ArticlePediatric research2019
Cumulative psychosocial risk and early child development: validation and use of the Childhood Psychosocial Adversity Scale in global health research.
Article in Pediatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 31 citations in OpenAlex.
- Feasibility and acceptability of implementing the Global Scales for Early Development (GSED) package for children 0-3 years across three countries.Pilot and feasibility studies · 2025Article
- Examining the relationship between psychosocial adversity and inhibitory control: A functional magnetic resonance imaging study of children growing up in extreme poverty.Journal of experimental child psychology · 2025Article
- Scalable Transdiagnostic Early Assessment of Mental Health (STREAM): a study protocol.BMJ open · 2024Article
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- Protocol of the Nutritional, Psychosocial, and Environmental Determinants of Neurodevelopment and Child Mental Health (COINCIDE) study.Wellcome open research · 2024Article
- Protocol for validation of the Global Scales for Early Development (GSED) for children under 3 years of age in seven countries.BMJ open · 2023Article
- Characterising school-age health and function in rural Zimbabwe using the SAHARAN toolbox.PloS one · 2023Article
- Neural correlates of inhibitory control and associations with cognitive outcomes in Bangladeshi children exposed to early adversities.Developmental science · 2022Article
- Blood lead levels mediate the relationship between social adversity and child externalizing behavior.Environmental research · 2022Article
- Socioeconomic and psychological correlates of postpartum depression at 6 months in Dhaka, Bangladesh.International journal of psychology : Journal international de psychologie · 2021Article
- Relating anthropometric indicators to brain structure in 2-month-old Bangladeshi infants growing up in poverty: A pilot study.NeuroImage · 2020Article
- The Child Life Challenges Scale (CLCS): Associations of a Single-Item Rating of Global Child Adversity with Children's Total Life Stressors and Parent's Childhood Adversity.Children (Basel, Switzerland) · 2020Article
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9 authors at 4 institutions in 2 countries.
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Abstract
backgroundEvidence suggests that cumulative early psychosocial adversity can influence early child development (ECD). The Childhood Psychosocial Adversity Scale (CPAS) is a novel measure of cumulative risk designed for use in global ECD research. We describe its development and assess validity from its first application in Bangladesh, where it predicts cognitive development scores among young children.
methodsItems were generated from literature review and qualitatively assessed for local relevance. Two-hundred and eighty-five mother-child dyads from an urban slum of Dhaka completed the CPAS at child ages 18, 24, 48, and/or 60 months. The CPAS was assessed for internal consistency, retest reliability, and convergent, incremental, and predictive validity.
resultsThe CPAS includes subscales assessing child maltreatment, caregiver mental health, family conflict, domestic violence, and household/community psychosocial risks. In Bangladesh, subscales had good internal consistency (Cronbach's α > 0.70). Full-scale score had good 2-week test-retest reliability (intra-class correlation coefficient = 0.89; F(38,38) = 8.45, p < 0.001). Using multivariate regression, 48-month CPAS score significantly predicted 60-month intelligence quotient, accounting for more variance than socioeconomic status or malnutrition.
conclusionsThe CPAS is a novel tool assessing cumulative childhood psychosocial risk. Evidence supports validity of its use in ECD research in Bangladesh, and ongoing work is applying it in additional countries.
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