Ginige P, Tennakoon S U B, Wijesinghe W H M K J, Liyanage L, Herath P S D, Bandara K
Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Peradeniya 20400, Sri Lanka.
Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Sri Lanka.
J Affect Disord. 2014;167:167-70. doi: 10.1016/j.jad.2014.05.062. Epub 2014 Jun 12.
Behavioral and emotional problems comprising internalizing, externalizing and mixed disorders consist of psychiatric disorders in childhood and adolescents. Prevalence rates of 8.3% for preschoolers, 12.2% for preadolescents and 15.0% for adolescents have been reported from around the world. This study aimed to measure the prevalence of emotional and behavioral disorders in 7-11 year-old school children studying in Kandy District Sri Lanka which was a first for the geographic area.
This was a community based study at the primary section of the selected schools. The questionnaire, Child behavior Checklist-Sinhala (CBCL-S) was administered in a group setting to the main caregiver of 562 subjects selected randomly. The questionnaire identified problems in 8 subscales under three main sub categories : internalizing, externalizing and other. Data were analyzed using The Syndrome Scales for Boys and Girls developed for analyzing the questionnaire CBCL.
Indicated a prevalence of 13.8% of emotional and behavioral problems in the study population. 8.8% of children showed internalizing problems and 8.8% externalizing problems. These findings are in line with the prevailing rates from previous studies of the world. Children in school types 1AB and 1C had less emotional and behavioral problems compared to type 2 and 3 schools.
Only 20 schools in KEZ and Sinhala speaking population of the Kandy were studied.
This study showed the extent of childhood emotional and behavioral problems and also confirms that the schools with advanced level classes have lesser problems amongst primary children.
包括内化、外化和混合性障碍在内的行为和情绪问题构成了儿童和青少年的精神障碍。世界各地报告的学龄前儿童患病率为8.3%，青春期前儿童为12.2%，青少年为15.0%。本研究旨在测量斯里兰卡康提地区7至11岁在校儿童的情绪和行为障碍患病率，这在该地理区域尚属首次。
这是一项在选定学校小学部开展的基于社区的研究。在小组环境中，向随机选取的562名受试者的主要照顾者发放《儿童行为检查表-僧伽罗语版》（CBCL-S）问卷。该问卷在三个主要子类别下的8个分量表中识别问题：内化、外化和其他。使用为分析CBCL问卷而编制的《男孩和女孩综合征量表》对数据进行分析。
表明研究人群中情绪和行为问题的患病率为13.8%。8.8%的儿童表现出内化问题，8.8%表现出外化问题。这些结果与世界上以往研究的普遍患病率一致。与2类和3类学校相比，1AB类和1C类学校的儿童情绪和行为问题较少。
仅研究了康提地区KEZ的20所学校以及说僧伽罗语的人群。
本研究显示了儿童情绪和行为问题的程度，也证实了在小学儿童中，开设高级课程的学校问题较少。
