},{"key":"pone.0314507.ref020","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s00787-020-01507-6","article-title":"The prevalence of behavioral and emotional problems among Chinese school children and adolescents aged 6\u201316: a national survey","volume":"30","author":"Y Cui","year":"2021","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"pone.0314507.ref021","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1136\/bmj.a2981","article-title":"Outcomes of conduct problems in adolescence: 40 Year follow-up of national cohort","volume":"338","author":"I Colman","year":"2009","journal-title":"BMJ"},{"key":"pone.0314507.ref022","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1001\/archpsyc.64.4.476","article-title":"Prediction of differential adult health burden by conduct problem subtypes in males","volume":"64","author":"CL Odgers","year":"2007","journal-title":"Arch Gen Psychiatry"},{"key":"pone.0314507.ref023","author":"DP Farrington","year":"2006","journal-title":"Criminal Careers up to Age 50 and Life Success up to Age 48: New Findings from the Cambridge Study in Delinquent Development"},{"key":"pone.0314507.ref024","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1111\/j.1469-7610.2004.00387.x","article-title":"Show me the child at seven: The consequences of conduct problems in childhood for psychosocial functioning in adulthood","volume":"46","author":"DM Fergusson","year":"2005","journal-title":"J Child Psychol Psychiatry Allied Discip"},{"key":"pone.0314507.ref025","volume":"14","author":"TE Moffitt","year":"2002","journal-title":"Males on the life-course-persistent and adolescence-limited antisocial pathways: Follow-up at age 26 years"},{"key":"pone.0314507.ref026","first-page":"220","article-title":"Later adult life outcomes of offenders and nonoffenders","author":"DP Farrington","year":"2015","journal-title":"Child Risk Assessment, Longitud Res Interv"},{"key":"pone.0314507.ref027","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/j.jaac.2016.06.016","article-title":"Long-Term Outcomes of Attention-Deficit\/Hyperactivity Disorder and Conduct Disorder: A Systematic Review and Meta-Analysis","volume":"55","author":"HE Erskine","year":"2016","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"pone.0314507.ref028","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.ajp.2018.12.002","article-title":"Predictors of emotional and behavioral problems among Indian adolescents: A clinic-based study","volume":"39","author":"S Aboobaker","year":"2019","journal-title":"Asian J Psychiatr"},{"key":"pone.0314507.ref029","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s40653-020-00329-7","article-title":"Factors Predictive of Behavioural and Emotional Dysfunction in Adolescents in a Secure Children\u2019s Home","volume":"14","author":"R Harris","year":"2021","journal-title":"J Child Adolesc Trauma"},{"key":"pone.0314507.ref030","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1590\/1413-82712019240205","article-title":"Predictors of behavioral problems in adolescents: Family, personal and demographic variables","volume":"24","author":"JR Campos","year":"2019","journal-title":"Psico-USF"},{"key":"pone.0314507.ref031","article-title":"Prevalence and factors influencing behavioral problems among adolescents in selected high schools of Bhubaneswar: A survey in Odisha","volume":"18","author":"E Rath","year":"2019","journal-title":"J Biomed Sci"},{"key":"pone.0314507.ref032","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2023.1177311","article-title":"Association between family functioning and psychotic transition in ultra-high risk adolescents and young adults","volume":"14","author":"V Adrien","year":"2023","journal-title":"Front Psychiatry"},{"key":"pone.0314507.ref033","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1590\/1516-4446-2019-0835","article-title":"Factors associated with risk behaviors in adolescence: a systematic review","volume":"43","author":"AB Bozzini","year":"2021","journal-title":"Brazilian J Psychiatry"},{"key":"pone.0314507.ref034","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1111\/1532-7795.1303004","article-title":"Adolescent Problem Behavior in China and the United States: A Cross-National Study Of Psychosocial Protective Factors","volume":"13","author":"R Jessor","year":"2003","journal-title":"J Res Adolesc"},{"key":"pone.0314507.ref035","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/0273-2297(92)90013-R","article-title":"Reckless