Identification of Disruptive Behaviour Disorders

 

Sampoornam. W

Lecturer, PhD Scholar, Saveetha University, Chennai

 

ABSTRACT:

 

 

INTRODUCTION:

In India the prevalence of major mental and disruptive behaviour disorders is estimated to be 65 per 1000 population, which translates to 70 million patients. The disruptive behaviour disorders which include Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder and Conduct Disorder are group of syndromes marked by significant problems of conduct. The disruptive behaviour disorders are more common in boys and are associated with lower socioeconomic status and urban living.

 

METHODS:

Descriptive research design was used in this study which was conducted in primary school at Nathamedu, Namakkal district.

The study aimed to identify the disruptive behaviour disorders among primary school children and to find out the association between disruptive behaviour disorders among primary school children and their selected demographic variables. 

 

The conceptual framework for this study was based on Von Betlanffy System Model (1968). Prior to the data collection oral informed consent was obtained from the school head master and the parents of the primary school children gave assent who were also the participants of the study. The sample constitutes of 30 primary school children by adhering convenient sampling technique. The samples were collected based on the inclusion criteria like male gender, age between 8 and 12 years and exclusion criteria includes hearing impairment. Structured interview schedule was used to collect the required data for this study. It consists of collection of demographic variables among primary school children like age, standard, religion, type of family, family monthly income and residential area. Disruptive behaviour check list consists of 3 areas such as Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder and Conduct Disorder which comprises of 10 items in each area with total 30 items. The data were analyzed by using descriptive statistics and non parametric test.

 

RESULTS:

Demographic distribution of primary school children according their age shows that (40%) of primary school children were between 8 and 9 years of age, (50%) were between 9 and 10 years of age and (10%) were between 10 and 12 years of age. Standard shows that (30%) of children were under 3^rd standard, (30%) were under 4^th standard and (40%) were under 5^th standard. Religion shows that (80%) of primary school children were Hindu and (20%) were Christian and none of them were Muslims. Type of family shows that (40%) were from joint family and (60%) were from nuclear family. Family monthly income shows that (30%) of primary school children were in the income group of Rs. Below 3000 and (70%) were in the income group of Rs. Above 3000. Residential area shows that (70%) of primary school children were living in rural area and (30%) were living in urban area.

 

As displayed in Table 1, out of 30 primary school children 19 had disruptive behaviour disorders out of which (10.52%) had mild disruptive behaviour disorders, (47.36%) had moderate disruptive behaviour disorders and (42.12%) had severe disruptive behaviour disorders.

 

Table 1: Frequency and Percentage Distribution of Disruptive Behaviour Disorders among Primary School Children.

S. No	Level of  disruptive behaviour disorders	No of Primary school children	Percentage
1	Mild	2	10.52%
2	Moderate	9	47.36%
3	Severe	8	42.12%

 

In mild disruptive behaviour disorders 1.18 % had Attention Deficit Hyperactivity Disorder (ADHD), 3.50 % had Oppositional Defiant Disorder and 5.84% had Conduct Disorder. In moderate disruptive behaviour disorders 11.14 % had Attention Deficit Hyperactivity Disorder (ADHD), 15.56 % had Oppositional Defiant Disorder and 20.66% had Conduct Disorder. In severe disruptive behaviour disorders 7.02% had Attention Deficit Hyperactivity Disorder (ADHD), 14.04% had Oppositional Defiant Disorder and 21.06 % had Conduct Disorder. Significant association was found with religion, type of family, family monthly income and residential area and no significant association was found with age and standard.

 

DISCUSSION:

The study findings depict that most of the primary school children (50%) belonged to the age group between 9 and 10 years. Most of the students (40%) belonged to 5^th standard. The highest (80%) were from Hindu religion. Majority (60%) belonged to nuclear family. The highest (70%) of primary school children belonged to family monthly income of Rs. Above 3000. Majority (70%) were from rural area.

 

Pertaining to the hypothesis 1 the highest (47.36%) of primary school children had moderate level of disruptive behaviour disorders, (42.12%) had severe level of disruptive behaviour disorders and the lowest (10.52%) had mild level of disruptive behaviour disorders. Hence the hypothesis 1 was accepted. This finding is consistent with the research conducted by Conners 1989, Goyette 1978 who constructed standardized instrument for measuring ADHD and clinical vignette case report on conduct disorder.

 

Pertaining to the hypothesis 2 significant association was found with religion, type of family, family monthly income and residential area. Hence the hypothesis 2 was accepted.

The findings of the present study will help out the nursing professionals working in psychiatric unit and community settings for early detection and treatment of disruptive behaviour disorders. Studies can be enrolled by implementing structured teaching programme or self instructional module on disruptive behaviour disorders among primary school teachers.

 

REFERENCES:

1      Achenbach , T.(1991). Manual for the child behavior checklist and behavior profile. Burlington, VT University of Vermont

2        Barkley, R.A. (1997) Defiant Children: A clinician’s manual for parent training. New York : Guilford Press 

3        Goyette, C.H., Conners, C.K., (1978). Normative data on revised Conner’s Parent and Teacher Rating Scales. Journal of Abnormal Child Psychology. 6(2), 221-236

4        Kazdin, A.E (1997) Practitioner review: Psychological treatments for conduct disorder in children. Journal of   Child Psychology and  Psychiatry. 38(2), 161-178 

5        Webster – Stratton, C., Hammond M., (1997). Treating children with early onset conduct problems. A comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology. 65(1), 93-109.

 

 

 

Received on 15.07.2014           Modified on 10.08.2014

Accepted on 15.08.2014           © A&V Publication all right reserved