Objective: The purpose of this study is to examine the psychometric properties of the Barkley Child Attention Scale (BCAS) for 6- to 12-year-old children.
Method: This study was conducted with 291 children (of an age of 6-12 years) with a clinically normal level of intelligence and a diagnosis of attention-deficit/hyperactivity disorder (ADHD). The structure validity of the scale was studied by exploratory and confirmatory factor analyses. In order to evaluate the measure-dependent validity of the scale, Child Behavior Checklist for ages 6-18 and Swanson, Nolan and Pelham Questionnaire (SNAP-IV) parental form were used. Reliability of the scale was measured by Cronbach’s alpha coefficient.
Results: As a result of the exploratory factor analysis, the scale consists of two factors called “daydreaming” and “sluggish,” as is the case in its original form. Confirmatory factor analysis indicated that the fit indices of the scale were at an acceptable level. The correlation analysis study for the criterion-related validity study of the scale revealed that Sluggish Cognitive Tempo (SCT) had a positive correlation with ADHD-IN and internalization problems, a negative correlation with attention deficit hyperactivity disorder/hyperactivity-impulsivity (ADHD-HI), and no correlation with externalization problems. Cronbach’s alpha coefficient of the BCAS is 0.86 and the scale is seen to be reliable.
Conclusion: It can be said that the BCAS is a valid and reliable scale that can measure sluggish cognitive tempo symptoms of 6- to 12-year-old children.
Amaç: Bu çalışmanın amacı, Barkley Çocuk Dikkat Ölçeği (BÇDÖ)’nin, 6-12 yaş aralığındaki çocuklar için psikometrik özelliklerini incelemektir.
Yöntem: Araştırmaya 6-12 yaş aralığında, klinik olarak zekası normal, Dikkat Eksikliği Hiperaktivite Bozukluğu (DEHB) olan 291 çocuk katılmıştır. Ölçeğin yapı geçerliliği, açımlayıcı ve doğrulayıcı faktör analizleri kullanılarak incelenmiştir. Ölçeğin ölçüt bağlantılı geçerliliğini saptamak için 6-18 yaş arası Çocuklar için Davranış Değerlendirme Ölçeği (ÇDDÖ) ve Swanson, Nolan and Pelham Ölçeği -IV (SNAP-IV) ebeveyn ölçeği kullanılmıştır. Ölçeğin güvenilirliğine bakmak için Cronbach alfa katsayısı kullanılmıştır.
Bulgular: Açımlayıcı faktör analizi sonucunda, ölçek özgün formunda olduğu gibi “hayallere dalma” ve “yavaşlık” şeklinde isimlendirilen iki faktörden oluşmaktadır. Doğrulayıcı faktör analizine göre ölçeğin uyum indekslerinin kabul edilebilir düzeyde olduğu belirlenmiştir. Ölçeğin ölçüt bağlantılı geçerliliği çalışması için yapılan korelasyon analizi sonucunda Yavaş Bilişsel Tempo, Dikkat Eksikliği Hiperaktivite Bozukluğu/Dikkat dağınıklığı (DEHB/D) ile pozitif yönde, Dikkat Eksikliği Hiperaktivite Bozukluğu/Hiperaktivite-Dürtüsellik (DEHB/HD) negatif yönde, içselleştirme sorunları ile pozitif yönde ilişkili olduğu, dışsallaştırma sorunları ile ilişkisinin olmadığı saptanmıştır. BÇDÖ’nin Cronbach alfa katsayısı 0.86’dır ve ölçeğin güvenilir olduğu görülmektedir.
Sonuç: BÇDÖ’nin 6-12 yaş aralığındaki grupta yavaş bilişsel tempo belirtilerini geçerli ve güvenilir bir şekilde ölçtüğü söylenebilir.
REFERENCES
1.Barkley RA. Concentration deficit disorder (sluggish cognitive tempo). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment 2015; 81-115.
2.Becker SP. Topical review: sluggish cognitive tempo: research findings and relevance for pediatric psychology. J Pediatr Psychol 2013; 38:1051-1057.
3.Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Association, 2013.
4.Elia J, Arcos-Burgos M, Bolton KL, Ambrosini PJ, Berrettini W, Muenke M. ADHD latent class clusters: DSM-IV subtypes and comorbidity. Psychiatry Res 2009; 170:192-198.
5.Goth-Owens TL, Martinez-Torteya C, Martel MM, Nigg JT. Processing speed weakness in children and adolescents with non-hyperactive but inattentive ADHD (ADD). Child Neuropsychol 2010; 16:577-591.
6.Lahey BB, Pelham WE, Loney J, Lee SS, Willcutt E. Instability of the DSM-IV subtypes of ADHD from preschool through elementary school. Arch Gen Psychiatry 2005; 62:896-902.
7.Larsson H, Dilshad R, Lichtenstein P, Barker ED. Developmental trajectories of DSM-IV symptoms of attention-deficit/hyperactivity disorder: genetic effects, family risk and associated psychopathology. J Child Psychol Psychiatry 2011; 52:954-963.
