Resumen
Introducción: La infancia temprana es un periodo crucial en el desarrollo de la salud mental. Por ello, es importante contar con herramientas eficaces para detectar tempranamente las conductas infantiles relacionadas con psicopatología. Objetivo: El objetivo de este estudio fue evaluar la validez de la Escala de Evaluación Socioemocional Breve de Infantes y Niños (BITSEA) en una muestra chilena. Método: Se utilizó una muestra de 289 niños y niñas preescolares de entre 12 y 35 meses de edad con 30 días. Resultados: Se obtuvo una confiabilidad aceptable para la subescala "problemas socioemocionales" (α=0.84) y una confiabilidad media para la subescala "competencia" (α=0.58). La estructura factorial fue adecuada y la validez concurrente con otras escalas fue alta. El AFC muestra índices de ajuste del modelo aceptables (SRMR=0.07; RMSEA=0.05). Conclusión: La BITSEA arrojó resultados similares a otros estudios en cuanto a confiabilidad y su aplicabilidad en contextos educativos y de salud preescolar es prometedora para la detección temprana de problemas socioemocionales. Se sugiere continuar su estudio en muestra nacional representativa.
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Achenbach, T. M. y Rescorla, L. A. (2000). Manual for the ASEBA Preschool-Age Forms & Profiles. University of Vermont, Research Center for Children, Youth, and Families.
Baird, G., Charman, T., Baron-Cohen, S., Cox, A., Swettenham, J., Wheelwright, S. y Drew, A. (2000). A Screening Instrument for Autism at 18 Months of Age: A 6-Year Follow-up Study. Journal of the American Academy of Child & Adolescent Psychiatry, 39(6), 694–702. https://doi.org/10.1097/00004583-200006000-00007
Barthel, D., Kriston, L., Guo, N., Yao, E. D., Armel, K. E. J., Fordjour, D., Mohammed, Y., Kotchi, C. E. B., Eberhardt, K. A., Hinz, R., Ehrhardt, S. y Bindt, C. (2022). Psychometric properties of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA) in two-year-old Ivorian and Ghanaian children. Applied Developmental Science, 26(3), 567–577. https://doi.org/10.1080/10888691.2021.1931216
Benjet, C., Borges, G., Medina-Mora, M. E., Zambrano, J. y Aguilar-Gaxiola, S. (2009). Youth mental health in a populous city of the developing world: Results from the mexican adolescent mental health survey. Journal of Child Psychology and Psychiatry and Allied Disciplines, 50(4), 386-395. https://doi.org/10.1111/j.1469-7610.2008.01962.x
Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R. y Young, S. L. (2018). Best Practices for Developing and Validating Scales for Health, Social, and Behavioral Research: A Primer. Frontiers in Public Health, 6: 149. https://doi.org/10.3389/fpubh.2018.00149
Briggs-Gowan, M. J. y Carter, A. S. (1998). Preliminary acceptability and psychometrics of the Infant-Toddler Social and Emotional Assessment (ITSEA): A new adult-report questionnaire. Infant Mental Health Journal, 19(4), 422–445. https://doi.org/fj5dhk
Briggs-Gowan, M. J., Carter, A. S., Irwin, J. R., Wachtel, K. y Cicchetti, D. V. (2004). The Brief Infant-Toddler Social and Emotional Assessment: Screening for Social-Emotional Problems and Delays in Competence. Journal of Pediatric Psychology, 29(2),143-155. https://doi.org/10.1093/jpepsy/jsh017
Briggs-Gowan, M. J., Carter, A. S., Skuban, E. M., & Horwitz, S. M. (2001). Prevalence of Social-Emotional and Behavioral Problems in a Community Sample of 1- and 2-Year-Old Children. Journal of the American Academy of Child & Adolescent Psychiatry, 40(7), 811–819. https://doi.org/10.1097/00004583-200107000-00016
Brown, T. A. (2015). Confirmatory Factor Analysis for Applied Research (2nd ed.). The Guilford Press.
