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[针对学龄前儿童样本中儿童行为的照顾者-儿童社会情感与关系评定量表(SIRS)的临床验证]

[Clinical Validation of the Caregiver-Child Socioemotional and Relationship Rating Scale (SIRS) for Child Behavior in a Preschool-Age Sample].

作者信息

Esins Svenja, Müller Jörg Michael, Romer Georg, Wagner Katharina, Achtergarde Sandra

机构信息

Klinik für Kinder- und Jugendpsychiatrie, -psychosomatik und -psychotherapie Universitätsklinikum Münster Schmeddingstraße 50 48149 Münster Deutschland Klinik für Kinder- und Jugendpsychiatrie, -psychosomatik und -psychotherapie am Universitätsklinikum Münster.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2017 Mar;66(3):209-223. doi: 10.13109/prkk.2017.66.3.209.

Abstract

Clinical Validation of the Caregiver-Child Socioemotional and Relationship Rating Scale (SIRS) for Child Behavior in a Preschool-Age Sample The description of child behavior in mother-child-interaction is important in early detection and treatment of psychiatric disorders in preschool children. The Caregiver-Child Socioemotional and Relationship Rating Scale (SIRS) may serve this diagnostic purpose. We aim to examine interrater-reliability of SIRS and concurrent, convergent, and discriminant validity to maternal behavior by Play-PAB, and a measure of mother-child-relationsship by Parent-Infant-Global-Assessment-Scale (PIRGAS). Five raters assessed 47 ten-minute video sequences of parent-child-interaction recorded at the Family Day Hospital for Preschool Children with SIRS, Play-PAB, and PIRGAS. We report psychometric properties of SIRS, and present the association with Play-PAB and PIRGAS. SIRS shows a satisfying interrater-reliability for all items. Positive child behavior e. g. the SIRS' "child responsiveness" shows negative correlation to Play-PAB-scales' parental "hostility" and "intrusiveness", but independence of parental "involvement", "positive emotionality", and "discipline". Child and parental behavior show expected associations with the global relationship measure PIRGAS. The assessment of child behavior in parent-child-interaction with SIRS can be quickly learned and reliably applied without extensive training. SIRS shows meaningful relations to parental behavior and a clinical global measure of the caregiver-child-relationship. We recommend SIRS for clinical diagnostics to describe child behavior in mother-child-interaction.

摘要

照顾者-儿童社会情感与关系评定量表(SIRS)在学龄前儿童样本中对儿童行为的临床验证 母婴互动中儿童行为的描述对于学龄前儿童精神疾病的早期发现和治疗至关重要。照顾者-儿童社会情感与关系评定量表(SIRS)可能有助于实现这一诊断目的。我们旨在检验SIRS的评分者间信度,以及通过游戏亲子互动评估量表(Play-PAB)对母亲行为的同时效度、聚合效度和区分效度,以及通过母婴整体评估量表(PIRGAS)对母婴关系的一种测量。五名评分者使用SIRS、Play-PAB和PIRGAS对在儿童日托医院记录的47个10分钟的亲子互动视频序列进行了评估。我们报告了SIRS的心理测量特性,并呈现了其与Play-PAB和PIRGAS的关联。SIRS对所有项目都显示出令人满意的评分者间信度。积极的儿童行为,例如SIRS的“儿童反应性”与Play-PAB量表中父母的“敌意”和“侵扰性”呈负相关,但与父母的“参与度”、“积极情绪”和“纪律性”无关。儿童和父母的行为与整体关系测量量表PIRGAS呈现出预期的关联。使用SIRS对亲子互动中的儿童行为进行评估可以在无需大量培训的情况下快速掌握并可靠应用。SIRS显示出与父母行为以及照顾者-儿童关系的临床整体测量之间存在有意义的关系。我们推荐使用SIRS进行临床诊断,以描述母婴互动中的儿童行为。

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