Adaptation to Spanish and criterion validity of a scale for the screening of emotional and behavioral problems in early childhood
Abstract
Introduction: Early identification of emotional and behavioral risk in children can contribute to the development of strategies that promote mental health from early childhood. In Colombia, we do not count with a validated screening tool for emotional and behavioral problems in this population.
Objectives: To identify, adapt, and establish evidence for the criterion validity of a screening tool for emotional and behavioral problems in less than 6-year-old children.
Materials and methods: We selected the Early Childhood Screening Assessment (ECSA) after a literature review and expert consensus and then we undertook its linguistic adaptation. For criterion validity, we used the Receiver Operating Characteristic (ROC) comparing the scale with the Child Behavior Checklist (CBCL 1,5-5). The sample included 206 caregivers of children between 1.5 and 6 years of age from the city of Tunja and the municipality of Sopó.
Results: The ECSA showed a good correlation with the total t-score of the CBCL 1,5-5 (Spearman rho= 0,75, p<0,01). The scale showed a sensitivity of 86% and a specificity of 82% at a cut-off point of 24.
Conclusion: In this first adaptation to Spanish and validation study of the ECSA scale, we found good sensitivity and specificity values for the screening of emotional and behavioral problems in early childhood.
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References
Kolko DG. The effectiveness of integrated care on pediatric behavioral health: Outcomes and opportunities. JAMA Pediatr. 2015;69:894-96. https://doi.org/10.1001/jamapediatrics.2015.1428
Briggs-Gowan MJ, Carter AS. Social-emotional screening status in early childhood predicts elementary school outcomes. Pediatrics. 2008;121:957-62. https://doi.org/10.1016/j. biotechadv.2011.08.021
Denham SA. Emotional competence: Implications for social functioning. En: Luby JL, editor. Handbook of preschool mental health: Development, disorders and treatment. 2nd
edition. New York: The Guilford Press; 2009. p. 23-44.
McCabe PC, Altamura M. Empirically valid strategies to improve social and emotional competence of preschool children. Psychol Sch. 2011;48:513-40. https://doi.org/10.1002/pits.20570
Thompson RA, Goodvin R, Meyer S. Social development: Psychosocial understanding, self-understanding, and relationships En: Luby JL, editor. Handbook of Preschool Mental Health: Development, disorders and treatment. 2nd edition. New York: The Guilford Press; 2009. p. 3-22.
Zero to Three Policy Center. Infant and early childhood mental health: Promoting healthy social and emotional development. Mental Health Care. 2004. Fecha de consulta: 8 de septiembre de 2015. Disponible en: http://www.childinst.org/images/stories/resource_center_docs/Infant_and_Early_Childhood_Mental_Health_Fact_Sheet.pdf
Egger HL, Angold A. Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. J Child Psychol Psychiatry. 2006;47:313-37.
https://doi.org/10.1111/j.1469-7610.2006.01618.x
García-Jaramillo S, Fernández-Monsalve C, Sánchez-Torres F. Deserción y repetición en los primeros grados de la básica primaria: factores de riesgo y alternativas de política pública. Fecha de consulta: 8 de septiembre de 2015. Disponible en: https://egob.uniandes.edu.co/images/books/pdf/ECT%20Desercion%20y%20repeticionFINAL.pdf
Tomlinson M, Bornstein MH, Marlow M, Swartz L. Imbalances in the knowledge about infant mental health in rich and poor countries: Too little progress in bridging the gap. Infant Ment Health J. 2014;35:624-9. https://doi.org/10.1002/imhj.21462
Tomlinson M, Swartz L. Imbalances in the knowledge about infancy: The divide between rich and poor countries. Infant Ment Health J. 2003;24:547-56. https://doi.org/10.1002/imhj.10078
Carter AS, Briggs-gowan MJ, Davis NO. Assessment of young children’s social-emotional development and psychopathology: Recent advances and recommendations for practice. J Child Psychol Psychiatry. 2004;45:109-134.
https://doi.org/ 10.1046/j.0021-9630.2003.00316.x
Ivanova MY, Achenbach TM, Rescorla LA, Harder VS, Ang RP, Bilenberg N, et al. Preschool psychopathology reported by parents in 23 societies: Testing the sevensyndrome model of the child behavior checklist for ages 1.5–5. J Am Acad Child Adolesc Psychiatry. 2010;49:1215-24. https://doi.org/10.1016/ j.jaac.2010.08.019
Carter AS.The field of toddler/preschool mental health has arrived--on a global scale. J Am Acad Child Adolesc Psychiatry. 2010;49:1181-2. https://doi.org/10.1016/j.jaac.2010.09.006
Luby JL. Handbook of preschool mental health: Development, disorders and treatment. 2nd edition. New York: The Guilford Press; 2009. p. 23-44.
National Scientific Council on the Developing Child. Mental health problems in early childhood can impair learning and behavior for life. Working Paper # 6. Childhood A Global Journal Of Child Research. Fecha de consulta: 10 de septiembre de 2015. Disponible en: http://46y5eh11fhgw3ve3ytpwxt9r.wpengine.netdna-cdn.com/wp-content/uploads/2008/05/Establishing-a-Level-Foundation-for-Life-Mental-Health-Begins-in-Early-Childhood.pdf
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Fifth edition. Washington DC: American Psychiatric Pub; 2013. p. 492.
