Behavioral Issues Research Articles

A qualitative study on the implementation of a transdiagnostic cognitive behavioral therapy for children in a child welfare residential treatment program

BackgroundYouth with severe emotional or behavioral issues who are involved with child welfare authorities are sometimes placed in intensive care services in a residential treatment program. Evidence-based psychotherapies are often used in residential treatments, but there is very little research on how to adapt psychotherapy for residential treatment. ObjectiveTo describe the implementation of a transdiagnostic cognitive behavioral therapy (the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children) in a residential treatment program for children. Participants and settingStaff (n = 20) at a residential facility in Calgary, Canada. MethodsA combination of qualitative interviews and focus groups were conducted before and after therapy to identify barriers and facilitators to implementation. Data were analyzed and reported using the Consolidated Framework for Implementation Research and the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies. ResultsModifications were made to the program including creating inclusive language, integrating relevant content targeting pediatric irritability, delivering sessions online for caregivers, and using additional staff to support youth to learn and practice the application of the content and behavioral interventions. Key barriers to implementation of the Unified Protocol included staff turnover and the difficulty of sustaining a critical mass of knowledge surrounding the Unified Protocol. The major facilitators to implementation were the perceived quality of the program and advantages of the program to children and their caregivers. ConclusionsThis study supports the feasibility and acceptability of providing transdiagnostic cognitive behavioral therapies for children in residential treatment and provides a template for how to implement evidence-based practice in residential treatment.

Cats' and dogs' welfare: text mining and topics modeling analysis of the scientific literature.

Animal welfare is a field with increasing significance and has been raising huge concerns of the public and the political stage. Cats and dogs possess an important role in human life, but their welfare is not always secured from a legal aspect. This review aimed to describe the evolution and geographical distribution of "cats and dogs" and "puppies and kittens" welfare literature over the last 40 years, distinguish the main research topics studied and highlight gaps in knowledge. A search using Scopus® was performed with different search strings and predetermined filters as time range, language, and subject area. A total of 2,725 scientific literature records were retrieved but only the ones that referred to cats and dogs' welfare aspects were retained. The final 1,775 records were processed through descriptive statistics, and text mining and topic analysis procedures were performed on their titles and abstracts. The results showed that the number of studies has been increasing, especially in Europe and North America. "Shelter" was the most frequent word, followed by "behavior," "owner" and "adopt." The nine topics that emerged from the analysis were breeding, stress and housing conditions, welfare and pain assessment, public health, shelter management and euthanasia, behavioral problems, health issues and management, human-animal interaction, and owners' and veterinarians' perceptions. While stress and housing conditions, public health, and owners' and veterinarians' perceptions were the most studied topics, human-animal interaction was the least studied. This review confirmed the increasing research and interest in cats' and dogs' welfare and showed gaps in knowledge where further studies are needed.

Examining The Impact of Teacher Absenteeism on Academic Performance Among Primary-Level Students in Faisalabad

The frequent absence of teachers has a direct impact on student's academic performance and also gives rise to various management challenges. The primary objective of this research was to assess the perceived consequences of teacher absenteeism on the performance of primary school students. The study was conducted in the primary schools of Tehsil Sadar Faisalabad, located in District Faisalabad. Out of a total population of 200 teachers across 20 primary schools, a random sample of 80 teachers was selected for data collection. Data were gathered through a structured, validated, and reliable questionnaire and subsequently analyzed using the Statistical Package for Social Sciences (SPSS). The findings revealed that substitute teachers faced a range of challenges, including difficulty in gaining students' attention, insufficient communication skills, availability of substitute teachers, maintaining classroom discipline, addressing students' mental disturbances, and managing the classroom burden resulting from the absenteeism of regular teachers. Furthermore, the impact on students was perceived in the form of increased disobedience, lower academic grades, students arriving late to school, attitude problems, and a reduced enthusiasm for learning. It is evident that teacher absenteeism not only contributes to behavioral issues among students but also leads to their dissatisfaction with the learning environment. It is recommended that government authorities implement stringent policies to ensure regular teacher attendance and, by extension, enhance the overall quality of education.

Problem gambling among secondary school adolescents in Enugu, Nigeria.

