Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892013000300007
Trends in Psychiatry and Psychotherapy
Original Article

Translation, adaptation, and preliminary validation of the Brazilian version of the Behavior Problems Inventory (BPI-01)

Tradução, adaptação e validação preliminar da versão brasileira do Behavior Problems Inventory (BPI-01)

Gisele da Silva Baraldi; Johannes Rojahn; Alessandra Gotuzo Seabra; Luiz Renato Rodrigues Carreiro; Maria Cristina Triguero Veloz Teixeira

http://dx.doi.org/10.1590/S2237-60892013000300007 Trends Psychiatry Psychother, vol.35, n3, p.198-211, 2013
PDF
SciELO
Downloads: 1
Views: 654

Abstract

Introduction: Children with atypical development often present behavior problems that impair their psychosocial adaptation. Objective: To describe the cultural adaptation to Brazilian Portuguese of the Behavior Problems Inventory (BPI-01), as well as preliminary indicators of instrument reliability and validity. Methods: The process involved translation, back-translation, and cultural adaptation of the instrument. Psychometric properties (reliability and validity) were assessed comparing scores obtained with the BPI-01, the Wechsler Intelligence Scales for Children and Adults, the Child Behavior Checklist for Ages 6-18 (CBCL/6-18), and the Autism Screening Questionnaire (ASQ). The sample comprised 60 children (30 typically developing and 30 atypically developing). Results: The cultural adaptation process was considered adequate. Internal consistency of the BPI-01 was satisfactory, with a Cronbach's alpha of 0.65 for the self-injurious behavior scale, 0.82 for stereotyped behaviors, and 0.91 for aggressive/destructive behaviors. Considering a mean frequency of 0.5, the receiver operating characteristic (ROC) curve revealed 80% sensitivity and 3% specificity in the stereotyped behavior scale, 50 and 10% in aggressive/destructive behaviors, and 76 and 6% in self-injurious behaviors, respectively. Low-to-moderate correlations were observed between BPI-01, ASQ, and CBCL/6-18 scores. Conclusion: BPI-01 showed good psychometric properties, with satisfactory preliminary indicators of reliability, convergent validity, and sensitivity for the diagnosis of atypical development.

Keywords

Intellectual disability, inventory, reliability, validity, behavior problems, psychological assessment

Resumo

Introdução: Crianças com desenvolvimento atípico frequentemente apresentam problemas de comportamento que prejudicam sua adaptação psicossocial. Objetivo: Descrever o processo de adaptação cultural para português do Brasil do Behavior Problems Inventory (BPI-01), bem como indicadores preliminares de sua fidedignidade e validade. Método: O processo envolveu as etapas de tradução, retrotradução e adaptação cultural do instrumento. Para a verificação das propriedades psicométricas (fidedignidade e validade), foram comparados os escores obtidos com o BPI-01, as Escalas de Inteligência Wechsler para Crianças e Adultos, o Inventário dos Comportamentos de Crianças e Adolescentes de 6 a 18 anos (CBCL/6-18) e o Questionário de Rastreamento de Autismo (Autism Screening Questionnaire, ASQ). A amostra foi composta por 60 crianças (30 com desenvolvimento típico e 30 com atípico). Resultados: O processo de adaptação cultural foi considerado adequado. A consistência interna do BPI-01 foi satisfatória, com alfa de Cronbach de 0,65 para a escala de comportamentos autoagressivos, 0,82 para comportamentos estereotipados e 0,91 para comportamentos agressivos/destrutivos. Considerando-se uma frequência média de 0.5, a curva receiver operating characteristic (ROC) verificou sensibilidade de 80% e especificidade 3% na escala de comportamentos estereotipados, 50 e 10% para comportamentos agressivos/destrutivos, e 76 e 6% para comportamentos autoagressivos, respectivamente. Foram verificadas correlações de baixas a moderadas entre os escores do BPI-01, do ASQ e do CBCL/6-18. Conclusões: O BPI-01 apresentou boas características psicométricas, com indicadores preliminares satisfatórios de fidedignidade, validade convergente e sensibilidade para o diagnóstico de desenvolvimento atípico.

Palavras-chave

Deficiência intelectual, inventário, fidedignidade, validade, problemas de comportamento, avaliação psicológica

References

Rojahn J, Matson JL, Lott D, Esbensen AJ, Smalls Y. The Behavior Problems Inventory: an instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. J Autism Dev Disord. 2001;31:577-88.

Developmental surveillance and screening of infants and young children. Pediatrics. 2001;108:192-6.

González ML, Dixon DR, Rojahn J, Esbensen AJ, Matson JL, Terlonge C. The Behavior Problems Inventory: reliability and factor validity in institutionalized adults with intellectual disabilities. J Appl Res Intellect Disabil. 2009;22:223-35.

Lundqvist LO. Psychometric properties and factor structure of the Behavior Problems Inventory (BPI-01) in a Swedish community population of adults with intellectual disability. Res Dev Disabil. 2011;32:2295-303.

