Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample

被引:885
作者
Goodman, R
Ford, T
Simmons, H
Gatward, R
Meltzer, H
机构
[1] Kings Coll London, Dept Child & Adolescent Psychiat, Inst Psychiat, London SE5 8AF, England
[2] Off Natl Stat, Social Survey Div, London, England
关键词
D O I
10.1192/bjp.177.6.534
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Child psychiatric disorders are common and treatable, but often go undetected and therefore remain untreated. Aims To assess the Strengths and Difficulties Questionnaire (SDQ) as a potential means for improving the detection of child psychiatric disorders in the community. Method SDQ predictions and independent psychiatric diagnoses were compared in a community sample of 7984 5- to 15-year-olds from the 1999 British Child Mental Health Survey. Results Multi-informant (parents, teachers, older children) SDQs identified individuals with a psychiatric diagnosis with a specificity of 94.6% (95% CI 94.1-95.1%) and a sensitivity of 63.3% (59.7-66.9%). The questionnaires identified over 70% of individuals with conduct. hyperactivity, depressive and some anxiety disorders, but under 50% of individuals with specific phobias, separation anxiety and eating disorders. Sensitivity was substantially poorer with single-informant rather than multi-informant SDQs. Conclusions Community screening programmes based on multi-informant SDQs could potentially increase the detection of child psychiatric disorders, thereby improving access to effective treatments.
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收藏
页码:534 / 539
页数:6
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