Stevanovic Dejan, Knez Rajna, Zorcec Tatjana, Anderluh Marija, Kodrič Jana, Petrov Petar, Hadžagić Ćatibušić Feriha, Deljković Azra, Brkic Cvetkovic Slavica, Vrljičak Davidovic Nikolina, Kuzmanić Šamija Radenka, Đorić Ana, Gillberg Christopher
Psychiatry Department, Clinic for Neurology and Psychiatry for Children and Youth, Belgrade, Serbia,
Department of Child and Adolescent Psychiatry, Skaraborgs Hospital, Skövde, Sweden.
Neuropsychiatr Dis Treat. 2018 Aug 23;14:2141-2148. doi: 10.2147/NDT.S171359. eCollection 2018.
The Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations - Questionnaire (ESSENCE-Q) was developed as a brief screener to identify children with developmental concerns who might have neurodevelopmental disorders (NDDs). This study aimed to translate the ESSENCE-Q into south Slavic languages, namely, Bosnian, Bulgarian, Croatian, Macedonian, Montenegrin, Serbian, and Slovenian, and to evaluate its psychometric properties for screening purposes in clinical settings.
In the study, the ESSENCE-Q was completed for 251 "typically developing" children and 200 children with 1 or more diagnosed NDDs, all aged 1-6 years. Internal consistency and construct validity were tested first, followed by generating receiver operating characteristic curves and the area under the curve. Optimal cutoff values were then explored.
The Cronbach's α coefficients were 0.91, 0.88, and 0.86 for ESSENCE-Q parent-completed form, and the telephone and direct interview forms administered by trained nurse or specialist, respectively. The 3 versions produced area under the curve values (95% confidence interval): 0.96 (0.93-0.99), 0.91 (0.86-0.95), and 0.91 (0.86-0.97), respectively. An optimal cutoff for ESSENCE-Q parent-completed form was found to be ≥3 points, while for the telephone and direct interviews, it was ≥5 points.
We found adequate measurement properties of the south Slavic languages versions of the ESSENCE-Q as a screener for NDDs in clinical settings. This study provided additional data supporting sound psychometric properties of the ESSENCE-Q.
早期症状综合征引发神经发育临床检查问卷（ESSENCE-Q）是作为一种简短筛查工具而开发的，用于识别可能患有神经发育障碍（NDD）且存在发育问题的儿童。本研究旨在将ESSENCE-Q翻译成南斯拉夫语，即波斯尼亚语、保加利亚语、克罗地亚语、马其顿语、黑山语、塞尔维亚语和斯洛文尼亚语，并评估其在临床环境中用于筛查目的的心理测量特性。
在本研究中，251名“发育正常”儿童和200名患有1种或多种已确诊NDD的儿童（年龄均为1至6岁）完成了ESSENCE-Q问卷。首先测试内部一致性和结构效度，随后生成受试者工作特征曲线及曲线下面积。然后探索最佳临界值。
ESSENCE-Q家长填写版、由经过培训的护士或专家进行电话访谈和直接访谈版的Cronbach's α系数分别为0.91、0.88和0.86。这三个版本生成的曲线下面积值（95%置信区间）分别为：0.96（0.93 - 0.99）、0.91（0.86 - 0.95）和0.91（0.86 - 0.97）。发现ESSENCE-Q家长填写版的最佳临界值为≥3分，而电话访谈和直接访谈版的最佳临界值为≥5分。
我们发现ESSENCE-Q的南斯拉夫语版本在临床环境中作为NDD筛查工具具有足够的测量特性。本研究提供了额外数据，支持了ESSENCE-Q良好的心理测量特性。
