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J Pediatr Psychol. 2013 Jun;38(5):577-87. doi: 10.1093/jpepsy/jst014. Epub 2013 Apr 19.

Clinical validity of a brief measure of early childhood social-emotional/behavioral problems.

Author information

  • 1University of Connecticut Health Center, Farmington, CT 06030, USA. mbriggsgowan@uchc.edu

Abstract

OBJECTIVE:

To address a pressing need for measures of clinically significant social-emotional/behavioral problems in young children by examining several validity indicators for a brief parent-report questionnaire.

METHODS:

An ethnically and economically diverse sample of 213 referred and nonreferred 2- and 3-year-olds was studied. The validity of the Brief Infant-Toddler Social-Emotional Assessment (BITSEA) Problem Index and Internalizing and Externalizing scales was evaluated relative to a "gold standard" diagnostic interview, as well as the Child Behavior Checklist (CBCL).

RESULTS:

The validity of the BITSEA Problem Index relative to Diagnosis (sensitivity = 72.7%-80.8%, specificity = 70.0%-83.3%) and clinical-range CBCL scores (sensitivity = 80.0%-96.2%, specificity = 75.0%-89.9%) was supported in the full sample and within minority/nonminority groups. Additional results supported the validity of the BITSEA Internalizing and Externalizing scales.

CONCLUSIONS:

Documented validity suggests that the BITSEA may be a valuable tool to aid screening, identification, and assessment efforts targeting early-emergent social-emotional/behavioral problems. Practical implications and generalizability are discussed.

KEYWORDS:

assessment; early childhood; psychiatric diagnosis; screening; social–emotional/behavioral problems; surveillance

PMID:
23603252
[PubMed - indexed for MEDLINE]
PMCID:
PMC3666122
Free PMC Article

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