Article2013

Behavioral and emotional problems in a K uala L umpur children's home

Fairuz Nazri Abd Rahman · Tuti Iryani Mohd Daud · Nik Ruzyanei Nik Jaafar · Shamsul Azhar Shah · Susan Mooi Koon Tan · Wan Salwina Wan Ismail

15 citations0/0 files storedPediatrics International

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Child Welfare and Adoption Child and Adolescent Psychosocial and Emotional Development Child Abuse and Trauma

Abstract

BACKGROUND: There is a dearth of studies on behavioral and emotional problems in residential care children in Malaysia. This study describes the behavioral and emotional problems in a sample of children in a government residential care home and compares them with their classmates living with their birth parents. METHODS: A comparative cross-sectional study was carried out where carers from both groups were asked to fill in the translated Bahasa Melayu version of the Child Behavior Check List. RESULTS: Forms for 53 residential care children and 61 classmates were completed. The residential care children had significantly higher scores on the rule-breaking (P < 0.001) and Diagnostic and Statistical Manual of Mental Disorders (DSM) conduct problem subscales (P < 0.001). Residential care children's age significantly correlated with DSM somatic problems (P = 0.03) and post-traumatic stress (P = 0.023). Duration of care was significantly positively correlated with rule-breaking (P = 0.008), DSM conduct problems (P = 0.018) and externalizing scores (P = 0.017). Abuse and neglect cases had higher anxiety and depression scores (P = 0.024). Number of reasons in care positively correlated with several subscales, including total behavioral problem score (P = 0.005). Logistic regression revealed the greater number of reasons for placement a child had was significantly associated with having externalizing scores in the clinical range (P = 0.016). However, after Bonferroni correction, only the initial findings regarding rule-breaking and DSM conduct problem scores remained significant. CONCLUSIONS: Challenges exist in managing residential care children in Malaysia, especially regarding externalizing behavior. More studies are required to describe the Malaysian scene.

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References

2001Manual for ASEBA School-Age Forms & Profiles 2007Psychiatric disorder among British children looked after by local authorities: Comparison with children living in private households 2000Children in substitute care: Some conceptual considerations and research implications 1998A Comparative Study of Greek Children in Long-term Residential Group Care and in Two-parent Families: I. Social, Emotional, and Behavioural Differences 2003Mental health of looked after children 2008Early Identification of Mental Health Needs for Children in Care: A Therapeutic Assessment Programme for Statutory Clients of Child Protection 2004Identifying the Mental Health Needs of Looked after Young People 2008Residential and Foster Family Care

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