title: Screening accuracy and clinical application of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA).
abstract: BACKGROUND
  The Brief Infant-Toddler Social and Emotional Assessment (BITSEA) is a promising questionnaire for the early detection of psychosocial problems in toddlers. The screening accuracy and clinical application were evaluated.
  
  
  METHODS
  In a community sample of 2-year-olds (N = 2060), screening accuracy of the BITSEA Problem scale was examined regarding a clinical CBCL1.5-5 Total Problem score. For the total population and subgroups by child's gender and ethnicity Receiver Operating Characteristic (ROC) curves were calculated, and across a range of BITSEA Problem scores, sensitivity, specificity, likelihood ratio's, diagnostic odds ratio and Youden's index. Clinical application of the BITSEA was examined by evaluating the relation between the scale scores and the clinical decision of the child health professional.
  
  
  RESULTS
  The area under the ROC curve (95% confidence interval) of the Problem scale was 0.97(0.95-0.98), there were no significant differences between subgroups. The association between clinical decision and BITSEA Problem score (B = 2.5) and Competence score (B = -0.7) was significant (p<0.05).
  
  
  CONCLUSIONS
  The results indicate that the BITSEA Problem scale has good discriminative power to differentiate children with and without psychosocial problems. Referred children had less favourable scores compared to children that were not referred. The BITSEA may be helpful in the early detection of psychosocial problems.
authors.affiliation: Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Kruizinga
authors.forename: Wilma
authors.initials: W
authors.lastname: Jansen
authors.forename: Cathelijne L
authors.initials: CL
authors.lastname: Mieloo
authors.forename: Alice S
authors.initials: AS
authors.lastname: Carter
authors.forename: Hein
authors.initials: H
authors.lastname: Raat
mesh_terms: D002648:Child; D002652:Child Behavior; D002653:Child Behavior Disorders / Q000175:diagnosis* / Q000523:psychology*; D004644:Emotions; D005006:Ethnicity / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008403:Mass Screening; D012372:ROC Curve; D012017:Referral and Consultation; D012919:Social Behavior; D011795:Surveys and Questionnaires
references.citation: Arch Pediatr Adolesc Med. 2004 Aug;158(8):811-7
references.pmid: 15289256
references.citation: Arch Pediatr Adolesc Med. 2004 Aug;158(8):766-72
references.pmid: 15289249
references.citation: Eur J Public Health. 2010 Jun;20(3):332-8
references.pmid: 19858089
references.citation: Intensive Care Med. 2003 Jul;29(7):1043-51
references.pmid: 12734652
references.citation: Clin Pediatr (Phila). 1991 Jan;30(1):8-11; discussion 12-4
references.pmid: 1995206
references.citation: Infant Behav Dev. 2009 Jun;32(3):291-7
references.pmid: 19411111
references.citation: Pediatrics. 2008 May;121(5):957-62
references.pmid: 18450899
references.citation: Ment Retard Dev Disabil Res Rev. 2005;11(3):173-9
references.pmid: 16161092
references.citation: BMC Public Health. 2011 Jun 24;11:494
references.pmid: 21702936
references.citation: J Dev Behav Pediatr. 1991 Feb;12(1):51-4
references.pmid: 2016403
references.citation: Science. 1988 Jun 3;240(4857):1285-93
references.pmid: 3287615
references.citation: Acta Paediatr. 2007 May;96(5):644-7
references.pmid: 17376185
references.citation: Arch Pediatr Adolesc Med. 2001 Apr;155(4):462-9
references.pmid: 11296073
references.citation: J Abnorm Child Psychol. 2003 Oct;31(5):495-514
references.pmid: 14561058
references.citation: J Pediatr Psychol. 2004 Mar;29(2):143-55
references.pmid: 15096535
references.citation: PLoS One. 2012;7(6):e38762
references.pmid: 22715411
references.citation: Infant Behav Dev. 2010 Dec;33(4):503-9
references.pmid: 20800285
references.citation: Acta Psychiatr Scand Suppl. 1991;367:1-37
references.pmid: 1897379
references.citation: Am J Dis Child. 1988 Nov;142(11):1153-7
references.pmid: 3177320