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The Parental Concerns Questionnaire: A Brief Screening Instrument for Potentially Severe Behavior Problems in Infants
Stephen R Schroeder1, Johannes Rojahn2, Xiaozhu An2
1University of Kansas, Lawrence, KS, USA.
Insights
The Parental Concerns Questionnaire (PCQ) effectively screens young children for severe behavior problems (SBDs). This tool shows high sensitivity in identifying developmental and behavioral concerns in at-risk youth.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Behavioral Screening
Background:
- Early identification of severe behavior problems (SBDs) in young children is crucial for timely intervention.
- Developmental concerns in children aged 4-48 months can indicate risk for significant behavioral issues.
- Existing screening tools may require refinement for comprehensive assessment of behavioral risks.
Purpose of the Study:
- To introduce and validate the Behavior Problems cluster of the Parental Concerns Questionnaire (PCQ) as a screening instrument.
- To assess the PCQ's utility in identifying young children at risk for SBDs.
- To evaluate the concurrent validity and sensitivity of the PCQ Behavior Problems cluster.
Main Methods:
- The study involved 262 young children (4-48 months) whose parents completed the 15-item PCQ via trained staff interviews.
- Cluster analysis identified three domains: Developmental/Social, Biomedical, and Behavior Problems.
- Concurrent validity was assessed by correlating PCQ scores with the Behavior Problems Inventory (BPI-01), Aberrant Behavior Checklist (ABC), and Repetitive Behavior Scale-Revised (RBS-R).
Main Results:
- Parents reported high concern for behavior problems, with endorsements ranging from 41.8% to 68.8% for the Behavior Problems cluster.
- The PCQ Behavior Problems cluster demonstrated significant correlations with the BPI-01, ABC, and RBS-R, supporting its concurrent validity.
- The PCQ showed strong sensitivity in identifying potential SBDs when compared to established measures.
Conclusions:
- The PCQ Behavior Problems cluster is a valuable and sensitive screening tool for identifying young children at risk for SBDs.
- The PCQ aids in the early detection of significant behavioral concerns in children with developmental delays.
- The instrument provides a reliable method for parents to voice concerns about their child's behavior.
Abstract:
The Parental Concerns Questionnaire (PCQ) was designed as a parent-interview screening instrument for young children with developmental concerns at risk for potentially severe behavior problems (SBDs). Parents of 262 young children (4 to 48 months) answered to the 15 dichotomous PCQ items interviewed by trained staff. Cluster analysis for items revealed three item clusters, which we labeled Developmental/Social (8 items), Biomedical (3 items), and Behavior Problems (3 items). This paper discussed primarily the Behavior Problems cluster, with items referring to self-injurious, aggressive, and destructive behaviors. Parents' concerns about behavior problems were high, with item-endorsements of the Behavior Problems cluster ranging from 41.8 % to 68.8 %. The Behavior Problems cluster was significantly correlated with all three subscales of the Behavior Problems Inventory (BPI-01), with select subscales of the Aberrant Behavior Checklist (ABC), and with the Repetitive Behavior Scale-Revised (RBS-R) providing some evidence for concurrent validity. Sensitivity and specificity data were computed for the three PCQ items as well as for the cluster score in comparison with the BPI-01, ABC, and RBS-R showing strong sensitivity. The PCQ Behavior Problems cluster is a useful screening checklist with high sensitivity for potential SBDs in young children at-risk for developmental delays.
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