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Related Experiment Video

Updated: Aug 31, 2025

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Screening for behavioural problems in children aged 3 to 5 years.

Betty Del Rio Rodriguez1,2, Deepa Dongarwar2, Hamisu M Salihu2,3

  • 1Academic General Pediatrics, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.

Child: Care, Health and Development
|August 25, 2022
PubMed
Summary

Behavioral screening in young children, especially when combined with parental input, significantly increases the likelihood of diagnosing behavioral problems and receiving medication treatment.

Keywords:
behavioural problemsbehavioural screeningpreschool childrentreatment for behavioural problems

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Area of Science:

  • Pediatric Health
  • Behavioral Science
  • Public Health

Background:

  • Early identification of behavioral problems in children aged 3-5 is crucial for timely intervention.
  • Current rates of formal behavioral screening in this age group are low.
  • Understanding factors influencing diagnosis and treatment is essential for improving pediatric care.

Purpose of the Study:

  • To investigate the association between behavioral screening and diagnosis of behavioral problems in children 3-5 years old.
  • To explore factors associated with treatment choices (counseling vs. medication) for diagnosed behavioral problems.
  • To assess the impact of formal and informal screening methods.

Main Methods:

  • Cross-sectional data analysis of the 2017-2018 US National Study of Children's Health.
  • Inclusion of 7837 children aged 3-5 years.
  • Statistical analysis using Pearson's chi-squared test and survey binomial logistic regression.

Main Results:

  • Combined formal and informal screening was associated with a tenfold increase in the likelihood of diagnosing behavioral problems.
  • Children with behavioral problems who underwent both formal and informal screening were five times more likely to receive medication treatment.
  • Informal screening alone was associated with a fourfold increase in diagnosis likelihood.

Conclusions:

  • Formal behavioral screening rates are low in 3-5 year olds.
  • Combining formal screening with informal methods (e.g., addressing parental concerns) is linked to higher diagnosis rates.
  • Integrated screening approaches may influence treatment decisions, particularly favoring medication.