8.McBurnett K, Pfiffner LJ, Frick PJ. Symptom properties as a function of ADHD type: an argument for continued study of sluggish cognitive tempo. J Abnorm Child Psychol 2001; 29:207-213.
9.Carlson CL, Mann M. Sluggish cognitive tempo predicts a different pattern of impairment in the attention deficit hyperactivity disorder, predominantly inattentive type. J Clin Child Adolesc Psychol 2002; 31:123-129.
10.Garner AA, Marceaux JC, Mrug S, Patterson C, Hodgens B. Dimensions and correlates of attention deficit/hyperactivity disorder and Sluggish Cognitive Tempo. J Abnorm Child Psychol 2010; 38:1097-1107.
11.Reeves CB, Palmer S, Gross AM, Simonian SJ, Taylor L, Willingham E, Mulhern RK. Brief report: sluggish cognitive tempo among pediatric survivors of acute lymphoblastic leukemia. J Pediatr Psychol 2007; 32:1050-1054.
12.Bernad Mdel M, Servera M, Grases G, Collado S, Burns GL. A cross-sectional and longitudinal investigation of the external correlates of sluggish cognitive tempo and ADHD-inattention symptoms dimensions. J Abnorm Child Psychol 2014; 42:1225-1236.
13.Barkley RA. Distinguishing sluggish cognitive tempo from ADHD in children and adolescents: executive functioning, impairment, and comorbidity. J Clin Child Adolesc Psychol 2013; 42:161-173.
14.Belmar M, Servera M, Becker SP, Burns GL. Validity of Sluggish Cognitive Tempo in South America: an initial examination using mother and teacher ratings of Chilean children. J Atten Disord 2017; 21:667-672.
15.Bernad Mdel M, Servera M, Becker SP, Burns GL. Sluggish Cognitive Tempo and ADHD inattention as predictors of externalizing, internalizing, and impairment domains: A 2-year longitudinal study. J Abnorm Child Psychol 2016; 44:771-785.
16.Burns GL, Servera M, Bernad Mdel M, Carrillo JM, Cardo E. Distinctions between sluggish cognitive tempo, ADHD-IN, and depression symptom dimensions in Spanish first-grade children. J Clin Child Adolesc Psychol 2013; 42:796-808.
17.Jacobson LA, Murphy-Bowman SC, Pritchard AE, Tart-Zelvin A, Zabel TA, Mahone EM. Factor structure of a sluggish cognitive tempo scale in clinically-referred children. J Abnorm Child Psychol 2012; 40:1327-1337.
18.Lee S, Burns GL, Becker SP. Toward establishing the transcultural validity of Sluggish Cognitive Tempo: evidence from a sample of South Korean children. J Clin Child Adolesc Psychol 2018; 47:61-68.
19.Lee S, Burns GL, Snell J, McBurnett K. Validity of the sluggish Cognitive Tempo symptom dimension in children: Sluggish Cognitive Tempo and ADHD-inattention as distinct symptom dimensions. J Abnorm Child Psychol 2014; 42:7-19.
20.McBurnett K, Villodas M, Burns GL, Hinshaw SP, Beaulieu A, Pfiffner LJ. Structure and validity of sluggish cognitive tempo using an expanded item pool in children with attention-deficit/hyperactivity disorder. J Abnorm Child Psychol 2014; 42:37-48.
21.Penny AM, Waschbusch DA, Klein RM, Corkum P, Eskes G. Developing a measure of sluggish cognitive tempo for children: content validity, factor structure, and reliability. Psychol Assess 2009; 21:380-389.
22.Willcutt EG, Chhabildas N, Kinnear M, DeFries JC, Olson RK, Leopold DR, Keenan JM, Pennington BF. The internal and external validity of sluggish cognitive tempo and its relation with DSM–IV ADHD. J Abnorm Child Psychol 2014; 42:21-35.
23.Becker SP, Leopold DR, Burns GL, Jarrett MA, Langberg JM, Marshall SA, McBurnett K, Waschbusch DA, Willcutt EG. The internal, external, and diagnostic validity of sluggish cognitive tempo: A meta-analysis and critical review. J Am Acad Child Adolesc Psychiatry 2016; 55:163-178.
24.Becker SP, Luebbe AM, Fite PJ, Stoppelbein L, Greening L. Sluggish cognitive tempo in psychiatrically hospitalized children: factor structure and relations to internalizing symptoms, social problems, and observed behavioral dysregulation. J Abnorm Child Psychol 2014; 42:49-62.
25.Moruzzi S, Rijsdijk F, Battaglia M. A twin study of the relationships among inattention, hyperactivity/impulsivity and sluggish cognitive tempo problems. J Abnorm Child Psychol 2014; 42:63-75.
