Abstract:
During the Phase 1 of the study, a screening instrument was developed following perusal of
literature, conducting formal and in formal discussions and employing Delphi technique.
The developed instrument was named as Child Behavior Assessment Instrument (CBAI).
The study identified, economic factors, birth related factors, , factors related to care and
upbringing of the child, marital life of the parents, childhood characteristics of parents,
exposure to stressful life events and inadequate psycho social stimulation at home as the
most important variables that predicted the presence of behavioral abnormalities of children
aged 4-6 years. According to the results of the study, it can be concluded that the behavioral
abnormality among children aged 4-6 years is a significant health problem a I?-d it is
recommended to implement screening programs to identify these problems at early 'stages
as this may enable early intervention resulting better prognosis. When implementing
screening programs to identify this problem, use of the Child Behavior Assessment
Instrument (CBAI) is recommended as a screening tool. high sensitivity, specificity,
reliability, low cost and ability to administer by trained non professional interviewer with
minimal discomfort to the children are some of the features that indicate feasibility and
usefulness of this instrument. Community oriented health intervention programs on stress
relief, life skills and problem solving can be recommended in order to prevent marital
disharmony, frequent argument, depression and ensure psychological wellbeing of the
parents and adults.
