{"doi":"10.1371/journal.pone.0288815","title":"Patterns of mental health problems and well-being in children with disabilities in Sweden: A cross-sectional survey and cluster analysis","abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background</jats:title>\n<jats:p>Children with disabilities have an increased risk of mental health problems. Patterns of mental health problems and well-being may vary.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Aims</jats:title>\n<jats:p>To identify patterns of mental health problems and well-being in children with disabilities in Sweden, and investigate the influence of parental background (migration, education), and child cognitive level.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Method</jats:title>\n<jats:p>In this cross-sectional study, cluster analysis was used to analyse parents’ ratings of conduct problems, emotional symptoms, and prosocial behaviour on the Strengths and Difficulties Questionnaire (SDQ) in children with disabilities (n = 136). The influence of parental background (migration, education) and child cognitive level on cluster membership was explored through multinomial logistic regression.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results</jats:title>\n<jats:p>Five clusters of mental health patterns emerged. Three clusters had mean ratings near or past clinical cut-off for one each of the SDQ-subscales. One cluster had difficulties on all three subscales. Greater child cognitive difficulties increased the likelihood of low prosocial behaviour (OR 2.501, p &lt; .001) and of difficulties on all three subscales (OR 2.155, p = .006). Parental background did not influence cluster membership.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion</jats:title>\n<jats:p>Children with disabilities display varying mental health patterns. Awareness of the complexity of mental health patterns among children with disabilities is important. Screening and support for emotional symptoms and prosocial behaviour deficits should be considered for children with conduct problems.</jats:p>\n</jats:sec>","journal":"PLOS ONE","year":2023,"id":643330,"datarank":0.3453877639491069,"base_score":2.302585092994046,"endowment":2.302585092994046,"self_citation_contribution":0.3453877639491069,"citation_network_contribution":0.0,"self_endowment_contribution":0.3453877639491069,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1673808,"name":"Mats Granlund","orcid":null,"position":1,"is_corresponding":false},{"id":1673809,"name":"Lena Almqvist","orcid":null,"position":2,"is_corresponding":false},{"id":1673810,"name":"Fatumo Osman","orcid":null,"position":3,"is_corresponding":false},{"id":1673811,"name":"Eva Norén Selinus","orcid":"0000-0002-6104-7836","position":4,"is_corresponding":false},{"id":1673812,"name":"Karin Fängström","orcid":"0000-0001-9879-941X","position":5,"is_corresponding":false},{"id":1673807,"name":"Torun Täljedal","orcid":"0000-0003-4302-0426","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Patterns of mental health problems and well-being in children with disabilities in Sweden: A cross-sectional survey and cluster analysis","abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background</jats:title>\n<jats:p>Children with disabilities have an increased risk of mental health problems. Patterns of mental health problems and well-being may vary.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Aims</jats:title>\n<jats:p>To identify patterns of mental health problems and well-being in children with disabilities in Sweden, and investigate the influence of parental background (migration, education), and child cognitive level.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Method</jats:title>\n<jats:p>In this cross-sectional study, cluster analysis was used to analyse parents’ ratings of conduct problems, emotional symptoms, and prosocial behaviour on the Strengths and Difficulties Questionnaire (SDQ) in children with disabilities (n = 136). The influence of parental background (migration, education) and child cognitive level on cluster membership was explored through multinomial logistic regression.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results</jats:title>\n<jats:p>Five clusters of mental health patterns emerged. Three clusters had mean ratings near or past clinical cut-off for one each of the SDQ-subscales. One cluster had difficulties on all three subscales. Greater child cognitive difficulties increased the likelihood of low prosocial behaviour (OR 2.501, p &lt; .001) and of difficulties on all three subscales (OR 2.155, p = .006). Parental background did not influence cluster membership.</jats:p>\n</jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion</jats:title>\n<jats:p>Children with disabilities display varying mental health patterns. Awareness of the complexity of mental health patterns among children with disabilities is important. Screening and support for emotional symptoms and prosocial behaviour deficits should be considered for children with conduct problems.</jats:p>\n</jats:sec>","is_dataset_classified":null,"base_score":2.302585092994046,"endowment":2.302585092994046,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"37463139","pmcid":"PMC10353824","openalex_id":"https://openalex.org/W4384665105","authors":[],"funders":[{"funder_name":"Vetenskapsrådet","grant_id":"2018-05824","title":null},{"funder_name":"Swedish Research Council","grant_id":"unidentified","title":"unidentified"}],"total_grants":2,"fwci":2.3977,"citation_percentile":0.88091693,"influential_citations":0,"citation_trend":[{"year":2024,"count":3},{"year":2025,"count":4},{"year":2026,"count":2}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288815&type=printable","host_type":"journal"},{"url":"https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0288815&type=printable","host_type":"publisher"},{"url":"https://dx.plos.org/10.1371/journal.pone.0288815","host_type":"publisher"},{"url":"https://doi.org/10.1371/journal.pone.0288815","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/37463139","host_type":"repository"},{"url":"http://urn.kb.se/resolve?urn=urn:nbn:se:du-46635","host_type":"repository"},{"url":"http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-7729","host_type":"repository"},{"url":"http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-509248","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10353824","host_type":"repository"},{"url":"https://du.diva-portal.org/smash/get/diva2:1785765/FULLTEXT01","host_type":"repository"},{"url":"https://gih.diva-portal.org/smash/get/diva2:1789842/FULLTEXT01","host_type":"repository"},{"url":"https://uu.diva-portal.org/smash/get/diva2:1789779/FULLTEXT01","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10353824/pdf/pone.0288815.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC10353824","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC10353824?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.1371/journal.pone.0288815","host_type":""}],"fields_of_study":["Family and Disability Support Research","Child and Adolescent Psychosocial and Emotional Development","Cerebral Palsy and Movement Disorders","05 social sciences","0501 psychology and cognitive sciences"],"mesh_terms":["Child","Cross-Sectional Studies","Humans","Mental Health","Parents","Surveys and Questionnaires","Sweden","Cluster Analysis","Children with Disabilities","Disabled Children"],"keywords":["Strengths and Difficulties Questionnaire","Mental health","Prosocial behavior","Psychology","Cross-sectional study","Cognition","Cluster (spacecraft)","Multinomial logistic regression","Clinical psychology","Logistic regression","Developmental psychology","Psychiatry","Medicine","Sweden","Parents","Children with Disabilities","questionnaire","disabled child","Folkhälsovetenskap, global hälsa och socialmedicin","Public Health, Global Health and Social Medicine","Disabled Children","Psykiatri","child parent relation","Cross-Sectional Studies","Surveys and Questionnaires","Humans","Cluster Analysis","epidemiology","human","Child","Research Article"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Quality Education"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-08T15:39:13.110270Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}