School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric proper...School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric properties are critical to making decisions about choosing a screening instrument. The purpose of the present study was to examine the psychometric properties of the student risk screening scale for internalizing and externalizing behaviors (SRSS-IE). Participants included 3145 students and their teachers. Item-level analyses of the current sample supported the retention of all items. The internal consistency of the SRSS items ranged from 0.83 to 0.85. Convergent validity between the SRSS-IE and a well-established screening tool, the strength and difficulties questionnaire (SDQ), was found for the total score (r = 0.70). Additionally, the results of this study demonstrate strong social validity, suggesting the SRSS-IE to be a useful and functional screening tool. We conclude that the SRSS-IE is a valid and reliable instrument for assessing the level of emotional and behavioral difficulties among elementary students.展开更多
Background: early detection of perinatal anxiety using appropriate measures helps in reducing maternal and fetal complication. WHO guidelines for instrument translation and adaptation provide rigor and transparent met...Background: early detection of perinatal anxiety using appropriate measures helps in reducing maternal and fetal complication. WHO guidelines for instrument translation and adaptation provide rigor and transparent method for Perinatal Anxiety Screening Scale (PASS) translation and expand the knowledge in diversity cultural contexts. Aim: to describe the process of cultural adaptation of the PASS into the Jordanian context based on the WHO framework for instrument translation and adaptation. Methods: PASS was completed by a convenience sample of 31 pregnant women. In which PASS went through WHO framework for instrument translation and adaptation process includes forward translation, expert panel, blind back translation, pre testing and cognitive interview, and the final version is ready for piloting. Some comments were added to three items by five expert panel, then the modified version was ready for piloting. Result: the internal consistency reliability of PASS was 0.869 and five experts who reviewed PASS confirmed the scale appropriateness and clarity after a slight modification to three items. Participants found PASS in general easy to complete but some of them found difficulties in understanding two items located in the Perfectionism, control and trauma subscale where they need an explanation of their meaning to answer them. Conclusion: using WHO guidelines for instruments translation considered a rigorous method and revealed that PASS is reliable and valid tool to be used within the Jordanian context to measure perinatal anxiety. However, the focus on explaining items 11 and 14 to participants is important due to difficulty in understanding their meaning.展开更多
Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveil...Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveillance.Methods All participants were evaluated by the CNBS-R2016 and Gesell Developmental Schedules(GDS).Spearman’s correlation coefficients and Kappa values were obtained.Taking GDS as a reference assessment,the performance of the CNBS-R2016 for detecting the developmental delays of children with ASD was analyzed with receiver operating characteristic(ROC)curves.The efficacy of the CNBS-R2016 to screen for ASD was explored by comparing Communication Warning Behavior with Autism Diagnostic Observation Schedule,Second Edition(ADOS-2).Results In total,150 children aged 12–42 months with ASD were enrolled.The developmental quotients of the CNBS-R2016 were correlated with those of the GDS(r=0.62–0.94).The CNBS-R2016 and GDS had good diagnostic agreement for developmental delays(Kappa=0.73–0.89),except for Fine Motor.There was a significant difference between the proportions of Fine Motor,delays detected by the CNBS-R2016 and GDS(86.0%vs.77.3%).With GDS as a standard,the areas under the ROC curves of the CNBS-R2016 were above 0.95 for all the domains except Fine Motor,which was 0.70.In addition,the positive rate of ASD was 100.0%and 93.5%when the cut-off points of 7 and 12 in the Communication Warning Behavior subscale were used,respectively.Conclusion The CNBS-R2016 performed well in developmental assessment and screening for children with ASD,especially by Communication Warning Behaviors subscale.Therefore,the CNBS-R2016 is worthy of clinical application in children with ASD in China.展开更多
