Strengths and Difficulties Questionnaire as a Dimensional Measure of Child Mental Health
Strengths and Difficulties Questionnaire as a Dimensional Measure of Child Mental Health
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DOI：
10.1097/chi.0b013e3181985068
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发表时间：
2009-04-01
影响因子：
13.3
通讯作者：
Goodman, Robert
中科院分区：
文献类型：
--
作者：
Goodman, Anna;Goodman, Robert
目的：首次对优势和困难问卷（SDQ）的总难度分数的维度进行明确评估，SDQ 是一种广泛使用的儿童心理健康指标。我们通过根据临床疾病的患病率在整个范围内验证 SDQ 来实现这一目标。方法：我们对英国普通人口中 5 至 16 岁的儿童和青少年进行了两项大型（n = 18,415）全国代表性调查。优势和困难问卷由家长、教师和11至16岁的儿童分别完成，儿童还接受了多信息临床医生评定的临床诊断。基线调查中约 7,912 名儿童在 3 年随访时也接受了临床诊断重新评估。结果：在家长、教师和青少年 SDQ 的整个范围内，根据临床障碍的患病率来判断，总难度分数较高的儿童具有较高的精神病理学特征。这在横截面方面是正确的，在预测 3 年后的疾病状态时也是如此。没有证据表明 SDQ 在高分或低分时存在阈值效应，但在整个范围内，紊乱的几率以恒定的速度增加（SDQ 得分每增加 1 分，几率在 1.14 和 1.28 之间）。结论：我们的研究结果支持使用 SDQ 作为儿童心理健康的真正维度衡量标准。 J. Am.阿卡德。儿童青少年。精神病学，2009；48(4)：400-403。
Objective: To provide the first explicit evaluation of the dimensionality of the total difficulties score of the Strengths and Difficulties Questionnaire (SDQ), a widely used measure of child mental health. We do so by validating the SDQ across its full range against the prevalence of clinical disorder. Method: We use two large (n = 18,415) nationally-representative surveys of children and adolescents aged 5 to 16 years in the general British population. Strengths and Difficulties Questionnaires were completed separately by parents, teachers, and children aged 11 to 16 years, and children also received a multi-informant clinician-rated clinical diagnosis. Approximately 7,912 children from the baseline survey were also reassessed for clinical diagnosis at 3-year follow-up. Results: Across the full range of the parent, teacher, and youth SDQ, children with higher total difficulty scores have greater psychopathology as judged by the prevalence of clinical disorder. This was true cross-sectionally and also in predicting to disorder status 3 years later. There was no evidence of threshold effects for the SDQ at either high or low scores, but rather the odds of disorder increased at a constant rate across the range (odds ratios between 1.14 and 1.28 per 1-point increase in SDQ score). Conclusions: Our findings support the use of the SDQ as a genuinely dimensional measure of child mental health. J. Am. Acad. Child Adolesc. Psychiatry, 2009;48(4):400-403.