目的 了解上海市婴幼儿社会性及情绪发展的特征。方法 选取上海市代表性市区12~36个月婴幼儿,应用婴幼儿社会性和情绪评估简表(Brief Infant-Toddler Social and Emotional Assessment,BITSEA)进行调查分析。共回收量表840份,间隔1~3周重测样本100份。分析2个因子(行为问题、能力),5个分因子(外化行为、内化行为、失调行为、孤独症样行为、预警行为)。结果 1)BITSEA的Cronbach-α系数为0.55~0.81,重测信度为0.79~0.87(P<0.01);2)行为问题在低年龄组发生较多,能力在12~17个月组最低,年龄组间差异有统计学意义(F=4.84、15.30,P均<0.01)。女童在能力方面优于男童(t=-2.53,P<0.05);3)孤独症样因子与能力呈负相关,在男童中存在组间差异;4)预警因子可反映一定行为问题。结论 早期的社会性和情绪特征能够预测一定的行为问题,筛查对临床具有较大的指导意义。

Objective To study the development of infant-toddler social and emotional traits in Shanghai. Methods Brief Infant-Toddler Social and Emotional Assessment (BITSEA) scales were used in children aged 12~36 months in Shanghai.840 samples were enrolled and 100 samples were re-tested the reliability at the interval of 1 to 3 weeks.The two main factors (behavior problem,competence) and five sub-factors (Externalizing,Internalizing,Dysregulation,Autism Spectrum Disorder and Red Flag) were analyzed. Results 1) The Cronbach alpha coefficients were 0.55~0.81.The test-retest reliabilities were 0.79~0.87 (P<0.01).2) There were more behavior problems in small age groups.Competences in 12~17 months were lowest.The statistics had significant differences in age groups (F=4.84,15.30,P<0.01).Girls had better competences than boys (t=-2.53,P<0.05).3) The autism spectrum disorder had a negative correlation with competence.There were differences between groups in boys.4) The red flag problems could reflect certain behavior problems. Conclusion The early screening of children's social and emotional problems can predict certain behavior problems,which will be of valuable guidance.