Adolescent problem gambling is a common behavioural issue and could be associated with internet addiction. To determine the pattern of problem gambling and factors that predict gambling among adolescents that attended secondary schools in southeast Nigeria. This is a cross-sectional study design. A three-stage sampling technique was used to select 796 secondary school adolescents from eight secondary schools in Enugu State, Nigeria. The highest proportion of the respondents, 38.3% had problem gambling with negative consequences. There was a weak positive correlation between gambling severity index and internet addiction. (n=796, r=0.254, p<0.001). There is a very weak negative correlation between gambling severity index and age in years. (n=796, r= -0.034, p=0.331).The male respondents were 1.5 times more likely to have problem gambling when compared with the females, (AOR=1.5; (95%CI: 1.1-2.0). The respondents who have internet addiction were 3.5 times more likely to have problem gambling when compared with those who do not have an internet addiction, (AOR=3.5; 95%CI: 2.6-4.8). The prevalence of gambling among adolescents is high. Adolescents who had problem gambling also had internet addiction. The male respondents were more likely to have problem gambling than their female folk.

Incorporating Choice-Making to Improve Challenging and Academic Behaviors for Students With Emotional and Behavioral Disorders

Most students with emotional and behavioral disorders (EBD) have challenging classroom behaviors and poor postschool outcomes. Self-determination promotes positive classroom behavior and successful postschool outcomes. By incorporating choice-making, an element of self-determination, teachers across grade levels can address behavioral issues and promote positive postschool outcomes for students with EBD. This article provides guidance on how to incorporate choice-making for students with EBD.

Community knowledge, attitude, practices and beliefs associated with persistence of malaria transmission in North-western and Southern regions of Tanzania

BackgroundDespite significant decline in the past two decades, malaria is still a major public health concern in Tanzania; with over 93% of the population still at risk. Community knowledge, attitudes and practices (KAP), and beliefs are key in enhancing uptake and utilization of malaria control interventions, but there is a lack of information on their contribution to effective control of the disease. This study was undertaken to determine KAP and beliefs of community members and service providers on malaria, and how they might be associated with increased risk and persistence of the disease burden in North-western and Southern regions of Tanzania.MethodsThis was an exploratory study that used qualitative methods including 16 in-depth interviews (IDI) and 32 focus group discussions (FGDs) to collect data from health service providers and community members, respectively. The study was conducted from September to October 2017 and covered 16 villages within eight districts from four regions of mainland Tanzania (Geita, Kigoma, Mtwara and Ruvuma) with persistently high malaria transmission for more than two decades.ResultsMost of the participants had good knowledge of malaria and how it is transmitted but some FGD participants did not know the actual cause of malaria, and thought that it is caused by bathing and drinking un-boiled water, or consuming contaminated food that has malaria parasites without warming it. Reported barriers to malaria prevention and control (by FGD and IDI participants) included shortage of qualified health workers, inefficient health financing, low care-seeking behaviour, consulting traditional healers, use of local herbs to treat malaria, poverty, increased breeding sites by socio-economic activities and misconceptions related to the use of bed nets and indoor residual spraying (IRS). Among the misconceptions, some participants believed that bed nets provided for free by the government came with bedbugs while others reported that free bed nets caused impotence among men.ConclusionDespite good knowledge of malaria, several risk factors, such as socio-economic and behavioural issues, and misconceptions related to the use of bed nets and IRS were reported. Other key factors included unavailability or limited access to health services, poor health financing and economic activities that potentially contributed to persistence of malaria burden in these regions. Relevant policies and targeted malaria interventions, focusing on understanding socio-cultural factors, should be implemented to reduce and finally eliminate the disease in the study regions and others with persistent transmission.

The coupling effect between the environment and strategies drives the emergence of group cooperation

The emergence of cooperation is a central issue in understanding collective behavior and evolution. The eco-evolutionary game model introduces a human–environment coupling mechanism, revealing that the feedback between strategies and the relevant environment is a key element in sustaining long-term cooperation. Previous theoretical studies have observed periodic oscillations between cooperative and defective actions under certain conditions. However, such investigations assume cooperators hold a benefit advantage over defectors, which does not fundamentally illuminate how cooperation emerges. Our paper emphasizes that understanding this issue requires considering inherent human memory characteristics. We refine the eco-evolutionary game model using reinforcement learning, constructing a multi-agent system that couples environment and memory-based decision-making. Comprehensive analyses encompass collective and individual perspectives. Our findings show that with the memory mechanism, oscillations between collective cooperation and defection can still occur, even if defection remains a strict Nash equilibrium. Cooperation emerges from the group’s random exploratory actions in depleted environments, altering the environment’s trends. A positive feedback loop forms among the environment, individual rewards, and actions, stabilizing cooperation as a favorable individual strategy at that point. However, established group cooperation leads individuals seeking optimal behavior to transition from cooperators to defectors through exploration, resulting in cooperation collapse. Subsequently, the memory mechanism reengages, diluting defectors’ expected payoffs and initiating a new round of exploratory behavior within the group. Our results unveil the micro-level mechanisms driving cyclic oscillations, enhancing our understanding of the environment-strategy interplay.

