A comparison of four scoring methods based on the parent-rated Strengths and Difficulties Questionnaire as used in the Dutch preventive child health care system

被引:68
作者
Crone, Mathilde R. [1 ]
Vogels, Anton G. C. [1 ]
Hoekstra, Femke [2 ]
Treffers, Philip D. A. [3 ]
Reijneveld, Sijmen A. [4 ]
机构
[1] TNO Qual Life, Leiden, Netherlands
[2] Hlth Serv Amsterdam, Amsterdam, Netherlands
[3] Leiden Univ, Med Ctr, Dept Child & Adolescent Psychiat, Oegstgeest, Netherlands
[4] Univ Groningen, Univ Med Ctr Groningen, NCH, Dept Hlth Sci, NL-9713 AV Groningen, Netherlands
关键词
D O I
10.1186/1471-2458-8-106
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Validated questionnaires can support the identification of psychosocial problems by the Preventive Child Health Care (PCH) system. This study assesses the validity and added value of four scoring methods used with the Strengths and Difficulties Questionnaire (SDQ) for the identification of psychosocial problems among children aged 7-12 by the PCH. Methods: We included 711 (of 814) children (response: 87%) aged 7-12 undergoing routine health assessments in nine PCH services across the Netherlands. Child health professionals interviewed and examined children and parents. Prior to the interview, parents completed the SDQ and the Child Behaviour Checklist (CBCL), which were not shown to the professionals. The CBCL and data about the child's current treatment status were used as criteria for the validity of the SDQ. We used four SDQ scoring approaches: an elevated SDQ Total Difficulties Score (TDS), parent-defined difficulties, an elevated score for emotional symptoms, conduct problems or hyperactivity in combination with a high impairment score, and a combined score: an elevated score for any of these three methods. Results: The Cohen's Kappa ranged from 0.33 to 0.64 for the four scoring methods with the CBCL scores and treatment status, generally indicating a moderate to good agreement. All four methods added significantly to the identification of problems by the PCH. Classification based on the TDS yielded results similar to more complicated methods. Conclusion: The SDQ is a valid tool for the identification of psychosocial problems by PCH. As a first step, the use of a simple classification based on the SDQ TDS is recommended.
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页数:9
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共 24 条
[1]  
Achenbach T. M., 1991, Integrative guide for the 1991 CBCL/4-18, YSR, and the TRF profiles
[2]   The strengths and difficulties questionnaire: US normative data and psychometric properties [J].
Bourdon, KH ;
Goodman, R ;
Rae, DS ;
Simpson, G ;
Koretz, DS .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2005, 44 (06) :557-564
[3]   Identification and management of psychosocial problems by preventive child health care [J].
Brugman, E ;
Reijneveld, SA ;
Verhulst, FC ;
Verloove-Vanhorick, SP .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2001, 155 (04) :462-469
[4]  
Crijnen AAM, 1999, AM J PSYCHIAT, V156, P569
[5]   The effects of early prevention programs for families with young children at risk for physical child abuse and neglect: A meta-analysis [J].
Geeraert, L ;
Van den Noortgate, W ;
Grietens, H ;
Onghena, P .
CHILD MALTREATMENT, 2004, 9 (03) :277-291
[6]  
Goedhart A., 2003, Maandblad Geestelijke Volksgezondheid, V58, P1018
[7]   The strengths and difficulties questionnaire: A research note [J].
Goodman, R .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, 1997, 38 (05) :581-586
[8]   Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample [J].
Goodman, R ;
Ford, T ;
Simmons, H ;
Gatward, R ;
Meltzer, H .
BRITISH JOURNAL OF PSYCHIATRY, 2000, 177 :534-539
[9]   Australian data and psychometric properties of the Strengths and Difficulties Questionnaire [J].
Hawes, DJ ;
Dadds, MR .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2004, 38 (08) :644-651
[10]   The strengths and difficulties questionnaire among Finnish school-aged children and adolescents [J].
Koskelainen, M ;
Sourander, A ;
Kaljonen, A .
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, 2000, 9 (04) :277-284