Validity and Reliability of a Thai Behavioral and Emotional Screening Tool for Children with Enuresis (TBEST-E)

Varis  Manomaivong; Prakasit  Wannapaschaiyong; Sudarat  Sirisakpanit; Jeeranan  Kantasorn; Jariya  Tarugsa; Nuntawan  Piyaphanee; Sasitorn  Chantaratin

doi:10.33192/smj.v75i9.264058

Authors

Varis Manomaivong Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
Prakasit Wannapaschaiyong Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Sudarat Sirisakpanit Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
Jeeranan Kantasorn Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
Jariya Tarugsa Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
Nuntawan Piyaphanee Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok
Sasitorn Chantaratin Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok

DOI:

https://doi.org/10.33192/smj.v75i9.264058

Keywords:

enuresis, neuropsychiatric, psychological, SSIPPE, ADHD

Abstract

Objective: Psychological comorbidity in children with enuresis is common and its screening is recommended. A brief validated screening instrument is needed for a busy medical practice. This study focused on the development of the Thai Behavioral and Emotional Screening Tool for children with Enuresis (TBEST-E) and aimed to examine its psychometric properties.

Materials and Methods: Using the Short Screening Instrument for Psychological Problems in Enuresis (SSIPPE) as a template, the 15-item with a yes/no answer format of the TBEST-E was developed for the screening of emotional problems (7 items), attention and hyperactivity/impulsivity problems (3 items each), and oppositional defiant symptoms (2 items). The parents of the children with enuresis completed the TBEST-E and the behavioral rating scale “Thai Youth Checklist” (TYC). The optimal cut-off for further assessment, the sensitivity, and the specificity the TBEST-E were identified using receiver operating characteristic (ROC) curves.

Results: After an adaptation following comments from three child psychiatrists, the TBEST-E showed a content validity of 0.9, an internal consistency of 0.71. A total of 33 children with enuresis (median age = 9, interquartile range = 6.5-11 years) were recruited. Further assessment was indicated when one of the following occurred; at least 3 emotional problems; 3 attention problems; or 2 hyperactivity/impulsivity together with 2 oppositional defiant symptoms. The overall sensitivity and specificity were 0.88 and 0.71 respectively with the accuracy of 0.84 (95% CI = 0.68-0.95).

Conclusion: The TBEST-E is time-efficient and has acceptable psychometric properties in early detection of common psychological problems in children with enuresis.

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