Emotional and Behavioural Problems in School Going Children (5-16 years) in and around Meerut

Abstract

Background: Adolescents are highly vulnerable to psychiatric disorders. This study aimed to explore theprevalence and patterns of behavioural and emotional problems in adolescents. It was also aimed to exploreassociations between socioenvironmental stressors and maladaptive outcomes.Method: A school based cross-sectional study was conducted between January and July 2008. A stratifiedrandom sampling was done. 1150 adolescents in 5-16 years age group in grades 7 to 12 in 10 co-educationalschools (government run and private) were the subjects of the study. Behavioural and emotional problems wereassessed using Youth Self-Report (2001) questionnaire. Family stressors were assessed using a pre-tested 23 itemquestionnaire. Univariate and multivariate analysis were performed. Multiple logistic regression analysis was alsodone.Results: Prevalence of behavioural and emotional problems in adolescents was found to be 30%, with girlsexceeding boys in all age groups. Internalizing syndrome was the most common (28.6%) psychiatric problem.On stepwise regression analysis, a perceived lack of emotional proximity to mother had the highest odds (3.489)followed by addiction in father (2.642) and marital discord in parents (1.402). Type of school, type of family,socioeconomic status, relationship with father, mother&s employment and educational status were not found tobe significantly associated.Conclusion: An alarming number of our adolescents suffer from emotional and behavioural problems which havetheir roots in the family environment. These data suggest urgency in establishing a school based mental healthservice.