目的 分析《年龄与发育进程问卷:社会-情绪(第2版)》(ASQ:SE-2)中文版的效度,以期为儿童早期社会-情绪发展的评估提供工具。方法 于2020年5月22日-10月29日,在上海市儿童医院、4个区妇幼保健院(黄浦、静安、虹口、嘉定)及其部分社区卫生服务中心的儿保门诊选择560名12~35个月儿童为研究对象。研究工具采用ASQ:SE-2中文版中覆盖12~35月龄儿童的12、18、24、30、36月龄的5份问卷,以中国儿童城市情绪及社会性发展量表(CITSEA)作为效标。结果 量表具有较好的效度:5个月龄组儿童ASQ:SE-2的社会、情绪、社会-情绪和量表总分与CITSEA的外化域分数、内化域分数、失调域分数、能力域分数之间的相关系数分别为0.31~0.72、0.19~0.70、0.23~0.75、-0.74~-0.42(P<0.05)。总样本两个量表的各因子之间的相关系数在|0.40~0.61|(P<0.01)。ASQ:SE-2以高于界值为识别社会-情绪发展迟缓标准,与以接近界值为社会-情绪发展迟缓标准,敏感性分别为60.48% vs. 76.61%,特异性分别为95.41% vs. 82.80%,准确性分别为87.68% vs. 81.43%。对ASQ:SE-2进行探索性因子分析,发现各月龄的社会、情绪、社会-情绪和量表总分因子载荷在0.84~0.99之间。结论 ASQ:SE-2具有良好的效度,可用于中国大陆适龄儿童的社会和情绪行为发展的筛查与监测。

Objectives To investigate the validity of the Chinese version of the Ages and Stages Questionnaires: Social-Emotional, Second Edition (ASQ:SE-2) for toddlers aged 12 to 35 months, so as to provide an appropriate assessment tool for the early social-emotion development of children. Methods From 22nd May to 29th October 2020, a total of 560 children aged 12 to 35 months were selected from Children's Hospital of Shanghai, Huangpu, Jing'an, Hongkou and Jiading Districts Maternal and Child Healthcare Center of Shanghai and child health care department of several community health service centers.The questionnaires for 12-, 18-,24-, 30- and 36-month-old toddlers in Chinese version of ASQ:SE-2 covering children aged 12 - 35 months were used, and the Chinese Infant-Toddler Social & Emotional Assessment (CITSEA) were used as validation criteria. Results The questionnaires for 12-, 18-,24-, 30- and 36-month-old toddlers in ASQ:SE-2 had good validity, significant correlations of the social, emotional, social-emotional scores and total scores of ASQ:SE-2 with the scores of the externalizing domain, the internalizing domain, the dysregulation domain and the competence domain of CITSEA were found (r=0.31 - 0.72, 0.19 - 0.70, 0.23 - 0.75, -0.74 - -0.42,P＜0.05).And the correlation coefficient r between the factors of the two scales in the total sample ranged from |0.40| to |0.61| (P<0.01).When samples above the cut-off scores was identified as social-emotional delay, the sensitivity and specificity of ASQ:SE-2 was 60.48% and 95.41%, respectively, and the percentage of the agreement between the ASQ:SE-2 and the CITSEA was 87.68%.When samples in the monitoring zone was identified as social-emotional delay, the sensitivity and specificity of ASQ:SE-2 was 76.61% and 82.80%, respectively, and the percentage of the agreement between the ASQ:SE-2 and the CITSEA was 81.43%.Exploratory factor analysis of ASQ:SE-2 showed that the factor loading of social, emotional, social-emotional scores and total scores of the questionnaires for 12-, 18-,24-, 30- and 36-month-old children ranged from 0.84 to 0.99. Conclusions ASQ:SE-2 has good validity and can be used to screen and monitor social and emotional behavior development of children in mainland China.