behavior in adolescence: A developmental perspective","volume":"12","author":"J. Arnett","year":"1992","journal-title":"Dev Rev"},{"key":"pone.0314507.ref036","first-page":"1","article-title":"Risky driving and adolescent problem behavior: An extension of problem-behavior theory","volume":"3","author":"R. Jessor","year":"1987","journal-title":"Alcohol, Drugs Driv"},{"key":"pone.0314507.ref037","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1007\/s12310-022-09502-9","article-title":"The Contributing Role of Family, School, and Peer Supportive Relationships in Protecting the Mental Wellbeing of Children and Adolescents","volume":"14","author":"N Butler","year":"2022","journal-title":"School Ment Health"},{"key":"pone.0314507.ref038","article-title":"Behavioral Problems, Effects of Parenting and Family Structure on","volume":"2","author":"Elsevier","year":"2015","journal-title":"Second Edi"},{"key":"pone.0314507.ref039","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1097\/DBP.0000000000000383","article-title":"Association of Food Insecurity with Children\u2019s Behavioral, Emotional, and Academic Outcomes: A Systematic Review","volume":"38","author":"P Shankar","year":"2017","journal-title":"J Dev Behav Pediatr"},{"key":"pone.0314507.ref040","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/2050-7283-2-7","article-title":"The association between social capital and mental health and behavioural problems in children and adolescents: an integrative systematic review","volume":"2","author":"KE McPherson","year":"2014","journal-title":"BMC Psychol"},{"key":"pone.0314507.ref041","first-page":"81","article-title":"Adverse childhood experiences: Retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population","volume":"36","author":"MA Bellis","year":"2014","journal-title":"J Public Heal (United Kingdom)"},{"key":"pone.0314507.ref042","first-page":"1","article-title":"Child neglect and its relation to emotional and behavioral problems: A cross-sectional study of primary school-aged children in Tanzania","author":"T Hecker","year":"2018","journal-title":"Dev Psychopathol"},{"key":"pone.0314507.ref043","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.jaac.2014.12.008","article-title":"Social isolation and mental health at primary and secondary school entry: A longitudinal cohort study","volume":"54","author":"T Matthews","year":"2015","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"pone.0314507.ref044","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40359-020-00409-1","article-title":"Perceived social support and psychological wellbeing among Nepalese adolescents: The mediating role of self-esteem","volume":"8","author":"A Poudel","year":"2020","journal-title":"BMC Psychol"},{"key":"pone.0314507.ref045","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/978-3-319-09653-7_4","article-title":"Quality of Life and Well-Being","author":"D Upton","year":"2015","journal-title":"Psychol Wounds Wound Care Clin Pract"},{"key":"pone.0314507.ref046","doi-asserted-by":"crossref","DOI":"10.3390\/healthcare11172435","article-title":"The Influence of Perceived Security in Childhood on Adult Self-Concept: The Mediating Role of Resilience and Self-Esteem","volume":"11","author":"JC Mart\u00edn Quintana","year":"2023","journal-title":"Healthc"},{"key":"pone.0314507.ref047","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1080\/0145935X.2020.1818558","article-title":"The Relationship between Deficiency Needs and Growth Needs: The Continuing Investigation of Maslow\u2019s Theory","volume":"42","author":"A Noltemeyer","year":"2021","journal-title":"Child Youth Serv"},{"key":"pone.0314507.ref048","doi-asserted-by":"crossref","first-page":"100","DOI":"10.11621\/pir.2018.0208","article-title":"Psychological security as the foundation of personal psychological wellbeing: analytical review","volume":"11","author":"O Zotova","year":"2018","journal-title":"Psychol Russ State Art"},{"key":"pone.0314507.ref049","first-page":"1","author":"Springer Netherlands","year":"2015","journal-title":"Friendship and happiness: Across the life-span and cultures"},{"key":"pone.0314507.ref050","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1093\/geroni\/igx025","article-title":"Family Relationships and Well-Being","volume":"1","author":"PA Thomas","year":"2017","journal-title":"Innov Aging"},{"key":"pone.0314507.ref051","doi-asserted-by":"crossref","first-page":"374","DOI":"10.3928\/00485713-20050501-02","article-title":"This