Campbell, D. T. y Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological Bulletin, 56(2), 81–105. https://doi.org/10.1037/h0046016
Campo-Arias, A. y Oviedo, H. C. (2008). Propiedades psicométricas de una escala: la consistencia interna [Revisión]. Revista de salud pública, 10(5), pp. 831-839. https://tinyurl.com/3289dmuh
Carter, A. S., Briggs-Gowan, M. J., Jones, S. M. y Little, T. D. (2003). The Infant-Toddler Social and Emotional Assessment (ITSEA): Factor structure, reliability, and validity. Journal of Abnormal Child Psychology, 31(5), 495-514. https://doi.org/c8vdsm
Chen, F. F. (2007). Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance. Structural Equation Modeling, 14(3), 464–504. https://doi.org/dmtdv9
Committee on Children With Disabilities. (2001). Developmental Surveillance and Screening of Infants and Young Children. Pediatrics, 108(1), 192–195. https://doi.org/10.1542/peds.108.1.192
Cova, F., Bustos, C., Rincón, P., Grandón, P., Saldivia, S. y Inostroza, C. (2016). Inventario de Conductas Infantiles en preescolares: Propiedades psicométricas del Inventario de Conductas Infantiles (CBCL/1.5-5) y del Informe del Cuidador/Educador (C-TRF) en Preescolares Chilenos. Terapia Psicológica, 34(3), 191–198. https://doi.org/kcn8
Egger, H. L. y Angold, A. (2006). Common emotional and behavioral disorders in preschool children: Presentation, nosology, and epidemiology. Journal of Child Psychology and Psychiatry, 47(3–4), 313–337. https://doi.org/df5bdm
Falissard, B. (2016). Early detection of child and adolescent mental disorders: Some elements of a necessary debate. European Child & Adolescent Psychiatry, 25(10), 1041–1043. https://doi.org/10.1007/s00787-016-0906-6
Haapsamo, H., Kuusikko-Gauffin, S., Carter, A. S., Pollock, R. W., Ebeling, H., Joskitt, L., Larinen, K., Soini, H., Pihlaja, P. y Moilanen, I. (2012). A pilot longitudinal follow-up study of the Brief Infant Toddler Social-Emotional Assessment (BITSEA) in Northern Finland: Examining toddlers’ social-emotional, behavioural and communicative development. Early Child Development and Care. 182(11), 1487-1502. https://doi.org/10.1080/03004430.2011.622756
Hofstra, M. B., Van Der Ende, J. y Verhulst, F. C. (2002). Child and Adolescent Problems Predict DSM-IV Disorders in Adulthood: A 14-Year Follow-up of a Dutch Epidemiological Sample. Journal of the American Academy of Child & Adolescent Psychiatry, 41(2), 182–189. https://doi.org/10.1097/00004583-200202000-00012
Howard , K. S. y Brooks-Gunn, J. (2009). The Role of Home-Visiting Programs in Preventing Child Abuse and Neglect. The Future of Children, 19(2), 119–146. https://doi.org/10.1353/foc.0.0032
Hu, L.-T. y Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Hungerford, G. M., Garcia, D. y Bagner, D. M. (2015). Psychometric Evaluation of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA) in a Predominately Hispanic, Low-Income Sample. Journal of Psychopathology and Behavioral Assessment, 37(3), 493–503. https://doi.org/10.1007/s10862-015-9478-x
Irarrázaval, M., Prieto, F. y Armijo, J. (2016). Prevención e Intervenciones Tempranas en Salud Mental: Una perspectiva Internacional. Acta bioethica, 22(1), 37-50. http://dx.doi.org/10.4067/S1726-569X2016000100005
Izett, E., Rooney, R., Prescott, S. L., De Palma, M. y McDevitt, M. (2021). Prevention of Mental Health Difficulties for Children Aged 0–3 Years: A Review. Frontiers in Psychology, 11: 500361. https://doi.org/10.3389/fpsyg.2020.500361
Jellinek, M. S., Murphy, J. M., Little, M., Pagano, M. E., Comer, D. M. y Kelleher, K. J. (1999). Use of the Pediatric Symptom Checklist to Screen for Psychosocial Problems in Pediatric Primary Care: A National Feasibility Study. Archives of Pediatrics & Adolescent Medicine, 153(3), 254-260 . https://doi.org/10.1001/archpedi.153.3.254