Objective:To explore the clinical evaluation role of the Digits-in-Noise(DIN)test and Hearing Handicap Inventory for Adults Screening(HHIA-S)for patients with occupational noise-induced hearing loss and to observe and...Objective:To explore the clinical evaluation role of the Digits-in-Noise(DIN)test and Hearing Handicap Inventory for Adults Screening(HHIA-S)for patients with occupational noise-induced hearing loss and to observe and analyze their application values.Methods:Fifty patients with suspected occupational noise-induced hearing loss were randomly selected from the Department of Otolaryngology at the hospital as the research target.The collection period for the research cases spanned from January 2022 to November 2023,and all patients had a history of noise exposure.The DIN test and HHIA-S were used for hearing examinations,with clinical,comprehensive diagnosis serving as the gold standard to study their diagnostic performance.Results:The compliance rate of the DIN test was 88.00%,the HHIA-S’s compliance rate was 80.00%,and the combined compliance rate was 94.00%.The compliance rate of the DIN test and the combined compliance rates of the patients were statistically significant compared to the clinical gold standard data(P<0.05),while there was no difference between the compliance rate of the HHIA-S and the gold standard(P>0.05).The data shows that the sensitivity of the combined diagnosis is significantly higher than the sensitivity data of the DIN test and HHIA-S examination alone(P<0.05).Its specificity is 100.00%,and the accuracy data of the joint diagnosis in the degree were higher than those of the DIN test alone(P>0.05)and the HHIA-S alone(P<0.05).Conclusion:For patients with occupational noise-induced hearing loss,the joint evaluation of the DIN test and HHIA-S can significantly improve their diagnostic value with high sensitivity and accuracy.展开更多
目的 将中文版简版言语空间听觉质量量表(C-SSQ12)在临床上用于老年性聋的听力评估,并将C-SSQ12得分与纯音听阈值进行比较,分析C-SSQ12得分与老年性听力损失的相关性。方法 选取2022年10月—2023年10月首都医科大学附属北京朝阳医院耳...目的 将中文版简版言语空间听觉质量量表(C-SSQ12)在临床上用于老年性聋的听力评估,并将C-SSQ12得分与纯音听阈值进行比较,分析C-SSQ12得分与老年性听力损失的相关性。方法 选取2022年10月—2023年10月首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科门诊患者411例,其中老年性聋患者296例,根据纯音听阈测试言语频率均值(4f-PTA),分为轻度听力损失组(20≤4f-PTA<35 dB HL)141例、中度听力损失组(35≤4f-PTA<50 dB HL)78例。中重度听力损失组(50≤4f-PTA<65 dB HL)59例和重度及以上听力损失组(4f-PTA≥65dB HL)18例,正常听力组(4f-PTA<20 dB HL)115例,完成C-SSQ12填写和纯音听阈测试。采用Pearson相关性分析,观察老年性聋患者4f-PTA与C-SSQ12得分及其在言语感知维度、空间听觉维度以及听觉质量维度得分的相关性。利用单因素方差分析比较轻度、中度、中重度、重度及以上听力损失组C-SSQ12得分差异。绘制ROC曲线,计算曲线下面积(AUC)评估C-SSQ12对显著性听力损失的诊断效能。结果 C-SSQ12得分及其在言语感知维度、空间听觉维度以及听觉质量维度得分均与老年性聋患者4f-PTA呈显著负相关(P <0.01)。针对C-SSQ12绘制ROC曲线,AUC为0.884,敏感性为82.9%、特异性为79.2%、阳性预测值为62.5%、阴性预测值为93.1%,约登指数为0.62,截断值为6.56分。结论 C-SSQ12得分与纯音听阈值呈显著负相关,C-SSQ12具有良好的敏感性、特异性与诊断效能,可作为听力检查的有效补充,得分能够反映老年性聋患者在言语感知、空间听觉以及听觉质量维度下的听功能障碍,可用于老年性聋的筛查。展开更多
文摘School-based universal screening for behavioral/emotional risk is a necessary first step to providing services in an educational setting for students with emotional and behavioral disorders (EBDs). Psychometric properties are critical to making decisions about choosing a screening instrument. The purpose of the present study was to examine the psychometric properties of the student risk screening scale for internalizing and externalizing behaviors (SRSS-IE). Participants included 3145 students and their teachers. Item-level analyses of the current sample supported the retention of all items. The internal consistency of the SRSS items ranged from 0.83 to 0.85. Convergent validity between the SRSS-IE and a well-established screening tool, the strength and difficulties questionnaire (SDQ), was found for the total score (r = 0.70). Additionally, the results of this study demonstrate strong social validity, suggesting the SRSS-IE to be a useful and functional screening tool. We conclude that the SRSS-IE is a valid and reliable instrument for assessing the level of emotional and behavioral difficulties among elementary students.
文摘Background: early detection of perinatal anxiety using appropriate measures helps in reducing maternal and fetal complication. WHO guidelines for instrument translation and adaptation provide rigor and transparent method for Perinatal Anxiety Screening Scale (PASS) translation and expand the knowledge in diversity cultural contexts. Aim: to describe the process of cultural adaptation of the PASS into the Jordanian context based on the WHO framework for instrument translation and adaptation. Methods: PASS was completed by a convenience sample of 31 pregnant women. In which PASS went through WHO framework for instrument translation and adaptation process includes forward translation, expert panel, blind back translation, pre testing and cognitive interview, and the final version is ready for piloting. Some comments were added to three items by five expert panel, then the modified version was ready for piloting. Result: the internal consistency reliability of PASS was 0.869 and five experts who reviewed PASS confirmed the scale appropriateness and clarity after a slight modification to three items. Participants found PASS in general easy to complete but some of them found difficulties in understanding two items located in the Perfectionism, control and trauma subscale where they need an explanation of their meaning to answer them. Conclusion: using WHO guidelines for instruments translation considered a rigorous method and revealed that PASS is reliable and valid tool to be used within the Jordanian context to measure perinatal anxiety. However, the focus on explaining items 11 and 14 to participants is important due to difficulty in understanding their meaning.
基金This study was supported by Emergency Technology Research Project of Huazhong University of Science and Technology(No.2020kfyXGYJ020).