Issue: Child Abuse & Victimization","volume":"35","author":"B. van der Kolk","year":"2005","journal-title":"Psychiatr Ann"},{"key":"pone.0314507.ref052","author":"P. Raws","year":"2018","journal-title":"Thinking about adolescent neglect A review of research on adolescent neglect focusing on identification, assessment and intervention"},{"key":"pone.0314507.ref053","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1111\/sode.12019","article-title":"Experiencing loneliness in adolescence: A matter of individual characteristics, negative peer experiences, or both?","volume":"23","author":"J Vanhalst","year":"2014","journal-title":"Soc Dev"},{"key":"pone.0314507.ref054","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.2044-835X.2011.02041.x","article-title":"Examining the components of children\u2019s peer liking as antecedents of school adjustment","volume":"30","author":"LR Betts","year":"2012","journal-title":"Br J Dev Psychol"},{"key":"pone.0314507.ref055","doi-asserted-by":"crossref","first-page":"106083","DOI":"10.1016\/j.childyouth.2021.106083","article-title":"Contextual correlates of loneliness in adolescents","volume":"127","author":"N Bayat","year":"2021","journal-title":"Child Youth Serv Rev"},{"key":"pone.0314507.ref056","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1037\/fam0000660","article-title":"Family relationships and adolescent loneliness: An application of social network analysis in family studies","volume":"35","author":"S Heshmati","year":"2021","journal-title":"J Fam Psychol"},{"key":"pone.0314507.ref057","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1016\/j.childyouth.2010.07.007","article-title":"Parent, school and peer-related correlates of adolescents\u2019 life satisfaction","volume":"32","author":"BF Piko","year":"2010","journal-title":"Child Youth Serv Rev"},{"key":"pone.0314507.ref058","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s11482-009-9083-9","article-title":"Youth developmental assets and perceived life satisfaction: Is there a relationship?","volume":"4","author":"RF Valois","year":"2009","journal-title":"Appl Res Qual Life"},{"key":"pone.0314507.ref059","first-page":"401","article-title":"Understanding locally, culturally, and contextually relevant mental health problems among Rwandan children and adolescents affected by HIV\/AIDS","volume":"23","author":"TS Betancourt","year":"2011","journal-title":"AIDS Care \u2010 Psychol Socio-Medical Asp AIDS\/HIV"},{"key":"pone.0314507.ref060","article-title":"Effectiveness of Parent-Adolescent Communication (PAC) Programme: Helping Parents to Respond to Adolescent Drugs Use","author":"JN Callixte YADUFASHIJE","year":"2016","journal-title":"Int J Emerg Trends Sci Technol"},{"key":"pone.0314507.ref061","article-title":"Risk and Protective Factors for Alcohol and Other Drug Use (AOD) Among Adolescents in Rubavu District, Rwanda","author":"J Ngamije","year":"2017","journal-title":"SSRN Electron J"},{"key":"pone.0314507.ref062","first-page":"21","article-title":"Maltreatment of Youth Heads of Households in Rwanda","volume":"1","author":"J Ntaganira","year":"2012","journal-title":"Rwanda J Heal Sci"},{"key":"pone.0314507.ref063","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12887-022-03420-0","article-title":"Perceptions of adolescents on the COVID-19 pandemic and returning to school: qualitative questionnaire survey, September 2020, England","volume":"22","author":"AA Powell","year":"2022","journal-title":"BMC Pediatr"},{"key":"pone.0314507.ref064","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1111\/jcpp.12729","article-title":"Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial","volume":"58","author":"TS Betancourt","year":"2017","journal-title":"J Child Psychol Psychiatry Allied Discip"},{"key":"pone.0314507.ref065","doi-asserted-by":"crossref","first-page":"1518","DOI":"10.1007\/s10461-016-1482-y","article-title":"Mental Health of Children Living in Foster Families in Rural Rwanda: The Role of HIV and the Family Environment","volume":"21","author":"E Nduwimana","year":"2017","journal-title":"AIDS Behav"},{"key":"pone.0314507.ref066","author":"UNICEF, Rwanda Country Office","year":"2020","journal-title":"Adolescent Mental Health Landscape Assessment in Rwanda"},{"key":"pone.0314507.ref067","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1111\/j.1365-2753.2010.01434.x","article-title":"Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline","volume":"17","author":"V