Karabekiroglu, K., Briggs-Gowan, M. J., Carter, A. S., Rodopman-Arman, A. y Akbas, S. (2010). The clinical validity and reliability of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA). Infant Behavior and Development, 33(4), 503-509 https://doi.org/10.1016/j.infbeh.2010.07.001
Karabekiroglu, K., Rodopman-Arman, A., Ay, P., Ozkesen, M., Akbas, S., Tasdemir, G. N., Boke, O. y Peksen, Y. (2009). The reliability and validity of the Turkish version of the brief infant-toddler social emotional assessment (BITSEA). Infant Behavior and Development. 32(3), 291-297. https://doi.org/10.1016/j.infbeh.2009.03.003
Keenan, K., Shaw, D. S., Walsh, B., Delliquadri, E. y Giovannelli, J. (1997). DSM-III-R Disorders in Preschool Children From Low-Income Families. Journal of the American Academy of Child & Adolescent Psychiatry, 36(5), 620–627. https://doi.org/bj3pdt
Kruizinga, I., Jansen, W., de Haan, C. L., van der Ende, J., Carter, A. S. y Raat, H. (2012). Reliability and validity of the dutch version of the brief infant-toddler social and emotional assessment (BITSEA). PLoS ONE. 7(6): e38762 https://doi.org/kcqz
Kularatna, S., Hettiarachchi, R., Senanayake, S., Murphy, C., Donovan, C. y March, S. (2022). Cost-effectiveness analysis of paediatric mental health interventions: A systematic review of model-based economic evaluations. BMC Health Services Research, 22(1): 542. https://doi.org/10.1186/s12913-022-07939-x
Liang, S. H.-Y., Tsai, H.-W. J., Wu, Y.-Y., Lee, Y.-C., Chen, V. C.-H., Wang, L.-J., Chou, W.-J. y Kelsen, B. A. (2020). Reliability and validity of the traditional Chinese translation of the brief infant-toddler social and emotional assessment. Early Human Development, 151: 105162. https://doi.org/10.1016/j.earlhumdev.2020.105162
Lecannelier, F., Ewert, J. C. P., Groissman, S., Gallardo, D., Bardet, A. M., Bascuñan, A. y Rodríguez, J. (2014). Validación del inventario de conductas infantiles para niños de entre 11/2-5 años (CBCL 11/2-5) en la Ciudad de Santiago de Chile. Universitas Psychologica, 13(2), 491-500. https://doi.org/10.11144/Javeriana.UPSY13-2.vici
Mardia, K.V. (1975). Assessment of multinormality and the robustness of Hotelling’s T2 test. Journal of the Royal Statistical Society. Series C, Applied statistics, 24(2), 163–171. https://doi.org/10.2307/2346563
McDonald, R. P. (1999). Test theory: A unified treatment. Lawrence Erlbaum Associates, Inc
Petresco, S., Anselmi, L., Santos, I. S., Barros, A. J. D., Fleitlich-Bilyk, B., Barros, F. C. y Matijasevich, A. (2014). Prevalence and comorbidity of psychiatric disorders among 6-year-old children: 2004 Pelotas Birth Cohort. Social Psychiatry and Psychiatric Epidemiology, 49, 975-983. https://doi.org/10.1007/s00127-014-0826-z
Peverill, M., Dirks, M. A., Narvaja, T., Herts, K. L., Comer, J. S. y McLaughlin, K. A. (2021). Socioeconomic status and child psychopathology in the United States: A meta-analysis of population-based studies. Clinical Psychology Review, 83: 101933. https://doi.org/10.1016/j.cpr.2020.101933
Putnick, D. L. y Bornstein, M. H. (2016). Measurement invariance conventions and reporting: The state of the art and future directions for psychological research. Developmental Review, 41, 71–90. https://doi.org/10.1016/j.dr.2016.06.004
Rescorla, L. A., Achenbach, T. M., Ivanova, M. Y., Harder, V. S., Otten, L., Bilenberg, N., Bjarnadottir, G., Capron, C., De Pauw, S. S. W., Dias, P., Dobrean, A., Döpfner, M., Duyme, M., Eapen, V., Erol, N., Esmaeili, E. M., Ezpeleta, L., Frigerio, A., Fung, D. S. S., Gonçalves, M., Guðmundsson, H., Jeng, S.-F., Jusiené, R., Ah Kim, Y., Kristensen, S., Liu, J., Lecannelier, F., Leung, P. W. L., Machado, B. C., Montirosso, R., Ja Oh, K., Ooi, Y. P., Plück, J., Pomalima, R., Pranvera, J., Schmeck, K., Shahini, M., Silva, J. R., Simsek, Z., Sourander, A., Valverde, J., Van der Ende, J., Van Leeuwen, K. G., Wu, Y.-T., Yurdusen, S., Zubrick, S. R. y Verhulst, F. C. (2011). International Comparisons of Behavioral and Emotional Problems in Preschool Children: Parents. Journal of Clinical Child & Adolescent Psychology, 40(3), 456-467. https://doi.org/d8wts3
