Evaluation of the self-reported SDQ in a clinical setting: Do self-reports tell us more than ratings by adult informants?
Evaluation of the self-reported SDQ in a clinical setting: Do self-reports tell us more than ratings by adult informants?
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DOI：
10.1007/s00787-004-2004-4
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发表时间：
2004-01-01
影响因子：
6.4
通讯作者：
Rothenberger, A
中科院分区：
文献类型：
--
作者：
Becker, A;Hagenberg, N;Rothenberger, A
目的本研究的目的是评估德国自我报告的优势和困难问卷（SDQ）的临床设置。我们还调查了直接从年龄较大的儿童和青少年中收集的额外信息是否可以提高他们父母和/或教师的外部评级时对临床状态的预测。方法收集哥廷根大学儿童与青少年精神科214名11 ~ 17岁的住院和门诊患者（81名女孩和133名男孩）的SDQ自我报告。将自评问卷的结果与家长和教师的SDQ、相应的CBCL/YSR评分和临床诊断分类进行比较。最后，检查了自我报告的其他诊断益处。结果SDQ自评量表具有足够的同质性，与家长和教师评分之间存在可接受的相关性。自评版本的SDQ表现出良好的有效性方面的临床定义的情况下和非案件之间的区分，并在检测各种亚类的精神疾病的诊所样本。SDQ自我报告显着有助于诊断状态的预测，特别是如果只有家长或教师的评级。结论自评版SDQ是一种可靠、有效的儿童青少年行为问题评定方法。在没有来自家长和教师的成人报告的情况下，自我评价的诊断价值也得到了证明。
Objective The aim of this study was to evaluate the German self-reported Strengths and Difficulties Questionnaire (SDQ) in a clinical setting. We also investigated whether this additional information gathered directly from older children and adolescents improves the prediction of clinical status when external ratings from their parents and/or teachers are already available. Methods SDQ self-reports were collected from 214 in- and outpatients (81 girls and 133 boys) aged 11 to 17 years who were seen at the department of child and adolescent psychiatry of the University of Gottingen. Results obtained with the self-rated questionnaire were compared with the parent and teacher SDQs, corresponding CBCL/YSR scores, and the clinical diagnostic classification. Finally, the additional diagnostic benefits of the self-reports were examined. Results The scales of the SDQ self-report proved to be sufficiently homogeneous, and acceptable correlations were found with the equivalent parent and teacher ratings. The self-rated version of the SDQ demonstrated good validity with respect to the differentiation between clinically defined cases and non-cases and in detecting various subcategories of psychiatric disorders within the clinic sample. SDQ self-reports significantly contributed to the prediction of diagnostic status, specifically if only parent or teacher ratings were available. Conclusions The self-rated version of the SDQ was shown to be a reliable and valid method for the assessment of behavioural problems in children and adolescents. In the absence of adult informant reports from parents and teachers, the diagnostic value of self-ratings was also demonstrated.