A methodological study to determine emotional and behavioural problems with associated factors among children of institutional homes in Raipur, Chhattisgarh


  • Akshat Agrawal Pt. J. N. M. Medical College, Raipur, Chhattisgarh, India
  • Ashish Sinha Department of Community Medicine, Pt. J. N. M. Medical College, Raipur, Chhattisgarh, India
  • Shubhangi Gupta Pt. J. N. M. Medical College, Raipur, Chhattisgarh, India
  • Pranshul Kotwani Pt. J. N. M. Medical College, Raipur, Chhattisgarh, India




Child behaviour, Effect of institutionalization, Strengths and difficulties questionnaire


Background: Children residing in institutional homes are more susceptible to behavioural and emotional problems in comparing to other children in the same age group. It has been discovered that when developmental processes inside the institution are accelerated over time, they can result in restricted cognitive activity and cultural expression patterns. Unresolved negative emotions, such as anger and depression, put children at danger of growing up with harmful emotions.

Methods: To study the children's behavioural and emotional problems, in the present study, the sample of 142 people who lived in Raipur's institutional homes were considered. A semi-structured questionnaire was used to obtain sociodemographic information. The behavioural and emotional difficulties in them were assessed using the strengths and difficulties questionnaire (SDQ) with impact supplement. The sex of the children, satisfaction with the food provided, caretaker behaviour, years of stay, and reasons for being at the institution were not shown to be substantially associated with emotional and behavioural difficulties in children in our study.

Results: Based on the SDQ, 52.1% children and adolescents in the present study had scores greater than the cut-off score of 28, indicating that those with SDQ scores greater than 28 had some social and behavioural problems, and hence are marked positive for emotional and behavioural problems. The age of the participants was found to be a strong predictor of emotional and behavioural issues.

Conclusions: The majority of the subjects were pleased with their caretakers' behaviour, the quality of the water supply, and the sanitary facilities, implying favourable environmental conditions. 


UNICEF. Orphans. 2018. Available at: https://www.unicef.org/media/orphans. Accessed on 10 January 2022.

Zoccolillo M, Pickles A, Quinton D, and Rutter M. The outcome of childhood conduct disorder: Implications for defining adult personality disorder and conduct disorder. Psychol Med. 1992;22(4):971-86.

Ministry of Women and Child Development. Integrated Child Protection Scheme. GOI. Available at: http://www.wcd.nic. in/schemes/integrated child protection scheme icps. Accessed on 10 January 2022.

Cury CR, Golfeto JH. Strengths and difficulties questionnaire (SDQ): A study of school children in Ribeirão Preto. Rev Bras Psiquiatr. 2003;25:139 45.

Seyf Hashemi M, Yarian E, Bahadoran P, Jandaghi J, Mirmohammad Khani M. Prevalence of mental health problems in children and its associated socio familial factors in the urban population of Semnan, Iran. Iran J Pediatr. 2015;25:175.

UNAIDS, UNICEF, USAID. Children on the brink: A joint report of new orphan estimates and a framework for action. New York: USAID. 2004. Available at: https://healtheducationresources. unesco.org/library/documents/children-brink-2004-joint-report-new-orphan-estimates-and-framework-action. Accessed on 10 January 2022.

UNICEF. Children in an Urban World. The State of the World’s Children. 2012. Available at: https://www.unicef. org/sowc/. Accessed on 03 July 2017.

Isaranurug S and Chompikul J. Emotional development and nutritional status of HIV/AIDS orphaned children aged 6-12 years old in Thailand. Matern. Child Health J. 2009;13(1):138-43.

Miller L, Chan W, Comfort K, Tirella L. Health of children adopted from Guatemala: Comparison of orphanage and foster care. Pediatrics 2005;115(6):710-7.

Masmas T, Jensen H, Silva D. Survival among motherless children in rural and urban areas in Guinea-Bissau. Acta Paediatr. 2012;93:99-105.

Ambron S, Brodzinsky D. Lifespan human development. New York: Holt, Rinehart and Winston.1979.