Identifying individuals with intellectual disability who access mental health support and are at high risk for adverse clinical outcomes: cohort study.

People with intellectual disability often experience aggressive challenging behaviour and mental health issues. It can be difficult to identify those who are at higher risk of adverse clinical outcomes when in clinical care. To characterise potential subgroups in adults with intellectual disability referred to mental health services in those presenting with aggressive behaviour or common mental disorders (CMDs). There were 836 adults (≥18 years) with intellectual disability and a record of aggressive challenging behaviour, and 205 patients with intellectual disability and CMDs, who were seen in specialist mental health services over a 5-year period. Cluster analysis was used to define patient characteristics associated with clinical outcome. Distinct patient groups with differentiated profiles were observed in people with intellectual disability displaying aggressive challenging behaviour, and in those presenting with CMDs. Characteristics of the aggressive behaviour group who experienced adverse outcomes included being <30 years old, being male, more mentions of aggression and agitation in their clinical record, a diagnosis of pervasive developmental disorder and prescription of psychotropic medication. Characteristics of the CMD cluster that experienced adverse clinical outcomes were being older, being a White male, having a mild intellectual disability and physical health concerns. People with intellectual disability who experience adverse clinical outcomes can be identified with a cluster analysis approach of common features, but differ by clinical presentation. This could be used not only to stratify this clinically heterogeneous population in terms of response to interventions, but also improve precision in the development of tailored interventions.

Longitudinal unraveling: The impact of recombinant human growth hormone on spontaneous brain activity in children with short stature–A resting-state fMRI study

Recombinant human growth hormone (rhGH) is an approved method to improve the growth and ameliorate behavioral issues in children with short stature. However, the data concerning the effects of rhGH treatment on spontaneous brain activity remains unclear. This study included 35 children with short stature, categorized into two groups: the treated group (n = 14) and the untreated group (n = 21). All participants underwent resting-state functional magnetic resonance imaging (rs-fMRI) and neuropsychological assessments at baseline and at the end of a one-year follow-up. The rs-fMRI based amplitude of low frequency fluctuation (ALFF) analysis method was employed to assess spontaneous brain activity. Interaction effects between rhGH and time on ALFF were detected using a mixed-effects analysis. Additionally, Stepwise regression analysis was conducted to investigate the associations between ALFF values and significant clinical indicators. The treated group exhibited significant improvements in height, weight, insulin-like growth factor-1 (IGF-1) levels, insulin-like growth factor binding protein 3 (IGFBP-3) levels, and processing speed index (PSI) when reevaluated from baseline. The interaction effect of rhGH × time was evident in the right putamen (RPUT), where the ALFF value showed a significant increase following rhGH treatment, while also demonstrating a notable positive correlation with height. Moreover, The main effect of time was manifested as a significant decrease in the ALFF value of the left dorsolateral superior frontal gyrus (LSFG) within the untreated group during the follow-up period, concurrently displaying a positive correlation with age. In conclusion, rhGH treatment not only has a positive effect on the growth, cognition, and behavior of children with short stature, but also improves and normalizes spontaneous brain activity.

The Effectiveness of Applied Behavior Analysis based Intervention in Modification of Stereotype Behaviours and Behavioural Issues of Children with Autism Spectrum Disorder - A Systemic Literature Review using PRISMA

The Effectiveness of Applied Behavior Analysis based Intervention in Modification of Stereotype Behaviours and Behavioural Issues of Children with Autism Spectrum Disorder - A Systemic Literature Review using PRISMA

PGR - 2 Demons In The Mirrors: A Childhood Case Report of 22q11.2 Deletion Syndrome First Addressed By Tele-Neuropsychological Evaluation During The COVID-19 Lockdown.

