@article{ref1,
title="Behavioral and emotional problems in a Kuala Lumpur children's home",
journal="Pediatrics international",
year="2013",
author="Abd Rahman, Fairuz Nazri and Mohd Daud, Tuti Iryani and Nik Jaafar, Nik Ruzyanei and Shah, Shamsul Azhar and Tan Mooi Koon, Susan and Wan Ismail, Wan Salwina",
volume="55",
number="4",
pages="422-427",
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 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 behavior problem score (p=0.005). Logistic regression revealed the more 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.<p /> <p>Language: en</p>",
language="en",
issn="1328-8067",
doi="10.1111/ped.12115",
url="http://dx.doi.org/10.1111/ped.12115"
}