Rowell, T. y Neal-Barnett, A. (2022). A Systematic Review of the Effect of Parental Adverse Childhood Experiences on Parenting and Child Psychopathology. Journal of Child & Adolescent Trauma, 15(1), 167–180. https://doi.org/10.1007/s40653-021-00400-x
Schaefer, J. D., Caspi, A., Belsky, D. W., Harrington, H., Houts, R., Horwood, L. J., Hussong, A., Ramrakha, S., Poulton, R. y Moffitt, T. E. (2017). Enduring mental health: Prevalence and prediction. Journal of Abnormal Psychology, 126(2), 212–224. https://doi.org/10.1037/abn0000232
Sheldrick, R. C., Henson, B. S., Merchant, S., Neger, E. N., Murphy, J. M. y Perrin, E. C. (2012). The Preschool Pediatric Symptom Checklist (PPSC): Development and Initial Validation of a New Social/Emotional Screening Instrument. Academic Pediatrics, 12(5), 456–467. https://doi.org/10.1016/j.acap.2012.06.008
Srinath, S., Girimaji, S. C., Gururaj, G., Seshadri, S., Subbakrishna, D. K., Bhola, P. y Kumar, N. (2005). Epidemiological study of child & adolescent psychiatric disorders in urban & rural areas of Bangalore, India. Indian Journal of Medical Research, 122(1), 67-79. https://tinyurl.com/2ru3ax8s
Svetina, D., Rutkowski, L. y Rutkowski, D. (2019): Multiple-Group Invariance with Categorical Outcomes Using Updated Guidelines: An Illustration Using Mplus and the lavaan/semTools Packages. Structural Equation Modeling, 27(1), 111-130. https://doi.org/10.1080/10705511.2019.1602776
Vicente, B., Saldivia, S., de la Barra, F., Kohn, R., Pihan, R., Valdivia, M., Rioseco, P. y Melipillan, R. (2012). Prevalence of child and adolescent mental disorders in Chile: A community epidemiological study: Prevalence of child and adolescent mental disorders in Chile. Journal of Child Psychology and Psychiatry, 53(10), 1026–1035. https://doi.org/10.1111/j.1469-7610.2012.02566.x
Vicente, B., Saldivia, S. y Pihán, R. (2016). Prevalencias y brechas hoy: Salud mental mañana. Acta bioethica, 22(1), 51–61. https://doi.org/c69b
Viola Marchisio, L., Garrido Candela, G. y Varela, A. (2008). Características epidemiológicas de la salud mental de los niños montevideanos. Revista de Psiquiatría del Uruguay, 72(1), 9–20. https://tinyurl.com/6ed64kyh
Wakschlag, L. S., Roberts, M. Y., Flynn, R. M., Smith, J. D., Krogh-Jespersen, S., Kaat, A. J., Gray, L., Walkup, J., Marino, B. S., Norton, E. S. y Davis, M. M. (2019). Future Directions for Early Childhood Prevention of Mental Disorders: A Road Map to Mental Health, Earlier. Journal of Clinical Child & Adolescent Psychology, 48(3), 539–554. https://doi.org/10.1080/15374416.2018.1561296
Welch, C. (2006). Item and Prompt Development in Performance Testing. En S. M. Downing y T. M. Haladyna (Eds.), Handbook of test development (pp. 303–327). Lawrence Erlbaum Associates. https://tinyurl.com/bda4rkru
Wendland, J., Danet, M., Gacoin, E., Didane, N., Bodeau, N., Saïas, T., Le Bail, M., Cazenave, M. T., Molina, T., Puccinelli, O., Chirac, O., Medeiros, M., Gérardin, P., Cohen, D. y Guédeney, A. (2014). French version of the brief infant-toddler social and emotional assessment questionnaire-bitsea. Journal of Pediatric Psychology. 39(5), 562-575. https://doi.org/10.1093/jpepsy/jsu016
Zeanah, C. H. y Zeanah, P. D. (2010). Infant Mental Health. En B. M. Lester y J. D. Sparrow (Eds.), Nurturing Children and Families (pp. 231–241). Wiley-Blackwell. https://doi.org/10.1002/9781444324617.ch20
Zeanah, C. H., y Doyle, P. D. (2009). The scope of infant mental health. En C. H. Zeanah (Ed.), Handbook of infant mental health (3rd ed., pp. 5-21). The Guilford Press. https://tinyurl.com/2hvybfmw
