Measuring quality of life in children referred for psychiatric problems:: Psychometric properties of the PedsQL™ 4.0 generic core scales

Measuring quality of life in children referred for psychiatric problems:: Psychometric properties of the PedsQL™ 4.0 generic core scales
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DOI:
10.1023/b:qure.0000018483.01526.ab
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发表时间:
2004-03-01
影响因子:
3.5
通讯作者:
Verhulst, FC
Verhulst, FC
中科院分区:
医学2区
文献类型:
--
作者:
Bastiaansen, D;Koot, HM;Verhulst, FC

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目的:本研究的目的是评估儿科生活质量量表(TM)(PedsQL(TM)4.0)通用核心量表荷兰语译本的心理测量特性,并评估其在测量儿童精神病人群生活质量(QoL)方面的有用性。方法:在 310 名转介儿童(6-18 岁)和由 74 名非转介儿童(7-18 岁)组成的对照组以及两组家长中评估 PedsQL 的信度和效度。结果:验证性因素分析得出了四因素解决方案。 PedsQL 总量表评分(alpha = 0.84 儿童自我报告,alpha = 0.87 家长代理报告)、心理社会健康评分(alpha = 0.70 儿童自我报告,alpha = 0.81 家长代理报告)的内部一致性信度,以及大多数子量表分数对于组比较来说是可以接受的。许多父亲和母亲之间的相关性很大。与非转介儿童相比,转介儿童的 PedsQL 分数显着降低,证明了标准相关的有效性。 PedsQL 量表与精神病理学测量之间的显着相关性显示出收敛效度。 PedsQL 量表与儿童智力之间的微小相关性证明了区分有效性。结论:PedsQL 似乎是衡量因精神问题转诊的儿童生活质量的有效工具。
Objective: The aim of this study was to assess the psychometric properties of the Dutch translation of the Pediatric Quality of Life Inventory(TM) (PedsQL(TM) 4.0) generic core scales and assess its usefulness in measuring quality of life (QoL) in a child psychiatric population. Methods: Reliability and validity of the PedsQL were assessed in 310 referred children (ages 6-18 years) and a comparison group consisting of 74 non-referred children (ages 7-18 years), and the parents in both groups. Results: Confirmatory factor analysis resulted in a four-factor solution. Internal consistency reliability for the PedsQL Total Scale Score (alpha = 0.84 child self-report, alpha = 0.87 parent proxy-report), Psychosocial Health Score (alpha = 0.70 child self-report, alpha = 0.81 parent proxy-report), and most subscale scores were acceptable for group comparisons. Correlations between scores of fathers and mothers were large. Criterion-related validity was demonstrated by significantly lower PedsQL scores for referred vs. non-referred children. Significant correlations between PedsQL scales and measures of psychopathology showed convergent validity. Small correlations between PedsQL scales and intelligence of the child evidenced discriminant validity. Conclusion: The PedsQL seems a valid instrument in measuring QoL in children referred for psychiatric problems.