Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum Disorder

BackgroundSeveral empathy assessment tests have been proposed worldwide but none of them took into account cultural variations that seem to affect empathic manifestations. The aim of this study was to create and validate an empathy assessment questionnaire for school-aged Tunisian children entitled...

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Main Authors: Hela Ben Youssef, Soumeyya Halayem, Malek Ghazzai, Selima Jelili, Hager Ben Mansour, Olfa Rajhi, Amal Taamallah, Selima Ennaifer, Malek Hajri, Zeineb Salma Abbes, Radhouane Fakhfakh, Ahmed Nabli, Asma Bouden
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.903966/full
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author Hela Ben Youssef
Hela Ben Youssef
Soumeyya Halayem
Soumeyya Halayem
Malek Ghazzai
Selima Jelili
Selima Jelili
Hager Ben Mansour
Hager Ben Mansour
Olfa Rajhi
Amal Taamallah
Amal Taamallah
Selima Ennaifer
Selima Ennaifer
Malek Hajri
Malek Hajri
Zeineb Salma Abbes
Zeineb Salma Abbes
Radhouane Fakhfakh
Ahmed Nabli
Asma Bouden
Asma Bouden
author_facet Hela Ben Youssef
Hela Ben Youssef
Soumeyya Halayem
Soumeyya Halayem
Malek Ghazzai
Selima Jelili
Selima Jelili
Hager Ben Mansour
Hager Ben Mansour
Olfa Rajhi
Amal Taamallah
Amal Taamallah
Selima Ennaifer
Selima Ennaifer
Malek Hajri
Malek Hajri
Zeineb Salma Abbes
Zeineb Salma Abbes
Radhouane Fakhfakh
Ahmed Nabli
Asma Bouden
Asma Bouden
author_sort Hela Ben Youssef
collection DOAJ
description BackgroundSeveral empathy assessment tests have been proposed worldwide but none of them took into account cultural variations that seem to affect empathic manifestations. The aim of this study was to create and validate an empathy assessment questionnaire for school-aged Tunisian children entitled “Tunisian Empathy Scale for Children” (TESC).MethodsAn evaluative cross-sectional study was conducted. The questionnaire was administered to parents of 197 neuro-typical children and 31 children with autism without associated intellectual deficits, aged between 7 and 12 years. Validation steps included: face validity, content validity, construct validity, and reliability study. A ROC curve analysis was used to investigate the diagnostic performance of the TESC.ResultsFace validity was verified with an expert panel. Content validity was examined, and 11 items were removed as irrelevant or not assessable by parents. Exploratory factor analysis extracted four domains that explained 43% of the total variance. All these domains were significantly correlated with the total score (p < 10−3) and are, respectively: empathic behaviors, affective empathy, cognitive empathy, and a combined affective and cognitive domain. The reliability study showed a satisfactory level of internal consistency of the TESC, with a Cronbach's alpha of 0.615.The diagnostic performance of the TESC in relation to autism was evaluated by the ROC curve with a sensitivity and specificity of 84.3 and 62.1%, respectively, for a total score of 16.ConclusionA 15-item questionnaire assessing empathy in a multidimensional and culturally adapted way was obtained. The psychometric qualities of the TESC were satisfactory.
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spelling doaj.art-7b0b34bc572d4ba09d25101b36693c812022-12-22T01:52:46ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-07-011310.3389/fpsyt.2022.903966903966Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum DisorderHela Ben Youssef0Hela Ben Youssef1Soumeyya Halayem2Soumeyya Halayem3Malek Ghazzai4Selima Jelili5Selima Jelili6Hager Ben Mansour7Hager Ben Mansour8Olfa Rajhi9Amal Taamallah10Amal Taamallah11Selima Ennaifer12Selima Ennaifer13Malek Hajri14Malek Hajri15Zeineb Salma Abbes16Zeineb Salma Abbes17Radhouane Fakhfakh18Ahmed Nabli19Asma Bouden20Asma Bouden21Department of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaService Universitaire de Psychiatrie de l'Enfant et de l'Adolescent du Centre Hospitalier de Versailles, Paris, FranceDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaService Universitaire de Psychiatrie de l'Enfant et de l'Adolescent du Centre Hospitalier de Versailles, Paris, FranceDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaDepartment of Preventive Medicine, Abderrahmen Mami Hospital, Ariana, TunisiaReMotion Research and Development, Lille, FranceDepartment of Child and Adolescent Psychiatry, Razi Hospital, Manouba, TunisiaFaculty of Medicine of Tunis, University of Tunis El Manar, Tunis, TunisiaBackgroundSeveral empathy assessment tests have been proposed worldwide but none of them took into account cultural variations that seem to affect empathic manifestations. The aim of this study was to create and validate an empathy assessment questionnaire for school-aged Tunisian children entitled “Tunisian Empathy Scale for Children” (TESC).MethodsAn evaluative cross-sectional study was conducted. The questionnaire was administered to parents of 197 neuro-typical children and 31 children with autism without associated intellectual deficits, aged between 7 and 12 years. Validation steps included: face validity, content validity, construct validity, and reliability study. A ROC curve analysis was used to investigate the diagnostic performance of the TESC.ResultsFace validity was verified with an expert panel. Content validity was examined, and 11 items were removed as irrelevant or not assessable by parents. Exploratory factor analysis extracted four domains that explained 43% of the total variance. All these domains were significantly correlated with the total score (p < 10−3) and are, respectively: empathic behaviors, affective empathy, cognitive empathy, and a combined affective and cognitive domain. The reliability study showed a satisfactory level of internal consistency of the TESC, with a Cronbach's alpha of 0.615.The diagnostic performance of the TESC in relation to autism was evaluated by the ROC curve with a sensitivity and specificity of 84.3 and 62.1%, respectively, for a total score of 16.ConclusionA 15-item questionnaire assessing empathy in a multidimensional and culturally adapted way was obtained. The psychometric qualities of the TESC were satisfactory.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.903966/fullempathychildvalidation studyautism (ASD)questionnaire
spellingShingle Hela Ben Youssef
Hela Ben Youssef
Soumeyya Halayem
Soumeyya Halayem
Malek Ghazzai
Selima Jelili
Selima Jelili
Hager Ben Mansour
Hager Ben Mansour
Olfa Rajhi
Amal Taamallah
Amal Taamallah
Selima Ennaifer
Selima Ennaifer
Malek Hajri
Malek Hajri
Zeineb Salma Abbes
Zeineb Salma Abbes
Radhouane Fakhfakh
Ahmed Nabli
Asma Bouden
Asma Bouden
Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum Disorder
Frontiers in Psychiatry
empathy
child
validation study
autism (ASD)
questionnaire
title Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum Disorder
title_full Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum Disorder
title_fullStr Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum Disorder
title_full_unstemmed Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum Disorder
title_short Validation of the Tunisian Empathy Scale for Children (TESC) in General Population and Children With Autism Spectrum Disorder
title_sort validation of the tunisian empathy scale for children tesc in general population and children with autism spectrum disorder
topic empathy
child
validation study
autism (ASD)
questionnaire
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.903966/full
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