中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (7): 732-738.DOI: 10.11852/zgetbjzz2023-0923

• 科研论著 • 上一篇    下一篇

中国学龄前儿童社会情绪与交流能力评估量表的研发及应用

王婧涛1,2, 吴骞3, 魏文飞1, 董柯娜1, 王琳1, 刘灵4, 朱忠良5,6, 卢玉山6, 李晖1,3   

  1. 1.西安交通大学第一附属医院新生儿科,陕西 西安 710061;
    2.西安交通大学公共卫生学院,陕西 西安 710061;
    3.九江市妇幼保健院儿童心理行为科;
    4.西安交通大学第二附属医院心理精神科;
    5.西北大学母婴健康研究院;
    6.九江市妇幼保健院九江市母婴健康研究所
  • 收稿日期:2023-09-11 修回日期:2024-03-25 发布日期:2024-07-15 出版日期:2024-07-10
  • 通讯作者: 李晖,E-mail:huili@xjtu.edu.cn; 卢玉山,E-mail:jjbjy321@163.com
  • 作者简介:王婧涛(1986-),女,主治医师,硕士学位,主要研究方向为儿少卫生。
  • 基金资助:
    国家自然科学基金(82372086);科技创新(20302021ZD0200500)

Development and application of a Social-Emotional and Communicative Assessment Scale for preschool children in China

WANG Jingtao1,2, WU Qian3, WEI Wenfei1, DONG Kena1, WANG Lin1, LIU Ling4, ZHU Zhongliang5,6, LU Yushan6, LI Hui1,3   

  1. 1. Department of Neonatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China;
    2. School of Public Health, Medical Department of Xi'an Jiaotong University, Xi'an, Shaanxi,710061, China;
    3. Department of Child Psychology and Behavior, Jiujiang Maternal and Child Health Hospital;
    4. Department of Psycho-Psychiatry, The Second Affiliated Hospital of Xi'an Jiaotong University;
    5. Institute of Maternal and Infant Health, Northwestern University;
    6. Instituet of Maternal and Child Healthcare, Jiujiang Maternal and Child Health Center
  • Received:2023-09-11 Revised:2024-03-25 Online:2024-07-10 Published:2024-07-15
  • Contact: LI Hui,E-mail:huili@xjtu.edu.cn;LU Yushan,E-mail:jjbjy321@163com

摘要: 目的 构建中国学龄前儿童社会情绪与交流能力评估量表(CSECA),并检验其信效度,为临床儿童保健及心理健康早期干预提供客观的评价标准。方法 采用国际认可的量表编制流程,2021年12月—2022年12月,采用方便抽样在西安、佛山、九江和天水等城市招募3~6岁儿童2 009人,通过访谈建立初始条目,因子分析进行条目筛选和信效度检验。以长处与困难问卷(SDQ)为校标,计算效标效度。结果 1)量表涵盖掌控感、自主性、管理情绪、社交能力、情感感受5 个维度构成,编制4个分量表,条目分别为22、24、26、29个,均具有良好的内容效度、结构效度和校标效度,方差累计贡献率为 57.80%~66.58%。2)各分量表总分的 Cronbach′s α系数为 0.81~0.90,各维度的 Cronbach′s α系数为0.71~0.90。各分量表与SDQ校标关联效度0.573~0.849,总分的重测信度为 0.78~0.89,各维度的重测信度为0.51~0.58。3)量表评分标准:以<P10、P10-P50P50-P90、>P90作为等级分界点,分为偏低、一般、良好、优秀四个等级标准。4)初步应用结果:在被试人群中筛查出社会情绪与交流能力预警征阳性率分别为3岁9.38%、4岁29.44%、5岁11.80%、6岁8.23%,4岁社会情绪问题检出率明显高于其他年龄段。结论 建立了我国自主知识产权的CSECA,并在临床上进行了初步应用,表明量表具有稳定的因素结构和较好的信效度。

关键词: 学龄前儿童, 社会情绪与交流能力, 量表, 信效度

Abstract: Objective To develop the Chinese Preschool Children Social Emotional and Communication Development Assessment Scale (CSECA), and to test its reliability and validity, in order to provide an objective standard for early intervention in clinical child care and mental health. Methods The scale development followed internationally recognized procedures and sampled 2 009 children aged 3 - 6 from Xi'an, Foshan, Jiujiang, and Tianshui using convenience sampling from December 2021 to December 2022. Then initial items were generated through interviews, and factor analysis was utilized for item screening and validity testing. Criterion-related validity was assessed through using the Strengths and Difficulties Questionnaire (SDQ) as a criterion measure. Results 1) The scale included five dimensions: sense of control, autonomy, emotional management, social skills, and emotional responsiveness, then the scale was divided into four subscales with 22, 24, 26, and 29 items, respectively. All subscales demonstrated good content validity, structural validity, and criterion validity, with cumulative variance contributions ranging from 57.80% to 66.58%. 2) The overall Cronbach′s α coefficients for the subscales ranged from 0.81 to 0.90, with individual dimension coefficients being 0.71 - 0.90. Criterion-related validity of CSECA varied from 0.573 to 0.849. Test-retest reliability for total scores of subscales was 0.78 - 0.89, and 0.51 - 0.58 for dimensions. 3) Scoring standards were categorized into four levels based on percentile ranges: <P10, P10 - P50, P50 - P90, and >P90, which were classified as low, general, good, and excellent level, respectively. 4) The positive rates of early warning signs for social emotional and communication skills were 9.38% for 3-year-old children, 29.44% for 4-year-old children, 11.80% for 5-year-old children, and 8.23% for 6-year-old children, with 4-year-old children displaying a notably higher detection rate in social emotions compared to other age groups. Conclusion The CSECA scale is successfully established and initially applied in clinical settings, which demonstrated a stable factor structure and good reliability and validity.

Key words: preschool children, social emotional and communication skills, scale, reliability and validity

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