Screening of behavioral problems in children using child behavior checklist (1½–5 years)

Amalu George, J. Shrivastava
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引用次数: 1

Abstract

Background: Tremendous rise in behavioral disorders in child population demands screening at the earliest. Screening asymptomatic preschool children using validated preschool child behavior checklist (CBCL) (1½–5 years) may help in early diagnosis and treatment. Objective: The objective of the study was to assess the behavioral problems, estimate their proportion in study population, and find its association with various sociodemographic factors. Materials and Methods: An observational cross-sectional study was undertaken in which 192 children of age group 1½–5 years were selected from the outpatient department attendees of a tertiary care hospital. Validated preschool CBCL was used which has 100 statements, each scored by parents as 0=not true, 1=somewhat true, or 2=very true and categorized to CBCL empirically based scale internal problems, external problems, total problems, and CBCL-diagnostic and statistical manual of mental disorders (CBCL-DSM) oriented scale. Based on total score, they were categorized to normal, borderline, and clinical range for CBCL both scales. Sociodemographic risk factors were recorded. Results: The overall proportion for behavioral disorder was 16% in studied population. Autism spectrum problems constitute highest (13%) of CBCL-DSM oriented scale problems. CBCL empirically based scale external problems are more in boys (16.3%) than girls (6.8%) in the clinical range (p=0.01). Conclusion: High proportion (16%) of behavioral disorders in preschool children, especially in boys, points toward need of early screening and intervention.
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使用儿童行为检查表筛查儿童行为问题(1½-5岁)
背景:儿童群体中行为障碍的急剧增加需要尽早进行筛查。使用有效的学龄前儿童行为检查表(CBCL)筛查无症状学龄前儿童(1½-5岁)可能有助于早期诊断和治疗。目的:本研究的目的是评估行为问题,估计其在研究人群中的比例,并发现其与各种社会人口因素的关系。材料和方法:本研究采用横断面观察性研究,从某三级医院门诊部就诊的192名1½-5岁儿童中选取。本研究采用经验证的学前CBCL量表,共有100个陈述,每个陈述由家长按0=不真实、1=有些真实、2=非常真实进行评分,分为基于经验的CBCL量表、内部问题量表、外部问题量表、总体问题量表和面向CBCL-精神障碍诊断与统计手册(CBCL- dsm)的量表。根据总分,他们被分为正常、边缘和临床CBCL范围。记录社会人口危险因素。结果:研究人群中行为障碍的总体比例为16%。自闭症谱系问题占CBCL-DSM导向量表问题的最高比例(13%)。在临床范围内,基于CBCL经验的量表外问题男孩(16.3%)多于女孩(6.8%)(p=0.01)。结论:学龄前儿童行为障碍发生率高(16%),尤其是男孩,需要早期筛查和干预。
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