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.

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