Tede Zoma, Ophir Cohen Michal, Riskin Arieh, Tirosh Emanuel
The Rappaport Faculty of Medicine, The Technion, Israel Institute of Technology, Haifa, Israel.
The Hanna Khoushy Child Development Center, Bnai Zion Medical Center, Haifa, Israel.
Res Dev Disabil. 2016 Aug;55:226-34. doi: 10.1016/j.ridd.2016.04.013. Epub 2016 Apr 30.
Healthy social-emotional development in early childhood is important as an indicator of general well-being and for positive outcome in later childhood. Therefore, screening for potential social emotional problems is valuable. Accurate, usable, and affordable screening tools have been especially difficult to develop. The cross cultural validity of a screening instrument should be assessed. The aim of the current study was to investigate the reliability and validity of the Greenspan social-emotional growth chart (GSEGC) in Israeli children of three diagnostic groups: (1) Autistic spectrum disorder (ASD) (2) Developmental language disorder (DLD) and (3) Developmental motor delay (DMD). An internal reliability of alpha of 0.95 for the GSEGC standardized for age score and of 0.78 for the sensory processing sub scores was found. A confirmatory factor analysis (CFA) using a 5-factor model confirmed an acceptable fit. Positive (62.86%) and negative (94.73%) predictive values also support the clinical usefulness of the GSEGC in identifying children at low risk for ASD.
The GSEGC appears to be a promising tool for the screening of social emotional problems in early childhood. Further studies in different cultures are warranted.
幼儿期健康的社会情感发展作为总体幸福感的指标以及对儿童后期积极结果而言很重要。因此,筛查潜在的社会情感问题很有价值。开发准确、可用且经济实惠的筛查工具一直特别困难。筛查工具的跨文化效度应予以评估。本研究的目的是调查格林斯潘社会情感成长图表(GSEGC)在三个诊断组的以色列儿童中的信度和效度:(1)自闭症谱系障碍(ASD)(2)发育性语言障碍(DLD)和(3)发育性运动迟缓(DMD)。发现GSEGC年龄标准化得分的α内部信度为0.95,感觉加工子得分的α内部信度为0.78。使用五因素模型的验证性因素分析(CFA)证实拟合度可接受。阳性(62.86%)和阴性(94.73%)预测值也支持GSEGC在识别低ASD风险儿童方面的临床实用性。
GSEGC似乎是筛查幼儿期社会情感问题的一个有前景的工具。有必要在不同文化中进行进一步研究。