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

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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

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