Lopes Simone C Facuri, Ricas Janete, Mancini Marisa Cotta
Universidade Federal de Minas Gerais, Brazil.
Infant Ment Health J. 2008 Mar;29(2):153-173. doi: 10.1002/imhj.20169.
The Alarm Distress Baby Scale (ADBB) aims at assessing infant withdrawal behavior. A previous validation study revealed acceptable reliability and validity indices. The present study investigated the psychometric properties of the scale in a larger sample from a culturally different population. Pediatricians evaluated the behavior of 122 infants, 2 and 19 months old, using the ADBB during routine physical consultation. Four investigators (two pediatricians and two nurses not specialized in pediatric care) examined video recordings of the evaluations. Results showed good interrater reliability coefficients among pediatricians and poor correlation when all professionals were grouped together. Test-retest reliability revealed good intraexaminer agreement (r = 0.91). The pediatricians' evaluation using the ADBB was compared with a psychiatric examination to investigate the scale's criterion validity. The cutoff point of 5 provided the best clinical validity (sensitivity of 79%, specificity of 81%). Results from construct validity showed that the scale had three dimensions. Comparison of the factor solution with other construct validity studies of the same instrument revealed similarities and differences. Results suggest that the ADBB may be a useful screening instrument to detect signs of psychiatric alterations related to withdrawal behavior in primary care services, and it is likely to provide consistent information.
警报痛苦婴儿量表（ADBB）旨在评估婴儿的退缩行为。先前的一项效度验证研究揭示了可接受的信度和效度指标。本研究在来自文化背景不同人群的更大样本中调查了该量表的心理测量特性。儿科医生在常规体格检查期间使用ADBB对122名2至19个月大的婴儿的行为进行了评估。四名研究人员（两名儿科医生和两名非儿科护理专业的护士）检查了评估的视频记录。结果显示，儿科医生之间的评分者间信度系数良好，而将所有专业人员归为一组时相关性较差。重测信度显示检查者内一致性良好（r = 0.91）。将儿科医生使用ADBB的评估结果与精神科检查结果进行比较，以调查该量表的效标效度。5分的临界值具有最佳的临床效度（敏感性为79%，特异性为81%）。结构效度结果表明该量表有三个维度。将该因素解决方案与同一工具的其他结构效度研究进行比较，发现了异同之处。结果表明，ADBB可能是一种有用的筛查工具，可用于在初级保健服务中检测与退缩行为相关的精神障碍迹象，并且可能会提供一致的信息。
