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Behavioural, emotional and rhythm-related disturbances in toddlers: Preliminary findings from a community-based study

Preeti Jacob1, Jaisoorya Ts2, Sunil Kumar G3

  • 1Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, India.

Infant Mental Health Journal
|January 4, 2021
PubMed

Insights

Distress-causing behaviors in toddlers are common, affecting 30.4% of children in India. This highlights the need for culturally relevant mental health tools and stepped care approaches in primary care settings.

Area of Science:

  • Child and adolescent mental health
  • Primary care pediatrics
  • Global mental health

Background:

  • Mental health support for infants and toddlers is crucial in primary care.
  • Low- and middle-income countries face challenges due to limited trained staff and culturally insensitive measures.
  • A needs-based assessment is vital to identify gaps in toddler mental health services.

Purpose of the Study:

  • To conduct a needs-based assessment of mental health issues in toddlers.
  • To evaluate the prevalence of behavioral, emotional, and rhythm-related disturbances.
  • To inform the development of culturally appropriate mental health interventions.

Main Methods:

  • A community-based needs assessment involving 9,287 mothers and toddlers (13-25 months) in Kerala, India.
  • Utilized an indigenously developed 'Screening checklist for Behavioural, Emotional and Rhythm-related disturbances in Toddlers' (S-BERT).
  • Junior public health nurses administered the S-BERT checklist.

Main Results:

  • Mothers reported concerning behaviors in 30.4% of toddlers.
  • Item response theory analysis confirmed behavioral, rhythm-related, and emotional disturbances as significant factors.
  • The S-BERT checklist demonstrated a valid factor structure for assessing toddler mental health.

Conclusions:

  • Distress-causing behaviors in toddlers are prevalent when specifically assessed.
  • Culturally adapted tools and collaborative stepped care models are essential for addressing mental health needs in resource-limited settings.
  • Findings support the integration of mental health screening into primary care for early intervention.
Abstract

Keywords:
IndeIndiaIndienKleinkinderVerhaltens-behaviouralcomportementalemotionalemotionalejeunes enfantsniños pequeñitos, Indiaperturbations liées au rythmerhythm-related disturbancesrhythmische Störungentoddlerstrastornos del comportamiento, emocionales y relacionados con el ritmoémotionnelالاضطرابات السلوكية والعاطفية المرتبطة بالإيقاع، الرضع، الهند印度幼儿情绪节律相关障碍行为行動と情緒とリズムに関連する問題　幼児　インド

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