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Updated: Dec 27, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
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Prevalence and predictors of emotional and behavioral problems among institutionalized children in Kandy District,

Pabasari Ginige1, Anuradha Baminiwatta1, Hasara Jayawardana1

  • 1Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Sri Lanka.

Child Abuse & Neglect
|March 2, 2020
PubMed

Insights

Child care institutions in Sri Lanka house many at-risk children. This study found 14% of institutionalized children have clinical behavioral problems, with externalizing issues more prevalent than internalizing ones.

Area of Science:

  • Child Psychology
  • Mental Health Research
  • Social Work

Background:

  • Child care institutions (CCIs) in Sri Lanka house over 14,000 children.
  • Institutionalized children face a high risk of psychological problems.
  • No prior research has investigated mental health in Sri Lankan institutionalized children.

Purpose of the Study:

  • To assess emotional and behavioral problems in children residing in Kandy District CCIs.
  • To identify factors associated with these problems.

Main Methods:

  • Study included 259 children aged 6-18 years from ten CCIs in Kandy District.
  • Caregiver-reported Child Behavior Checklist (CBCL-S) was used.
  • Socio-demographic data were collected.

Main Results:

  • 14% of children exhibited clinical behavioral problems; 7% were borderline.
  • Externalizing problems (e.g., aggression, rule-breaking) were more common (23.3%) than internalizing problems (6.6%).
  • Male children showed significantly more behavioral problems.

Conclusions:

  • High externalizing problems may indicate disturbed psychosocial development in institutionalized children.
  • Internalizing problems may be under-recognized due to caregiver shortages.
  • Caregiver training is recommended for early detection and referral of behavioral issues.
Abstract

Keywords:
Institutionalized childrenMental health behaviorSri Lanka

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