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Background
The Ages and Stages Questionnaire Social-Emotional (ASQ-SE) is a parent-report screening instrument designed to assess children’s social-emotional development and detect those at risk for delay or problems. Psychometric properties of this questionnaire have been studied before, but the ASQ-SE has never been compared to the Social-Emotion...
Contexts in source publication
Context 1
... ROC curves, this percentage was different due to the exclusion of the 6 and 12 months age versions of the ASQ-SE-NL: the AUC for these age versions was below 0.70. Cut-off scores could therefore not be determined (see Table 3). In the subsample of the ASQ-SE-NL ≥ 18 age versions, 16.8% of the children scored delayed or as having problems on the Bayley-III-NL-SE. ...Context 2
... the subsample of the ASQ-SE-NL ≥ 18 age versions, 16.8% of the children scored delayed or as having problems on the Bayley-III-NL-SE. Table 3 shows the cut-off scores and the number of children that scored above the cut-off of 1 SD per ASQ-SE-NL age version. The percentage of children identified as 'at risk' ranged from 12.6% to 19.8%. ...Similar publications
The X‐Ray Sensor (XRS) has been making full‐disk observations of the solar soft X‐ray irradiance onboard National Oceanic and Atmospheric Administration's (NOAA) Geostationary Operational Environmental Satellites since 1975. Critical information about solar activity for space weather operations is provided by XRS measurements, such as the classific...
Citations
... Bila penyimpangan perilaku emosional terlambat diketahui, maka lntervensinya akan lebih sulit dan hal ini akan berpengaruh pada tumbuh kembang anak (Kemenkes RI, 2016). Bayi dan balita berkembang dengan sangat cepat, salah satu domain yang berkembang pesat menyangkut perkembangan sosial-emosional, yang terdiri dari kemampuan untuk mengalami, mengekspresikan, dan mengatur emosi dengan cara yang sesuai dengan usia, mengembangkan dan memelihara hubungan yang sehat dengan orang lain, dan merasa percaya diri untuk menjelajahi lingkungan (Krijnen et al., 2021). Interaksi dengan lingkungan sekitar merupakan salah satu kegiatan untuk stimulasi tumbuh kembang anak (Rohani & Wahyuni, 2020). ...
... Artikel [1] menyatakan bahwa deteksi dini perkembangan pada anak sangat diperlukan untuk mengetahui adanya gangguan perkembangan, termasuk kesehatan mental pada anak. Instrumen pemeriksaan menggunakan Bayley-III-NL-SE digunakan untuk mengidentifikasi anak-anak yang tidak berisiko mengalami keterlambatan atau masalah, sedangkan ASQ-SE-NL digunakan untuk mendeteksi anak-anak yang berisiko mengalami keterlambatan atau masalah (Krijnen et al., 2021). Artikel [9] menjelaskan bahwa pada masalah kesehatan mental yang berkaitan dengan ADHD atau hiperaktifitas dan kecemasan diperlukan instrumen skrining standar pada anak usia 0-5 tahun (Kumar et al., 2023). ...