Sousa","year":"2011","journal-title":"J Eval Clin Pract"},{"key":"pone.0314507.ref068","first-page":"55","article-title":"Can a Reliability Coefficient Be Too High?","volume":"10","author":"C Hulin","year":"2001","journal-title":"Methodol Stat Concerns Exp Behav Res"},{"key":"pone.0314507.ref069","doi-asserted-by":"crossref","DOI":"10.1016\/j.jad.2016.12.040","article-title":"International development and psychometric properties of the Child and Adolescent Trauma Screen (CATS)","volume":"210","author":"C Sachser","year":"2017","journal-title":"J Affect Disord"},{"key":"pone.0314507.ref070","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1037\/0022-3514.39.3.472","article-title":"Revised UCLA Loneliness Scale","volume":"39","author":"D Russell","year":"1980","journal-title":"J Pers Soc Psychol"},{"key":"pone.0314507.ref071","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The Multidimensional Scale of Perceived Social Support","volume":"52","author":"GD Zimet","year":"1988","journal-title":"J Pers Assess"},{"key":"pone.0314507.ref072","article-title":"The multidimentional neglectful behavior scale, form A","author":"MA Straus","year":"2008","journal-title":"Fam Res Lab Univ New Hampsh Durham, NH"},{"key":"pone.0314507.ref073","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-015-0664-x","article-title":"A systematic review of mental health outcome measures for young people aged 12 to 25 years","volume":"15","author":"B Kwan","year":"2015","journal-title":"BMC Psychiatry"},{"key":"pone.0314507.ref074","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13063-015-1007-4","article-title":"Self-Harm Intervention: Family Therapy (SHIFT), a study protocol for a randomised controlled trial of family therapy versus treatment as usual for young people seen after a second or subsequent episode of self-harm","volume":"16","author":"A Wright-Hughes","year":"2015","journal-title":"Trials"},{"key":"pone.0314507.ref075","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1097\/01.chi.0000198590.38325.81","article-title":"Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q): Reliability and validity","volume":"45","author":"J Endicott","year":"2006","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"pone.0314507.ref076","doi-asserted-by":"crossref","DOI":"10.4324\/9781315545899","volume-title":"IBM SPSS Statistics 23 Step by Step: A Simple Guide and Reference","author":"D. George","year":"2016"},{"key":"pone.0314507.ref077","doi-asserted-by":"crossref","first-page":"58","DOI":"10.5539\/mas.v9n9p58","article-title":"Parametric and Non Parametric Approach in Structural Equation Modeling (SEM): The Application of Bootstrapping","volume":"9","author":"Z Awang","year":"2015","journal-title":"Mod Appl Sci"},{"key":"pone.0314507.ref078","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1002\/pchj.347","article-title":"Behavioral problems in preadolescence: Does gender matter?","volume":"9","author":"B Khan","year":"2020","journal-title":"PsyCh J"},{"key":"pone.0314507.ref079","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s10826-008-9226-x","article-title":"Girls\u2019 disruptive behavior and its relationship to family functioning","volume":"18","author":"LM Kroneman","year":"2009","journal-title":"J Child Fam Stud"},{"key":"pone.0314507.ref080","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1080\/02791072.2000.10400209","article-title":"Understanding gender differences in adolescent drug abuse: Issues of comorbidity and family functioning","volume":"32","author":"GA Dakof","year":"2000","journal-title":"J Psychoactive Drugs"},{"key":"pone.0314507.ref081","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1146\/annurev.psych.51.1.445","article-title":"The Effects of Family and Community Violence on Children","volume":"51","author":"G Margolin","year":"2000","journal-title":"Annu Rev Psychol"},{"key":"pone.0314507.ref082","first-page":"547","author":"H Smith","year":"2000","journal-title":"Violent and Nonviolent Girls: Relationships. Heal (San Fr"},{"key":"pone.0314507.ref083","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s10901-009-9166-9","article-title":"Gender differences in the impact of family background on leaving the parental home","volume":"25","author":"M Blaauboer","year":"2010","journal-title":"J Hous Built Environ"},{"key":"pone.0314507.ref084","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/07448481.2018.1455689","article-title":"Childhood