Validity and reliability of Tamil version of Strengths and Difficulties Questionnaire self-report.
Validity and reliability of Tamil version of Strengths and Difficulties Questionnaire self-report.
复制标题
泰米尔语版本的优势和困难问卷自我报告的有效性和可靠性。
作者：
P. Lukumar;K.H.R. Wijewardana;J. Hermansson;G. Lindmark
背景
斯里兰卡的儿童和青少年心理健康服务十分匮乏。此外，没有有效的工具来衡量斯里兰卡讲泰米尔语的青少年的心理健康问题。因此，长处和困难问卷自我报告被翻译成泰米尔语，并在斯里兰卡贾夫纳地区得到验证。SDQ自我报告使用标准翻译和回译方法从英语翻译为泰米尔语。泰米尔语版本的SDQ自我报告是根据黄金标准（即。由精神科医生顾问作出的诊断）。诊所和社区样本均纳入验证研究。35名青少年（11-16岁）参加精神病诊所和91名青少年从社区被列入。精神科顾问医生的诊断与SDQ的回答无关。采用受试者工作特征（ROC）曲线评价SDQ的效度。使用内部一致性来衡量可靠性。
结果
ROC曲线表明，高效度的青少年心理健康问题的识别：曲线下面积0.87（95%CI = 0.79-0.93）。国际临界点为15，敏感性为69.4%，特异性为92.2%。Cronbach’s α值（0.67-0.78）在所有分量表和总难度量表中均良好。
结论
SDQ泰米尔语版自我报告可有效用于筛查青少年，以确定心理健康问题，也可用于研究目的。
BACKGROUND
Child and adolescent mental health services are scarce in Sri Lanka. Moreover there are no validated instruments to measure the mental health problems of Tamil speaking adolescents in Sri Lanka. Hence, strengths and difficulties questionnaire (SDQ) self-report was translated into Tamil and validated in the District of Jaffna, Sri Lanka. SDQ self-report was translated from English to Tamil using standard translation and back translation method. The Tamil version of the SDQ self-report was validated against a gold standard (ie. diagnosis made by a consultant psychiatrist). Both clinic and community samples were included in the validation study. Thirty-five adolescents (11-16 years) attending a psychiatric clinic and 91 adolescents from the community were included. The consultant psychiatrist made the diagnosis independent of the SDQ responses. Receiver operating characteristics (ROC) curve was used to measure the validity of SDQ. Reliability was measured using internal consistency.
RESULTS
The ROC curve indicated high validity for the identification of adolescents with mental health problems: area under the curve 0.87 (95% - CI = 0.79-0.93). International cut-off point of 15 gave a sensitivity of 69.4% and specificity of 92.2%. Cronbach's alpha values (0.67-0.78) were good in all subscales and total difficulties scale.
CONCLUSION
The SDQ self-report Tamil version can be used effectively for screening of adolescents to identify mental health problems as well as for research purposes.