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J Pediatr Psychol. 2004 Mar;29(2):143-55.

The Brief Infant-Toddler Social and Emotional Assessment: screening for social-emotional problems and delays in competence.

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1
Department of Epidemiology and Public Health, PO Box 208034, Yale University, New Haven, CT 06520, USA. margaret.briggs-gowan@yale.edu

Abstract

OBJECTIVE:

To examine the reliability and validity of the 42-item Brief Infant-Toddler Social and Emotional Assessment (BITSEA), a screener for social-emotional/behavioral problems and delays in competence.

METHOD:

Parents in a representative healthy birth cohort of 1,237 infants aged 12 to 36 months completed the Infant-Toddler Social and Emotional Assessment (ITSEA)/BITSEA, the Child Behavior Checklist (CBCL)/1.5-5, the MacArthur Communication Developmental Inventory vocabulary checklist, and worry questions. In a subsample, independent evaluators rated infant-toddler behavior.

RESULTS:

Test-retest reliability was excellent and interrater agreement (mother/father and parent/child-care provider) was good. Supporting validity, BITSEA problems correlated with concurrent evaluator problem ratings and CBCL/1.5-5 scores and also predicted CBCL/1.5-5 and ITSEA problem scores one year later. BITSEA measures of competence correlated with concurrent observed competence and predicted later ITSEA competence measures. Supporting discriminant validity, only 23% of high BITSEA problem scorers had delayed vocabulary. Moreover, the combined BITSEA problem/competence cutpoints identified 85% of subclinical/clinical CBCL/1.5-5 scores, while maintaining acceptable specificity (75%).

CONCLUSIONS:

Findings support the BITSEA as a screener for social-emotional/behavioral problems and delays in social-emotional competence.

PMID:
15096535
[Indexed for MEDLINE]
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