文摘Objective This study aimed to explore the clinical value of Children Neuropsychological and Behavioral Scale-Revision 2016(CNBS-R2016)for Autism Spectrum Disorder(ASD)screening in the presence of developmental surveillance.Methods All participants were evaluated by the CNBS-R2016 and Gesell Developmental Schedules(GDS).Spearman’s correlation coefficients and Kappa values were obtained.Taking GDS as a reference assessment,the performance of the CNBS-R2016 for detecting the developmental delays of children with ASD was analyzed with receiver operating characteristic(ROC)curves.The efficacy of the CNBS-R2016 to screen for ASD was explored by comparing Communication Warning Behavior with Autism Diagnostic Observation Schedule,Second Edition(ADOS-2).Results In total,150 children aged 12–42 months with ASD were enrolled.The developmental quotients of the CNBS-R2016 were correlated with those of the GDS(r=0.62–0.94).The CNBS-R2016 and GDS had good diagnostic agreement for developmental delays(Kappa=0.73–0.89),except for Fine Motor.There was a significant difference between the proportions of Fine Motor,delays detected by the CNBS-R2016 and GDS(86.0%vs.77.3%).With GDS as a standard,the areas under the ROC curves of the CNBS-R2016 were above 0.95 for all the domains except Fine Motor,which was 0.70.In addition,the positive rate of ASD was 100.0%and 93.5%when the cut-off points of 7 and 12 in the Communication Warning Behavior subscale were used,respectively.Conclusion The CNBS-R2016 performed well in developmental assessment and screening for children with ASD,especially by Communication Warning Behaviors subscale.Therefore,the CNBS-R2016 is worthy of clinical application in children with ASD in China.
文摘Objective:To explore the clinical evaluation role of the Digits-in-Noise(DIN)test and Hearing Handicap Inventory for Adults Screening(HHIA-S)for patients with occupational noise-induced hearing loss and to observe and analyze their application values.Methods:Fifty patients with suspected occupational noise-induced hearing loss were randomly selected from the Department of Otolaryngology at the hospital as the research target.The collection period for the research cases spanned from January 2022 to November 2023,and all patients had a history of noise exposure.The DIN test and HHIA-S were used for hearing examinations,with clinical,comprehensive diagnosis serving as the gold standard to study their diagnostic performance.Results:The compliance rate of the DIN test was 88.00%,the HHIA-S’s compliance rate was 80.00%,and the combined compliance rate was 94.00%.The compliance rate of the DIN test and the combined compliance rates of the patients were statistically significant compared to the clinical gold standard data(P<0.05),while there was no difference between the compliance rate of the HHIA-S and the gold standard(P>0.05).The data shows that the sensitivity of the combined diagnosis is significantly higher than the sensitivity data of the DIN test and HHIA-S examination alone(P<0.05).Its specificity is 100.00%,and the accuracy data of the joint diagnosis in the degree were higher than those of the DIN test alone(P>0.05)and the HHIA-S alone(P<0.05).Conclusion:For patients with occupational noise-induced hearing loss,the joint evaluation of the DIN test and HHIA-S can significantly improve their diagnostic value with high sensitivity and accuracy.
文摘目的 将中文版简版言语空间听觉质量量表(C-SSQ12)在临床上用于老年性聋的听力评估,并将C-SSQ12得分与纯音听阈值进行比较,分析C-SSQ12得分与老年性听力损失的相关性。方法 选取2022年10月—2023年10月首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科门诊患者411例,其中老年性聋患者296例,根据纯音听阈测试言语频率均值(4f-PTA),分为轻度听力损失组(20≤4f-PTA<35 dB HL)141例、中度听力损失组(35≤4f-PTA<50 dB HL)78例。中重度听力损失组(50≤4f-PTA<65 dB HL)59例和重度及以上听力损失组(4f-PTA≥65dB HL)18例,正常听力组(4f-PTA<20 dB HL)115例,完成C-SSQ12填写和纯音听阈测试。采用Pearson相关性分析,观察老年性聋患者4f-PTA与C-SSQ12得分及其在言语感知维度、空间听觉维度以及听觉质量维度得分的相关性。利用单因素方差分析比较轻度、中度、中重度、重度及以上听力损失组C-SSQ12得分差异。绘制ROC曲线,计算曲线下面积(AUC)评估C-SSQ12对显著性听力损失的诊断效能。结果 C-SSQ12得分及其在言语感知维度、空间听觉维度以及听觉质量维度得分均与老年性聋患者4f-PTA呈显著负相关(P <0.01)。针对C-SSQ12绘制ROC曲线,AUC为0.884,敏感性为82.9%、特异性为79.2%、阳性预测值为62.5%、阴性预测值为93.1%,约登指数为0.62,截断值为6.56分。结论 C-SSQ12得分与纯音听阈值呈显著负相关,C-SSQ12具有良好的敏感性、特异性与诊断效能,可作为听力检查的有效补充,得分能够反映老年性聋患者在言语感知、空间听觉以及听觉质量维度下的听功能障碍,可用于老年性聋的筛查。
