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The Ages and Stages Questionnaire: Social-Emotional—What Is the Optimal Cut-Off for 3-Year-Olds in the Swedish Setting?
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0002-0791-0256
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0002-8184-6360
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0001-8944-2558
Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.ORCID-id: 0000-0002-5517-0803
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2022 (Engelska)Ingår i: Frontiers in Pediatrics , E-ISSN 2296-2360, Vol. 10, artikel-id 756239Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: Expressions of emotional and behavioral symptoms in preschool age can predict mental health problems in adolescence and adulthood. The Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) has been successful in detecting social and emotional problems in young children in some countries but had not been tested in Sweden. The objective of this study was to determine the optimal cut-off for the ASQ:SE instrument when administered to 3-year-old children in a northern Swedish setting, using the Strengths and Difficulties Questionnaire (SDQ) as the reference.

Methods: The ASQ:SE (36-month interval, first edition) was administered at routine 3-year-olds' visits to Child Health Care centers in Region Västerbotten, Sweden. During the study period (September 2017 to March 2018) parents were invited to also fill out the SDQ (2–4 year version). In the final analyses 191 children fulfilled the criteria for inclusion in the study sample. Non-parametric Receiver Operating Characteristic analysis was performed to quantify the discriminatory accuracy of ASQ:SE based on SDQ.

Results: The Pearson correlation between ASQ:SE and SDQ indicated strong correlation between the two instruments. The Receiver Operating Characteristic curve showed good accuracy of ASQ:SE in relation to SDQ. However, our results suggest that the existing ASQ:SE cut-off score of 59 was not optimal in the Swedish context. Changing the cut-off from 59 to 50 would allow us to detect 100% (n = 14) of children with problems according to SDQ, compared to 64% (n = 9) when the cut-off was 59. However, the proportion of false positives would be higher (9% compared to 3%).

Conclusion: The main finding was that for 3-year-olds in Sweden a decreased ASQ:SE cut-off score of 50 would be optimal. This would increase the detection rate of at-risk children according to SDQ (true positive), thus prioritizing sensitivity. Our conclusion is that, although this change would result in more false positives, this would be justifiable.

Ort, förlag, år, upplaga, sidor
Frontiers Media S.A., 2022. Vol. 10, artikel-id 756239
Nyckelord [en]
emotional and behavioral problems, mental health, preschool children, screening, Strengths and Difficulties Questionnaire (SDQ), Receiver Operating Characteristic (ROC) analysis
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Pediatrik
Forskningsämne
pediatrik
Identifikatorer
URN: urn:nbn:se:umu:diva-192313DOI: 10.3389/fped.2022.756239ISI: 000760724700001PubMedID: 35223687Scopus ID: 2-s2.0-85125137892OAI: oai:DiVA.org:umu-192313DiVA, id: diva2:1636209
Forskningsfinansiär
FolkhälsomyndighetenRegion VästerbottenTillgänglig från: 2022-02-09 Skapad: 2022-02-09 Senast uppdaterad: 2023-09-05Bibliografiskt granskad

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Vaezghasemi, MasoudEurenius, EvaIvarsson, AnneliRichter Sundberg, LindaSilfverdal, Sven-ArneLindkvist, Marie

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Vaezghasemi, MasoudEurenius, EvaIvarsson, AnneliRichter Sundberg, LindaSilfverdal, Sven-ArneLindkvist, Marie
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Frontiers in Pediatrics
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiPediatrik

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