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Reliability and Validity Evidences of Tej Emotional and Behavioral Problem Checklist (TEJ-CL) for Child Mental Health

Suraj Shakya1, Sabitri Sthapit2, Mita Rana1

  • 1Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association
|July 14, 2025
PubMed

Insights

The Tej Emotional and Behavioral Problem Checklist (TEJ-CL) demonstrates good reliability and validity for assessing childhood emotional and behavioral problems in Nepal. This parent-reported tool effectively differentiates referred children from non-referred ones, supporting its clinical utility.

Area of Science:

  • Child and Adolescent Psychiatry
  • Psychometric Evaluation
  • Global Mental Health

Background:

  • Childhood emotional and behavioral problems are a significant concern in Nepal.
  • Existing assessment tools may not be contextually appropriate.
  • The Tej Emotional and Behavioral Problem Checklist (TEJ-CL) was developed for the Nepalese context.

Purpose of the Study:

  • To evaluate the factor structure, reliability, and validity of the TEJ-CL.
  • To assess its utility as an add-on and symptom monitoring test for childhood emotional and behavioral issues.
  • To provide psychometric evidence for a culturally adapted assessment tool.

Main Methods:

  • Cross-sectional validation study involving guardians of children aged 5-17 years.
  • Included referred children from mental health centers and non-referred children from schools in Kathmandu.
  • Utilized principal component analysis, coefficient alpha, Spearman's rank correlation, and linear regression for analysis.

Main Results:

  • Principal component analysis reduced the TEJ-CL to 65 items, identifying six factors (e.g., externalizing behaviors, anxiety).
  • Internal consistency (coefficient alpha) ranged from .62 to .95.
  • Referred children scored significantly higher than non-referred children on most factors, indicating good criterion validity.

Conclusions:

  • The TEJ-CL shows promising reliability and validity, comparable to established scales.
  • The tool is suitable for assessing childhood emotional and behavioral problems in the Nepalese context.
  • Future research should explore generalizability and refine discriminatory power.
Abstract

Keywords:
Nepalese childrenTejbehavior rating scalepsychometrics

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