Translation and evaluation of the Infant Characteristics Questionnaire in a sample of Swedish patients with craniosynostosis
DOI:
https://doi.org/10.2340/jphs.v60.43488Keywords:
Craniosynostosis, infant, psychological development, temperament, reliability, validity, Swedish, translationAbstract
Background: Research on the psychological development of infants with craniosynostosis would benefit from further properly validated tailored measures.
Aim: Our study aimed to translate and evaluate the Infant Characteristics Questionnaire (ICQ; Bates et al., 1979) for use with parents of infants with craniosynostosis in Sweden.
Methods: Participants included parents of 83 infants (67.5% boys) with isolated craniosynostosis (sagittal: n = 51, metopic: n = 32), and an average age of 184.7 days (SD = 67.1). Parents completed the ICQ and interviews were conducted with 22 of the families. The interviews were analyzed using conventional qualitative content analysis.
Results: Reliability in terms of internal consistencies were sufficient for the overall scale (α = .85), the Fussy/Difficult (α = .80) and Unadaptable (α = .76) subscales, close to acceptable for the Unpredictable subscale (α = .66), and low for the Sociable subscale (α = .45). Parents found the ICQ relevant for capturing important aspects of their infants’ temperament, and the instructions and questions easy to understand. However, many parents noted that the question regarding their child’s first reaction to solid food was not applicable and some suggested adding more questions about sleeping difficulties.
Conclusion: Overall, the ICQ seems to be acceptable to parents of children with craniosynostosis in Sweden – a prerequisite for continued use and development. Future studies should investigate additional psychometric properties, including factorial validity, to further establish its usefulness in Swedish populations, both with and without craniosynostosis.
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References
Stanton E, Urata M, Chen JF, et al. The clinical manifestations, molecular mechanisms and treatment of craniosynostosis. Dis Model Mech. 2022; 15: dmm049390. https://doi.org/10.1242/dmm.049390 DOI: https://doi.org/10.1242/dmm.049390
Shlobin NA, Baticulon RE, Ortega CA, et al. Global epidemiology of craniosynostosis: a systematic review and meta-analysis. World Neurosurg. 2022; 164: 413–423. https://doi.org/10.1016/j.wneu.2022.05.093 DOI: https://doi.org/10.1016/j.wneu.2022.05.093
Tarnow P, Kölby L, Maltese G, et al. Incidence of non-syndromic and syndromic craniosynostosis in Sweden. J Craniofac Surg. 2022; 33: 1517–1520. https://doi.org/10.1097/SCS.0000000000008457 DOI: https://doi.org/10.1097/SCS.0000000000008457
Mathijssen IMJ. Working group guideline craniosynostosis. Updated guideline on treatment and management of craniosynostosis. J Craniofac Surg. 2021; 32: 371–450. https://doi.org/10.1097/SCS.0000000000007035 DOI: https://doi.org/10.1097/SCS.0000000000007035
Bellew M, Liddington M, Chumas P, et al. Preoperative and postoperative developmental attainment in patients with sagittal synostosis: 5-year follow-up. J Neurosurg Pediatr. 2011; 7: 121–126. https://doi.org/10.3171/2010.11.PEDS10216 DOI: https://doi.org/10.3171/2010.11.PEDS10216
Cloonan YK, Collett B, Speltz ML, et al. Psychosocial outcomes in children with and without non-syndromic craniosynostosis: findings from two studies. Cleft Palate Craniofac J. 2013; 50: 406–413. https://doi.org/10.1597/11-074 DOI: https://doi.org/10.1597/11-074
Kapp-Simon KA, Speltz ML, Cunningham ML, et al. Neurodevelopment of children with single suture craniosynostosis: a review. Childs Nerv Syst. 2007; 23: 269–281. https://doi.org/10.1007/s00381-006-0251-z DOI: https://doi.org/10.1007/s00381-006-0251-z
