Enuresis is associated with attentional and emotional comorbidities in 20 to 30 % of cases. The Short Screening Instrument for Psychological Problems in Enuresis (SSIPPE) is a questionnaire that allows the initial screening of these comorbidities. This study aimed to translate, culturally adapt, and validate the SSIPPE for Brazilian children and adolescents (SSIPPE-Br). Six steps were performed for translation and cross-cultural adaptation: translation, synthesis of translations, back-translation, preparation of the pre-final version of the translated instrument, test of comprehensibility of the pre-final version of the tool, and elaboration of the instrument cross-culturally adapted for Brazil, named 13-itens version SSIPPE-Br. To validate the SSIPPE-Br, a cross-sectional study was carried out, in which the validated Brazilian version of the Child and Adolescent Behavior Inventory (CABI) was used. Validation was performed on 127 children and adolescents with a mean age of 9.7 ± 2.8 years, 48 % male. The reliability was estimated using Cronbach's alpha, ranging from 0.86 to 0.89, indicating good internal consistency. The factorial analysis had a good agreement adjustment (KMO 0.755, Bartlett's test < 0.001) and explained 70.5 % of the data variability. In the reproducibility analysis, the Kappa coefficient ranged from 0.94 to 1, which can be considered almost perfect. A highly significant (p-value < 0.001) and direct correlation existed between the three SSIPPE-Br domains and all evaluated CABI domains. The SSIPPE-Br is a valid and reliable tool for emotional problems screening and ADHD symptoms in children and adolescents with enuresis whose first language is Brazilian Portuguese.

中文翻译：

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巴西使用的遗尿症心理问题简短筛查工具 (SSIPPE-Br) 的翻译、跨文化适应和验证

20% 至 30% 的遗尿症与注意力和情绪合并症有关。遗尿症心理问题简短筛查工具 (SSIPPE) 是一份问卷，可以对这些合并症进行初步筛查。本研究旨在翻译、文化适应和验证巴西儿童和青少年的 SSIPPE (SSIPPE-Br)。翻译和跨文化适应分为六个步骤：翻译、翻译综合、回译、翻译工具预最终版本的准备、工具预最终版本的可理解性测试以及工具的详细阐述。该乐器针对巴西进行了跨文化改编，命名为 13 音版本 SSIPPE-Br。为了验证 SSIPPE-Br，进行了一项横断面研究，其中使用了经过验证的巴西版本的儿童和青少年行为量表 (CABI)。对 127 名平均年龄为 9.7 ± 2.8 岁的儿童和青少年进行了验证，其中 48% 为男性。使用 Cronbach's alpha 估计信度，范围为 0.86 至 0.89，表明内部一致性良好。因子分析具有良好的一致性调整（KMO 0.755，Bartlett 检验 < 0.001），并解释了 70.5% 的数据变异性。在重现性分析中，Kappa系数在0.94到1之间，可以认为近乎完美。三个 SSIPPE-Br 域与所有评估的 CABI 域之间存在高度显着性（p 值 < 0.001）和直接相关性。SSIPPE-Br 是一种有效且可靠的工具，用于筛查母语为巴西葡萄牙语的遗尿症儿童和青少年的情绪问题和 ADHD 症状。