Problem Behaviour Checklist

Problem behaviour checklist
Aim
The aim of PBCL is to assess all aspects of challenging behaviour.
Introduction
1] ECOLOGY OF BEHAVIOUR PROBLEMS Children show a wide variety of behaviour
disorders. Most of these problems are minor and do not cause permanent disturbances.
Nevertheless, these cause considerable anxiety to parents. Management of these minor
behaviour deviations requires an understanding of the stresses which lead to these problems.
Behaviour means the way in which one acts or conducts oneself, especially towards others. 
A behaviour is considered to be maladaptive when it is inappropriate, when it interferes with
adaptive functioning, or when others misunderstand it in terms of cultural inappropriateness.
The term ‘behaviour problem’ is used to designate a deviation in behaviour from one
expected or approved by the group.  It is defined as when children cannot adjust to a
complex environment around them, they become unable to behave in the socially acceptable
way resulting in exhibition of peculiar behaviours and this is called the behaviour problems.
When children cannot adjust to a complex environment around them, they become unable to
behave in the socially acceptable way resulting in exhibition of peculiar (Abnormal) behaviors
and this is called as Behavioral Problems.
PREVALENCE OF BEHAVIOURAL DISORDERS  Overall 1.2 to 3% children suffers

from Behavioural problems or disorders.  10% are school aged children.  80% have
features into adolescents.  65% enter adulthood with that features.  Boys have 4 times
more risk than girls.  Urban children are more prone as compared to rural children.
CAUSES OF BEHAVIOURAL PROBLEMS • Faulty parental attitude. • Inadequate family
environment. • Mentally and physically sick or handicapped conditions. • Influence of social
relationship. • Influence of mass media. • Influence of social change.
TYPES OF BEHAVIOURAL DISORDERS OR PROBLEMS Behaviour disorders can be
classified as: 1. HABIT DISORDERS 2. SPEECH DISORDERS 3. EATING DISORDERS
4. SLEEP DISORDERS 5. PERSONALITY DISORDERS 6. SEXUAL PROBLEMS 7.
ANXIETY DISORDERS
1. HABIT DISORDERS  Thumb sucking . Nail biting.  Tics . Enuresis.  Encopresis. 
Stealing.  Telling lie
2. SPEECH DISORDERS Stammering /stuttering. Cluttering .Delayed speech .Dyslalia
3. EATING DISORDERS- Pica .Anorexia nervosa. Bulimia nervosa
4. SLEEP DISORDERS Sleep walking(Somnambulism). Sleep talking(somniloquy). Night

mares and night terrors
5. PERSONALITY DISORDER .Juvenile delinquency. Temper tantrums. Shyness
6. SEXUAL DISORDERS - MASTURBATION
7 .ANXIETY DISORDERS o School phobia or school refusal o Truancy o Repeated failure
o Absenteeism
2] The Behavior Problem Checklist (BPC) is a self-report measure that structures caregivers'
reports of specific behavior problems, activities of daily living (ADLs) and instrumental
activities of daily living (IADLs) in care recipients and inquires about the caregiver's
understanding of the cause of those problems. The BPC addresses a wide range of behaviors
often found across a variety or chronic illnesses, including but not limited to dementia
processes. The measure uses a simple response format with a single rating of the extent to
which each behavior is a problem, the likelihood that each of six possible attributions is
causing the problems and a scale to assess the amount of assistance needed with ADLs and
IADLs.
The BPC takes less than 10 minutes to complete and includes a simple and easy scoring
format that allows subscale scores to be graphed and presented visually. The scales and
subscales of the BPC can be used to guide implementation of appropriate interventions to
reduce stress and burden, as a tool to provide appropriate psychoeducation to the care giver
and as a way to assess level of objective burden of caregiving.
History Pg 20
Description
Author: Vimala Veeraghavan and Archana Dogra
Purpose: Rate problem behaviours in children and adolescents
No. of items: It contains 58 items
Age: 5 - 18yrs
Time: no time limit but generally takes less than 10 minutes
Reliability & V= pics
It contains 58 items which are indicative of behavioural problems in children. In this scale
parents are supposed to respond about the emotional and conduct problems of their children.
This is a screening scale which categorized children from low problem behaviour to high
problem behaviour. It for married couples.
Description, Administration and Scoring of the Problem Behaviour Check-List:

The Problem Behaviour Check-List prepared by Vimala Veeraghavan and Archana Dogra is
a verbal test of problem behavior. This check-list can be easily administrated in group as well
as individually. This checklist is filled by the parents of the children. The checklist,
consisting of 58 behavioural problems, is listed for three response categories. The parents
have to assess the degree of the problem which are related to their ward. They have to read
each problem one by one and assess whether that problem is most often, occasionally or
never in the case of their child.
Langua
Na Contruct ge Natur Filled Group/Ind Durati Reliabil Valid
me or e ividual on ity ity
of
the
test
Proble Archana Hindi Paren Both Not 0.81 0.78
m Dogra& Verbal ts fixed
Behavi Vimala
our Veeragha
Checkli van
st
Administration of the tool

Items were to be tick marked by the parents as to whether the symptoms occurred "More
often", "Occasionally" or "Never". Where the response occurred "Most often", it indicate
high problem behavior and, "Occasionally" and "Never", indicated" Average" and "No
Problem Behaviour" respectively . •
:. Scoring of the tool;
Items indicative of high problem behavior were given a score of three levels, "Average" and
"No Problem Behaviour" were assigned a score of 2 and 1 respectively. The total scores
obtained ranged between 58-174, thus indicating that higher the score, higher the problem
behavior of the child and lower the score, lower the problem behavior of the child
The categories of problem behaviour are given below:
Low Problem Behaviour (lpb:: 58-96
Moderate Problem Behaviour :: 97-135
High Problem Behaviour :: 136-174
LPB : parents can (be taught to) handle
MPB : Counselling is required. Therapy intervention is needed
HPB : Psychiatrist help is required
Mat Rqd: pic
Validity and Reliability

The BPC has been examined for reliability and validity. The sample used for this analysis
consisted of 478 caregivers who were predominantly female (76 percent), European-
American (78 percent), and who were children (54 percent) or spouses (29 percent) of the
care recipient. The five subscales of the BPC exhibited excellent item-total internal reliability
from .89 to .92, and test-retest reliability from r = .70 to .92. The BPC also exhibited good
convergent validity with another measure of behavior problems ( r ≥ .43; O'Malley & Qualls,
2013).
Conclusion
The BPC can be used in clinical or research settings to assess behavior problems exhibited by
care recipients. Advantages of the BPC is that it does not require special training to
administer, includes behavioral symptoms associated with a range of illnesses and can be
used across multiple settings. The BPC provides a consistent, valid and reliable assessment of
problem behaviors and required ADL and IADL assistance and should be considered a useful
clinical tool in identifying care recipient problems across a wide range of chronic medical
conditions.

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Problem behaviour checklist

PREVALENCE OF BEHAVIOURAL DISORDERS  Overall 1.2 to 3% children suffers

4. SLEEP DISORDERS Sleep walking(Somnambulism). Sleep talking(somniloquy). Night

Description, Administration and Scoring of the Problem Behaviour Check-List:

Administration of the tool

Mat Rqd: pic

Validity and Reliability

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