University of Manizales, Department of Pediatrics and Public Health, Manizales, Caldas, Colombia
School of Psychology, Universidad Santiago de Chile, Chile
Rural Remote Health. 2023 Aug;23(3):7851. doi: 10.22605/RRH7851. Epub 2023 Aug 24.
The aim of this research was to present the process of intercultural creation and validation, in addition to the analysis of the psychometric properties of the Parenting, Behavior, Emotions and Suicide risk scale.
A cross-sectional study, cultural adaptation and validation with an ethnic approach were carried out by expert judges in mental health; subsequently, the instrument was applied, and a factorial analysis was carried out, and it was established that there was agreement between the instrument results and two expert perspectives regarding spiritual disharmony. The sample consisted of 168 families of children and young people (54.8% women, 45.2% men), with a mean age of 11.2 years, in Colombia. Regarding the geographical location, 44% were from Guajira, 44.6% were from Nariño and 11.3% were from Vaupés, from the Wayuu, Awá and Emberá communities, respectively.
The scale showed high reliability (Chronbach's α=0.911), and in the factorial analysis the following parenting domains were formed from the parents: involvement, monitoring and bond, from boys, girls and young people; suicidal risk perceived by caregivers and perceived by children and young people; in addition to a total mental health risk. The questions that inquired about hallucinations and seizures did not show grouping in any factor, and two questions were eliminated. Similarly, a high inter-rater concordance was shown, with a higher Cohen's κ coefficient for all domains.
There are few intercultural and early detection studies of parenting and mental health problems in children and youth that have an ethnic approach. It is observed that the instrument serves as a means of monitoring mental health issues in children and adolescents, as well as the parenting practices employed in their socialization, from both the perspective of caregivers and the young individuals themselve. This study indicates that the scale is an adequate tool, quick and easy to administer in first-level care settings.
本研究旨在介绍跨文化创作和验证的过程，以及育儿、行为、情绪和自杀风险量表的心理测量学特性分析。
通过心理健康方面的专家评审进行了一项横断面研究、文化适应和具有民族方法的验证；随后，应用了该工具，并进行了因子分析，并确定该工具的结果与两个专家视角在精神不和谐方面存在一致性。该样本包括来自哥伦比亚的 168 个儿童和青少年家庭（54.8%为女性，45.2%为男性），平均年龄为 11.2 岁。关于地理位置，44%来自瓜希拉，44.6%来自纳里尼奥，11.3%来自瓦乌，分别来自瓜伊部落、阿瓦部落和恩贝拉部落。
该量表显示出较高的可靠性（Chronbach's α=0.911），在因子分析中，从父母、男孩、女孩和年轻人那里形成了以下育儿领域：投入、监督和纽带；看护者感知的自杀风险和儿童和青少年感知的自杀风险；以及整体心理健康风险。询问幻觉和癫痫发作的问题在任何因素中都没有显示分组，因此删除了两个问题。同样，显示出较高的观察者间一致性，所有领域的 Cohen's κ系数都较高。
针对儿童和青少年的育儿和心理健康问题，具有民族方法的跨文化和早期检测研究很少。从看护者和年轻人自身的角度来看，观察到该工具可作为监测儿童和青少年心理健康问题以及他们社会化过程中所采用的育儿实践的一种手段。本研究表明，该量表是一种在一级保健环境中进行监测的适宜工具，快速且易于管理。
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