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Published on: February 11, 2017
The effectiveness of brief psychosocial screening in identifying behavioral problems in children
Ratanotai Plubrukarn1, Kanjana Amloy, Wiboon Kanjanapatanakul
1Department of Child Psychiatry, Queen Sirikit National Institute of Child Health, College of Medicine, Rangsit University, Bangkok, Thailand. ratanop@hotmail.com
Insights
The Thai version of the Pediatric Symptom Checklist (PSC) effectively screens for psychosocial dysfunction in children aged 6-11. A cut-off score of 16 demonstrated good sensitivity and specificity for early detection.
Area of Science:
- Child Psychology
- Pediatric Health
- Screening Tools
Background:
- Early detection of psychosocial problems is crucial for timely intervention.
- Screening tools aid in identifying children needing further assessment and referral.
- Psychosocial dysfunction can significantly impact a child's development and well-being.
Purpose of the Study:
- To evaluate the validity and reliability of the Thai version of the Pediatric Symptom Checklist (PSC).
- To determine the suitability of the Thai PSC for screening psychosocial dysfunction in children.
- To establish an appropriate cut-off score for the Thai PSC.
Main Methods:
- A cross-sectional study involved 160 children aged 6-11 years.
- Parents completed the Thai PSC and Thai Youth Behavior Checklist (TYC).
- Psychometric properties including sensitivity, specificity, and predictive values were analyzed.
Main Results:
- The Thai PSC demonstrated strong performance with an Area Under the Curve (ROC) of 0.895.
- A cut-off score of 16 yielded a sensitivity of 83.51% and specificity of 79.37%.
- Positive and negative predictive values were 86.17% and 75.76%, respectively.
Conclusions:
- The parent-completed Thai PSC is a valuable tool for screening psychosocial dysfunction in children aged 6-11.
- A recommended cut-off score of 16 facilitates early identification.
- This screening tool supports timely intervention and referral in pediatric care.
Background:
Using screening tools to enhance early detection of psychosocial problems can lead to timely intervention and appropriate referral to general practices.
Objective:
To assess whether the Thai version of Pediatric Symptom Checklist (PSC) is suitable for screening of psychosocial dysfunction.
Material And Method:
A cross sectional study was conducted among 160 children aged 6-11 years seeking care at Queen Sirikit National Institute of Child Health from November 2006 to December 2007. Parents were asked to complete the Thai version of the Pediatric Symptom Checklist (PSC) questionnaire and the Thai Youth Behavior Checklist (TYC). Sensitivity specificity, positive and negative predictive value were analyzed and reported.
Results:
The area under the receiver operation characteristic (ROC) curve, using the TYC as a gold standard, was 0.895. The cut-off score of 16 was appropriate for early detection of the psychosocial dysfunction. At this cut-off score, the sensitivity was 83.51%, the specificity was 79.37%, the positive predictive value was 86.17% and the negative predictive value for detecting psychosocial dysfunction among children was 75.76%.
Conclusion:
The authors' findings suggested that the Thai version, parent completed, PSC may be a useful psychosocial screening tool for the children aged 6-11 years with the recommended cut-off score of 16.
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