Istanbul University Florence Nightingale School of Nursing, Istanbul, Turkey.
J Clin Nurs. 2011 Sep;20(17-18):2591-9. doi: 10.1111/j.1365-2702.2010.03537.x. Epub 2011 Mar 9.
To evaluate the usefulness of Pediatric Symptom Checklist-17 in identifying psychosocial problems in low-income, Turkish children.
Epidemiological data indicate that 10-20% of children in primary care settings exhibit significant psychosocial problems. Early detection and treatment of these problems may lead to considerable health benefits. However, the brief and valid screening tool for children with psychosocial problems is not available in Turkey.
Survey.
A sample of 306 parents with children between 6-16 years of age who were attending primary schools in Istanbul was included. The psychometric properties of the scale were established by examining the content, convergent, discriminant, construct validity and internal consistency and stability. Receiver operating characteristic analysis was conducted to estimate the optimal cut-off score of scale using the Child Behaviour Checklist as the criterion standard.
Convergent validity was supported, and discriminant validity suggested that the scale successfully discriminated among the normal, borderline and clinical range groups. Although, exploratory factor analysis extracted three factors, confirmatory factor analysis did not meet the criteria for good model fit. Internal consistency was found to be 0·81; test-retest reliability was found to be 0·72. The area under curve was found to be 0·91 and optimal cut-off score was found to be 12 (sensitivity: 0·81; specificity: 0·86) for clinical range psychopathology.
The results provided an empirical support for extending the use of the Pediatric Symptom Checklist-17 in the primary care settings. The Turkish version of the Pediatric Symptom Checklist-17 showed an adequate reliability and validity for its use in low-income, Turkish children.
Primary care providers can use the Pediatric Symptom Checklist-17 for early identification of childhood psychosocial problems in primary care settings. This easy-to-use tool can provide guidance to care providers for further assessment of children.
评估儿童症状清单-17 在识别低收入土耳其儿童心理社会问题方面的有用性。
流行病学数据表明，10-20%的初级保健环境中的儿童存在显著的心理社会问题。早期发现和治疗这些问题可能会带来相当大的健康益处。然而，土耳其没有用于儿童心理社会问题的简短有效的筛查工具。
调查。
对伊斯坦布尔小学的 306 名 6-16 岁儿童的家长进行了抽样调查。通过检查量表的内容、收敛、判别、结构有效性和内部一致性及稳定性，确定了量表的心理测量特性。使用儿童行为检查表作为标准，进行接收者操作特征分析，以估计量表的最佳截断分数。
支持收敛有效性，判别有效性表明量表成功区分了正常、边缘和临床范围组。虽然探索性因子分析提取了三个因素，但验证性因子分析不符合良好模型拟合标准。内部一致性为 0.81；重测信度为 0.72。曲线下面积为 0.91，最佳截断分数为 12（灵敏度：0.81；特异性：0.86），用于临床范围精神病理学。
研究结果为将儿童症状清单-17 扩展应用于初级保健环境提供了实证支持。土耳其版儿童症状清单-17 在低收入土耳其儿童中具有足够的信度和效度，可用于评估其使用情况。
初级保健提供者可以使用儿童症状清单-17 在初级保健环境中早期识别儿童心理社会问题。这种易于使用的工具可以为护理提供者提供指导，以进一步评估儿童。