Kljajić M, Maltese G, Tarnow P, et al. The cognitive profile of children with nonsyndromic craniosynostosis. Plast Reconstr Surg. 2019; 143: 1037e–1052e. https://doi.org/10.1097/PRS.0000000000005515 DOI: https://doi.org/10.1097/PRS.0000000000005515
Kljajić M, Maltese G, Tarnow P, et al. Health-related quality of life of children treated for non-syndromic craniosynostosis. J Plast Surg Hand Surg. 2023; 57: 408–414. https://doi.org/10.1080/2000656X.2022.2147532 DOI: https://doi.org/10.1080/2000656X.2022.2147532
Mandela R, Bellew M, Chumas P, et al. Impact of surgery timing for craniosynostosis on neurodevelopmental outcomes: a systematic review. J Neurosurg Pediatr. 2019; 23: 442–454. https://doi.org/10.3171/2018.10.PEDS18536 DOI: https://doi.org/10.3171/2018.10.PEDS18536
Speltz ML, Kapp-Simon KA, Cunningham M, et al. Single-suture craniosynostosis: a review of neurobehavioral research and theory. J Pediatr Psychol. 2004; 29: 651–668. https://doi.org/10.1093/jpepsy/jsh068 DOI: https://doi.org/10.1093/jpepsy/jsh068
Starr JR, Kapp-Simon KA, Cloonan YK, et al. Presurgical and postsurgical assessment of the neurodevelopment of infants with single-suture craniosynostosis: comparison with controls. J Neurosurg. 2007; 107: 103–110. https://doi.org/10.3171/PED-07/08/103 DOI: https://doi.org/10.3171/PED-07/08/103
Olsson K, Engman J, Nowinski D, et al. Cognitive development in single-suture craniosynostosis – a systematic review. Dev Neuropsychol. 2023; 48: 215–247. https://doi.org/10.1080/87565641.2023.2225662 DOI: https://doi.org/10.1080/87565641.2023.2225662
Fontana SC, Belinger S, Daniels D, et al. Longitudinal assessment of developmental outcomes in infants undergoing late craniosynostosis repair. J Craniofac Surg. 2018; 29: 25–28. https://doi.org/10.1097/SCS.0000000000004024 DOI: https://doi.org/10.1097/SCS.0000000000004024
Alperovich M, Golinko MS, Lee ZH, et al. Parental perceptions of neurodevelopment in Toddlers following craniosynostosis repair. J Craniofac Surg. 2016; 27: 835–838. https://doi.org/10.1097/SCS.0000000000002646 DOI: https://doi.org/10.1097/SCS.0000000000002646
Zerpe AS, Nowinski D, Ramklint M, et al. “When the surgery was over, I felt like the worst part had passed”: experiences of parents of children with craniosynostosis. J Spec Pediatr Nurs. 2022; 27: e12370. https://doi.org/10.1111/jspn.12370 DOI: https://doi.org/10.1111/jspn.12370
Children’s Nebraska. Mathís’ story: life-changing progress after craniosynostosis surgery. [Internet] 2022 [cited 2024 Oct 10]. Available from: https://www.childrensnebraska.org/children-story/mathis-story-life-changing-progress-after-craniosynostosis-surgery/
Zentner M, Bates, JE. Child temperament: an integrative review of concepts, research programs, and measures. Eur J Dev Sci. 2008; 2: 7–37. https://doi.org/10.3233/DEV-2008-21203 DOI: https://doi.org/10.3233/DEV-2008-21203
Rothbart MK. Advances in temperament: history, concepts, and measures. In Zentner M, Shiner ML, editors. Handbook of temperament. New York, NY: Guilford Press; 2012. p. 3–20.
Chess S, Thomas A. Temperament in clinical practice. New York, NY: Guilford Press; 1995.
Thiel F, Eberhard-Gran M, Garthus-Niegel S. The impact of perinatal life stress on infant temperament and child development: a 2-year follow-up cohort study. J Dev Behav Pediatr. 2021; 42: 299–306. https://doi.org/10.1097/DBP.0000000000000887 DOI: https://doi.org/10.1097/DBP.0000000000000887
Valeri BO, Holsti L, Linhares MB. Neonatal pain and developmental outcomes in children born preterm: a systematic review. Clin J Pain. 2015; 31: 355–362. https://doi.org/10.1097/AJP.0000000000000114 DOI: https://doi.org/10.1097/AJP.0000000000000114
Bates JE, Freeland CA, Lounsbury ML. Measurement of infant difficultness. Child Dev. 1979; 50: 794–803. https://doi.org/10.1111/j.1467-8624.1979.tb02428.x DOI: https://doi.org/10.1111/j.1467-8624.1979.tb02428.x
Kohnstamm GA. Bates’ Infant Characteristics Questionnaire (ICQ) in the Netherlands. EDRS. 1984: 1–45.