Latar Belakang : Pembangunan Berkelanjutan (SDGs) mengharuskan para pelaku global, regional, dan nasional untuk mengakui kesehatan mental sebagai isu holistik yang relevan dengan setiap sektor pembangunan, dan memberikan respons yang sesuai. Kegagalan dalam memenuhi dan melindungi kebutuhan kesehatan mental dapat berdampak pada konsekuensi sosial, pendidikan, dan ekonomi yang besar dalam jangka panjang. Tujuan : untuk memetakan bukti yang ada tentang skrining kesehatan mental pada anak. Metode : desain penelitian ini adalah scoping review menggunakan prisma-ScR cehklist , dengan frame work PEOs, menggunakan 3 database dari Pubmed, Scincedirect dan Jstor , dengan kriteria inklusi merupakan originale article berbahasa inggris yang dapat diakses full tex tahun 2019 – 2024 . Seleksi artikel menggunakan Prisma Flowchart dan critical appraisal menggunakan Joanna Briggs Institute (JBI) critical appraisal tool. Hasil : berdasarkan pencarian database diperoleh 10 artikel dari 3230 artikel yang relevan dengan tujuan penelitian. Penelitian tersebut berasal dari negara berkembang dan maju, terdiri dari penelitian kualitatif, cross-sectional study , kohort dan RCT. Terdapat 3 tema dari hasil pemetaan database yaitu alat skrining, penyebab dan upaya mengatasi masalah kesehatan mental anak. Simpulan : Deteksi dini penyimpangan perilaku emosional merupakan kegiatan atau pemeriksaan untuk menemukan secara dini adanya masalah perilaku emosional. Skrining kesehatan mental anak perlu dilakukan agar dapat memberikan intervensi yang tepat jika ditemukan adanya masalah kesehatan mental pada anak.
... The psychometric properties of the ASQ:SE have been studied worldwide, with heterogeneous results regarding reliability and validity [11,12,[14][15][16][17][18]. Higher reliability has been reported for English versions than for translated versions [11,14]. ...
Background
Social and emotional development are important aspects of young children’s well-being but can be difficult to assess during the first years of life. The Ages and Stages Questionnaire: Social-Emotional Second Edition (ASQ:SE-2) is a parent-rated assessment tool for child socioemotional development between 1 and 72 months of age. In this study, we examined the psychometric properties of this instrument in 18-month-old Swedish children.
Methods
Data from 586 Swedish-speaking parents of 18-month-old children were included. In addition to the ASQ:SE-2, parents also completed the Social-Emotional Assessment/Evaluation Measure (SEAM), and the child’s socioemotional development was assessed by a nurse at the Child Health Services. We used exploratory factor analysis and Rasch methodology to explore dimensionality and item properties of the ASQ:SE-2. Furthermore, we used Pearson and Spearman rank correlations to study associations with the SEAM and the nurse assessment.
Results
An exploratory factor analysis suggested a one-factor model for the ASQ:SE-2 items. However, several items showed weak factor loadings, and a final scale including 18 of the original 29 items was further explored. The Rasch analysis revealed problems with targeting, and the final scale showed acceptable reliability only in the 22% with the highest levels of socioemotional difficulties. The total score of the final version showed a strong association with the parent-rated SEAM but a weak association with the nurse observations. We labeled the reduced 18-item scale Social Interaction.
Conclusions
The results of this study highlight that the original Swedish version of the ASQ:SE-2 for 18-month-old children may not be an adequate tool for assessing social and emotional competencies in a normal population since acceptable reliability was reached only in children with the greatest difficulties (above the 78th percentile). In conclusion, the suggested 18-item version works best either as a screening instrument for problems with social interaction or as a continuous measure of such problems in children with high levels of social interaction difficulties.
... Optimal early childhood development encompasses various domains including physical, social-emotional and linguistic-cognitive aspects. 1 Failure to reach age-appropriate milestones in any of these areas is recognised as developmental delay. 2 Timely identification of at-risk children holds paramount importance, 3 as prompt referral to specialised interventions reduces the likelihood of longterm issues and improves outcomes in adulthood. 4 5 Ensuring early access to interventions is a key priority in dealing with developmental delays. ...
Background
Early identification of suspected developmental delays (SDDs) is crucial for planning early interventions. This study aimed to determine the prevalence of SDDs and the associated determinants in children aged 12 months in the northeast of Iran, using the Age and Stage Questionnaire-3 (ASQ-3) as the evaluative tool.
Methods
This study conducted an analytical cross-sectional design to investigate all children who had completed the ASQ-3 screening form at 12 months of age within the time frame of 2016–2023 in the northeast of Iran. The necessary data were extracted from the electronic health record database associated with Mashhad University of Medical Sciences. To examine the factors associated with SDDs within each domain of the ASQ-3, a multiple logistic regression model was employed, and the results were presented using ORs along with 95% CIs.
