The clinical validity and reliability of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA)

Abstract

This study investigates the construct validity and reliability of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA) in a psychiatric clinical sample of toddlers The sample consisted of a psychiatric clinical sample (N = 112) (male n = 79 female n = 33) of toddlers (12- to 42-months old) Both mothers and fathers completed the BITSEA and mothers completed the Child Behavior Checklist 2/3 (CBCL) Children and their parents were administered a comprehensive psychiatric evaluation Parents were also given the Autistic Behavior Checklist (AuBC) and the Aberrant Behavior Checklist-Community (ABC) The internal consistency of BITSEA scores was good to excellent for both parents The BITSEA/Problem (P) scores were significantly correlated with Internalizing Externalizing and Total Problem scores of the CBCL all subscores of ABC and total score of AuBC The BITSEA/Competence (C) scores were significantly inversely correlated with ABC total and AuBC lethargy scores With respect to a community sample BITSEA/P scores were significantly higher in the disruptive behavior disorder (DBD) and anxiety/depression (Anx/Dep) groups and BITSEA/C scores were significantly lower in the autism group These results support the reliability and validity of the BITSEA as a screening tool that may be employed in primary health care services and in psychiatric clinical settings for assessing social-emotional/behavioral problems and delays in competence in infants and toddlers (C) 2010 Elsevier Inc All rights reserved