Lemelin JP, Tarabulsy GM, Provost MA, et al. Questionnaire d’évaluation du comportement de l’enfant: version canadienne française du Toddler Behavior Assessment Questionnaire. Can J Behav Sci. 2007; 39: 291–300. https://doi.org/10.1037/cjbs2007021 DOI: https://doi.org/10.1037/cjbs2007021
Carneiro A, Dias P, Magalhães C, et al. Assessment of temperament at 13 and 24 months using maternal report: validation of the Portuguese version of infant characteristics questionnaire. J Hum Growth Dev. 2013; 23: 71–79. https://doi.org/10.7322/jhgd.50394 DOI: https://doi.org/10.7322/jhgd.50394
Mäntymaa M, Puura K, Luoma I, et al. Mother’s early perception of her infant’s difficult temperament, parenting stress and early mother-infant interaction. Nord J Psychiatry. 2006; 60: 379–386. https://doi.org/10.1080/08039480600937280 DOI: https://doi.org/10.1080/08039480600937280
Slonims V, McConachie H. Analysis of mother-infant interaction in infants with down syndrome and typically developing infants. Am J Ment Retard. 2006; 111: 273–289. https://doi.org/10.1352/0895-8017(2006)111[273:AOMIII]2.0.CO;2 DOI: https://doi.org/10.1352/0895-8017(2006)111[273:AOMIII]2.0.CO;2
Baum KT, Byars AW, De Grauw TJ, et al. The effect of temperament and neuropsychological functioning on behavior problems in children with new-onset seizures. Epilepsy Behav. 2010; 17: 467–473. https://doi.org/10.1016/j.yebeh.2010.01.010 DOI: https://doi.org/10.1016/j.yebeh.2010.01.010
Moran G, Pederson DR. Proneness to distress and ambivalent relationships. Infant Behav Dev. 1998; 21: 493–503. https://doi.org/10.1016/S0163-6383(98)90022-4 DOI: https://doi.org/10.1016/S0163-6383(98)90022-4
Westerlund M, Lagerberg D. Expressive vocabulary in 18-month-old children in relation to demographic factors, mother and child characteristics, communication style and shared reading. Child Care Health Dev. 2008; 34: 257–266. https://doi.org/10.1111/j.1365-2214.2007.00801.x DOI: https://doi.org/10.1111/j.1365-2214.2007.00801.x
Östberg M, Hagekull B. A structural modeling approach to the understanding of parenting stress. J Clin Child Psychol. 2000; 29(4): 615–625. https://doi.org/10.1207/S15374424JCCP2904_13 DOI: https://doi.org/10.1207/S15374424JCCP2904_13
Bates, JE. Norms for Infant Characteristics Questionnaire composite scores. 1992.
Üstün T, Kostanjsek N, Chatterji S, et al. Measuring health and disability manual for WHO disability assessment schedule WHODAS 2.0 [Internet]. 2010. Available from: https://iris.who.int/bitstream/handle/10665/43974/9789241547598_eng.pdf?sequence=1 [cited 2024-12-10]
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15: 1277–1288. https://doi.org/10.1177/1049732305276687 DOI: https://doi.org/10.1177/1049732305276687
Mebert CJ. Dimensions of subjectivity in parents’ ratings of infant temperament. Child Dev. 1991; 62: 352–361. https://doi.org/10.1111/j.1467-8624.1991.tb01536.x DOI: https://doi.org/10.1111/j.1467-8624.1991.tb01536.x
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Copyright (c) 2025 Johanna Kling, Lars Kölby, Marizela Kljajić
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