Bird HR, Canino G, Rubio-Stipec M, Gould MS, Ribera J, Sesman M, et al. Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico the use of combined measures. Arch Gen Psychiatry. 1988;45:1120-6. https://doi.org/10.1001/archpsyc.1988.01800360068010
Caraveo-Anduaga JJ, Colmenares-Bermúdez E, Martínez-Vélez NA. Síntomas percepción y demanda de atención en salud mental en niños y adolescentes de la Ciudad de México. Salud Pública Mex. 2002;44:492-8.
Lorena C, Higueros M, Alejandra M, Izazaga Á. Detección temprana de trastornos de salud mental. Diseño, validación y confiabilidad del cuestionario de salud mental en atención
primaria para niños de 6 a 12 años. Revista Clínica de Medicina Familiar. 2010;3:170-6.
Vicente B, Saldivia S, Rioseco P, De la Barra F, Valdivia M, Melipillan R, et al. Epidemiología de trastornos mentales infanto-juveniles en la Provincia de Cautín. Revista Médica de Chile. 2010;138:965-73. https://doi.org/10.4067/S0034-98872010000800004
Palacio JD, Ruiz-García M, Bauermeister JJ, Montiel-Navas C, Henao GC, Agosta G. Algoritmo de tratamiento multimodal para preescolares latinoamericanos con trastorno por déficit de atención con hiperactividad (TADH). Salud Mental. 2009;32:3-16.
Pineda D, Ardila A, Rosselli M, Arias BE, Henao GC, Gómez LF, et al. Prevalence of attention-deficit/hyperactivity disorder symptoms in 4- to 17-year-old children in the general population. J Abnorm Child Psychol. 1999;27:455-62.
Gómez-Restrepo C, Aullí J, Tamayo-Martínez N, Gil F, Garzón D, Casas G. Prevalencia y factores asociados a trastornos mentales en la población de niños colombianos. Encuesta Nacional de Salud Mental (ENSM), 2015. Revista Colombiana de Psiquiatría. 2016;45:39-49. https://doi.org/10.1016/j.rcp.2016.06.010
Carlson VJ, Hardwood RL. Attachment, culture, and the caregiving system: The cultural patterning of everyday experiences among Anglo and Puerto Rican mother–infant pairs. Infant Ment Health J. 2003;24:53-73. https://doi.org/10.1002/imhj.10043
Lecannelier F, Silva JR, Hoffmann M, Melo R, Morales R. Effects of an intervention to promote socio-emotional development in terms of attachment security: A study in early institutionalization in Chile. Infant Ment Health J. 2014;35:151-9. https://doi.org10.1002/imhj.21436
McCall R, Groark LF, Harkins D, Serrano G, Gordon K. A socio-emotional intervention in a Latin American orphanage. Infant Ment Health J. 2010;31:521-42. https://doi.org/10.1002/imhj.20270
Pineda D, Lopera F, Henao G, Palacio J, Castellanos F. Confirmación de la alta prevalencia del trastorno por déficit de atención en una comunidad colombiana. Rev Neurol. 2001;32:217-22.
Sandoval JJ. Ambiente escolar, familiar y comunitario en relación con los comportamientos agresivos y prosociales en niños de 3 a 12 años, Medellín, Colombia, 2001. Rev Fac Nac Salud Pública. 2006;24:30-9.
Giel R, De Arango MV, Climent CE, Harding TW, Ibrahim HHA, Murthy RS, et al. Childhood mental disorders in primary health care: Results of observations in four developing countries. Pediatrics. 1981;68:677-83.
Hernández-Barrera AB, Restrepo-Espinosa MH. Salud mental en niños en condición de desplazamiento en Colombia y su incidencia en políticas públicas. Fecha de consulta: 10 de octubre de 2016. Disponible en: http://repository.urosario.edu.co/handle/10336/2693
Rutter M, Bishop D, Pine D, Scott S, Stevenson J, Taylor E, et al. Rutter’s Child and Adolescent Psychiatry. 5th edition. Oxford: Blackwell; 2008.
Briggs RD, Stettler EM, Silver EJ, Schrag RD, Nayak M, Chinitz S, et al. Social-emotional screening for infants and toddlers in primary care. Pediatrics. 2012;129:e377-e84.
https://doi.org/10.1542/peds.2010-2211
Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry. 2000;177:534-9. https://doi.org/10.1192/bjp.177.6.534
Sheldrick RC, Merchant S, Perrin EC. Identification of developmental-behavioral problems in primary care: A systematic review. Pediatrics. 2011;128:356-63. https://doi.org/10.1542/peds.2010-3261
Skovgaard A. Mental health problems and psychopathology in infancy and early childhood. An epidemiological study. Dan Med Bull. 2010;57:B4193.
Montero I, León OG. A guide for naming research studies in Psychology. Int J Clin Health Psychol. 2007;7:874-62.
