Evidence map›Paper›PMID 40813682›Full record

ArticleChild and adolescent psychiatry and mental health2025

Disruptive behavior and emotional problems in children screened in routine health care: prevalence and effectiveness of indicated prevention.

Cornelia Beate Siegmund, Julia Zink, Patricia Theresa Porst, Max Weniger, Susanne Knappe, Maria McDonald, Veit Roessner, Katja Beesdo-Baum

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Article in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Cornelia Beate SiegmundBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Chemnitzer Straße 46, 01187, Dresden, Germany. cornelia.siegmund@tu-dresden.de.ORCID http://orcid.org/0009-0006-8106-6993
Julia ZinkBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Chemnitzer Straße 46, 01187, Dresden, Germany.
Patricia Theresa PorstBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Chemnitzer Straße 46, 01187, Dresden, Germany.
Max WenigerBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Chemnitzer Straße 46, 01187, Dresden, Germany.
Susanne KnappeBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Chemnitzer Straße 46, 01187, Dresden, Germany.
Maria McDonaldDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, TUD Dresden University of Technology, German Center for Child and Adolescent Health (DZKJ), partner site, Dresden, Germany.
Veit RoessnerDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, TUD Dresden University of Technology, German Center for Child and Adolescent Health (DZKJ), partner site, Dresden, Germany.
Katja Beesdo-BaumBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Chemnitzer Straße 46, 01187, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisruptive behavior and emotional problems are common in children and often reduce quality of life. This study aimed to screen for these problems and to examine the effectiveness of child-based indicated prevention.

methodsN = 3231 children`s disruptive behavior and emotional problems were screened using the Strengths and Difficulties Questionnaire (SDQ) during routine pediatric health check-ups for usually 5- to 10-year old's. We examined the prevalences of disruptive behavior and emotional problems (n = 2825) and its association with quality of life (KINDL; n = 1104). If indicated, children were recommended to participate in the prevention program "Baghira training" (nine 90 min group sessions and one parents' evening) or "Tiger training" (two one-on-one and nine group sessions of 60 min each). To evaluate the training effectiveness of the two indicated prevention programs, SDQ and KINDL scores were followed-up for 6 and 12 months post screening and compared between the Training group (SDQ n = 337; KINDL n = 334; additionally divided into Baghira and Tiger), children not participating despite indication (NoTraining; SDQ n = 595; KINDL n = 146; additionally divided into NoBaghira and NoTiger), healthy children (SDQ n = 1928; KINDL n = 907), and children with clinical symptom levels (SDQ n = 85; KINDL n = 54) using mixed effect models.

results37.0% of the children exhibited disruptive behavior or emotional problems, which were associated with impaired quality of life. The Training group perceived greater symptom reduction in emotional problems than NoTraining, and quality of life increases compared to decreases in NoTraining. The Tiger group showed improvement in symptomatology and quality of life compared to deterioration in NoTiger. The Baghira group also improved, though improvement was similar to NoBaghira apart from symptom reduction in emotional problems in Baghira compared to a symptom increase in NoBaghira. Effects sizes were predominantly small to medium.

conclusionsDisruptive behavior and emotional problems in children are frequent and impair quality of life. Indicated prevention may improve symptomatology and quality of life. Specifically, the Tiger training is verifiably effective; for the Baghira training, effectiveness is implicated but needs further empirical evaluations.

Indexed as

ChildrenDisruptive behaviorEmotional problemsIndicated preventionQuality of life

Identifiers

PMID40813682
PMCPMC12351797

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.