Child mental health problems in Arab children: Application of the strengths and difficulties questionnaire
Child mental health problems in Arab children: Application of the strengths and difficulties questionnaire
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DOI：
10.1177/002076400004600404
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发表时间：
2000-12-01
影响因子：
7.5
通讯作者：
Vostanis, P
中科院分区：
文献类型：
--
作者：
Thabet, AA;Stretch, D;Vostanis, P
目的：本研究旨在确定生活在加沙地带的322名阿拉伯儿童的心理健康状况。方法：选取3岁、6岁、11岁、16岁四个年龄段的儿童。由家长、老师和16岁学生共同完成优势与困难问卷（SDQ）的相关表格。结果：对父母相关问卷的因素分析发现了与英国验证SDQ的研究相似的一般因素。某些项目在一般因素上的负荷不高，如分心、感觉害怕、感觉不快乐、偷窃、被欺负或欺负。与之前的研究相比，学龄前儿童的情绪问题项目（疼痛、紧张、焦虑）的评分有所不同。使用之前的最佳临界值，父母的sdq显示，在英国样本中，有情绪和行为问题的儿童比例高于90百分位数，但根据16岁儿童自我报告的sdq，这一比例较低。结论：西方心理健康问题的分类并没有从因子分析中清晰地显现出来。与西方流行病学研究的主要区别似乎在于父母对学龄前儿童情绪问题的看法。SDQ在不同文化人群中很有希望作为一种筛选措施或评定量表。然而，未来的研究应该在这一人口和文化中确定和建立有土著意义的构式，并随后修订儿童心理健康问题的措施。
Aim: This study aimed at establishing the mental health profile among 322 Arab children living in the Gaza strip.Method: Children were selected in four age bands, i.e. 3, 6, 1 1 and 16 years of age. The relevant forms of the Strengths and Difficulties Questionnaire (SDQ) was completed by parents, teachers and 16-year-olds.Results: Factor analyses of the parent-related questionnaires identified similar general factors as in the UK-based studies of validating the SDQ. Certain items did not load as highly on the general factors, i.e. distractability, feeling scared, feeling unhappy, stealing, and being picked or bullied. Emotional problems items were rated differently in the pre-school group (aches, nervousness-clinging, worries) than in previous studies. Using previous optimal cut-off scores, parent SDQs revealed higher rates of children with emotional and conduct problems falling above the 90th centile established in the UK sample, but lower rates according to self-report SDQs by 16-year-olds.Conclusions: Western categories of mental health problems did not clearly emerge from the factor analysis. The main difference from western epidemiological studies appeared to operate in parents' perceptions of emotional problems in preschool children. The SDQ is very promising as a screening measure or rating scale in different cultural populations. However, future research should identify and establish indigenously meaningful constructs within this population and culture, and subsequently revise measures of child mental health problems.