22q11.2 Deletion Syndrome (22q11DS) results in physical, cognitive, and behavioral issues. Although it is the most common microdeletion syndrome, there remains a high prevalence of delayed diagnosis. Its heterogeneous phenotypic presentation lead to differing considerations for early diagnostic identification. If initial symptomatology includes behavioral and cognitive disturbance, it is likely for such individuals to be referred first for neuropsychological testing before genetic testing. This case will expand upon diagnostic identification of 22q11DS. A 12-year-old, 5-years educated, white female was seen for tele-neuropsychological evaluation due to COVID-19 restrictions in December 2020. Patient's mother reported concern regarding sudden and worsening behavioral changes including hallucinations, unusual affects, odd beliefs, academic decline, illegible handwriting, attention and memory issues, and behavioral problems in school to the point of removal. Overall performance on the Meyers Neuropsychological Battery was severely impaired. See uploaded image file for specific test findings. Speech, affect, and behavior were notable during examination. Diagnoses included schizophrenia (provisional) and specific learning disorder with reading impairment (historical). Immediate neurology consultation was recommended. Later EEG, brain MRI, and CSF were unremarkable. Acute metabolic etiology was ruled out. Subsequent genetic testing revealed 22q11DS. Diagnostic identification of 22q11DS and resulting access to care management heavily depends on initial symptom presentation. In this specific case, the COVID-19 lockdown created barrier to sufficient services. This case expands upon knowledge of the cognitive profile of 22q11DS and calls upon increased awareness. Targeted improvement of neurocognition potentially protects against cognitive decline related to psychotic symptoms, and thus neuropsychologists play a vital role in referral to such resources.

The Contribution of Parents Involvement towards Students’ Academic Performance at Ugandan Certificate of Education in Public Secondary

The research aimed to evaluate parental influence on students' academic achievement in high school. It investigated academic performance, parental involvement, and their impact on secondary school students. Using a cross-sectional survey with 357 participants including head teachers, teachers, students, and BOG members, a self-administered questionnaire was utilized. Results indicated 80-89% score improvements in reading and writing skills, though fluency requires over 90%. Homework had 80-98% accuracy, but stronger focus was needed. Poor concentration and attendance highlighted the necessity for more support. Students struggled with question comprehension and irregular achievement. Parental engagement in health programs scored neutrally, signaling a need for increased involvement. Involvement in learning-related responsibilities was hindered by behavioral issues. Positive correlations existed between parental engagement and academic success, including safety, diversity, and regulatory aspects. Writing materials positively impacted, while reading materials showed a decline. Counseling services exhibited a weak correlation. Overall, parental involvement significantly predicted UCE students' academic improvement (B = 0.502; p = .000 &lt; 0.05), contributing to 50.2% positive changes.

Modeling the Nexus between Parenting Style and Anti Social Behavior using Ensemble Learning Approach

Contemporary society is grappling with issues of anti-social behavior in children and adolescents, one of which is influenced by parenting styles. This research employs machine learning technology, particularly ensemble learning, to model the relationship between parenting styles and anti-social behavior. The research data is derived from previous studies encompassing parenting style parameters and anti-social behavior. This data is preprocessed and feature-engineered, then used in modeling through the Random Forest (RF) and Adaptive Boost (AdaBoost) methods. Modeling is conducted in two phases: vanilla modeling and hyperparameter tuning. The results of the tuned models indicate that RF performs better (accuracy=91%) than AdaBoost (accuracy=72%). In conclusion, RF, as a bagging ensemble learning technique, effectively models the relationship between parenting styles and anti-social behavior. Future studies are recommended to gather more training data and develop an early detection system for use by child psychologists in the field.

The Effect of Mindfulness and Gender on the English Achievement

During the pandemic of covid-19, many students have faced social anxiety and stress through the transition from online learning to offline learning. The writer wants to conduct this research due to the finding out of the pandemic and lockdown have brought negative effects for students such as mental health, distress, anxiety, and behavior issues. These conditions are affected students' academic achievement. This study aims to analyze the effect of mindfulness and gender on English achievement. The type of this research is experimental. Factorial design is used to analyze two or more independent and dependent variables. The study is conducted in junior high school. There will be two groups in the study; an experimental group and a control. The experimental group will be given 8 meetings of mindfulness training, while the control group will run as the usual class begins. The result of statistical tests on the English achievement test, the dependent sample t-Test shows that there is a significant interaction effect between mindfulness and English achievement. However, there is no significant interaction effect or joint effect between mindfulness and gender in English achievement. Furthermore, the result of the independent sample t-Test shows, there is a significant difference between the experimental and control group in English achievement. Then, it can be concluded that mindfulness can help students improve their English achievement.

