Use of the Behavior Rating Inventory of Executive Function and Child Behavior Checklist in Ugandan Children with HIV or a History of Severe Malaria.
Use of the Behavior Rating Inventory of Executive Function and Child Behavior Checklist in Ugandan Children with HIV or a History of Severe Malaria.
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DOI：
10.1097/dbp.0000000000000149
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发表时间：
2015-05
期刊：
影响因子：
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通讯作者：
Boivin M
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作者：
Familiar I;Ruisenor-Escudero H;Giordani B;Bangirana P;Nakasujja N;Opoka R;Boivin M
评估乌干达儿童执行功能行为评定量表 (BRIEF) 和阿亨巴赫儿童行为检查表 (CBCL) 之间的结构重叠。 Brief 和 CBCL 的护理人员评级是针对两个独立的学龄儿童样本进行的：乌干达 106 名有严重疟疾病史的儿童（5-12 岁，50% 男性）和 144 名 HIV 感染儿童（5-12 岁，58% 男性）。采用探索性因子分析评估BRIEF的8个子量表和CBCL的8个量表的因子结构以确定相关性。总体而言，严重疟疾组的儿童比 HIV 感染组的儿童具有更高的（症状加重）BRIEF 和 CBCL 评分。我们确定了与数据合理拟合的 3 个因素，并且可以表征为 3 个特定领域：1）元认知，由简要元认知领域中的量表组成； 2）行为调整，由BRIEF行为调节领域的量表和CBCL中的外化症状量表组成； 3）情绪调节，主要包括CBCL中的内化症状量表。然而，BRIEF 行为调节量表和 CBCL 外化症状量表在评估类似行为症状方面确实有重叠。这些发现在严重疟疾和感染艾滋病毒的儿童样本中是一致的。 Brief 和 CBCL 工具对乌干达临床儿科人群的行为提供了独特但互补的评估，支持在类似的研究环境中使用这些措施。
To assess the structural overlap between the Behavior Rating Inventory of Executive Function (BRIEF) and Achenbach Child Behavior Check List (CBCL) among children in Uganda. Caregiver ratings for the BRIEF and CBCL were obtained for two independent samples of school-aged children: 106 children (5-12 years old, 50% males) with a history of severe malaria, and on 144 HIV-infected children (5-12 years old, 58% males) in Uganda. Exploratory factor analysis was used to evaluate the factor structure of the 8 sub-scales for the BRIEF and the 8 scales of the CBCL to determine correlation. Overall, children in the severe malaria group had higher (increased symptom) BRIEF and CBCL scores than children in the HIV-infected group. We identified 3 factors that provided a reasonable fit to the data and could be characterized as 3 specific domains: 1) Metacognition, which consisted of the scales in the BRIEF Metacognition domain; 2) Behavioral Adjustment, which was comprised of the scales in the BRIEF Behavioral Regulation domain and the Externalizing Symptoms scales in the CBCL; and 3) Emotional Adjustment, which mainly consisted of the Internalizing Symptoms scales in the CBCL. The BRIEF Behavior Regulation and CBCL Externalizing Symptoms scales, however, did overlap in terms of assessing similar behavior symptoms. These findings were consistent across the severe malaria and HIV-infected samples of children. The BRIEF and CBCL instruments offer distinct, yet complementary, assessments of behavior in clinical pediatric populations in the Ugandan context, supporting the use of these measures for similar research settings.