{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T12:13:38Z","timestamp":1775477618712,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,8,5]],"date-time":"2013-08-05T00:00:00Z","timestamp":1375660800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a dearth of studies on behavioral and emotional problems in residential care children in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>alaysia. This study describes the behavioral and emotional problems in a sample of children in a government residential care home and compares them with their classmates living with their birth parents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comparative cross\u2010sectional study was carried out where carers from both groups were asked to fill in the translated <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ahasa <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>elayu version of the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hild <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>ehavior <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>heck <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forms for 53 residential care children and 61 classmates were completed. The residential care children had significantly higher scores on the rule\u2010breaking (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> &lt; 0.001) and <jats:italic>Diagnostic and Statistical Manual of Mental Disorders<\/jats:italic> (<jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>) conduct problem subscales (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> &lt; 0.001). Residential care children's age significantly correlated with <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content> somatic problems (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.03) and post\u2010traumatic stress (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.023). Duration of care was significantly positively correlated with rule\u2010breaking (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.008), <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content> conduct problems (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.018) and externalizing scores (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.017). Abuse and neglect cases had higher anxiety and depression scores (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.024). Number of reasons in care positively correlated with several subscales, including total behavioral problem score (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.005). Logistic regression revealed the greater number of reasons for placement a child had was significantly associated with having externalizing scores in the clinical range (<jats:italic><jats:styled-content style=\"fixed-case\">P<\/jats:styled-content><\/jats:italic> = 0.016). However, after <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>onferroni correction, only the initial findings regarding rule\u2010breaking and <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content> conduct problem scores remained significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Challenges exist in managing residential care children in <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>alaysia, especially regarding externalizing behavior. More studies are required to describe the <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>alaysian scene.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.12115","type":"journal-article","created":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T12:20:42Z","timestamp":1366892442000},"page":"422-427","source":"Crossref","is-referenced-by-count":9,"title":["Behavioral and emotional problems in a <scp>K<\/scp>uala <scp>L<\/scp>umpur children's home"],"prefix":"10.1111","volume":"55","author":[{"given":"Fairuz Nazri","family":"Abd Rahman","sequence":"first","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine UKM Medical Center Universiti Kebangsaan Malaysia  Cheras Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuti Iryani","family":"Mohd Daud","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine UKM Medical Center Universiti Kebangsaan Malaysia  Cheras Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nik Ruzyanei","family":"Nik Jaafar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine UKM Medical Center Universiti Kebangsaan Malaysia  Cheras Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamsul Azhar","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Community Health Faculty of Medicine UKM Medical Center Universiti Kebangsaan Malaysia  Cheras Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan Mooi Koon","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine UKM Medical Center Universiti Kebangsaan Malaysia  Cheras Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan Salwina","family":"Wan Ismail","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine UKM Medical Center Universiti Kebangsaan Malaysia  Cheras Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,8,5]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Child Act.2001(Act 611).Laws of Malaysia. 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