Musisi S, Kinyanda E, Nakasujja N, Nakigudde J. A comparison of the behavioural and emotional disorders of primary school-going orphans and non-orphans in Uganda. Afr Health Sci. 2007;7:202-13.

Elebiary H, Behilak S, Kabbash I. Study of behavioural and emotional problems among institutionalized children, Egypt. Med J Cairo Univ. 2010;78:293-9.

Black S. Angry at the world: Why are some kids so aggressive? And how should school handle them? Am School Board J. 2003;190(6).

Jewett J. Aggression and cooperation: Helping young children develop constructive strategies. Kid source online. Accessed on 10 January 2022. Available at: htp://www.Kidsource.com.

PERIS T. and BARKER B.: Applications of the expressed emotion construct to young children with externalizing behaviour: Stability and prediction over time. J Child Psychol Psychiatry. 2000;41(4):457-62.

UNICEF. Children in an Urban World. The State of the World’s Children. 2012. Available at: https://www.unicef.org/sowc/. Accessed on 10 January 2022.

Kaur R, Vinnakota A, Panigrahi S, Manasa RV. A descriptive study on behavioural and emotional problems in orphans and other vulnerable children staying in institutional homes. Indian J Psychol Med. 2018;40(2):161.

Makhija M, Singh P. Emotional and behavioural problems in institutionalized children of Maoism affected regions. Int J Indian Psychol. 2019;7(4).

Simsek Z, Erol N, Öztop D, Münir K. Prevalence and predictors of emotional and behavioural problems reported by teachers among institutionally reared children and adolescents in Turkish orphanages compared with community controls. Children Youth Services Rev. 2007;29(7):883-99.

Debord K. Childhood aggression: where does it come from? How can it be managed? 2010. Available at: http://www.ces. Accessed on 10 January 2022.

Kreppner JM, O'Connor TG, Rutter M; English and Romanian Adoptees Study Team. Can inattention/overactivity be an institutional deprivation syndrome? J Abnorm Child Psychol. 2001;29(6):513-28.

Makame V, Ani C, Grantham-McGregor S. Psychological well-being of orphans in Dar El Salaam, Tanzania. Acta Paediatr. 2002;91(4):459-65.

Albano A. Social phobia in children and adolescents. J Cognitive Psychotherap. 2002;14:1-11.

Fries AB, Pollak SD. Emotion understanding in postinstitutionalized Eastern European children. Dev Psychopathol. 2004;16(2):355-69.

SDQ: Information for Researchers and Professionals about the Strengths and Difficulties Questionnaires. 2012. Available at: http://www.sdqinfo.com/ahtml. Accessed on 10 January 2022.

Goodman R, Ford T, Corbin T, Meltzer H. Using the strengths and difficulties questionnaire (SDQ) multi-informant algorithm to screen looked-after children for psychiatric disorders. Eur Child Adolesc Psychiatry. 2004;13(2):25 31.

Harden B. Safety and stability for foster children: A developmental perspective. Future of children: Children, families, and Foster Care. 2004;14(1):31-47.

Erol N, Simsek Z, Oner O, Munir K. Behavioral and emotional problems among Turkish children at ages 2 to 3 years. J Am Acad Child Adolesc Psychiatry. 2005;44(1):80-7.

Cimino S, Cerniglia L, Ballarotto G, Marzilli E, Pascale E, D'Addario C, et al. Children's DAT1 Polymorphism Moderates the Relationship Between Parents' Psychological Profiles, Children's DAT Methylation, and Their Emotional/Behavioral Functioning in a Normative Sample. Int J Environ Res Public Health. 2019;16(14):2567.




How to Cite

Agrawal, A., Sinha, A., Gupta, S., & Kotwani, P. (2022). A methodological study to determine emotional and behavioural problems with associated factors among children of institutional homes in Raipur, Chhattisgarh. International Journal Of Community Medicine And Public Health, 9(6), 2652–2659. https://doi.org/10.18203/2394-6040.ijcmph20221549



Original Research Articles