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Updated: Oct 6, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Family correlates of emotional and behavioral problems in Nepali school children
Jasmine Ma1,2, Pashupati Mahat3, Per Håkan Brøndbo4
1Regional Centre for Child and Youth Mental Health and Child Welfare -North, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
Insights
Family factors like parental illness and conflict are linked to child emotional and behavioral problems in Nepal. Addressing these family risks is crucial for improving child mental health outcomes.
Area of Science:
- Child and Adolescent Psychiatry
- Global Mental Health
- Developmental Psychology
Background:
- Limited research exists on family influences on child emotional and behavioral problems in low- and middle-income countries (LMICs).
- This study addresses this knowledge gap by investigating family correlates in a large Nepali population.
Purpose of the Study:
- To examine the association between various family factors and child internalizing and externalizing problems in Nepal.
- To identify specific family risk factors contributing to child mental health issues in a LMIC context.
Main Methods:
- Cross-sectional, observational study of 3840 Nepali children (aged 6-18) across 64 schools and 16 districts.
- Utilized the Nepali version of the Child Behavior Checklist (CBCL)/6-18 for child problems and a questionnaire for family correlates (parental education, family structure, parental illness, conflict, child-rearing practices).
- Analyzed associations using bivariate correlations and multiple regression.
Main Results:
- Parental mental/physical illness, family conflict, child-rearing disagreements, and physical punishment positively correlated with both internalizing and externalizing problems.
- Parental education, family structure, and having migrant worker mothers were associated with externalizing problems, though effect sizes were small.
Conclusions:
- Child mental health problems in Nepal are associated with multiple family risk factors.
- Highlights the need for enhanced prevention and intervention strategies targeting family-level risk factors to improve child mental health.
Background:
There is a substantial gap in our knowledge about family correlates of child emotional and behavioral problems in low- and middle-income countries (LMIC). The present study contributes to filling this gap by examining such correlates in a larger population study in Nepal.
Methods:
Our study is a cross-sectional, observational study among 3840 Nepali children aged 6-18 years from 64 schools and 16 districts in the three main geographical regions in the country. We used the Nepali version of the Child Behavior Checklist (CBCL)/6-18 to assess children's internalizing and externalizing problems and an additional background information questionnaire to assess possible family correlates which included parental education, family structure, migrant worker parents, parental mental and physical illness, family conflicts, and child-rearing. The associations between family variables and child internalizing and externalizing problems were analyzed using bivariate correlations and multiple regression.
Results:
Using bivariate analysis, we found that mental and physical illness in parents, conflict in the family, parental disagreement in child-rearing, and physical punishment of child correlated positively with both Internalizing Problems and Externalizing Problems. The same associations were found by using multiple regression analysis. In addition, parental education, family structure, and migrant worker mothers were associated with Externalizing Problems. However, the effect sizes were small.
Conclusion:
The results suggest that in Nepal, child mental problems were associated with several family risk factors. Further, the study points to the need of strengthening prevention- and intervention measures to minimize family risk factors of child mental health disorders.
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