trauma and problem behavior: Examining the mediating roles of experiential avoidance and mindfulness processes","volume":"67","author":"AI Roche","year":"2019","journal-title":"J Am Coll Heal"},{"key":"pone.0314507.ref085","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1108\/MHSI-08-2023-0089","article-title":"Child abuse and neglect and associated mental health outcomes: a large, population-based survey among children and adolescents from Jamaica and Uganda","volume":"28","author":"A Debowska","year":"2024","journal-title":"Ment Heal Soc Incl"},{"key":"pone.0314507.ref086","doi-asserted-by":"crossref","first-page":"106591","DOI":"10.1016\/j.chiabu.2023.106591","article-title":"Neglect, online invasive exploitation, and childhood sexual abuse in Hong Kong: Breaking the links","volume":"147","author":"CR Emery","year":"2024","journal-title":"Child Abuse Negl"},{"key":"pone.0314507.ref087","doi-asserted-by":"crossref","first-page":"214","DOI":"10.7322\/jhgd.81274","article-title":"Association between child maltreatment indicators and developmental problems in early childhood education","volume":"24","author":"VR Vaz Gomez","year":"2014","journal-title":"J Hum Growth Dev"},{"key":"pone.0314507.ref088","first-page":"90","article-title":"Behavioural Problems in Adolescents: An Analysis of the Family Factors","volume":"5","author":"E. Ara","year":"2015","journal-title":"Asian J Res Soc Sci Humanit"},{"key":"pone.0314507.ref089","doi-asserted-by":"crossref","first-page":"2889","DOI":"10.1007\/s10902-020-00346-1","article-title":"Problem Behavior and Life Satisfaction in Early Adolescence: Longitudinal Findings in a Chinese Context","volume":"22","author":"X Zhu","year":"2021","journal-title":"J Happiness Stud"},{"key":"pone.0314507.ref090","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/bjc.12331","article-title":"Loneliness and mental health in children and adolescents with pre-existing mental health problems: A rapid systematic review","volume":"61","author":"E Hards","year":"2022","journal-title":"Br J Clin Psychol"},{"key":"pone.0314507.ref091","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jad.2021.04.016","article-title":"Loneliness, social relationships, and mental health in adolescents during the COVID-19 pandemic","volume":"289","author":"K Cooper","year":"2021","journal-title":"J Affect Disord"},{"key":"pone.0314507.ref092","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/02673843.2021.1908375","article-title":"Social support and adolescent mental health and well-being among Jordanian students","volume":"26","author":"AS Alshammari","year":"2021","journal-title":"Int J Adolesc Youth"},{"key":"pone.0314507.ref093","doi-asserted-by":"crossref","DOI":"10.1186\/s13063-017-2293-9","article-title":"Preventing enduring behavioural problems in young children through early psychological intervention (Healthy Start, Happy Start): Study protocol for a randomized controlled trial","volume":"18","author":"P Ramchandani","year":"2017","journal-title":"Trials"},{"key":"pone.0314507.ref094","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s11121-005-0013-2","article-title":"Prevention of Child Behavior Problems Through Universal Implementation of a Group Behavioral Family Intervention","volume":"6","author":"S Zubrick","year":"2006","journal-title":"Prev Sci"},{"key":"pone.0314507.ref095","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1080\/13632750600619257","article-title":"Community-based early intervention for children with behavioural, emotional and social problems: Evaluation of the Scallywags Scheme","volume":"11","author":"K Lovering","year":"2006","journal-title":"Emot Behav Difficulties"},{"key":"pone.0314507.ref096","article-title":"National Family & Parenting Institute (Great Britain)","author":"I Wollny","year":"2010","journal-title":"Can government measure family wellbeing?: a literature review"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0314507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T18:22:50Z","timestamp":1739211770000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0314507"}},"subtitle":[],"editor":[{"given":"Giuseppe","family":"Marano","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,2,10]]},"references-count":96,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,10]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0314507","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,10]]}}}