Jellinek MS, Murphy JM, Robinson J, Feins A, Lamb S, Fenton T. Pediatric Symptom Checklist: Screening school-age children for psychosocial dysfunction. J Pediatr. 1988;112:201-9.
Squires J, Bricker D, Twombly E. The ASQ: SE User’s Guide for the Ages & Stages Questionnaires, socialemotional: A parent completed, child-monitoring system for social-emotional behaviors. Baltimore: Paul H. Brookes Publishing Co; 2003. p. 93.
Gleason MM, Zeanah CH. Recognizing young childern in need of mental health assessment: Development and preliminary validity of the early childhood screening assessment. Infant Ment Health J. 2010;31:335-7. https://doi.org/10.1002/imhj.20259
Carreño M. El método Delphi: cuando dos cabezas piensan más que una en el desarrollo de guías de práctica clínica. Revista Colombiana de Psiquiatría. 2009;38:185-93.
Cuhls K. Delphi method. Fecha de consulta: 3 de agosto de 2014. Disponible en: www.unido.org/fileadmin/import/16959_Delphi Method.pdf
Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000;32:1008-15. https://doi.org/10.1046/j.1365-2648.2000.t01-1-01567.x
Hsu CC, Sandford BA. The Delphi technique: Making sense of consensus. Practical Assessment, Research & Evaluation. 2007;12:1-8.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation ofself-report measures. Spine. 2000;25:3186-91.
Gjersing L, Caplehorn JRM, Clausen T. Cross-cultural adaptation of research instruments: Language, setting, time and statistical considerations. BMC Med Res Methodol. 2010;10:13. https://doi.org/10.1186/1471-2288-10-13
Oquendo-Jiménez I, Mena R, Antoun MD, Wojna V. Linguistic adaptation of the clinical dementia rating scale for a Spanish-speaking population. P R Health Sci J. 2010;29:102-8.
Sidani S, Guruge S, Miranda J, Ford-Gilboe M, Varcoe C. Cultural adaptation and translation of measures: An integrated method. Res Nurs Health. 2010;33:133-43. https://doi.org101002/nur.20364
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. J Eval Clin Pract. 2011;17:268-74. https://doi.org/10.1111/j.1365-2753.2010.01434.x
Weiner J. Measurement: Reliability and validity measures, Johns Hopkins Bloomberg School of Public Health. Fecha de consulta: 17 de julio de 2014. Disponible en: http://ocw.jhsph.edu/courses/hsre/PDFs/HSRE_lect7_weiner.pdf
Argibay J. Técnicas psicométricas. Cuestiones de validez y confiabilidad. Subjetividad y Procesos Cognitivos. 2006;8:15-33.
Rattray J, Jones MC. Essential elements of questionnaire design and development. J Clin Nurs. 2007;16:234-43. https://doi.org/10.1111/j.1365-2702.2006.01573.x
Muzzolon SR, Nunes M, Dos Santos LH. Evaluación del uso de la lista de síntomas pediátricos como instrumento de rastreo para identificar problemas emocionales y psicosociales. Rev Paul Pediatr. 2013;31:359-65. https://doi.org/10.1590/S0103-05822013000300013
Achenbach T. ASEBA- Achenbach System of Empirically Based Assessment. Fecha de consulta: 21 de mayo de 2014. Disponible en: http://www.aseba.org/products/asebabook.html?dept=64
Zárate O, López C, Flores G. Adaptación del cuestionario sobre el comportamiento en niños de 1½ a 5 años de Achenbach para niños de 4 a 5 años. Enseñanza e Investigación en Psicología. 2009;14:179-91.
Achenbach T, Rescorla L. Manual for the ASEBA preschool form and profiles. Burlington: University of Vermont;2000. p. 14.
Shapiro SS, Wilk MB. An analysis of variance test for normality (Complete Samples). Biometrika. 1965;52:591-611. https://doi.org/10.2307/2333709
Mee RW. Confidence intervals for probabilities and tolerance regions based on a generalization of the Mann-Whitney statistic. J Am Stat Assoc. 1990;85:793-800.
Arribas MC. Diseño y validación de cuestionarios. Matronas Profesión. 2004;5:23-9.
O’Hara R, Kraemer H, Yesavage J, Thompson J, Noda A, Taylor J, et al. Receiver operating characteristic curve (ROC): Analysis for prediction studies. Fecha de consulta: 9 de junio de 2014. Disponible en: http://www.stanford.edu/yesavage/ROC%20Slides%20OHara.ppt#1
Masson LF, McNeil G, Tomany JO, Simpson JA. Statistical approaches for assessing the relative validity of a foodfrequency questionnaire: Use of correlation coefficients and the kappa statistic. Public Health Nutr. 2003;6:313-21. https://doi.org/10.1079/PHN2002429
Pineda D, Aguirre DC, García M, Lopera FJ, Palacio LG, Kamphaus RW. Validation of two rating scales for attention-deficit hyperactivity disorder diagnosis in Colombian children. Pediatr Neurol. 2005;33:15-25. https://doi.org/10.1016/j.pediatrneurol.2005.02.001
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