Smith KR, Matson JL. Behavior problems: differences among intellectually disabled adults with co-morbid autism spectrum disorders and epilepsy. Res Dev Disabil. 2010;31:1062-9.

Mayfield KL, Forman SG, Nagle RJ. Reliability of the AAMD adaptive behavior scale-public school version. J Sch Psychol. 1984;22:53-61.

Reiss S. Comments on the Reiss screen for maladaptive behaviour and its factor structure. J Intellect Disabil Res. 1997;41:346-54.

Matson JL, Bamburg JW. Reliability of the assessment of dual diagnosis (ADD). Res Dev Disabil. 1998;19:89-95.

Lam KS. The Repetitive Behavior Rating Scale - Revised: independent validation and the effects of subject variables. .

Yudofsky SC, Silver JM, Jackson W, Endicott J, Williams D. The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry. 1986;143:35-9.

Losapio MF, Silva LG, Pondé MP, Novaes CM, Santos DN, Argollo N. Adaptação transcultural parcial da escala Aberrant Behavior Checklist (ABC), para avaliar eficácia de tratamento em pacientes com retardo mental. Cad Saude Publica. 2011;27:909-23.

Achenbach TM, Rescorla LA. Manual for the ASEBA School-Age Forms & Profiles. 2001.

Bordin IA, Mari JJ, Caeiro MF. Validação da versão brasileira do Child Behavior Checklist (CBCL) (Inventário de Comportamentos da Infância e Adolescência): dados preliminares. Rev ABP-APAL. 1995;17:55-66.

de Winter CF, Jansen AA, Evenhuis HM. Physical conditions and challenging behaviour in people with intellectual disability: a systematic review. J Intellect Disabil Res. 2011;55:675-98.

Hill J, Powlitch S, Furniss F. Convergent validity of the aberrant behavior checklist and Behavior Problems Inventory with people with complex needs. Res Dev Disabil. 2008;29:45-60.

Wechsler D. WISC-III: Escala de inteligência Wechsler para crianças. Manual. 2002.

Nascimento E. Adaptação, validação e normatização do WAIS-III para uma amostra brasileira. WAIS-III: manual para administração e avaliação. 2004.

Wagner F, Trentini CM. Estratégias de avaliação rápida da inteligência através das Escalas Wechsler. Rev Neuropsicol Latinoam. 2010;2:47-54.

Mello CB, Argollo N, Shayer BP, Abreu N, Godinho K, Durán P. Versão abreviada do WISC-III: correlação entre QI estimado e QI total em crianças brasileiras. Psicol Teor Pesq. 2011;27:149-155.

Berument SK, Rutter M, Lord C, Pickles A, Bailey A. Autism screening questionnaire: diagnostic validity. Br J Psychiatry. 1999;175:444-51.

Pasquali L. Princípios de elaboração de escalas psicológicas. Rev Psiquiatr Clin. 1998;25:206-13.

Sampieri RH, Collado CF, Lucio PB. Metodologia de pesquisa. 2006.

Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM-IV). 2002.

Brosnan J, Healy O. A review of behavioral interventions for the treatment of aggression in individuals with developmental disabilities. Res Dev Disabil. 2011;32:437-46.

Mesquita ML, Brunoni D, Neto JM, Kim CA, Melo MH, Teixeira MC. Fenótipo comportamental de crianças e adolescentes com síndrome de Prader Willi. Rev Paul Pediatr. 2010;28:63-9.

Teixeira MC, Monteiro CR, Velloso Rde L, Kim CA, Carreiro LR. Behavioral and cognitive phenotype of children and adolescents with Williams-Beuren syndrome. Pro Fono. 2010;22:215-20.

Hartley SL, Sikora DM, McCoy R. Prevalence and risk factors of maladaptive behaviour in young children with Autistic Disorder. J Intellect Disabil Res. 2008;52:819-29.

Douma JC, Dekker MC, Verhulst FC, Koot HM. Self-reports on mental health problems of youth with moderate to borderline intellectual disabilities. J Am Acad Child Adolesc Psychiatry. 2006;45:1224-31.

Garzuzi Y. Comparação dos fenótipos comportamentais de crianças e adolescentes com síndrome de Prader-Willi, síndrome de Williams-Beuren e síndrome de Down. .

Teixeira MC, Emerich DR, Orsati FT, Rimério RC, Gatto KR, Chappaz IO. A description of adaptive and maladaptive behaviour in children and adolescents with Cri-du-chat syndrome. J Intellect Disabil Res. 2011;55:132-7.

Brown EC, Aman MG, Havercamp SM. Factor analysis and norms for parent ratings on the Aberrant Behavior Checklist-Community for young people in special education. Res Dev Disabil. 2002;23:45-60.

Dykens EM. Psychiatric and behavioral disorders in persons with Down syndrome. Ment Retard Dev Disabil Res Rev. 2007;13:272-78.

616b23dba9539533710e7df8 trends Articles
Links & Downloads
2238-0019 (Electronic)
Trends Psychiatry Psychother ©2024 All rights reserved.

Trends Psychiatry Psychother

Share this page
Page Sections