Validation of the Expression and Emotion Scale for Children with attention deficit hyperactivity disorder into Brazilian Portuguese

Margarete Andreozzi Vaz Pereira Simon; Umbertina Conti Reed; Brigette Vaughan; Valdecir Antonio Simon; Erasmo Barbante Casella

doi:10.1590/0004-282X20170105

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(08): 563-569
DOI: 10.1590/0004-282X20170105

CLINICAL SCALES, CRITERIA AND TOOLS

Validation of the Expression and Emotion Scale for Children with attention deficit hyperactivity disorder into Brazilian Portuguese

Validação da Escala de Expressão e Emoção para Crianças com transtorno do déficit de atenção e hiperatividade para português do Brasil

Authors

Margarete Andreozzi Vaz Pereira Simon

¹Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Distúrbios de Aprendizado do Instituto da Criança, São Paulo SP, Brasil;
Umbertina Conti Reed

²Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brasil;
Brigette Vaughan

³University of Nebraska Medical Center, Munroe Meyer Institute, Department of Developmental and Pediatric Behavioral, Nebraska, United States.
Valdecir Antonio Simon

²Universidade de São Paulo, Faculdade de Medicina, Departamento de Neurologia, São Paulo SP, Brasil;
Erasmo Barbante Casella

¹Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Distúrbios de Aprendizado do Instituto da Criança, São Paulo SP, Brasil;

Abstract

ABSTRACT

Objective

To validate the parent-rated Expression and Emotion Scale for Children (EESC) for patients with attention-deficit/hyperactivity disorder (ADHD).

Methods

The EESC was applied to parents of children with and without ADHD. The children were divided into age groups: Group A, between six and eight years old; Group B, between nine and 11 years old; and Group C, between 12 and 15 years old. The validation was carried out according to the steps proposed by Guillemin et al. For the statistical calculation, Cronbach’s α, Pearson’s correlation, the ICC and ROC curve were used.

Results

The statistical tests showed satisfactory coefficients: Cronbach’s α = 0.76; Pearson’s correlation r = 0.91 with CI 95%; replicability ICC = 0.66; sensitivity 0.75; specificity 0.67; accuracy 71%.

Conclusion

According to psychometric data on internal and external consistency (reliability, reproducibility), sensitivity, and specificity, the parent-rated EESC for ADHD is useful in assessing emotional expression.

RESUMO

Objetivo

Validar o instrumento Expression and Emotion Scale for Children (EESC) versão pais para crianças com transtorno do déficit de atenção e hiperatividade (TDAH).

Métodos

O instrumento EESC foi aplicado aos pais de crianças e adolescentes com e sem TDAH. Estes foram divididas em grupos etários: Grupo A entre 6 -8 anos; Grupo B, entre 9-11; Grupo C, entre 12-15 anos de idade. A validação da EESC seguiu as seguintes etapas propostas por Guillemin et al. Para cálculo estatístico: α de Cronbach, Pearson, CIC e Curva ROC.

Resultados

Os testes estatísticos apresentaram coeficientes satisfatórios: Cronbach α = 0,76; correlação de Pearson r = 0,91 com IC 95%; replicabilidade CIC = 0.66; sensibilidade 0,75; especificidade 0,67; acurácia 71%.

Conclusão

Conforme dados psicométricos de consistência interna, externa (confiabilidade, reprodutibilidade), sensibilidade e especificidade, a EESC versão pais é válida para avaliar a Expressão Emocional de crianças e adolescentes com TDAH.

