Screening accuracy and clinical application of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA)

The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a promising questionnaire for the early detection of psychosocial problems in toddlers. The screening accuracy and clinical application were evaluated. In a community sample of 2-year-olds (N = 2060), screening accuracy of the BITS...

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Bibliographic Details
Published in:PloS one 2013-08, Vol.8 (8), p.e72602-e72602
Main Authors: Kruizinga, Ingrid, Jansen, Wilma, Mieloo, Cathelijne L, Carter, Alice S, Raat, Hein
Format: Article
Language:English
Subjects:
Accuracy
Archives & records
Behavior
Child
Child & adolescent psychiatry
Child Behavior
Child Behavior Disorders - diagnosis
Child Behavior Disorders - psychology
Children
Children & youth
Childrens health
Confidence intervals
Diagnostic systems
Emotions
Ethics
Ethnic Groups - psychology
Female
Follow-Up Studies
Health services
Human subjects
Humans
Identification
Infant
Likelihood ratio
Male
Mass Screening
Medical personnel
Medicine
Minority & ethnic groups
Pediatrics
Preschool children
Professionals
Public health
Quantitative psychology
Questionnaires
Referral and Consultation
ROC Curve
Sampling methods
Screening
Social and Behavioral Sciences
Social Behavior
Studies
Subgroups
Surveys and Questionnaires
Validity
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Summary:The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a promising questionnaire for the early detection of psychosocial problems in toddlers. The screening accuracy and clinical application were evaluated. In a community sample of 2-year-olds (N = 2060), screening accuracy of the BITSEA Problem scale was examined regarding a clinical CBCL1.5-5 Total Problem score. For the total population and subgroups by child's gender and ethnicity Receiver Operating Characteristic (ROC) curves were calculated, and across a range of BITSEA Problem scores, sensitivity, specificity, likelihood ratio's, diagnostic odds ratio and Youden's index. Clinical application of the BITSEA was examined by evaluating the relation between the scale scores and the clinical decision of the child health professional. The area under the ROC curve (95% confidence interval) of the Problem scale was 0.97(0.95-0.98), there were no significant differences between subgroups. The association between clinical decision and BITSEA Problem score (B = 2.5) and Competence score (B = -0.7) was significant (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0072602