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Validation of a Measurement Model to Identify Socio-emotional Difficulties in Preschool Children: The Preschool
Loreto Leiva1, Andrés Antivilo-Bruna2, Felipe Peña2
1Department of Psychology, University of Chile, Santiago, Chile. loretoleivab@u.uchile.cl.
Insights
This study validated the Preschool Pediatric Symptom Checklist in Chile (PPSC-CL) for identifying social and emotional challenges in preschoolers. The PPSC-CL effectively detects global mental health issues, enabling early intervention.
Area of Science:
- Child Psychology
- Developmental Psychiatry
- Psychometric Validation
Background:
- Early identification of social and emotional challenges in preschoolers is crucial for timely intervention.
- Existing screening tools require adaptation and validation for specific cultural contexts like Chile.
- Parent and caregiver reports are vital for assessing preschooler mental health.
Purpose of the Study:
- To validate the Preschool Pediatric Symptom Checklist (PPSC) for detecting social and emotional challenges in Chilean preschoolers.
- To adapt and confirm the psychometric properties of the PPSC for a Chilean population (PPSC-CL).
- To establish the structural validity of the PPSC-CL using latent variable analysis.
Main Methods:
- Cognitive interviews with 36 caregivers/teachers to assess understanding of PPSC items.
- Expert review of PPSC items for coherence and consistency.
- Administration of the preliminary PPSC-CL to 1009 preschool caregivers, followed by latent variable analysis.
Main Results:
- The PPSC-CL demonstrated validity for a four-factor structure.
- A robust bifactor model was established, indicating a general mental health factor.
- Specific latent dimensions for internalizing, externalizing, and attentional problems were identified.
Conclusions:
- The validated PPSC-CL provides a reliable tool for identifying global mental health challenges in Chilean preschoolers.
- This validated scale supports early detection and intervention for social and emotional difficulties.
- The findings contribute to culturally adapted mental health screening for early childhood.
Abstract:
Identifying issues in early childhood enables timely interventions, potentially mitigating future mental health risks. In this context, this study seeks to validate the model of Preschool Pediatric Symptom Checklist for detecting social and emotional challenges among Chilean preschoolers, as reported by their caregivers. In the first stage, 36 cognitive interviews using the published Spanish version of the PPSC were conducted with caregivers, parents and/or teachers of preschool aged children, so that they could review the questions and be sure that they understood them. In stage 2, 12 experts checked the questions for coherence and consistency. As a result, only one item was slightly modified. Then, 1009 preschool caregivers answered the preliminary version of the Chilean-adapted scale (PPSC-CL). Taking into account the minor changes incorporated in the scale, and using latent variable analysis techniques, it was possible to obtain evidence of validity for the four-factor structure of the PPSC-CL. Additionally, by using the questions about children's difficulties, a robust bifactor model was established, highlighting the presence of a general factor whose items have a specific component that sustain the existence of latent dimensions for internalizing, externalizing, and attentional problems. Thanks to this advancement, it will now be possible to identify and report the occurrence of global mental health challenges in preschool-aged children.
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