attention deficit disorder with hyperactivity, child - adolescents

transtorno do déficit de atenção com hiperatividade, criança - adolescente

Full Text

References

References
1 Biederman J, Faraone SV. Current concepts on the neurobiology of Attention-Deficit/Hyperactivity Disorder. J Atten Disord. 2002;6(Suppl 1):S7-16.
2 American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association; 2000.
3 Spencer TJ, Biederman J, Mick E. Attention-deficit/hyperactivity disorder: diagnosis, lifespan, comorbidities, and neurobiology. Ambul Pediatr. 2007;71 Suppl):73-81. https://doi.org/10.1016/j.ambp.2006.07.006
4 Singh AL, Waldman ID. The etiology of associations between negative emotionality and childhood externalizing disorders. J Abnorm Psychol. 2010;119(2):376-88. https://doi.org/10.1037/a0019342
5 Comings DE, Blum K. Reward deficiency syndrome: genetic aspects of behavioral disorders. Prog Brain Res. 2000;126:325-41. https://doi.org/10.1016/S0079-6123(00)26022-6
6 Viviani, R. Emotion regulation, attention to emotion, and the ventral attentional network. Front Hum Neurosci. 2013;7:746. https://doi.org/10.3389/fnhum.2013.00746
7 Elliott R, Sahakian BJ, McKay AP, Herrod JJ, Robbins TW, Paykel ES. Neuropsychological impairments in unipolar depression: the influence of perceived failure on subsequent performance. Psychol Med. 1996;26(5):975-89. https://doi.org/10.1017/S0033291700035303
8 Shaw P, Lalonde F, Lepage C, Rabin C, Eckstrand K, Sharp W et al. Development of cortical asymmetry in typically developing children and its disruption in attention-deficit/hyperactivity disorder. Arch Gen Psychiatry. 2009;66(8):888-96. https://doi.org/10.1001/archgenpsychiatry.2009.103
9 Sheres A, Tontsch C, Lee Thoeny A. Steep temporal reward discounting in ADHD-Combined type: acting upon feelings. Psychiatry Res. 2013;209(2):207-13. 10.1016/j.psychres.2012.12.007
10 Hulvershorn L A, Mennes M, Castellanos FX, Di Martino A, Milham MP, Hummer TA et al. Abnormal amygdala functional connectivity associated with emotional lability in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2014;53(3):351-61. https://doi:10.1016/j.jaac.2013.11.012
11 Ochsner KN, Gross JJ. The cognitive control of emotion. Trends Cogn Sci. 2005;9(5):242-8. https://doi.org/10.1016/j.tics.2005.03.010
12 Brown TE. Executive functions and attention deficit hyperactivity disorder: Implications of two conflicting views. Interl J Disabil Dev Educ. 2006;53(1):35-46. https://doi.org/10.1080/10349120500510024
13 Findling RL, Brams M, Childress AC, López FA, Manos MJ, Jensen PS. Changes in emotions related to medication used to treat ADHD. Part II: clinical approaches. J Atten Disord. 2011;15(2):113-21. https://doi.org/10.1177/1087054710381232
14 Mayer J, Salovey P. What is emotional intelligence? In: Salovey P, Sluyter D, editors. Emotional development and emotional intelligence: educational implications. New York: Basic; 1997. p. 3-31.
15 Kratochvil CJ, Faries D, Vaughan B, Perwien A, Busner J, Saylor K et al. Emotional expression during attention-deficit/ hyperactivity disorders treatment: initial assessment of treatment effects. J Child Adolesc Psychopharmacol. 2007;17(1):51-62. https://doi.org/10.1089/cap.2006.0018
16 Bussing R, Fernandez M, Harwood M, Wei Hou, Garvan CW, Eyberg SM et al. Parent and teacher SNAP-IV ratings of attention deficit/hyperactivity disorder symptoms: psychometric properties and normative ratings from a school district sample. Assessment. 2008;15(3):317-28. https://doi.org/10.1177/1073191107313888
17 Naar-King S, Ellis DA, Frey MA, Ondersma ML. Assessing children’s well-being: a handbook of measures. LondoN: Routledge; 2003. p. 61-72.
18 Stein LM. TDE - Teste de Desempenho Escolar: manual para aplicação e interpretação. São Paulo: Casa do Psicólogo; 1994.
19 Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417-32. https://doi.org/10.1016/0895-4356(93)90142-N
20 Clark P, Lavielle P, Martínez H. Learning from pain scales: patient perspective. J Rheumatol. 2003;30(7):1584-8.
21 Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334. https://doi.org/10.1007/BF02310555
22 Pearson K, Fisher R, Inman HF. Karl Pearson and R. A. Fisher on Statistical Tests: A 1935 Exchange from Nature. American Statistician. 1994;48(1):2-11. https://doi.org/10.2307/2685077
23 Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86(2):420-8. https://doi.org/10.1037/0033-2909.86.2.420
24 Fayers PM, Machin D: Quality of life: assessment, analysis and interpretation. New York: Wiley; 2000.
25 Sabattini RME. Um programa para o cálculo da acurácia, especificidade e sensibilidade de testes médicos. Rev Informédica. 1995;2:19-21.
26 Zhou H, McClish DK, Obuchowski NA. Statistical methods in diagnostic medicine. New York: Wiley Interscience; 2002.
27 Silva AC, Gattass M, Carvalho PCP. Diagnosis of solitary lung nodule using texture and geometry in computerized tomography images: preliminary results. IEEE Latin America Transactions. 2004;2(2):75-80. https://doi.org/10.1109/TLA.2004.1468623
28 Henegham C, Badenoch D. Ferramentas para medicina baseada em evidências. Porto Alegre: Artmed; 2007.
29 Perwien AR, Kratochvil CJ, Faries D, Vaughan B, Busner J, Saylor KE et al. Emotional expression in children treated with ADHD medication development of a new measure. J Atten Disord. 2008;11(5):568-79. https://doi.org/10.1177/1087054707306117
30 Barbosa TS, Tureli MC, Gavião MB. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health. 2009:9(1):13. https://doi.org/10.1186/1472-6831-9-13.
31 Barkley RA, Fischer M. The unique contribution of emotional impulsiveness to impairment in major life activities in hyperactive children as adults. J Am Acad Child Adolesc Psychiatry. 2010;49(5):503-13. https://doi.org/10.1016/j.jaac.2010.01.019

Supplementary Material

Escala de Expressão e Emoção para crianças* - EESC (PDF)