Validation of the Chinese version of the strengths and difficulties questionnaire in Hong Kong
Validation of the Chinese version of the strengths and difficulties questionnaire in Hong Kong
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DOI：
10.1007/s00127-009-0152-z
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发表时间：
2010-12-01
影响因子：
4.4
通讯作者：
Ho, Karen
中科院分区：
文献类型：
--
作者：
Lai, Kelly Y. C.;Luk, Ernest S. L.;Ho, Karen
优点和困难问卷（SDQ）是目前筛查儿童精神疾病最常用的工具之一。西方的心理测量学研究肯定了它的可靠性和有效性，但在非西方人群中很少有类似的研究。这是一个重要的差距，因为文化差异会影响人们对儿童行为的看法和评价。本研究旨在探讨SDQ中文版在香港儿童中的心理测量学特性。研究以分层随机抽样方法，在全港各区抽取3，722名6至12岁的学生作为社区样本。对照组由494名连续儿童参加一般儿童精神病诊所。SDQ和基本的社会人口学数据从家长和教师那里收集。信度由内部一致性和重测稳定性决定。有效性进行了评估问卷的能力，区分社区和诊所样本，ROC曲线。结果表明，该问卷具有较好的信度和效度。总体困难量表和多动分量表可能是区分社区和诊所儿童最有用的。情绪分量表相对较弱，特别是关于教师的评级。值得注意的是，我们的标准分数明显高于西方的报告，再次强调了检查问卷的文化适用性的重要性。我们的数据支持使用SDQ的中文版本，特别是总困难量表，作为筛选工具，在香港儿童的精神疾病。
The strengths and difficulties questionnaire (SDQ) is now one of the most commonly used instruments for screening child psychiatric morbidities. Psychometric studies in the West affirm its reliability and validity, but similar studies are scarce among non-Western populations. This is an important gap because cultural differences can influence how children's behaviours are perceived and rated. This study explores the psychometric properties of the Chinese version of the SDQ among children in Hong Kong.The SDQ was translated into Chinese. A community sample of 3,722 students between 6 and 12 years were recruited by stratified random sampling from across the whole of Hong Kong. Comparison group consisted of 494 consecutive children attending a general child psychiatric clinic. SDQ and basic socio-demographic data were collected from parents and teachers. Reliability was determined by internal consistency and test-retest stability. Validity was assessed by the questionnaire's ability to discriminate between community and clinic samples, and ROC curves. Cutoff scores and their sensitivity, specificity, positive predictive value and negative predictive value were calculated.Our results confirm the questionnaire's reliability and validity. The total difficulties scale and hyperactivity subscale are potentially the most useful in discriminating between community and clinic children. The emotional subscale was relatively weaker, especially with respect to teachers' ratings. Of note also is that our normative scores are significantly higher than those reported in the West, highlighting once again the importance of examining a questionnaire's cultural applicability.Our data support the use of the Chinese version of the SDQ, especially the total difficulties scale, as a screening instrument for psychiatric morbidities among children in Hong Kong.