Results
Over 7 years, 236 476 children (96.74%) underwent routine ASQ-3 screening at 12 months. After excluding certain cases, 226 076 children (95.60%) were included. Among them, 51 593 children (22.82%) had a score below −1 SD, indicating SDD prevalence in at least one domain. The social–personal domain had the highest prevalence with 22 980 children (10.16%), while the gross motor domain had the lowest with 5650 children (2.50%). Logistic regression analysis identified strong predictors of SDDs, including hospitalisation at birth (OR=1.85, 95% CI:1.69 to 2.02), prematurity (OR=1.56, 95% CI: 1.37 to 1.79), urbanisation (OR=1.51, 95% CI: 1.45 to 1.57), boys (OR=1.36, 95% CI: 1.31 to 1.40) and lack of exclusive breast feeding until 6 months (OR=1.30, 95% CI: 1.25 to 1.34).
Conclusion
The prevalence of SDDs highlights the urgency for prompt action, while considering contributing factors. Policymakers can address modifiable risk factors associated with SDDs, including urbanisation risks, support programmes for immigrant families and the importance of exclusive breast feeding until 6 months. Additionally, it is recommended establishing gender-specific local standard cut-off points for the ASQ.
... (26). The Dutch version of the ASQ-SE shows adequate specificity (27,28) and acceptable (28) to slightly insufficient sensitivity (27). ...
Introduction
High quality of mother-child interaction is associated with better psychosocial outcomes in children. However, this association might depend on the context in which mother-child interaction is observed as well as specific child characteristics. In this study, we examine differences in the assessment of mother-child interaction in a free-play and a structured task context. In addition, it will be investigated whether the behaviors per context are differently associated with preterm vs. term born toddlers' psychosocial outcomes.
Methods
A total of 201 Dutch mother-child dyads participated in the study, of whom 108 children were moderate to late preterm (MLP) and 93 were born at term. Mother-child interaction was observed in a free-play and a structured task context when the child was 18 months of (corrected) age. Six subscales of mother-child interaction were assessed using the Coding Interactive Behavior scheme: maternal stimulation, maternal warmth, child's negative affect, active mother and child engagement, dyadic synchrony and tense interaction. Psychosocial outcomes were assessed at 24 months of (corrected) age using the Ages and Stages Questionnaire – Social Emotional and the Child Behavior Checklist.
Results
Mother-child interaction was reliably assessed (α > .60) in each context, except for tense interaction during free-play (α = .41) and child's negative affect when averaged across contexts (α = 0.55). Compared to the free-play context, during the structured task, more child's negative affect, tense interaction and active mother and child engagement was observed in MLP and term born children, and less dyadic synchrony in MLP children ( p 's < .01). Only during a structured task and for term born children, active mother and child engagement was related to less social-emotional difficulties, internalizing and externalizing behaviors. Only during free-play and for MLP children, active mother and child engagement was related to less externalizing behaviors. Dyadic synchrony during a structured task was associated with less social-emotional difficulties in MLP and term born children, and dyadic synchrony during free-play was only associated with less social-emotional difficulties in term born children (all p 's < .05).
Discussion
Most mother-child interactive behaviors can be reliably assessed in both contexts. The structured task context elicited more varied behaviors than the free-play context. With the observations in the structured task context, more associations with children's psychosocial outcomes were found than with the observations in the free-play context. Mother-child interactions characterized by active, engaged and synchronous behaviors were associated with better psychosocial outcomes in toddlers, with some differences observed for MLP vs. term born children and for the free-play vs. the structured task context. Suggestions for future research as well as clinical practice are provided.
... For their part, the 18-to-24-month questionnaires demonstrated more limited efficacy in detecting children at risk. In the Netherlands, good specificity and sensitivity were only observed in the ≥18 months-of-age versions (Krijnen et al., 2021). ...
