ArticlePloS one2021
Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- The association between prenatal maternal selenium concentration and mental health in early childhood, a mother-child cohort study.PloS one · 2026Article
- Parents' perception of adolescents' difficulties and impact of problems in different castes and ethnic groups in Nepal. Do they converge with the frequencies of symptoms reported on the child behavior checklist (CBCL)?Social psychiatry and psychiatric epidemiology · 2025Article
- Parental wellbeing, parenting, and child mental health in families with young children in Arghakhanchi, Nepal.BMC pediatrics · 2025Article
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- Psychosocial problems and suicidal ideation in Chinese adolescents: findings from a longitudinal study.Translational pediatrics · 2023Article
- Self-reported emotional and behavioral problems among school-going adolescents in Nepal-A cross-sectional study.PloS one · 2023Article
- Teacher reports of emotional and behavioral problems in Nepali schoolchildren: to what extent do they agree with parent reports?BMC psychiatry · 2022Observational
- Psychopathology in Children and Adolescents in Lebanon Study (PALS): a national household survey.Social psychiatry and psychiatric epidemiology · 2022Article
- Article
- Hearing thresholds elevation and potential association with emotional problems among 1,914 children in Beijing, China.Frontiers in public health · 2022Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs epidemiological data on child mental health in low- and middle-income countries are limited, a large-scale survey was undertaken to estimate the prevalence and amount of child emotional and behavioral problems (EBP) in Nepal as reported by the parents.
methods3820 schoolchildren aged 6-18 years were selected from 16 districts of the three geographical regions of Nepal, including rural, semi-urban and urban areas. We used the Nepali version of the Child Behavior Checklist (CBCL)/6-18 years as screening instrument. Comparisons of child problems between genders and between the seven largest castes and ethnic groups were carried out by analysis of variance. Prevalence was computed based on American norms.
resultsAdjusted prevalence of Total Problems was 18.3% (boys: 19.1%; girls:17.6%). The prevalence of internalizing problems was higher than externalizing problems. The mean scores of Total, Externalizing, and Internalizing problems were 29.7 (SD 25.6), 7.7 (SD 8.0), and 9.1 (SD 8.1), respectively. The Khas Kaami (Dalit) group scored the highest, and the indigenous Tharu group scored the lowest on all scales. In the Mountains and Middle Hills regions, problem scores were higher in the rural areas, whereas in the Tarai region, they were higher in the urban areas.
conclusionThe prevalence and magnitude of emotional and behavioral problems in Nepali children were found to be high compared to findings in meta-analyses worldwide. Problem scores varied according to gender, castes /ethnic groups, and living areas. Our findings highlight the need for a stronger focus on child mental problems in a low-and middle-income country like Nepal.
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