FRI476 Asymptomatic Thyrotropin-secreting Pituitary Microadenoma With Biochemical Secondary Hyperthyroidism: A Diagnostic Conundrum

Abstract Disclosure: G. Al-Naqeeb: None. R. Ghosh: None. P. Veeraraghavan: None. C. Cochran: None. J. Klubo-Gwiezdzinska: None. S. Gubbi: None. Background: Thyrotropin (TSH)-secreting pituitary adenomas (TSHAs) are often macroadenomas (&amp;gt;1 cm), and clinically present with secondary hyperthyroidism (SH), but clinically silent microTSHAs (&amp;lt;1 cm) with only biochemical SH pose a diagnostic challenge. Clinical Case: A 49-year-old, healthy male was referred to our center for evaluation of abnormal thyroid function tests (TFTs). Immunoassay (IA) measurements at an outside hospital had identified elevated free T4 (FT4), and an inappropriately normal TSH, and a pituitary magnetic resonance imaging (MRI) had noted an 8mm x 7mm non-invasive adenoma. The patient denied hyperthyroidism symptoms, medication/herbal supplement intake, radiation exposure, headaches, vision changes, and thyroid/pituitary disorders, or abnormal TFTs in relatives. Physical exam revealed no signs and symptoms of hyperthyroidism. No thyromegaly or cervical lymphadenopathy was felt. IA profile at our institute was consistent with an SH pattern [TSH: 3.32 mIU/L (NL: 0.4 - 4.7); FT4: 3 ng/dL (NL: 0.9 - 1.7); total T4: 14.5 mcg/dL (NL: 4.5 - 11.7); triiodothyronine: 266.6 ng/dL (NL: 80 - 200)], with similar values on repeat measurement. Equilibrium dialysis technique also yielded an elevated FT4 value. TSH-receptor, anti-thyroid peroxidase, and anti-thyroglobulin (Tg) antibody (Ab) titers, serum Tg, and thyroid binding globulin levels were normal. Dilution studies ruled out heterophile Ab interference. Familial dysalbuminemic hyperthyroxinemia was unlikely given the elevated FT4 values. Genetic testing revealed a normal THRB gene, thereby ruling out thyroid hormone resistance. THRA gene was not tested due to absence of behavioral or hearing issues. Markers of hyperthyroidism, including angiotensin converting enzyme, carotene, apolipoproteins, and osteocalcin levels were normal, except for an elevated sex hormone binding globulin of 104 nmol/L (NL: 11 - 78). Biochemical evaluation of other pituitary axes was normal. However, an elevated alpha sub-unit fraction (ASF) was noted on two separate measurements. Sonogram revealed a heterogeneous, hypervascular thyroid. Bone densitometry, echocardiogram, and Holter monitor studies were normal. The combination of biochemical SH, elevated ASF, pituitary adenoma, and exclusion of other etiologies causing SH pattern established the diagnosis of TSHA. An active surveillance approach was implemented. A pituitary MRI done 18 months later showed minimal (2mm in one axis) increase in the adenoma size, and the patient continued to demonstrate biochemical SH but remained asymptomatic. Conclusion: MicroTSHAs can present with asymptomatic SH. In this situation, excluding other biochemical SH etiologies is crucial to prevent unnecessary invasive procedures. But once TSHA diagnosis is established, due to the risk of tumor growth leading to symptomatic SH or mass effects, active surveillance is warranted. Presentation: Friday, June 16, 2023

Exploring Factors Influencing Problem Behavior of Rural Secondary Students in Bangladesh

Addressing student problem behavior is a leading concern for educators as behavioral issues interfere with school engagement, academic achievement, and social relationships. This study aims to explore the factors of problem behavior. It includes 24 teachers and 20 students as study participants purposively selected from five conveniently selected non-government secondary schools in rural Kushtia. Focus Group Discussion and interviews were used to collect data. The data was analyzed following the inductive content analysis technique, and the findings were presented under key themes explored. The findings show that heterogeneous factors, including parental supervision, peer influence, school environment and teachers’ role and use of technology, have a significant influence on students’ problem behavior. Teacher’s World: Journal of Education and Research, Vol. 48(2), Dec 2022, p.142-156

Adaptation, translation and validation of Internet Addiction Test (IAT)-Sinhalese version to detect internet addiction disorder among 15-19-year-old adolescents in Colombo District, Sri Lanka