... This coincides with what was reported in other studies (Squires et al., 2001;Krijnen et al., 2021) in the sense that, through the instrument, it is easier to tell expected from risky social-emotional development. This could be influenced by the perception of the parents who, despite being the main source of information about the development of their children, could be overlooking risk factors that they do not report at the moment of the test. ...
The timely detection of risks in emotional development requires valid and reliable instruments that sufficiently evaluate the construct. In Colombia, the Personal-social Subscale of the Abbreviated Development Scale (EAD-3 by its acronym in Spanish) is used; however, there are instruments that more fully evaluate the dimensions of social-emotional development for which there is no conclusive evidence on their sensitivity and specificity in the Colombian population. This instrumental study had the objective of identifying the sensitivity and specificity of the questionnaires for 6, 12, 18, 24, 30 and 36 months of the ASQ: SE-2. The sample was composed of 512 boys and girls between 3 and 36 months of age, from the city of Colombia of the Colombian Institute of Family Welfare and the Secretariat for Women, Gender Equality and Social Development. The comparative analysis between the ASQ:SE-2 and the Personal-social subscale of the EAD-3, showed relationship between the two instruments to identify risk in social-emotional development in the 6 (X2(1, 85)= 7.869, p=.005), 18 (X2(1, 97)= 15.966, p=.000), and 36 month (X2(1, 50) =11.387, p=.001) questionnaires. The ASQ: SE-2 reports optimal levels of specificity and adequate sensitivity in the 12 and 18-month questionnaires. The results of the research provide positive evidence on the use of the ASQ: SE-2 as a recommended instrument for the screening of social-emotional development in the Colombian population.
... When no more than 3 items were missing on the ASQ-SE, mean imputation was used as recommended (Squires et al., 2002). The ASQ-SE has shown good psychometric properties in the United States (Squires et al., 2002) and the Dutch translation has shown good specificity (De Wolff et al., 2013;Krijnen et al., 2021) and sufficient sensitivity (Krijnen et al., 2021) to slightly below the cut-off for sufficient sensitivity (i.e., 66%) (De Wolff et al., 2013). Internal consistency for the 24 months version has shown to be good, α = 0.80 (Squires et al., 2001). ...
... When no more than 3 items were missing on the ASQ-SE, mean imputation was used as recommended (Squires et al., 2002). The ASQ-SE has shown good psychometric properties in the United States (Squires et al., 2002) and the Dutch translation has shown good specificity (De Wolff et al., 2013;Krijnen et al., 2021) and sufficient sensitivity (Krijnen et al., 2021) to slightly below the cut-off for sufficient sensitivity (i.e., 66%) (De Wolff et al., 2013). Internal consistency for the 24 months version has shown to be good, α = 0.80 (Squires et al., 2001). ...
Introduction
Children born moderately to late preterm (MLP) are more prone to psychosocial difficulties than their term-born counterparts. Maternal negative affectivity (NA)–a relatively stable personality trait characterized by the tendency to experience negative thoughts, feelings and emotions–has been related to more psychosocial problems in their offspring, and to a lower quality of mother–child interactions. As MLP children seem more sensitive to their early caregiving environment, they might be more affected by maternal NA and interaction style than their term-born peers. The current study investigated whether maternal NA predicted child’s psychosocial outcomes through quality of mother–child interaction, and if these associations differed between MLP and term-born children.
Methods
The sample consisted of 108 MLP and 92 term-born children and their mothers. At 18 months corrected age, maternal NA was measured using a self-report questionnaire and mother–child interaction was observed during two structured tasks. Five subscales of mother–child interaction were assessed: negative interaction, reciprocal engagement, emotional support, maternal stimulation and mother-led interaction. At 24 months corrected age, social–emotional difficulties, internalizing, and externalizing problems were assessed using mother-report.
