Incremental validity of the Child Behavior Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ) in Vietnam
Incremental validity of the Child Behavior Checklist (CBCL) and the Strengths and Difficulties Questionnaire (SDQ) in Vietnam
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DOI：
10.1016/j.ajp.2017.04.023
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发表时间：
2017-10-01
影响因子：
9.5
通讯作者：
Weiss, Bahr
中科院分区：
文献类型：
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作者：
Hoang-Minh Dang;Ha Nguyen;Weiss, Bahr
目的：在亚洲低收入和中等收入国家，有效而有效的精神病评估对精神卫生发展至关重要。本研究的目的是评估越南版本的儿童行为检查表（CBCL）和优势和困难问卷（SDQ）在Vietnam.Methods的有效性：措施完成了1314名来自越南10个省的6-16岁儿童的父母的社区样本，并从河内的3个精神病院招募了208名儿童的父母。所有CBCL量表（.76-.96）和SDQ总问题量表（.81）的内部一致性均在一般至极好范围内; SDQ子量表内部一致性在较差至一般范围内（.31-.73）。所有CBCL和SDQ量表和大多数个别项目显着区分转诊和非转诊儿童，与转诊儿童得分在更多的病理方向; CBCL有显着较大的转诊效果大小比SDQ的所有四对可比的规模。在项目水平上，CBCL的最大转诊状态效应是#73（性问题），#84（奇怪行为）和#91（谈论自杀），而SDQ则是#10（不断坐立不安），#15（容易分心）和#25（良好的注意力跨度反向得分）。五个CBCL（#2饮酒; #99使用烟草;#32必须完美; #53暴饮暴食;#56 A疼痛和疼痛）和一个SDQ项目（#23与成人相比沿着更好）没有区分转诊状态，表明文化价值观对临床可接受性的影响（例如，越南父母可能不认为烟草的使用是一个值得关注的问题，或与健康有关）。结论：有很好的支持越南版的CBCL的信度和效度，SDQ总问题量表。总体而言，CBCL似乎是心理测量学上更强的衡量标准，特别是如果需要深入评估的话。
Objective: Valid but efficient psychiatric assessment is essential for mental health development in Asian low and middle-income countries. This study's objective was to assess the validity of Vietnamese versions of the Child Behavior Checklist (CBCL), and the Strengths and Difficulties Questionnaire (SDQ) in Vietnam.Methods: Measures were completed by a community sample of 1314 parents of children 6-16 years old from 10 Vietnamese provinces, and by parents of 208 children recruited from 3 psychiatric facilities in Hanoi.Results: Internal consistency was in the fair to excellent range for all CBCL scales (.76-.96) and for the SDQ Total Problems scale (.81); SDQ subscale internal consistency was in the poor to fair range (.31-.73). All CBCL and SDQ scales and most individual items significantly discriminated between referred and non-referred children, with referred children scoring in the more pathological direction; the CBCL had significantly larger referral effect sizes than the SDQ for all four pairs of comparable scales. At the item level, the largest referral status effect for the CBCL were #73 (Sexual Problems), #84 (Strange Behavior), and #91 (Talks about suicide), and for the SDQ they were #10 (Constantly fidgeting), #15 (Easily Distracted) and #25 (Good Attention Span-reverse scored). Five CBCL (#2 Drinks alcohol; #99 Uses tobacco, #32 Has to be perfect; #53 Overeats; #56A Aches and pains) and one SDQ items (#23 Gets along better with adults than children) did not discriminate referral status, suggesting the influence of cultural values on clinical referrability (e.g., that Vietnamese parents may not see use of tobacco as an issue of concern, or related to health).Conclusions: There is good support for the reliability and validity of the Vietnamese version of the CBCL, and for the SDQ Total Problems scale. Overall, the CBCL appears to be the stronger measure psychometrically, particularly if in-depth assessment is needed.