26.Pfiffner LJ, Mikami AY, Huang-Pollock C, Easterlin B, Zalecki C, McBurnett K. A randomized, controlled trial of integrated home-school behavioral treatment for ADHD, predominantly inattentive type. J Am Acad Child Adolesc Psychiatry 2007; 46:1041-1050.
27.Wietecha L, Williams D, Shaywitz S, Shaywitz B, Hooper SR, Wigal SB, Dunn D, McBurnett K. Atomoxetine improved attention in children and adolescents with attention-deficit/hyperactivity disorder and dyslexia in a 16 week, acute, randomized, double-blind trial. J Child Adolesc Pychopharmacol 2013; 23:605-613.
28.Ludwig HT, Matte B, Katz B, Rohde LA. Do sluggish cognitive tempo symptoms predict response to methylphenidate in patients with attention-deficit/hyperactivity disorder–inattentive type? J Child Adolesc Pychopharmacol 2009; 19:461-465.
29.Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, Williamson D, Ryan N. Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36:980-988.
30.Gokler B, Unal F, Pehlivanturk B, Kultur EC, Akdemir D, Taner Y. Reliability and Validity of Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T). Turkish Psychological Articles 2004; 11:109-116. (Turkish)
31.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders; Fourth Edition (DSM-IV) Washington DC: APA, 1994.
32.Achenbach TM, Rescorla LA. Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families, 2001.
33.Achenbach TM, Howell CT, Quay HC, Conners CK, Bates JE. National survey of problems and competencies among four-to sixteen-year-olds: parents’ reports for normative and clinical samples. Monogr Soc Res Child Dev 1991; 56:1-130.
34.Erol N, Arslan B, Akcakin M. The adaptation and standardization of the Child Behavior Checklist among 6-18 year-old Turkish children. Eunethydis: European approaches to hyperkinetic disorder. Zurich: Fotorotar 1995; 51.
35.Dumenci L, Erol N, Achenbach TM, Simsek Z. Measurement structure of the Turkish translation of the Child Behavior Checklist using confirmatory factor analytic approaches to validation of syndromal constructs. J Abnorm Child Psychol 2004; 32:335-340.
36.Erol N, Simsek ZT. 13 mental health of turkish children: behavioral and emotional problems reported by parents, teachers, and adolescents. International Perspectives on Child And Adolescent Mental Health 2000; 1: 223-247.
37.Achenbach TM. Manual for the Teacher’s Report Form and 1991 profile. Burlington: VT, 1991.
38.Bussing R, Fernandez M, Harwood M, Hou W, Garvan CW, Eyberg SM, Swanson JM. Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms: psychometric properties and normative ratings from a school district sample. Assessment 2008; 15:317-328.
39.The MTA Cooperative Group. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Arch Gen Psychiatry 1999; 56:1073-1086.
40.Guler AS, Scahill L, Jeon S, Taskin B, Dedeoglu C, Unal S, Yazgan Y. Use of multiple informants to identify children at high risk for ADHD in Turkish school-age children. J Atten Disord 2017; 21:764-775.
41.Leopold DR, Christopher ME, Burns GL, Becker SP, Olson RK, Willcutt EG. Attention-deficit/hyperactivity disorder and sluggish cognitive tempo throughout childhood: temporal invariance and stability from preschool through ninth grade. J Child Psychol Psychiatry 2016; 57:1066-1074.
42.Butuner SO, Buyukozturk S. Handbook of Data Analysis for Social Sciences, Ankara: Pegem A Yayincilik, Primary Education Online, 2008, 7. (Turkish)
43.Simsek OF. Introduction to Structural Equation Modeling: Basic Principles and LISREL Applications. Ankara: Ekinoks, 2007. (Turkish)
44.Sumer N. Structural equation models: basic concepts and model applications. Turkish Psychological Articles 2000; 3:49-74. (Turkish)
45.Meydan CH, Sesen H. Structural Equation Modeling AMOS Applications. Ankara: Detay Yayincilik, 2011. (Turkish)
46.Becker SP, Langberg JM. Sluggish cognitive tempo among young adolescents with ADHD: relations to mental health, academic, and social functioning. J Atten Disord 2013; 17:681-689.
47.Becker SP, Luebbe AM, Langberg JM. Attention-deficit/hyperactivity disorder dimensions and sluggish cognitive tempo symptoms in relation to college students’ sleep functioning. Child Psychiatry Hum Dev 2014; 45:675-685.
48.Hartman CA, Willcutt EG, Rhee SH, Pennington BF. The relation between sluggish cognitive tempo and DSM-IV ADHD. J Abnorm Child Psychol 2004; 32:491-503.
49.Marshall SA, Evans SW, Eiraldi RB, Becker SP, Power TJ. Social and academic impairment in youth with ADHD, predominately inattentive type and sluggish cognitive tempo. J Abnorm Child Psychol 2014; 42:77-90.
50.Cokluk O, Sekercioglu G, Buyukozturk S. Multivariate Statistics for Social Sciences, SPSS and LISREL Applications. First ed. Ankara: Pegem Yayinlari, 2010. (Turkish)