Results
For MLP children, maternal NA directly, positively, predicted social–emotional difficulties (b = 0.57) and internalizing problems (b = 0.45), but no mediation effect of mother–child interaction was found. For term-born children, no direct effect but a mediation effect of mother-led interaction was found. Higher levels of maternal NA predicted less mother-led interaction which in turn predicted more problems. Birth status did not moderate any of the relationships, showing that the differences in patterns of effects found within the MLP and term-born group did not reach statistical significance.
Discussion
Maternal NA was found to be a risk factor for psychosocial outcomes in toddlers, either directly for MLP children or indirectly through mother-led interaction for term-born children. These findings suggest that the process through which maternal NA affects psychosocial outcomes may be different for MLP and term-born children. However, as the examined moderation effects of birth status did not reach statistical significance, more research using larger sample sizes is needed to study mother–child interaction in greater detail.
Background
Parent/caregiver-completed developmental testing (PCDT) is integral to developmental care in children; however, there is limited information on its accuracy. In this systematic review, we compared the diagnostic accuracy of PCDT with concurrently administered Bayley Scales of Infant Development for detection of developmental delay (DD) in children below 4 years of age.
Methods
We searched databases PubMed, Embase, CINAHL, PsycINFO and Google Scholar until November 2023. Bivariate and multiple thresholds summary receiver operating characteristics were used to obtain the summary sensitivity and specificity with 95% CIs. The Quality Assessment of Diagnostic Accuracy Studies-2 tool was used for risk of bias assessment.
Results
A total of 38 studies (31 in the meta-analysis) were included. Ages and Stages Questionnaire (ASQ) and Parent Report of Children’s Abilities-Revised (PARCA-R) were the most commonly evaluated PCDTs. ASQ score >2 SD below the mean had an overall sensitivity of 0.72 (0.6, 0.82) and 0.63 (0.50, 0.75) at a median specificity of 0.89 (0.82, 0.94) and 0.81 (0.76, 0.86) for diagnosing moderate to severe DD and severe DD, respectively. PARCA- R had an overall sensitivity of 0.69 (0.51, 0.83) at median specificity of 0.75 (0.64, 0.83) for predicting severe DD. Participant selection bias and partial verification bias were found in over 50% of the studies. The certainty of evidence was low for the studied outcomes.
Conclusions
The most commonly studied parental tools, ASQ and PARCA-R, have moderate to low sensitivity and moderate specificity for detecting DD in young children. High risk of bias and heterogeneity in the available data can potentially impact the interpretation of our results.
PROSPERO registration number
CRD42021268629.
Aim
This study compared neurodevelopmental screening questionnaires completed when preterm‐born children reached 2 years of corrected age with social communication skills at 5.5 years of age.
Methods
Eligible subjects were born in 2011 at 24–34 weeks of gestation, participated in a French population‐based epidemiological study and were free of motor and sensory impairment at 2 years of corrected age. The Ages and Stages Questionnaire (ASQ) and the Modified Checklist for Autism in Toddlers (M‐CHAT) were used at 2 years and the Social Communication Questionnaire (SCQ) at 5.5 years of age.
Results
We focused on 2119 children. At 2 years of corrected age, the M‐CHAT showed autistic traits in 20.7%, 18.5% and 18.2% of the children born at 24–26, 27–31 and 32–34 weeks of gestation, respectively ( p = 0.7). At 5.5 years of age, 12.6%, 12.7% and 9.6% risked social communication difficulties, with an SCQ score ≥90th percentile ( p = 0.2). A positive M‐CHAT score at 2 years was associated with higher risks of social communication difficulties at 5.5 years of age (odds ratio 3.46, 95% confidence interval 2.04–5.86, p < 0.001). Stratifying ASQ scores produced similar results.
Conclusion
Using parental neurodevelopmental screening questionnaires for preterm‐born children helped to identify the risk of later social communication difficulties.
