Uygun Sabide Duygu, Çıkılı Uytun Merve, Konşuk Ünlü Hande, Akgül Doğru Ayşegül, Aktaş Altunay Serpil, Öztop Didem Behice, Kılıç Birim Günay, Munir Kerim
Department of Child and Adolescent Psychiatry, Ankara University School of Medicine, Ankara, Türkiye.
Institute of Public Health, Hacettepe University, Ankara, Türkiye.
Front Psychiatry. 2025 Apr 28;16:1579629. doi: 10.3389/fpsyt.2025.1579629. eCollection 2025.
The Developmental Behavior Checklist (DBC) is a standardized tool for evaluating emotional and behavioral concerns in children and adolescents with intellectual disabilities (ID) in clinical and research settings. This study aims to validate the Turkish versions of the DBC autism screening algorithm (ASA), parent (P) and teacher (T) forms.
Parents and teachers of 312 children and adolescents aged 4-17 with ID completed the Turkish versions of the DBC forms and the Strengths and Difficulties Questionnaire (SDQ). The presence of ASD or any other psychiatric disorder was assessed through clinical evaluation based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) guidelines. Analyses of validity and reliability were conducted to evaluate the internal consistency, sensitivity, specificity, area under the curve (AUC), convergent validity, inter-rater reliability, and test-retest reliability.
Among the participants, 30.6% (n=70) had a psychiatric comorbid diagnosis according to the DSM-5-TR. DBC-P exhibited a sensitivity of 64.4%, a specificity of 87.6%, and an AUC of 76%. DBC-T demonstrated a sensitivity of 89.7%, a specificity of 75.8%, and an AUC of 82.7%. Additionally, 23.1% (n=45) were diagnosed with autism spectrum disorder (ASD). The DBC-ASA showed a sensitivity of 58.1%, a specificity of 64.6%, and an AUC of 61.3%. The DBC forms displayed strong internal consistency, robust test-retest reliability, and significant correlation with the SDQ measures. Inter-rater agreement between the DBC-P and DBC-T was low to moderate. A significant difference between parent and teacher assessments highlights the need for multi-informant approaches (p <.001).
The DBC-P and DBC-T exhibit high validity and reliability, while the DBC-ASA shows moderate accuracy. This study acts as a valuable resource for clinicians, providing enhanced support for Turkish children and adolescents with ID.
发育行为检查表（DBC）是一种标准化工具，用于在临床和研究环境中评估智力残疾（ID）儿童和青少年的情绪和行为问题。本研究旨在验证DBC自闭症筛查算法（ASA）的土耳其语版本、家长（P）版和教师（T）版。
312名4至17岁患有ID的儿童和青少年的家长和教师完成了DBC表格的土耳其语版本以及优势与困难问卷（SDQ）。根据《精神疾病诊断与统计手册》第五版文本修订版（DSM-5-TR）指南，通过临床评估来评估自闭症谱系障碍（ASD）或任何其他精神疾病的存在情况。进行了效度和信度分析，以评估内部一致性、敏感性、特异性、曲线下面积（AUC）、收敛效度、评分者间信度和重测信度。
在参与者中，根据DSM-5-TR，30.6%（n = 70）患有精神疾病共病诊断。DBC-P的敏感性为64.4%，特异性为87.6%，AUC为76%。DBC-T的敏感性为89.7%，特异性为75.8%，AUC为82.7%。此外，23.1%（n = 45）被诊断为自闭症谱系障碍（ASD）。DBC-ASA的敏感性为58.1%，特异性为64.6%，AUC为61.3%。DBC表格显示出很强的内部一致性、稳健的重测信度，并且与SDQ测量值有显著相关性。DBC-P和DBC-T之间的评分者间一致性为低到中等。家长和教师评估之间的显著差异凸显了多信息源方法的必要性（p <.001）。
DBC-P和DBC-T具有较高的效度和信度，而DBC-ASA显示出中等准确性。本研究为临床医生提供了宝贵的资源，为土耳其患有ID的儿童和青少年提供了更多支持。
