The confluence of mental, physical, social, and academic difficulties in middle childhood. II: Developing the MacArthur Health and Behavior Questionnaire
The confluence of mental, physical, social, and academic difficulties in middle childhood. II: Developing the MacArthur Health and Behavior Questionnaire
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DOI：
10.1097/00004583-200205000-00017
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发表时间：
2002-05-01
影响因子：
13.3
通讯作者：
Kupfer, DJ
中科院分区：
文献类型：
--
作者：
Essex, MJ;Boyce, WT;Kupfer, DJ
目的：（1）评估麦克阿瑟健康与行为问卷（MacArthur Health and Behavior Questionnaire，HBQ）在两项4- 8岁儿童研究中的心理测量学特性;（2）探讨基于HBQ的研究结果的实证和理论意义。方法：从（1）心理健康诊所（n = 53）和社区学校（n = 67）招募儿童样本，在三个研究地点进行病例对照研究;（2）威斯康星州的家庭和工作社区队列研究，包括具有高水平内化和/或外化行为问题的儿童和无症状儿童（N = 122）。母亲，父亲和教师的组合完成了HBQ在一个或两个时间点在四个地理和文化上的独特设置。结果：HBQ的信度具有较高的重测稳定性和交叉一致性。该仪器在症状组（即，高内化，高外化，高两者，和低两者），并显示出中等至大的组间差异的影响大小，大量的协方差也被发现之间的HBQ心理，身体，社会和学术问题的分量表。结论：HBQ是一个可靠和有效的家长和教师报告工具，用于评估儿童中期健康和功能障碍的多个方面，并确定可能需要进行更深入诊断程序的儿童。四个健康维度之间的汇合表明，在传统上划分的儿童期困难之间存在现象学和病因学上的共性，并表明在儿科和儿童精神病发病率之间的传统区分中可能存在人为性。
Objectives: (1) To evaluate the psychometric properties of the MacArthur Health and Behavior Questionnaire (HBQ) in two studies of 4- to 8-year-old children and (2) to explore the empirical and theoretical implications of HBQ-based study findings. Method: Samples of children were recruited from (1) mental health clinics (n = 53) and community schools (n = 67) for a case-control study in three research sites and (2) a Wisconsin-based community cohort study of families and work, comprising children with high levels of internalizing and/or externalizing behavior problems and asymptomatic children (N = 122). Combinations of mothers, fathers, and teachers completed the HBQ at one or two time points in four geographically and culturally distinctive settings. Results: Assessment of HBQ reliability showed high test-retest stability and cross-informant agreement. The instrument discriminated strongly and significantly among symptom groups (i.e., high internalizing, high externalizing, high both, and low both) and showed moderate to large effect sizes for between-group differences, Substantial covariance was also found among the HBQ mental, physical, social, and academic problem subscales. Conclusions: The HBQ is a reliable and valid parent- and teacher-report instrument for assessing multiple dimensions of health and dysfunction in middle childhood and for identifying children on whom more intensive diagnostic procedures may be warranted. Confluences among the four health dimensions suggest phenomenological and perhaps etiological commonalities among traditionally partitioned childhood difficulties and suggest possible artificiality in the conventional distinction between pediatric and child psychiatric morbidities.