Our children then and now: Changes in mental health symptoms among Singaporean children from 2003 to 2017

• Published in: Asian journal of psychiatry 2021-09, Vol.63, p.102773-102773, Article 102773
• Main Authors: Lee, Crystal Yun See, Goh, Tze Jui, Meaney, Michael J., Cai, Shirong, Tan, Kok-Hian, Shek, Lynette Pei-Chi, Chong, Yap-Seng, Broekman, Birit, Fung, Daniel Shuen Sheng
• Format: Article
• Language: English
• Subjects: Child; Child Behaviour Checklist (CBCL); Mental health; Singapore; Trends
• ISSN: 1876-2018; 1876-2026
• DOI: 10.1016/j.ajp.2021.102773

•Changes in levels of mental health symptoms among Asian children (2003–2017).•Lower Child Behaviour Checklist (CBCL) externalizing scale scores over time.•No change in total and internalizing scale scores over time. In recent years, there appears to be a rise in the diagnosis and treatment of child mental health disorders in many countries, including Singapore. While this increase may be alarming, it could possibly be attributed to factors such as changes in diagnostic criteria, improved screening in schools and primary health settings, changes in clinical practices, and an increase in help-seeking behaviour. Hence, an examination of community-level trends in mental health symptoms can elucidate how child psychopathology has changed over the years. This study aimed to investigate differences in symptoms of mental health between two cohorts of young Asian children aged six to eight living in Singapore. Child Behaviour Checklist (CBCL) scores from a sample in 2003 (Cohort 1; n = 524) were compared to another sample taken in 2017 (Cohort 2; n = 655). Cohort 2 had lower externalizing scale scores as compared to Cohort 1, but there were no significant differences in total problem scores or internalizing scale scores. Among the CBCL subscales, Cohort 2 had comparatively lower levels of aggressive behaviour and withdrawn/depressed symptoms, but higher levels of thought problems and somatic complaints as compared to Cohort 1. Our findings suggest that children in Singapore are progressing as well as, or even better than, children 14 years ago on most aspects of mental well-being.