Introduction: The earth has been conceptually changed by the internet into a town of high-dimensional information networks. The internet has greatly enhanced many elements of people's lives and has integrated seamlessly into daily life. Internet addiction disorder is becoming a potentially troublesome condition that coexists with behavioural issues that are already present, particularly in adolescents.Objectives: To adapt, translate and validate a tool for detecting internet addiction disorder in adolescents aged 15-19 years in Colombo District, Sri LankaMethods: A cross-sectional validation study was conducted in which the Internet Addiction Test (IAT) was adapted, translated and validated into Sinhalese language (IAT-Sinhalese version). Statistical analysis was carried out with a sample size of 228 to test the construct validity using Principal Component Analysis (PCA). A total of 239 study participants were selected as the sample to test for Confirmatory Factor Analysis (CFA). Using LISREL 8.8, the statistical analysis was completed. Internal consistency and test-retest reliability methods were used to evaluate the reliability.Results: IAT-Sinhalese version demonstrated a four-factor model consisting of 20 items with the model indices of RMSEA of 0.06, CFI of 0.93, NNFI of 0.91, SRMR of 0.063 and GFI of 0.77. It had an acceptable internal consistency with Cronbach Alpha value of 0.782.Conclusions &amp; Recommendations: IAT-Sinhalese version is a valid and reliable instrument to detect internet addiction disorder among 15-19-year-old adolescents in Sri Lanka.

Program evaluation of a wilderness experience for adolescents facing cancer: A time in nature to heal, connect and find strength.

Despite advances in cancer treatment and increased survival, adolescents in treatment for cancer often suffer from psychosocial distress, negative mood, and chronic health problems. Wilderness therapy is considered a promising program to address psychosocial issues among adolescents with mental or behavioral health issues. There is little research on whether it may benefit adolescents in cancer treatment. This program evaluation in the form of a pilot study uses qualitative and quantitative measures to describe the feasibility, acceptability, safety, and to explore the impact of a nine-day wilderness program among adolescents aged 13-17 in treatment or who recently finished treatment for a cancer. Quantitative tracking documented recruitment, retention, safety, and participant satisfaction. PROMIS measures assessed mental and social health, positive affect, fatigue, pain interference and intensity over three time-points: pre, post, and three-months after the nine-day wilderness experience. Mean differences were compared over time. Qualitative data collection involved participant observation and open-ended interviews. Study enrollment goals were met, enrolling eight adolescent participants with 100% participant retention. No serious adverse events were reported and participants described high satisfaction (9.25/10) with the wilderness experience on the final day and at three-months follow-up (9.5/10). Exploratory data analysis showed scores in a favorable direction indicating improved psychosocial outcomes in physical functioning, anxiety, depression, fatigue, and peer relations. From qualitative analysis it is suggested that program participation supported: increased self-confidence and peer connection. The program was evaluated as increasing personal accomplishment, supporting social interaction, having strong staff support, and capitalizing on the natural surroundings. Use of a wilderness program is feasible, acceptable, and safe among this highly vulnerable adolescent cancer population. Participants described greater self-confidence and peer connection which developed as participants experienced physical competency, group leadership, and personal strength. Larger randomized controlled studies are needed to learn whether these programs can improve psychosocial outcomes.

Behavioural issues in cats and dogs

Behavioural issues in cats and dogs

Behavioral and Psychiatric Health Problems in Iranian Children and Adolescents During the COVID-19 Pandemic: A Cross-Sectional Study

Background: The COVID-19 pandemic caused the long-term quarantine of most children and adolescents. Behavioral and psychiatric health issues with child protection need to be evaluated in disasters. The present study aimed to examine the behavioral and psychiatric status of children and adolescents during the pandemic to address the effects of the pandemic and isolation on children’s and adolescents’ behavioral and psychiatric health. Methods: The present cross-sectional study was carried out on 322 students aged 10–18 attending public high and elementary schools in Esfahan, Iran. The parents completed the Child Symptom Inventory-4 (CSI-4). Results: Findings showed that 58% of students met the criteria for all psychiatric symptoms except for autism and Asperger’s disorder, and 5% suffered from more than one comorbid category of psychiatric disorders. The most common psychiatric disorders in boys and girls were ADHD (18.5%), ODD (15%), ADHD-C (13.5%), GAD (12.8%), ADHD:HI (11.5), and MDD (10.8%). Conclusions: Since most participants suffered from at least one comorbid category of psychiatric disorders, developing a psychological crisis intervention is essential to protect children and adolescents from such disasters and minimize their mental health outcomes.